Patient's question:
Hello everyone, doctor:I would like to ask, my girlfriend had a medication abortion on the 25th of last month, and she hasn't had any bleeding for a week now. Today is the 17th, can we have sexual intercourse? If I maintain cleanliness and use a condom, is that okay? Will it affect her if we do?
Thank you!!!!
First follow-up question: What if she still hasn't had her period after a month?
Second follow-up question: Thank you for your replies. If she doesn't get her period for a whole month, can we...
Doctor's answer:
There are two types of miscarriage: spontaneous miscarriage and induced miscarriage. Whether it is a spontaneous or induced miscarriage, it leaves a certain wound on the endometrium and the cervix remains open, with increased vaginal discharge. This condition provides favorable conditions for bacteria to multiply and cause bacterial infection. Therefore, engaging in sexual activity too soon can easily introduce bacteria into the reproductive organs, leading to endometritis, salpingitis, or pelvic inflammatory disease. In mild cases, timely treatment can still lead to recovery. However, many women may suffer from endometrial damage or tubal occlusion, resulting in infertility. If sexual intercourse occurs before the lochia has completely stopped after an induced miscarriage, and bacteria invade the bloodstream from the wound, it may spread to sepsis and endanger life. Therefore, sexual activity for women who have had a miscarriage should be delayed at least one month after the lochia has stopped, and it is best to wait two months. Additionally, after a miscarriage, it is important to maintain cleanliness of the external genitalia, change underwear frequently, replace menstrual pads promptly, and clean the external genitalia in a timely manner.