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Is It Safe to Have Sex During Pregnancy? Here’s What You Need to Know

17 Nov 2024
Is It Safe to Have Sex During Pregnancy Here’s What You Need to Know

For many expectant parents, questions around intimacy and pregnancy are common, especially regarding safety. Generally, for a healthy, low-risk pregnancy, having sex is safe and can even be beneficial. Here’s a guide to what’s safe, what precautions to consider, and how to navigate intimacy as your body changes.

Is It Safe to Have Sex During Pregnancy?

Yes, for most people with a healthy pregnancy, sex is perfectly safe throughout all three trimesters. Your baby is well-protected by the amniotic sac and the strong muscles of the uterus, and a mucus plug seals off the cervix, helping to prevent infections. Sexual intercourse won’t harm the baby, nor will it lead to preterm labor unless you have specific pregnancy complications.

When to Avoid Sex During Pregnancy

While sex is generally safe, there are some situations when it may be best to avoid intercourse or check with your healthcare provider first:
  • History of Preterm Labor or Miscarriage: If you have a history of preterm labor or miscarriage, your provider may advise against sex.
  • Placenta Previa: This is a condition where the placenta covers the cervix, which can increase the risk of bleeding with sexual activity.
  • Incompetent Cervix: If you have a weakened cervix, your doctor might recommend avoiding sex to reduce any risks of premature dilation.
  • Vaginal Bleeding or Cramping: Bleeding, unexplained cramping, or unusual discharge may be signs of complications, so it’s best to pause sexual activity and check in with your provider if these symptoms arise​​.

Benefits of Sex During Pregnancy

For those with low-risk pregnancies, sex can be beneficial and may even help relieve some common pregnancy symptoms:
  • Boosts Mood and Reduces Stress: Pregnancy brings physical and emotional changes, and intimacy can be a comforting way to stay connected with your partner, release endorphins, and reduce stress.
  • Improves Circulation: Sex increases blood flow, which can help with circulation and may even promote a healthy pregnancy.
  • Enhances Sleep: The release of hormones after sex, like oxytocin, can help you relax and sleep better.

Common Pregnancy Symptoms and Adjusting Your Sex Life

As pregnancy progresses, certain symptoms like fatigue, nausea, and physical discomfort may impact your desire or comfort level with intimacy. Here are some tips for adjusting:
  • First Trimester: During early pregnancy, you may experience morning sickness, fatigue, and breast tenderness. Gentle communication with your partner and exploring other forms of closeness, like cuddling or massages, can help you stay connected.
  • Second Trimester: Many women find that the second trimester brings renewed energy and fewer symptoms, making it easier to engage in intimacy. As your belly grows, you may need to adjust positions to stay comfortable.
  • Third Trimester: By the last trimester, physical discomfort and back pain can make certain positions challenging. Opt for side-lying or other comfortable positions that don’t put pressure on your belly.

Safe Positions to Try During Pregnancy

If you find that your usual positions are uncomfortable, these options are generally more comfortable as your pregnancy progresses:
  • Side-Lying: Lying on your side, especially the left side, can help avoid putting pressure on the abdomen and is also beneficial for circulation.
  • Sitting or Straddling: Sitting positions allow more control and can reduce strain on the back and belly.
  • Modified Missionary: Placing pillows under your back for support and comfort, with your partner positioned carefully to avoid putting weight on your abdomen, can be comfortable up to a certain stage.

Addressing Common Concerns

Many couples worry that sex could somehow “disturb” the baby. Rest assured, your baby is cushioned by amniotic fluid and cannot “see” or “feel” what’s happening. Additionally, orgasms may cause mild uterine contractions, but these are generally harmless and won’t induce labor in a healthy pregnancy.

When to Check with Your Provider

If you’re ever unsure or if new symptoms arise, consult your provider. They can provide advice specific to your pregnancy and any considerations based on your health history.

Final Thoughts: Embracing Connection Safely

Sex during pregnancy can be a positive experience, deepening your bond with your partner and bringing relaxation and enjoyment. By listening to your body, staying open with your partner, and consulting your provider if you have concerns, you can maintain a healthy and fulfilling intimate connection throughout your pregnancy.

Content Reviewed by Dr V. profile picture

Content Reviewed by Dr V.

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Dr. Vaheh Shirvanian, a family medicine physician and father. With over 17 years of experience, he specializes in inpatient acute hospital care, outpatient family medicine, urgent care, emergency medicine, and hospice care. Dr. V is passionate about guiding new parents through the challenges and joys of parenthood, offering compassionate and expert support at every step.

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