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Sex during pregnancy

Author: obstetrician-gynecologist Victoria Shpachenko

Subscribe to our Instagram*! Useful information about pregnancy and childbirth from leading obstetricians and gynecologists in Moscow and foreign experts. Tips and opinions from leading children's specialists. 

Sex is one of the main components of a strong relationship in a couple. When there is no child, a man and a woman live for their own pleasure and intimacy is usually given great importance.

With the onset of pregnancy, sex often takes a back seat in couples. Most of the initiators of this are women. Why?

  1. A woman worries whether intimate life will interfere with the development of the fetus. The most common questions from patients to gynecologists are: "will the baby suffer?", "will sex provoke a miscarriage?", "will there be any complications?".
  2. A woman does not feel well during pregnancy.
  3. There is no desire.

obstetrician-gynecologist Victoria Shpachenko.

With a normal physiological pregnancy, intimacy is not dangerous. The fetus is securely protected in the mother's tummy, so it cannot be harmed during sex. Intimate life does not provoke a frozen pregnancy. This is usually caused by a chromosomal pathology or hereditary thrombophilia.

Contraindications

However, there are a number of contraindications in which it is better to abstain from sex. Among the absolute ones:

  • bleeding at any time;
  • placenta previa;
  • isthmic-cervical insufficiency.

Relative contraindications include inflammatory diseases. With such diseases, the vaginal mucosa is especially vulnerable. Even the most harmless bacteria can provoke the development of an infection that is dangerous not only for the mother, but also for the baby. Therefore, it is better to postpone sex until recovery.

Feeling unwell

Indeed, during pregnancy, a woman can often feel unwell. Toxicosis or just general malaise. Of course, in such cases, intimacy should be postponed until the condition is normalized.

Lack of desire

Lack of desire is a fairly common phenomenon in women during pregnancy due to hormonal changes. Especially in the first trimester. In the second trimester, on the contrary, the desire may increase. During this period, the body releases especially a lot of progesterone, the woman becomes more sensitive, and orgasms become brighter. In the third trimester, the expectant mother's stomach increases greatly, shortness of breath appears. Sex during this period can be uncomfortable and not arouse desire. But, of course, every woman is unique. And it is impossible to predict how pregnancy will affect her body and attraction to a partner.

sex during pregnancy

Therefore, there are no arguments in favor of giving up sex from a medical point of view. Moreover, sex during pregnancy is even beneficial.

Firstly, it improves blood flow, and secondly, it gives the expectant mother positive emotions. Both have a good effect on the baby.

How do I explain to my partner if I don't want to have sex?

Another common question of pregnant women.

Pregnancy doesn't change anything for a man. He still needs feminine care, affection, and desires intimacy with his woman, and it can be difficult for him to understand rejection.

If intimacy is contraindicated for medical reasons: Don't forget that sex includes gentle touching, caressing, kissing, and flirting. Talk to your partner about what you and he would like. It is quite possible that you will find exactly the form of intimacy that will bring pleasure to both of you and will be safe for the baby.

If you do not want sex because of poor health or hormonal changes, explain to the man that this refusal is temporary. During the 9 months of carrying a baby, your well-being will surely change many times. Therefore, there will definitely be periods when you can give your spouse the affection he wants. And, of course, do not forget about taking care of him and paying attention to yourself. It is very pleasant for a man to have a well-groomed, beautiful and confident woman next to him.

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Questions and answers

How to lose weight correctly
I am 53 years old, my weigh is 116 kg. In 1988, my metabolism was probably, disturbed following the first childbirth. I gained weight, and since then I have been trying to fight with it periodically. I eat a lot of sweets however glucose is now normal and it always was. With age, my legs and back started to hurt me,
it is hard to “move” myself. I have undergone an examination in the district hospital, but nothing special was found. What tests and examinations I should bring to the doctor to get a diagnosis and treatment? Thank you!
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Unfortunately, doctors not always can find the cause of excess weight. But this does not mean that there are ways to deal with it. Of course, it is not easy, but you definitely should try! At the first consultation it is desirable to have blood tests results, obtained no more than 6 months ago, total cholesterol,
glucose, glycated hemoglobin. Notes in the diary of blood pressure for 1-2 weeks are also important. Most likely, the doctor will arrange some additional examinations at visit, but everything is very individual and it's better to discuss all details with the doctor personally. You surely have to bring the results of previous all examinations with you.
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Question about ultrasound
I am 36 years old. Thyroid gland ultrasound: topography: position is regular, the right lobe is enlarged W-24 mm, t-22 mm, l- 51 mm, the volume is 12.90 cm3, left lobe enlarged, W -23 mm, t-23 mm, l-56 mm, volume is 14,90 cm3, isthmus thickness is 5 mm, the total volume is 27.09 cm3, alignments are even,
echostructure is inhomogenous, echogenicity is normal, focal masses are not seen, lymph nodes are not seen, conclusion; ultrasound signs of diffuse changes in the enlarged thyroid gland. TSH 2.10 mcIU/ml (normal range 0.30-4.00). The doctor prescribed Iodocomb 50/150 for 3 months. I have been taking the medicine for 2.5 months, but TG does not seem to diminish in size and I feel discomfort (it’s like a need to stretch my neck). Whether the treatment prescribed is correct? Are any additional tests needed? Should I have my thyroid gland diminished for those 2.5 months or it is too early to talk about it? Thank you!
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It's hard to advice any treatment by correspondence. The cause of the thyroid gland enlargement is still unclear based on the results provided. The most common cause is iodine deficiency and Iodocomb treatment is appropriate in this case. Another cause is a chronic autoimmune thyroiditis which requires different
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Russ Irina
08 September 2016
Arthrosis
My left jaw started to hurt me after giving birth. The pain was accompanied by a crunch, clicks, discomfort when chewing. Arthrosis was diagnosed at local institution. What should I do?
The symptoms of pain and the crunch may occur following precipitating factors. It can be a trauma of the maxillofacial area, ENT-organs infections, sitting with mouth open for a long time when visiting the dentist, hypothermia, overload. Perhaps, pregnancy and childbirth were such a factor in your case. The treatment
goal in arthrosis is to reduce the load in temporomandibular joint. Treatment depends on the cause or the complex of causes that triggered the arthrosis. This may be due to the anatomical mismatch between the articular head size and the glenoid fossa. This also can be due to the long-term overload resulted from irregular bite and muscle imbalance. If increased tone of the masticatory muscles has led to increased abrasion of teeth, method of treatment with the restoration of the chewing surfaces and cutting edges of all teeth is optimal. But before that, splint therapy (mouth guards) is mandatory, which ensures the optimal position of the articular heads in articular fossae. Treatment is designed depending on the cause of changes in the joint. If the irregular bite is present pre-treatment by the orthodontist may be worthwhile.
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I have a huge problem with my teeth - all the teeth were treated, metalless ceramics were fixed in some places, a few teeth need to be removed. The treatment was carried out abroad, but the caries problem was beyond control, despite regular professional hygiene and specially selected tools. What range of dental
examinations, in addition to specialist’s consultation, I can count on in EMC Moscow?
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Various dental diagnostic methods are available in our Dentistry Department: computed tomography of all teeth of both jaws, which gives a three-dimensional image and allows the doctor to more accurately diagnose; orthopantomography gives a flat image of all the teeth; the targeted x-ray tooth image. Tooth extraction
is performed surgically, mostly under local anesthesia. Diagnostic and treatment methods are determined individually by the attending doctor on consultation. Thank you for your message!
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