Sexual intercourse during pregnancy

Can I have sexual relations during pregnancy?

Many expectant mothers wonder if it is possible to have sexual relations during pregnancy. This is a question they often ask their gynecologist-obstetrician. The period of pregnancy does not necessarily require abandoning one's usual life. Women continue to work, travel, exercise, and their sex life is no exception, as long as intimacy does not cause discomfort.

When it comes to sexual relations during pregnancy, it is important to first consider the individual characteristics of how the pregnancy is progressing. To ensure that everything is fine for the health of the expectant mother and her baby, it is sufficient to undergo routine check-ups with a gynecologist-obstetrician once a month during the first and second trimesters, and every two weeks during the third trimester.

How does libido evolve during the different trimesters?

During the first trimester of pregnancy, the expectant mother's belly is almost imperceptible, but her general well-being may change in such a way that libido decreases significantly. Drowsiness, chronic fatigue, toxemia accompanied by nausea and vomiting, as well as strong mood swings can make sexual relations less desirable.

During the second trimester, the woman's condition improves, and under the influence of hormones, her libido returns to normal. The abdomen gradually increases in size, but this usually does not interfere with sexual activity and does not cause physical discomfort.

In the third trimester, the woman's weight increases significantly, as does the size of her abdomen. The growth of the uterus puts pressure on internal organs such as the intestines and bladder, which can affect the woman's overall well-being, causing frequent urges to urinate, feelings of heaviness and bloating, as well as constipation. Often, expectant mothers feel anxious as they approach labor, which also reduces their desire for sexual relations.

Contraindications to sexual relations during pregnancy

In some cases, women need to be cautious in their intimate life. This is especially true for those who have previously faced gynecological issues or have had miscarriages. Sexual intimacy is also not advisable in cases of risk of miscarriage or preterm labor.

The following conditions may constitute contraindications to sexual relations during pregnancy:

• Cervical isthmic incompetence;
• Infectious and inflammatory diseases;
• Amniotic fluid leakage;
• Low-lying placenta;
• Short or prematurely opening cervix.

Women who are carrying twins are also advised to refrain from any sexual relations, especially in the later stages of pregnancy (the second and third trimesters).

Partner support and the importance of intimacy

The answer to the question of whether it is possible to have sexual relations during pregnancy is therefore always individual. If a woman feels well, is healthy, and has no medical contraindications, sexual activity is not prohibited and can be part of a full interaction with her partner. During this period, partner support is particularly important to help the woman feel confident and comfortable.

If you have questions to ask a gynecologist-obstetrician, make an appointment at the NatuVitro clinic. You can also visit the Treatment section of our website to learn more about in vitro fertilization (IVF), including IVF with egg donation and IVF with double donation.