Sex During Pregnancy: Everything You Need To Know

Of all the things that "pregnant sex" can lead to, anxiety is often the most serious. And chances are, it's why you're here, stressed out about whether or not it is safe to have sexual intercourse when you're pregnant. While pregnancy is undoubtedly filled with joy and anticipation, it's also a time when many couples ponder how intimacy fits into this new chapter in their lives.

For some, it's about understanding the safety aspects. For others, it’s the emotional connection and, more often than not, the simple curiosity. Wherever you’re coming from, one thing is for sure – you have questions that need answers. Let’s start with the most common concern.

Is Sex Safe During Pregnancy?

For the majority of healthy pregnancies, the answer is yes. Sex during pregnancy is generally considered safe for both the mother and the fetus. The uterine muscles and the amniotic sac cushion the fetus against any direct impact or harm. Moreover, the penis doesn't come into contact with the fetus during sex, and the mucus plug inside the cervix helps guard against infection.

9 Benefits of Sex During Pregnancy

While everyone’s experience with sex during pregnancy varies, many find it to be beneficial in numerous ways. Here are some of the positive effects of sex during pregnancy: 

1. Pain Relief

Orgasms can lead to temporary relief from the aches and pains of pregnancy. The endorphins released during an orgasm can act as natural painkillers and help reduce stress.                                                                                                                                                                                                                                                                                                                                                                             

2. Better Sleep

Better sleep quality is especially crucial during pregnancy when the body is undergoing numerous changes and requiring adequate rest. Engaging in regular, safe sexual activity can help in establishing better sleep patterns. Moreover, sexual activity culminating in orgasm can release endorphins, which uplift mood and aid in promoting sleep. 

3. Improved Self-Esteem

Pregnancy can sometimes lead to feelings of insecurity or changes in body image. Engaging in intimate activities can help reaffirm one's desirability and boost self-confidence.

4. Stronger Emotional Connection

Sex and intimacy can strengthen the bond between partners, providing emotional support. This closeness can help in navigating the highs and lows of pregnancy together. Moreover, being intimate and discussing preferences and boundaries during pregnancy can foster better communication between partners, setting the foundation for cooperative parenting.

5. Stress and Anxiety Relief

Intimacy and the subsequent release of endorphins can provide natural stress relief, helping balance mood and reducing feelings of anxiety, which can be common during pregnancy.

6. Stronger Pelvic Muscles

Sex can serve as a form of exercise, specifically working the pelvic floor muscles. A stronger pelvic floor can support smoother delivery and faster recovery post-birth.

7. Better Blood Circulation

Sexual activity boosts blood circulation, which is especially beneficial during pregnancy. Enhanced circulation delivers essential nutrients to the fetus, reduces swelling, and promotes overall well-being.

8. Healthy Blood Pressure

Physical intimacy, including non-sexual acts like cuddling, can reduce blood pressure. Low stress and increased oxytocin levels (commonly known as the "love hormone") can help maintain healthy blood pressure.

9. Strong Immune System

Regular sex can boost levels of immunoglobulin A, an antibody that aids the immune system. These antibodies help the body fend off illnesses.

Best Practices for Safe and Comfortable Sex While Pregnant

As the pregnancy progresses, you may need to make adjustments to make sex safer and more comfortable. Here are some suggestions:

A. Choose a Comfortable Position

Due to the physical changes during pregnancy, common sexual positions might become challenging or uncomfortable. During the early stages, most positions remain accessible. However, as the belly grows, choosing positions that are less pressing on the abdomen is advisable. Some pregnancy sex positions you can try include:

• Side-by-Side (Spoon Position): This allows for intimacy without putting direct pressure on the belly. The pregnant partner can lay on her side, with her partner cuddling up behind.
• Woman on Top: This position allows the pregnant woman to control the depth and pace, ensuring her comfort.
• Modified Missionary: Using pillows to prop up the pregnant partner's back can make the traditional missionary position more comfortable. The partner can then kneel between her legs, allowing for more comfort and reducing pressure on the belly.
• Edge of the Bed: The pregnant partner can lie on her back at the edge of the bed, with her partner standing or kneeling in front, which can be more comfortable as the pregnancy progresses.

B. Use Lubrication

While increased vaginal discharge is common during pregnancy, some individuals might experience dryness. It's due to hormonal changes or increased sensitivity. To make sex comfortable, use lubricants. Opt for a water-based lubricant that doesn't contain harmful chemicals or fragrances, ensuring it's safe for both the mother (birthing person) and the baby.

C. Take it Slow

Pregnancy amplifies bodily sensations due to increased blood flow and hormonal changes. The intensity or type of stimulation that was previously enjoyable might change. Pay attention to your body's signals. Now is not the time to push boundaries. 

It’s essential to be open to new pleasurable avenues. Foreplay, mutual affection, and communication play an even more critical role, allowing both partners to stay attuned to each other’s needs and desires. 

D. Open Communication

Feelings around sex can change during pregnancy. That's okay! Feel free to express your feelings, concerns, and discomfort to your partner. Set boundaries and also discuss any new sensations or desires. Remember, it's about mutual comfort and pleasure, so always keep an open line of dialogue with your partner.

E. Practice Good Hygiene

Given the higher risk of infections during pregnancy, you and your partner should maintain good genital hygiene. It minimizes the risk of bacterial infections that could complicate the pregnancy.

F. Use Pillows for Support

Strategically placing pillows can significantly enhance comfort. A pillow under the hips or lower back can provide support and elevation, making certain positions more accessible and relieving pressure.

When to Avoid Sex 

Sexual intimacy can be safe for many during pregnancy. That said, there are certain situations where doctors and midwives would encourage you to abstain from sex. Avoid sexual intercourse during pregnancy if you have:

• History of Miscarriage: If there’s a history of repeated miscarriages, it’s prudent to discuss sexual activity with your healthcare provider.
• Vaginal Bleeding: Any unexplained bleeding should be a reason to abstain from sexual activities and consult a doctor.
• Amniotic Fluid Leaking: If you suspect that you're leaking amniotic fluid, it's crucial to avoid sex and consult a medical professional. It could indicate early labor or membrane rupture. 
• Risk of Preterm Labor: For those with a history or risk of preterm labor, it’s best to consult with a healthcare provider.
• Placenta Previa: If diagnosed with this condition, where the placenta covers the cervix, it's advisable to abstain from sex.

FAQS

1. Until which month is sex safe in pregnancy?

Typically, if the pregnancy is healthy and there are no complications, sex is safe throughout the entire pregnancy. While the surge of hormones can affect your comfort level during sex in early pregnancy (the first trimester), it doesn't make it unsafe. However, you should always consider your comfort and a doctor’s or midwife’s advice.

2. Can sex during pregnancy induce labor?

No, having sex while pregnant won't cause labor. In the later stages of pregnancy, an orgasm or sexual penetration might trigger Braxton Hicks contractions. These are sporadic, usually painless uterine contractions, and they are generally not a cause for concern unless they become regular and increasingly painful. Actual labor contractions tend to have a steady pattern, happening at regular intervals and lasting around 60 seconds each.

3. In what circumstances should I see a doctor?

Immediately alert your doctor or midwife if you suffer from heavy bleeding, severe cramps or pain, or have signs of infection (like a fever). And no matter the gravity of the concern, always trust your instincts and call your healthcare provider if something doesn’t feel right, even if it's not on this list.

4. Can sexual activity cause a urinary tract infection (UTI) during pregnancy?

Some women are more likely to get UTIs due to sexual activity, but this isn't the only reason. Pregnant individuals are more susceptible to UTIs due to changes in the urinary tract. If you experience symptoms like a burning sensation during urination, frequent urination, or cloudy or bloody urine, it's crucial to consult your healthcare provider.

5. Is it safe to use sex toys during pregnancy?

Yes, in most cases, it's safe to use sex toys during pregnancy. Opt for sex toys made from body-safe materials like medical-grade silicone, glass, or stainless steel. These materials are non-porous and less likely to cause irritation or allergic reactions. And, as always, hygiene is essential. Make sure to clean your sex toys thoroughly before and after use.

Empower Your Pregnancy with Our Midwives’ Support!

Sex during pregnancy isn’t just about physical pleasure. It encompasses a spectrum of emotional, physiological, and psychological benefits that can improve the well-being of both partners. While there are numerous benefits, it's essential to prioritize comfort, safety, and communication.

Always consult your midwife or healthcare provider regarding any concerns or complications related to sex during pregnancy. 

If you’re looking for a midwifery care center, look no further than Circle City Midwifery. Our certified nurse midwives (CNMs) address every facet of pregnancy, including the often-overlooked questions about intimacy. We bring a depth of knowledge, understanding, and, most importantly, a listening ear. 

Our approach is not just about ensuring the safe delivery of your baby but about guiding you through the entire pregnancy journey—building strong relationships, addressing concerns, and celebrating milestones. Contact us at 951-547-4208 or click the schedule a consultation today.