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Sex during pregnancy – is it safe?

Czas czytania: 4 min
Opublikowano 26/08/2022
Ginekolog dr Tadeusz Oleszczuk w wywiadzie dla nikalab mówi, że seks w ciąży jest bardzo ważny

Is sexual life prohibited during pregnancy, answers gynecologist Dr. Tadeusz Oleszczuk, author of the books "Calm down your hormones", "What the gynecologist won't tell you" and "A guy like a young god".

There are many myths surrounding sex during pregnancy, which cause many people to simply give up having sex during pregnancy. Rightly?

Dr. Tadeusz Oleszczuk: Absolutely not. Of course, you need to consult a doctor and ask whether everything is OK, whether the cervical canal will "safely maintain the pregnancy", whether the parameters are good, i.e. whether the pregnancy is not at risk . In 80-90% of cases it is not, i.e. there is no danger and no contraindications, because the canal does not shorten and the cervix does not dilate. This is assessed by a measurable ultrasound examination . So sex during pregnancy – yes! Of course. It is safe and very important because it builds even greater closeness and maintains good relationships . In addition, there are many favorable factors: there is no stress because the woman is already pregnant, so she will not get pregnant again, and the man feels joy and satisfaction because he has not been left behind. In addition, he often finds his partner even more attractive because she has rounded shapes and enlarged breasts. She is healthy and fertile, so both of them can derive great joy and satisfaction from sex. Different types of sex, mutual caresses.

Positions matter?

Bright. Of course, as the pregnancy progresses, we love each other differently. There are no major changes in the first trimester, the pregnancy is not yet visible, so it does not matter in what position the couple makes love. Later, when the belly is already visible and large, it is important not to press on it . Therefore, we can safely recommend the position on the side when the man is behind his partner. There are also many other techniques, not necessarily related to penetration, such as fellatio. Sex during pregnancy is really interesting and worth having.

What if people are afraid anyway? I sometimes hear that both women and men are afraid that "something will happen to the baby."

It won't happen because there is no such technical - anatomical - option. Such thinking results from a lack of education and, consequently, knowledge of anatomy, for example how the vagina is built and what intercourse looks like. I can recommend many replacement techniques to couples who feel anxious, but remember: we have a vagina, inside it is the vaginal part of the cervix, and only above its vault does the pregnancy develop in the uterus. Access to the vagina is not the same as access to the uterine cavity. So don't worry, the fetus is safe.

It's pregnancy, and after giving birth? When is it safe to have sex?

From a medical point of view, and this is of course the opinion that can be found in textbooks: when the postpartum period ends , i.e. when the uterus finishes folding (approx. 6 weeks after giving birth). But when the perineum or the scar after a cesarean section heals (7 days), there is no more bloody feces or blood-tinted mucus, the woman is healthy, there is no infection or inflammation - you can have sex. This is important for couples because the woman feels that she is attractive, and the man - again - that he does not stand in a corner when the woman focuses entirely on the baby. Ultimately, there are different forms of sex and not all of them have to be focused only on vaginal orgasm.

However, it also happens - again, I hear this from many women - that they simply don't feel like having sex. Neither during pregnancy nor after giving birth.

This is an important question because we must realize that libido does not come out of thin air . We need to know what harms us and what builds us up. Basically, to have good sex, we need to be healthy . So it is important that we take care of our diet and rest. Our overall health is fundamental to libido. Of course, they are completely pacified by hormonal disorders , especially the thyroid gland. It's mainly about inflammation or excessive prolactin release. I often observe this in my office - I have patients whose prolactin levels are 20-50 times higher. After giving birth, it looks like postpartum depression (hypothyroidism). Excessive levels of prolactin often cause cysts to appear in the breasts or ovaries. Let me give you a simple example of how prolactin affects libido: we're going on a date, it's nice, we're already happy in our thoughts - and suddenly it turns out that someone hit our car. Crash. There is such a release of stress hormones (including prolactin) that it causes pain. You can't get past this with boosters.

Of course, you also need to know that alcohol and cigarettes are poison , also deadly to libido and sexual performance. That is: if there is stress beforehand, there will probably be no successful sex. On the other hand, when we go on holiday, the sun is shining, we are relaxed, we do not answer e-mails or telephones - the desire for sex may appear more easily.

Many factors that we have control over escape us. It seems like sex is automatic - it's not. You can help yourself with, for example, Korean ginseng, but only when a person is rested, calm and relaxed, libido has a chance to break through the shell of everyday life.

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As some studies indicate, sex during pregnancy may also have health benefits for the fetus . Children of mothers who had sex in all trimesters of pregnancy had a higher birth weight and were more likely to have higher Apgar scores - compared to children of mothers who did not have sexual intercourse during pregnancy . If sex gives pleasure to the future mother, it triggers the secretion of endorphins (happiness hormones) in her body, the effects of which are also felt by the child. In other words, a happy mother means a happy child.

A woman may also experience more intense orgasms during pregnancy. Due to the fact that the area around the intimate organs is more supplied with blood during this period, the sensations during sex may be stronger .

Bibliography:

  1. Marta Makara-Studzińska, Artur Wdowiak, Izabela Plewik, Karolina Maria Kryś, The impact of sexual activity of pregnant women on the health of the newborn, Seksuologia Polska 2011;9(2):57-63.
  2. B.Cadman, “What to know about sex during pregnancy,” February 22, 2019, medicalnewstoday.com.
    The publisher does not conduct medical activities.