Sex during pregnancy: What's OK, what's not
Sex during pregnancy: What's OK, what's not
If you want to get pregnant, you have sex. No surprises there. But what about sex while you're pregnant? The answers aren't always as clear. Here's what you need to know about sex during pregnancy.
Is it OK to have sex during pregnancy?
As long as your pregnancy is proceeding normally, you can have sex as often as you like — but you may not always want to. At first, hormonal fluctuations, fatigue and nausea may sap your sexual desire. During the second trimester, increased blood flow to your sexual organs and breasts may rekindle your desire for sex. But by the third trimester, weight gain, back pain and other symptoms may once again dampen your enthusiasm for sex.
Can sex during pregnancy cause a miscarriage?
Many couples worry that sex during pregnancy will cause a miscarriage, especially in the first trimester. But sex isn't a concern. Early miscarriages are usually related to chromosomal abnormalities or other problems in the developing baby — not to anything you do or don't do.
Does sex during pregnancy harm the baby?
Your developing baby is protected by the amniotic fluid in your uterus, as well as the mucous plug that blocks the cervix throughout most of your pregnancy. Sexual activity won't affect your baby.
What are the best sexual positions during pregnancy?
As long as you're comfortable, most sexual positions are OK during pregnancy. As your pregnancy progresses, experiment to find what works best. Rather than lying on your back, you might want to lie next to your partner sideways or position yourself on top of your partner or in front of your partner. Let your creativity take over, as long as you keep mutual pleasure and comfort in mind.
What about oral and anal sex?
Oral sex is safe during pregnancy. There's a caveat, however. If you receive oral sex, make sure your partner doesn't blow air into your vagina. Rarely, a burst of air may block a blood vessel (air embolism) — which could be a life-threatening condition for you and the baby.
Generally, anal sex isn't recommended during pregnancy. Anal sex may be uncomfortable if you have pregnancy-related hemorrhoids. More concerning, anal sex may allow infection-causing bacteria to spread from the rectum to the vagina.
Are condoms necessary?
Exposure to sexually transmitted infections during pregnancy increases the risk of infections that can affect your pregnancy and your baby's health. Use a condom if your partner has a sexually transmitted infection, you're not in a mutually monogamous relationship or you choose to have sex with a new partner during pregnancy.
Can orgasms trigger premature labor?
Orgasms can cause uterine contractions, but these contractions are different from the contractions you'll feel during labor. If you have a normal pregnancy, orgasms — with or without intercourse — don't seem to increase the risk of premature labor or premature birth. Likewise, sex isn't likely to trigger labor even as your due date approaches.
Are there times when sex should be avoided?
Although most women can safely have sex throughout pregnancy, sometimes it's best to be cautious. Your health care provider may recommend avoiding sex if:
What if I don't want to have sex?
That's OK. There's more to a sexual relationship than intercourse. Share your needs and concerns with your partner in an open and loving way. If sex is difficult, unappealing or off-limits, try cuddling, kissing or massage.
After the baby is born, how soon can I have sex?
Whether you give birth vaginally or by C-section, your body will need time to heal. Many health care providers recommend waiting four to six weeks before resuming intercourse. This allows time for your cervix to close and any tears or a repaired episiotomy to heal.
If you're too sore or exhausted to even think about sex, maintain intimacy in other ways. Stay connected during the day with short phone calls, email messages or text messages. Reserve a few quiet minutes for each other before the day begins or while you're winding down before bed. When you're ready to have sex, take it slow — and use a reliable method of contraception if you want to prevent a subsequent pregnancy.
Last Updated: 2010-06-12
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