Period Sex: Doctors Discuss Benefits, Risks, and Hormonal Influences on Libido

While many women experience discomfort and a decreased desire for intimacy during their periods, doctors note that hormonal shifts can actually heighten libido for some. Fluctuating levels of estrogen and testosterone during menstruation can lead to an increased sex drive, a phenomenon partly explained as the body's natural preparation for ovulation in the coming days.

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Fluctuating hormone levels – rising oestrogen and testosterone – during menstruation lead to increased libido in some women.

However, this effect is not universal. Dr. Angela Tan, medical director at Reiwa Health, explains that just as premenstrual syndrome (PMS) symptoms vary, so do responses to hormonal changes. For some, cramps, bloating, and general discomfort may suppress sexual appetite, while others may find themselves craving intimacy more. Dr. Tan also suggests that women in relationships might seek closeness during their period as a way to feel more loved and cared for when experiencing physical discomfort.

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This is also partly the body’s natural response as it begins preparing for ovulation in the days ahead.

Beyond increased desire, intimacy during menstruation can offer tangible benefits. Dr. Grace Huang, a general practitioner at DTAP Clinic, highlights that sexual activity triggers the release of oxytocin and endorphins. Oxytocin, often called the 'love hormone,' promotes positive feelings and can boost mood, while endorphins act as natural painkillers, potentially alleviating menstrual cramps and even menstrual migraines.

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However, this does not apply to everyone, as cramps, bloating and general discomfort can have the opposite effect.

Despite these potential benefits, doctors emphasize the importance of awareness regarding pregnancy and sexually transmitted infections (STIs). Dr. Cassandra Cheong, a consultant at KK Women's and Children's Hospital, advises that precautions should still be taken. While the risk of pregnancy is lower during menstruation, it is not zero, especially for women with irregular cycles or those who ovulate early. Similarly, the risk of STI transmission remains, as menstrual blood can facilitate the spread of infections.

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A woman’s sexual appetite may or may not increase during the time of the month.