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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

Dermoid cyst and pregnancy
An ultrasound revealed a mass in my left ovary during the first pregnancy. I was told that it is a dermoid cyst. Five years have passed since then. I gave birth to a second child. An ultrasound was performed annually. There were differences in size, but not significant. Since I’m going to have the 3rd child, another
ultrasound was done today. The doctor said that the cyst had increased. I am concerned about it. Don't know where to start. What tests are needed? Thank you.
...more
Surgical treatment is strictly indicated in your case given the long history of the mass in the ovary and its rapid growth in recent times. In our clinic, we perform such an intervention laparoscopically through 3 small punctures. Patients go home next morning after the surgery and may return to work after 3 days.
This surgery must be as delicate to preserve healthy ovarian tissue (considering your reproductive plans) as radical at the same time to remove the mass together with the capsule. At the preoperative stage an expert level ultrasound with Doppler is required, as well as blood tests for Ca-125 and НЕ-4 tumor markers. The decision concerning the necessity of FEGDS and colonoscopy is taken based on the results of these tests.
...more
Total knee replacement
My mom suffers from gonarthrosis for the past three years. Despite treatment by injections the pain is still present. MRI revealed a meniscal tear in the posterior horn, the presence of small bony osteophytes on the patella, a small amount of fluid in the joint cavity (signs of exudative synovitis were detected)
joint space is asymmetrically narrowed in the medial segment. The pain is ongoing but the knee remains flexible. Tell me, please, whether the surgery is contraindicated for meniscal tear in case of arthrosis? Is it possible to do an arthroscopic surgery on the meniscus in our case or it should be «major» surgery? And what would you advice concerning knee replacement for the patient in the age of 57? What is the life time of the artificial joint?
...more
It is necessary to make an X-ray of the knee in direct projection in standing position. If it turns out that there is no medial cartilage in the medial area, then the knee replacement is the only solution. The age of 57 is normal for the prosthetics. Modern artificial knee joint (when properly placed of course) will
serve for a lifetime. You can make an appointment via phone +7 (495) 933-66-44.
...more
Kardanov Andrey
07 September 2016
Pain
I am 19 years old, professionally engaged in weightlifting. I did an arthroscopy of both knee joint a year ago, now feel pain in them and it prevents me from training at full capacity. I visited a traumatologist, and «osteoarthritis of 1 degree» was diagnosed. Could you advise me some medicines or anything else to
relief the pain? Thank you very much for the answer!
...more
First of all you should undergo an MRI and find out what was done at arthroscopy; if it’s really an arthrosis of 1 degree, hyaluronic acid injections are possible and physiotherapy is not required. Anyway, you are always welcome to consultation for thorough examination.
Question to Dr. Yakobashvili
Tell me, please, at which age child's hearing should be checked-up if we were informed at the hospital before discharge that one ear does not hear. At the moment the child’s age is 1.5 months. Thank you.
These tests done in the hospital are often false negative. Hearing can be tested now, it is necessary to make an appointment to the audiologist.
Cought
A child of 11 years old, suffers from cough for more than six months. The cough is dry, sometimes attack-like, mainly begins during the day, and often occurs before sleep. There is no cough at night. CBC is normal, glucose is 4.16, total IgE 111.80, Toxocara, Ascaride are negative, Cytomegalovirus, Mycoplasma are
negative, PPD test is negative as well. A chest x-ray is normal. We have already consulted with a therapist, otolaryngologist, pulmonologist, neurologist, gastroenterologist... the cough is still present. What should we do?
...more
First of all, there are no results of whooping cough testing among the results provided above. The disease cannot be ruled out, even if your child was vaccinated. The blood test for antibodies against the whooping cough germ is required (blood test for class M and G antibodies against Bordetella pertussis). Second,
even a slight increase in class E antibodies is a reason to visit an allergist and to perform an evaluation of respiratory function with bronchodilator. This method will detect a latent bronchial spasm in your child. Even if the results of the test will be normal, allergologist mast rule out the allergic nature of the cough even if it's not obstructive syndrome. Third, this cough can be due to gastroesophageal reflux. It is difficult to draw any conclusions having no data of gastroenterologist’s consultation. 24-hour acidity monitoring of the stomach and esophagus is carried out to confirm or exclude the presence of reflux. Fourth, you didn’t mention whether x-ray of nasopharynx and paranasal sinuses was done. Perhaps, after all, the pathology is associated with ENT organs.
...more

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