Is it okay to have protected sex on the fourth day after an abortion?

Nov 15, 2025 Source: Cainiu Health
Dr. Zhang Lu
Introduction
In general, it is not recommended to have sexual intercourse with a condom on the fourth day after an abortion procedure, as this may pose risks. If any discomfort occurs, prompt medical attention is advised. Sexual activity should be postponed for at least one month after the procedure, and only resumed after menstruation has returned and a follow-up examination confirms complete uterine recovery. Maintain good external genital hygiene in daily life by washing with warm water, frequently changing cotton, breathable underwear, and avoiding tub baths and vaginal douching.

Generally, sexual intercourse with a condom is not recommended on the fourth day after an abortion procedure, as it may pose risks. If any discomfort occurs, prompt medical attention is advised. Detailed explanations are as follows:

On the fourth day after an abortion, sexual intercourse is not advised even when using a condom, because the uterus has not yet healed. The procedure creates a wound surface on the endometrium, which remains congested and swollen four days post-surgery. Additionally, the cervical opening has not fully closed and the body's defenses are weakened. Although condoms can block some pathogens, friction during intercourse may stimulate uterine contractions, leading to increased bleeding or delayed healing at the wound site. It may also introduce bacteria into the uterine cavity, potentially causing infectious conditions such as endometritis or pelvic inflammatory disease.

At least one month of rest is required after the procedure. Sexual activity should only be considered after menstruation has resumed and a follow-up examination confirms complete uterine recovery. Maintain good external genital hygiene by washing with warm water and frequently changing breathable cotton underwear. Avoid tub baths and vaginal douching. Get adequate rest, avoid overexertion and strenuous exercise, and consume a diet rich in high-quality protein and iron to support physical recovery. Seek immediate medical evaluation if symptoms such as worsening abdominal pain, increased vaginal bleeding, or abnormal discharge with an unpleasant odor occur.