How to calculate ovulation? When is safe sex to avoid pregnancy?

Patient's question:

Please help me out, I don't know when is the safest time for sexual activity, and I also want to ask what the effects are when having sex during menstruation? Thank you!

Doctor's answer:

Hello: The method of calculating ovulation based on the menstrual cycle is also known as the calendar method. Both menstruation and ovulation are influenced by endocrine hormones from the pituitary gland and ovaries, exhibiting cyclical changes. The lengths of both cycles are consistent, occurring once per month, with ovulation occurring between two menstrual periods. A woman's menstrual cycle can vary in length, but the interval between the day of ovulation and the start of the next menstrual period is relatively fixed, generally around 14 days. Based on this relationship between ovulation and menstruation, it is possible to calculate the ovulation period based on the menstrual cycle. The calculation method starts from the first day of the next menstrual period, counting backward 14 days or subtracting 14 days to determine the ovulation day. The ovulation day, along with the 5 days before it and the 4 days after it, together constitute the ovulation period. This is the theoretical basis for the safe period method of contraception. For example, if a woman has a 28-day menstrual cycle and her first day of her current menstrual period is December 1st, her next menstrual period will occur on December 29th (December 1st plus 28 days). Subtracting 14 days from December 29th gives December 15th as the ovulation day. The ovulation period, which includes the 5 days before and 4 days after the ovulation day, is from December 10th to December 19th.
During menstruation, sexual intercourse should be avoided, as the body's resistance is lowered, making it easier for pathogenic bacteria to invade and leading to various gynecological diseases. This should be taken seriously.

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