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A uterine air embolism is technically possible, but exceedingly rare and unlikely. It would require a combination of high air pressure, trajectory of flow, and a very relaxed cervix. (However, health professionals strongly advise against sexplay with air jets, hot-tub jets and the like, due to that slight possibility.) Normal flatulence that occasionally enters the vagina as a result of sitting at a particular angle or "clenching" cannot possibly create enough pressure to enter the uterus, nor can sexual intercourse - unless the cervix were dilated due to advanced pregnancy, labour or a laminary insertion prior to a D&C procedure. A woman in either situation would likely be paying rather more attention to her bodily comfort.

How do I know all this? I used to work in an OR, and have fielded this question more than once from an anxious patient. The only uterine air embolism I have ever heard of in reality was a post-delivery incident, involving a woman's cervix that didn't contract as quickly as normal. She was cathetered, and the gas passed without harm.

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Q: Can gas enter the uterus
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The entry of the uterus is called the cervix. It is the narrow, lower part of the uterus that connects to the vagina. The cervix allows menstrual blood to flow out of the uterus during menstruation and also serves as the passageway for sperm to enter the uterus during intercourse.


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