Can I have sexual intercourse with uterine fibroids?

Generally, whether a patient with uterine fibroids can engage in sexual intercourse mainly depends on the location, size of the fibroids, and the patient's physical condition and symptoms. It is recommended to seek timely medical consultation, identify the cause, and undergo symptomatic treatment under a doctor's guidance. The specific analysis is as follows:

If the uterine fibroid is small and does not cause obvious symptoms, such as abnormal bleeding or pain, sexual intercourse can generally be performed normally. Sexual activity will not cause the fibroid to grow larger nor directly affect the fibroid.

If the uterine fibroid is large, such as having a diameter greater than 5 centimeters, or is located submucosally, it may cause symptoms such as increased menstrual flow, prolonged menstruation, or abdominal pain. In such cases, sexual intercourse is not recommended to avoid worsening the condition or affecting treatment. Additionally, if the patient has undergone surgical treatment for uterine fibroids, such as myomectomy or hysterectomy, a recovery period is required after surgery. During this time, sexual intercourse may affect wound healing and therefore is not recommended.

Patients with uterine fibroids should undergo regular follow-up examinations to monitor fibroid growth, enabling timely identification of problems and appropriate treatment measures. When engaging in sexual intercourse, patients should maintain personal hygiene and keep the external genital area clean to avoid infection.