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Pregnant
women and their partners often wonder if it's safe to have sex during
pregnancy. Will it cause a miscarriage? Will it harm the unborn baby? Are
there sex positions to avoid? Here's what to know.
Is Sex Safe During Pregnancy?
Yes! As long as you're having a normal pregnancy without complications, sex during pregnancy is safe until your water breaks or you go into labor.
Sex
is a natural, normal part of pregnancy if you're having a normal pregnancy.
Penetration and intercourse’s movement won't harm the baby, who is protected by
your abdomen and the uterus’ muscular walls. Your baby is also
cushioned by the amniotic sac’s fluid.
The contractions of orgasm aren't the same as labor contractions. Still, as a general safety precaution, some doctors advise avoiding sex in the final weeks of pregnancy, believing that hormones in semen called prostaglandins can stimulate contractions.
One
exception may be for women who are overdue and want to induce labor. Some doctors believe
that prostaglandins in semen actually induce labor in a full-term or past-due
pregnancy since the gel used to "ripen" the cervix and induce labor
also contains prostaglandins. But other doctors think that this semen/labor
connection is only a theory and that having sex doesn't trigger labor.
When Not to Have Sex During Pregnancy
Talk
with your doctor about whether it’s safe to have sex while you’re pregnant.
They may advise you not to have sex if you have any of the following types of
high-risk pregnancy:
- You're at risk for miscarriage or a
history of past miscarriages
- You're at risk for preterm labor (contractions before 37
weeks of pregnancy)
- You're having vaginal bleeding,
discharge, or cramping without a known cause
- Your amniotic sac is leaking fluid
or has ruptured membranes
- Your cervix has opened too early
in pregnancy
- Your placenta is too low in the
uterus (placenta previa)
- You're expecting twins, triplets,
or other "multiples"
- You're having an incompetent cervix or if it has dilated.
- You or your partner has sexually transmitted disease.
Keep
in mind that if your doctor says "no sex," that may include anything
that involves orgasm or sexual arousal, not just intercourse. Discuss it so
you’re clear on what they mean.
Call
your doctor if you have unusual symptoms during or after sex, such as:
- Pain
- Bleeding
- Fluid or discharge
- Significant discomfort
- Contraction
Pregnancy Sex
All
woman's experiences during pregnancy are different -- including how they feel
about sex.
For
some, desire fades during pregnancy. Other women feel more deeply connected to
their sexuality and more aroused when they're pregnant.
During
pregnancy, it's normal for sexual desire to come and go as your body changes.
You may feel self-conscious as your belly grows. Or you may feel sexier with
larger, fuller breasts. Not having to worry about birth control is another
perk.
Here's
a common pattern of libido during pregnancy:
- First trimester. Nausea, fatigue,
or breast tenderness may kill your sex drive. But don’t
worry; it will come back.
- Second trimester. Your libido may kick into high
gear. In fact, increased blood flow throughout your body can
enhance your orgasms.
- Third trimester. Sex may feel uncomfortable as
birth approaches.
Tell
your partner what you're feeling and what works. You may need to play with
positions, especially later in pregnancy, to find one that's both comfortable
and stimulating for you. If something doesn't feel right for either of you,
change what you're doing and talk to your OB about any physical problems.
Avoid
lying flat on your back in the "missionary position" for sex after the
fourth month of pregnancy. That way, you can avoid the weight of the growing
baby constricting major blood vessels.
Get
on top or lie on your side, with your partner behind. Or get on your hands
and knees, with your partner kneeling behind. These positions reduce
pressure on your belly.
Use
a lubricant if vaginal dryness makes sex
uncomfortable.
Enjoy intimacy in
other ways. Cuddle, kiss, or massage each other. Enjoy a bubble bath
together.
As
always, if you're not absolutely sure about your partner's sexual history, use
condoms. Pregnancy doesn't protect against sexually transmitted infections --
such as HIV, herpes, genital warts, or chlamydia -- and those infections can
affect your baby.
The
first six weeks after delivery are called the postpartum period. Sex during
this time may be the last thing on your mind. You may have less desire because
of:
- Healing from an episiotomy
(incision during vaginal delivery)
- Healing from abdominal incisions
after cesarean birth
- Normal postpartum bleeding, common
for 4 to 6 weeks after birth
- Fatigue after pregnancy and
the birthing process
- Demands of your newborn (increased
if you had twins or triplets)
- Changing hormone levels
- Sore breasts from breastfeeding
- Emotional issues, such as
postpartum blues, anxiety over parenting, or
relationship issues with the father.
Intercourse is generally safe after any
incisions have fully healed and you feel the delicate tissues of your vagina have
healed. This healing usually takes several weeks. You can ask your doctor what
they recommend. Most doctors will say to wait at least 6 weeks after delivery
before intercourse. Equally important is feeling emotionally ready, physically
comfortable, and relaxed.
After
pregnancy, some women notice a lack of vaginal lubrication. A water-based
lubricant can ease the discomfort of vaginal dryness during sex.
For
both you and your partner, patience is a virtue. Given the realities and
stresses of early parenthood, it can take up to a year for a couple's normal
sex life to return in full bloom.
Can I Get Pregnant Again if I Am Breastfeeding?
Women who breastfeed have a delay in ovulation when an egg is released from the ovary and menstruation. But ovulation will happen before you start having periods again. So, you can still get pregnant during this time. Follow your health care provider's recommendations on birth control.
What are the common myths or misbeliefs of sex during pregnancy?
You may have heard several warnings about how harmful is sex during pregnancy. But the truth is, most of those warnings are mere myths and misconceptions. A lot of couples do not really know what they should and should not do regarding sex during pregnancy.
As a result of incorrect knowledge, many couples refrain from sex as they do not want any risks but sex during pregnancy has no risks. Rarely, some women may suggest avoiding sex during pregnancy due to their complicated pregnancy but for others, you need not hold your sex desires. Here are the common myths and misbeliefs about sex during pregnancy
- Sex during pregnancy is harmful
- Sex can harm the baby
- Sex during pregnancy can cause miscarriage
- You do not need to use condoms
- Avoid sex to keep pregnancy healthy
- Women have low sex drive during pregnancy
- Pregnancy sex is painful
- All pregnancy sex positions are not good
- Different positions will influence the sex of the baby.
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