How long after a woman undergoes dilation and curettage (D&C) can she resume sexual intercourse?

Many individuals undergo dilation and curettage (D&C) either due to pregnancy termination or certain medical conditions. So, how long after a D&C can a woman resume sexual intercourse?

How long after a D&C can a woman resume sexual intercourse?

Generally, sexual intercourse may be resumed approximately one month after a D&C. The procedure causes trauma to the endometrium (uterine lining), and following the procedure, the cervical os remains relatively relaxed while vaginal discharge (lochia) persists. Intercourse during this period may allow bacteria to enter the uterine cavity via the cervix, potentially leading to endometritis, pelvic inflammatory disease, or even infertility. Additionally, the body requires time to recover post-D&C. It is essential to maintain external genital hygiene—washing the perineal area daily with warm water—and to wear clean, dry undergarments. A regular lifestyle, avoidance of cold, spicy, or irritating foods, and moderate physical activity are also recommended to enhance immune function.

Indications for D&C include: • Induced abortion: As a method to terminate pregnancy; • Endometrial pathology: Such as endometrial polyps, incomplete miscarriage with retained products of conception, endometrial lesions (e.g., endometrial hyperplasia or atypical hyperplasia), or abnormal endometrial thickening accompanied by heavy bleeding. Since D&C removes the functional layer of the endometrium, an open wound remains immediately after the procedure, requiring time for proper healing.

Engaging in intercourse before complete endometrial healing significantly increases the risk of infection. Therefore, sexual intercourse is generally discouraged for at least one month following D&C. After one month—once the endometrium has healed adequately—resuming intercourse is considered safe. We hope this information is helpful to you!