Can you have sexual intercourse during menstruation?
Apr 24, 2022
Source: Cainiu Health
Dr. Yang Qiong
Introduction
Sexual intercourse should be avoided when menstruation is approaching. Although this period is considered a “safe period” for conception, a woman’s immune resistance declines as menstruation nears. The cervical os gradually opens, and the endometrium begins to shed and may be expelled from the body at any time. Engaging in sexual intercourse during this time increases the risk of infection and subsequent inflammation; severe inflammation may spread to the pelvic cavity and impair fertility.
Menstruation is a special physiological period for women, during which numerous precautions must be taken; failure to observe these may lead to various health issues. So, is sexual intercourse permissible during menstruation?
Is sexual intercourse permissible during menstruation?
Sexual intercourse is not advisable just before menstruation begins—even though this phase is often considered the “safe period” for conception. During the premenstrual phase, a woman’s immune resistance declines, the cervical os gradually opens, and the endometrium begins to shed and may be expelled at any time. Engaging in intercourse at this time increases the risk of infection and subsequent inflammation; severe inflammation may spread to the pelvic cavity and impair fertility. Additionally, intercourse during this phase may disrupt the normal menstrual cycle. Therefore, sexual intercourse should be avoided in the premenstrual period. Extra attention should also be paid to personal hygiene, avoiding cold or spicy foods, and maintaining warmth prior to menstruation.
During menstruation, both the vaginal opening and cervical os remain temporarily open, while the endometrium sheds intermittently and is expelled via the vagina. Sexual intercourse during this time poses significant risks—most notably, an increased likelihood of ascending bacterial infection leading to endometritis. Following intercourse, affected individuals may experience persistent lower abdominal pain, and in more severe cases, systemic symptoms such as fever and chills.
In a small proportion of women, mechanical stimulation during intercourse may cause shed endometrial tissue to migrate through tubal peristalsis to the ovaries, resulting in endometriosis. Such women may suffer from progressively worsening dysmenorrhea and may develop secondary infertility. We hope this information proves helpful to you!
