After having a D&C procedure after a miscarriage, how to have sexual life?

Patient's question:

Medical Description:
1. Heavy bleeding on the last day of menstruation
2. Hospital examination confirmed miscarriage
History of Treatment and Effectiveness:
1. Underwent a Dilation and Curettage (D&C) procedure after miscarriage
Desired Help:
1. How to have healthier sexual life after the D&C procedure for miscarriage?
2. Had one instance of sexual intercourse during this period. Is there any harm?
3. Should contraception be used?

Doctor's answer:

Hello, strictly speaking, sexual activity should not occur until after one menstrual period, and at least one month should pass. The D&C procedure you underwent is equivalent to an induced abortion. If sexual activity occurs too soon after an induced abortion, it can easily lead to acute endometritis, pelvic inflammatory disease, and other complications, as well as secondary infertility. Therefore, sexual activity is strictly prohibited within one month. Sexual stimulation can also prolong bleeding duration and increase blood volume, leading to changes in menstruation. Severe endometrial damage can affect fertility. Moreover, the function of the ovaries does not recover after an induced abortion, and the time it takes to resume ovulation is uncertain, making it easy to become pregnant again. You should take care of yourself and know how to protect your own body.

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