Sex- Pregnancy and Postpartum Most Common Questions

Can I have sex in pregnancy?

Sex in pregnancy is completely safe for low-risk women. There are misconceptions that sex can cause a miscarriage so pregnant woman and their partners are often afraid to have sex during pregnancy. Men are often terrified to have sex with their pregnant partners for fear of hurting the baby. Many believe women are more sexual doing their pregnancy but in truth this doesn’t seem to be the case. Women often lack an interest in sex and prefer to be held, cuddled and kissed during pregnant.  Extra weight gain makes pregnant women feel depressed and less sexy. Breast enlargement is loved by husbands and partners but typically not by the pregnant woman. Women worry that an orgasm can led to a miscarriage, preterm labor or premature rupture of membranes. Each trimester brings a whole new set of circumstances that sets the stage for sex and intimacy obstacles.

It is normal not to be interested in having sex with my husband in pregnancy?

It is completely normal for your sexual desires and interests to change during pregnancy. Many people experience fluctuations in their sex drive during this time due to hormonal changes, physical discomfort, or emotional factors. It’s important to remember that everyone’s experience is unique, and there is no right or wrong way to feel. The amniotic fluid filled sac and strong muscles of the uterus protect the baby, creating a safe environment. Old myths that sex and orgasms can cause miscarriage, preterm labor or premature rupture of membranes (bag of water breaks) are not true in healthy and uncomplicated pregnancies.

What are circumstances where I can’t have sex during pregnancy?

High risk pregnancy’s that would prohibit sex include having multiples-twins and triplets, placenta abnormalities-placenta previa, preterm labor, shortened cervix, premature rupture of membranes, intrauterine growth restriction (small baby) and recurrent herpes outbreaks are conditions that would prevent you from having sex with your partner during pregnancy.

Can my husband’s penis hurt the baby during sex?

Fear of hurting the baby with sexual intercourse is a common fear and misconceptions for pregnant women and their partners. Sex with a male partner will not hurt the baby in any way even sexual positions of deep penetration, Doggy Style as an example. The penis will poke the uterus but for those women who are low risk this will not present a problem.  The good news is that the baby is surrounded by 1-2 liters of fluid which serves as a protective cushion during sex.  The baby may be bounced around but know that the baby is safe and insulated. 

Can I masturbate during pregnancy?

Masturbation is normal and safe for both you and your baby in an uncomplicated pregnancy. Masturbation is an easy way to give yourself some pleasure and help relieve tension or stress.  

When should I avoid masturbation during pregnancy?

If a pregnant person is having any complications of pregnancy, you should avoid any kind of sexual activity. A pregnant person should abstain from masturbation if experiencing any signs of pre-term labor, uterine cramping, spontaneous rupture of membranes (bag of water breaking), vaginal bleeding, pelvic pain or uterine cramping. Always consult with your healthcare provider if you have any concerns or questions. 

 

What tips do you have for safe, comfortable masturbation during pregnancy? 

 

The best sexual position for a pregnant person is often lying on your right or left side.  Ultimately the best position is whatever is most comfortable for you. Lying flat on your back for extended periods of time is not recommended since it can cause dizziness and can decrease the blood flow to the baby. Be sure and keep your vibrator and sex toys clean to protect yourself against a vaginal or bladder infection. Untreated infections and increase your risk of more significant pregnancy complications. Always empty your bladder after masturbating. Wash your hands, wash your sex toy and have a great time under the sheets during pregnancy…with yourself!

Is it safe to use a vibrator or other sex toy during pregnancy?

Assuming a pregnant person has a healthy and low risk pregnancy, it is safe to use a vibrator and other sex toys during any trimester of pregnancy. A pregnant person should avoid using a vibrator or sex toy if you are experiencing any signs of pre-term labor, spontaneous rupture of membranes (bag of water breaking), vaginal bleeding, pelvic pain or uterine cramping.  These are all indications to avoid any kind of sexual activity.

What features should a pregnant person look for in a vibrator or sex toy? 

 

It’s best to use sex toys made of silicone since they are porous-free which reduces the risk of a vaginal infections and are easier to clean. Avoid toys that contain phthalates-a potentially harmful (cancer and effect reproductive system) chemical found in sex toys that helps with making them more flexible and softer. Many labels will say “phthalate-free” and those are the ones you want to purchase. Other materials you want to avoid include polyvinyl chloride (PVC), vinyl and jelly rubber which often contain phthalates.

 

Avoid toys that are absorbent, spongy and permeable since this increases the risk of bacteria buildup in the toy itself.

 

When can I have sex again after having a baby?

Postpartum is the least talked about time during the pregnancy cycle is the postpartum period.  From the moment the baby is delivered until the body completely recovers is the postpartum period—this can take up to one year.  At the 6-week postpartum visit, you see your obstetrician for an exam, pap smear and birth control and now are given permission to have sex and get back into the bathtub again.  For the majority of women, the warm bubble bath sounds luxurious while the thought of having sex again is the last thing on their mind. If you had a vaginal birth your vagina is finally healing from the trauma of the delivery and you should be given approval for sexual activity by your healthcare provider.  

 

I am 8 weeks postpartum and I have pain with sex, is that normal?

The initial hormonal surge of change during the first 6 weeks puts women in the mood NOT to have sex.  Painful intercourse is a common when you are given the green light to have sex. If you are breastfeeding, your vagina has less estrogen around to help naturally lubricate the vagina. Dryness, irritation, burning, itching, painful urination and painful intercourse are common symptoms when you ease back into sex with your partner. Sex is usually the last thing you are interested in doing after having a baby but with patience, time and KY it will feel enjoyable again.  

 

When will sex get more comfortable for me and my husband after having a baby?

Around 6 to 9 months, women tend to have more hormonal stability, and this helps them feel more in the mood for intimacy and sex.  Your vagina is healed and your body tends to be closer to its normal which helps with mental readiness in the bedroom.  It’s common to have to ease back into the bedroom after having a baby!