Sexual Activity During Menstruation: Risks and Considerations - Urology

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Hello, can women engage in sexual intercourse during their menstrual period? If they do, is there a risk of infection for the female? Are there any negative effects for the male as well?

Andy, 20~29 year old female. Ask Date: 2018/11/04

Dr. Chen Jiansheng reply Urology


Theoretically, it is possible, but the presence of menstrual blood can be off-putting and may also increase the risk of transmitting bloodborne infectious diseases.

Reply Date: 2018/11/04

More Info


Engaging in sexual activity during menstruation is a topic that often raises questions regarding health risks and considerations for both partners involved. While it is generally safe for couples to have sex during a woman's menstrual period, there are several factors to consider regarding potential health risks, including the risk of sexually transmitted infections (STIs) and other complications.


Safety and Health Risks
1. Increased Risk of STIs: During menstruation, the cervix is slightly more open, which can increase the risk of pathogens entering the uterus. This can make both partners more susceptible to STIs, including HIV, gonorrhea, and chlamydia. If one partner is infected, the likelihood of transmission may be higher during this time. It is crucial to use protection, such as condoms, to reduce this risk.

2. Hygiene Considerations: Menstrual blood can carry bacteria, and engaging in sexual activity during this time may increase the risk of infections for both partners. Proper hygiene practices, such as showering before engaging in sexual activity and using protection, can help mitigate these risks.

3. Comfort and Consent: Some women may experience discomfort, cramps, or other symptoms during their menstrual period, which can affect their desire for sexual activity. Open communication between partners is essential to ensure that both feel comfortable and consenting to engage in sexual activity during this time.

4. Potential for Other Complications: While rare, there is a possibility of developing conditions such as endometriosis or pelvic inflammatory disease (PID) if bacteria are introduced into the reproductive tract during menstruation. This is particularly a concern if there are existing infections or if proper hygiene is not maintained.


Considerations for Male Partners
For male partners, the primary concern during menstruation is the potential exposure to blood and the associated risk of STIs. While the risk of contracting an STI from a menstruating partner is generally low if both partners are healthy and STI-free, it is still advisable to use condoms to minimize any risk. Additionally, some men may have personal preferences or discomfort regarding sexual activity during menstruation, which should be respected.


Conclusion
In summary, having sexual activity during menstruation is generally safe, but it does come with certain risks that should be acknowledged. Using protection, maintaining good hygiene, and ensuring open communication between partners are essential steps to reduce the risk of STIs and other complications. If either partner has concerns about STIs or experiences unusual symptoms, it is advisable to consult a healthcare professional for further evaluation and guidance. Ultimately, the decision to engage in sexual activity during menstruation should be based on mutual consent and comfort for both partners.

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