We had sex more than 20 days after the abortion.

There is a risk of infection when having sex more than 20 days after abortion, so it is recommended to seek medical evaluation in time. There are wounds in the endometrium after artificial abortion. Premature intercourse may lead to ascending infection of pathogens and lead to complications such as endometritis and pelvic inflammatory disease.

Endometrial repair after artificial abortion usually takes about 30 days, and the uterine cavity may not have completely healed after more than 20 days. At this time, sexual intercourse may introduce external bacteria into the reproductive tract, increasing the probability of infection. Mechanical stimulation may also cause abnormal uterine contractions, resulting in increased vaginal bleeding or prolonged vaginal bleeding. Short-term intercourse after surgery may also cause fallopian tube adhesions and affect future fertility.

If symptoms such as persistent pain in the lower abdomen, fever, abnormal vaginal discharge, or a sudden increase in bleeding occur after having sex, you need to be highly vigilant about acute pelvic inflammatory disease. Severe infections may develop into pyosalpinx, pelvic abscess, and other conditions requiring hospitalization. For those with a history of chronic vaginitis and cervicitis, the risk of postoperative infection will be further increased.

You should strictly follow the doctor's advice to abstain from sex for 4 weeks after surgery, and use the antibiotics prescribed by the doctor to prevent infection. Before resuming intercourse, it is recommended to review the ultrasound to confirm the recovery of the uterine cavity. During intercourse, contraceptive measures should be taken to avoid repeated pregnancies in the short term. Within 1 month after surgery, avoid bathing, swimming and other behaviors that may cause infection. Clean the vulva every day but do not rinse the vagina. If abnormal symptoms occur, you need to seek medical attention immediately. The doctor may prescribe cefixime dispersible tablets, metronidazole vaginal effervescent tablets and other anti-infective drugs according to the situation, or conduct secretion culture to guide medication.