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Chapter 13 - Sex with Bleeding in the First Trimester

from Section 2 - Specific Issues

Published online by Cambridge University Press:  09 November 2022

Dan Farine
Affiliation:
Mount Sinai Hospital, Toronto
Pablo Tobías González
Affiliation:
Hospital Universitario Infanta Cristina de Parla, Madrid
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Summary

There is a paucity of data on sex with bleeding in the first trimester of pregnancy. The sexuality of couples is highly diverse, and sexual intercourse frequently declines from the start of pregnancy. An increased risk of miscarriage in the first trimester has been reported when intercourse is associated with bleeding. However, it is impossible to assign a deleterious role for sex in this statistically significant association between bleeding and first-trimester miscarriage. Overall, there seems to be no danger associated with sexual activity of whatever type during pregnancy.

Type
Chapter
Information
Sex and Pregnancy
From Evidence-Based Medicine to Dr Google
, pp. 92 - 96
Publisher: Cambridge University Press
Print publication year: 2022

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References

Ananth, C. V., Savitz, D. A.. Vaginal bleeding and adverse reproductive outcomes: a meta-analysis. Paediatr Perinat Epidemiol 1994;8:6278.Google Scholar
Everett, C.. Incidence and outcome of bleeding before the 20th week of pregnancy: a prospective study from general practice. BMJ 1997;315:32–4.Google Scholar
Hasan, R., Baird, D. D., Herring, A. H., et al. Association between first-trimester vaginal bleeding and miscarriage. Obstet Gynecol 2009;114:860–7.Google Scholar
Lykke, J. A., Dideriksen, K. L., Lidegaard, O., Langhoff-Roos, J.. First-trimester vaginal bleeding and complications later in pregnancy. Obstet Gynecol 2010;115:935–44.Google Scholar
Jawed-Wessel, S., Sevick, E.. The impact of pregnancy and childbirth on sexual behaviors: a systematic review. J Sex Res 2017;54:411–23.Google Scholar
Johnson, C. E.. Sexual health during pregnancy and the postpartum. J Sex Med 2011;8:1267–84.Google Scholar
von Sydow, K.. Sexuality during pregnancy and after childbirth: a metacontent analysis of 59 studies. J Psychosom Res 1999;47:2749.Google Scholar
Chang, S. R., Chen, K. H., Lin, H. H., Yu, H. J.. Comparison of overall sexual function, sexual intercourse/activity, sexual satisfaction, and sexual desire during the three trimesters of pregnancy and assessment of their determinants. J Sex Med 2011;8:2859–67.Google Scholar
Gracia, C. R., Sammel, M. D., Chittams, J., et al. Risk factors for spontaneous abortion in early symptomatic first-trimester pregnancies. Obstet Gynecol 2005;106:993–9.Google Scholar
Maconochie, N., Doyle, P., Prior, S., Simmons, R.. Risk factors for first trimester miscarriage: results from a UK-population-based case-control study. BJOG 2007;114:170–86.Google Scholar
Quenby, S., Gallos, I. D., Dhillon-Smith, R. K., et al. Miscarriage matters: the epidemiological, physical, psychological, and economic costs of early pregnancy loss. Lancet 2021;397:1658–67.Google Scholar
Coomarasamy, A., Gallos, I. D., Papadopoulou, A., et al. Sporadic miscarriage: evidence to provide effective care. Lancet 2021;397:1668–74.Google Scholar
Coomarasamy, A., Dhillon-Smith, R. K., Papadopoulou, A., et al. Recurrent miscarriage: evidence to accelerate action. Lancet 2021;397:1675–82.CrossRefGoogle ScholarPubMed
Moscrop, A.. Can sex during pregnancy cause a miscarriage? A concise history of not knowing. Br J Gen Pract 2012;62:e308–10.Google Scholar
Harville, E. W., Wilcox, A. J., Baird, D. D., Weinberg, C. R.. Vaginal bleeding in very early pregnancy. Hum Reprod 2003;18:1944–7.Google Scholar
Speert, H., Guttmacher, A. F.. Frequency and significance of bleeding in early pregnancy. JAMA 1954;155:712–15.Google Scholar
Steiner, A. Z., Pritchard, D. A., Young, S. L., Herring, A. H.. Peri-implantation intercourse lowers fecundability. Fertil Steril 2014;102:178–82.CrossRefGoogle ScholarPubMed
Seeber, B. E., Barnhart, K. T.. Suspected ectopic pregnancy. Obstet Gynecol 2006;107:399413.Google Scholar
Badir, S., Mazza, E., Zimmermann, R., Bajka, M.. Cervical softening occurs early in pregnancy: characterization of cervical stiffness in 100 healthy women using the aspiration technique. Prenat Diagn 2013;33:737–41.CrossRefGoogle ScholarPubMed

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