Sex In Pregnancy and Post Birth
Can I have Sex During Pregnancy and Is It Safe?
We are often asked this question. During a normal pregnancy, sex is safe right through to the end of the third trimester.
Your baby cannot be harmed through sexual intercourse as the baby is surrounded and cushioned by the amniotic fluid within the placental sac and is protected within the strong and muscular uterus. The uterus is above the vagina, and the thick mucous plug that seals the long and closed cervix helps guard against infection.
Are there Times to Avoid Sex in Pregnancy?
It might be recommended to avoid sex in pregnancy if:
- You have threatened premature labour, and your cervix begins to open prematurely
- History of preterm labour or preterm birth
- Leaking of the amniotic fluid from the vagina
- If your placenta partially or completely covers the internal opening of the cervix (known as placenta praevia)
- Unexplained vaginal bleeding
This would be discussed and confirmed at your antenatal visits if you were advised to avoid sexual intercourse.
What If I Don’t Feel Like Sex in Pregnancy?
Some common reasons you may experience a reduction in libido during pregnancy are:
- Nausea and vomiting
- Extreme tiredness / lethargy
- Back pain and pelvic discomfort
- Altered self-image and changing body shape
- Anxiety/depression and fear of the unknown
Communication with your partner is the key to navigating a physical and emotional connection during pregnancy. If sex is difficult or off-limits in pregnancy, you may find that cuddling, kissing or massage can be nice alternatives.
Sometimes it may be your partner who has concerns about sexual intercourse during pregnancy, usually associated with fears that sex can harm the baby. Again, good communication and education can alleviate fears/anxieties and create alternatives.
Oral Sex In Pregnancy
Oral sex for women is safe in pregnancy and can be a great alternative if you have been advised against vaginal sex. However there are a few precautions to take:
- Both you and your partner should be free of Sexually Transmitted Infections (STIs) or cold sores (herpes infections).
- It is crucial that your partner does not blow air into your vagina, as this could cause an air embolism, which is rare but can be fatal.
Can Sex Improve in Pregnancy?
Some women experience an increased libido during pregnancy, particularly in the second trimester, due to the extra flood of the hormone oxytocin. This causes increased uterine blood flow, enhanced vaginal lubrication, and heightened nipple sensitivity.
Without the worry of contraception or falling pregnant, some women report that sex during pregnancy is more enjoyable and empowering.
Helpful Things to Know
- During or following sex, you may feel your baby moving, particularly if your heart rate increases or the muscles of your uterus contract due to orgasm.
- Braxton hicks contractions (non-painful uterine tightening) may occur during or after sex, which is normal
- Exploring different positions for comfort and pleasure may become necessary as your baby bump grows
Sex Post Birth
Sexual intercourse can be resumed from 4-6 weeks following birth and usually advisable when discomfort has decreased and bleeding minimal.
If breastfeeding, your period may not return for some time, due to hormonal effects associated with breastfeeding. However, you may still ovulate any time after six weeks post birth, so contraception is advised
If you have any questions or concerns, please discuss them during your appointments or contact us for a consultation