Couples often worry about having sex during pregnancy. They may be afraid that having sex could cause a miscarriage or harm the baby. With a normal pregnancy, sex is safe into the last weeks of pregnancy. In fact, some studies suggest that having sex during pregnancy is associated with a lower risk of delivering too early!
The baby is well-cushioned by amniotic fluid and the strong muscles of the uterus. There is also a thick mucus plug that seals the cervix and protects against infection.
Talk with your doctor to make sure you are at low risk for complications such a pre-term labor or miscarriage. Your doctor may advise you to limit your sex if there are signs or complications during your pregnancy. Women who should not have sex during pregnancy include those:
You and your partner may experience changes in sexual drive during the pregnancy. This is common during the different phases of pregnancy. During the FIRST trimester many women experience:
These factors can decrease your sexual drive.
Some couples have a feeling of increased closeness that may influence their sexual desires.
Many women find that during the SECOND trimester the initial symptoms have gone away and they have an increased desire for sex. One theory for the increased desire is the increased blood supply in the pelvic region. Some women find freedom from birth control appealing and this adds to the sense of special closeness with their partner.
The desire for sex may change again in the THIRD trimester. Your abdomen is very large, which may make it awkward for you to have sex. Some women feel physically unattractive. Yet others may feel more desirable.
The best way to deal with these changes is to communicate with your partner. While the desire for sex may come and go during pregnancy, some women want physical affection, gentle touching, and cuddling.
Having sex later in your pregnancy may be difficult or uncomfortable. There are a variety of positions that seem to work with greater comfort. These include:
If you have oral sex, air should not be blown into your vagina. This can cause an air embolism or an air bubble to get in your bloodstream and block a blood vessel. This is extremely uncommon, but can be fatal to you and your baby.
Certain conditions or complications may impact having sexual intercourse. Your health care provider may advise you to limit or avoid sex if you have one of the following conditions:
You should call your provider if you are not sure if sex is safe for you. If you have any symptoms that you are unsure about, such as pain, bleeding, discharge, or contractions after sex, contact your doctor.
Some women are advised to stop having sex in the last weeks of pregnancy. Check with your provider for specific recommendations.
Remember, talking to your partner about your sexual feelings and desires during the pregnancy is important. These conversations will help lay the groundwork for the big changes about to take place for both of you -- parenthood!
Reviewed By: John D. Jacobson, MD, Professor of Obstetrics and Gynecology, Loma Linda University School of Medicine, Loma Linda Center for Fertility, Loma Linda, CA. Also reviewed by David Zieve, MD, MHA, Medical Director, Brenda Conaway, Editorial Director, and the A.D.A.M. Editorial team.