To determine attitudes and practices regarding sexual relations during
menstruation and vaginal spotting, a cross-sectional descriptive surv
ey was performed at the Institute de Investigaciones Materno Infantil,
Universidad de Chile, Santiago, Chile. A total of 287 women and 206 m
en were randomly selected from an urban population. Attitudes, beliefs
, and practices regarding sexual relations during vaginal bleeding wer
e surveyed and stratified by educational level and other demographic c
haracteristics. Overall, 70% of women and 72% of men were found to avo
id sexual relations during menstruation. Fifty-four percent of women a
nd 60% of men avoided sexual relations during vaginal spotting. Women
with higher education (technical or university) were less likely to av
oid sexual intercourse compared to those with a lower educational leve
l (basic or secondary education) during menstruation (73% vs. 57%) and
vaginal spotting (69% vs. 34%). Men with a higher educational level (
university) avoided intercourse less frequently when their partner was
spotting (48% vs. 64%). As many methods of contraception affect a wom
an's menstrual cycle, they therefore may affect the intimacy of a coup
le. Counseling and education regarding the menstrual cycle and expecte
d alterations by a contraceptive method may reduce any negative impact
of a contraceptive device on a couple's sexual life.