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Sex after pregnancy

, medical expert
Last reviewed: 23.04.2024
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The appearance of the baby changes the habitual way of life of the family, makes adjustments to all spheres of the life of the spouses - psychological, physiological and sexual. The female organism is in the stage of recovery, the duration of which is affected by the characteristics of the past birth, the degree of their severity, postpartum complications, and individual sensations.

Even if the birth activity was natural and proceeded normally without pathologies or medical intervention, the uterus is required from four to six weeks to release from the blood, return to the previous size, complete closure of the cervix. During this time, the tissue of the uterus is updated, for example, the place of attachment of the placenta is completely restored.

Therefore, sex after pregnancy is recommended to resume not earlier than a month. The reproductive system of a woman in the postpartum period is most susceptible to infections. Sexual contact is capable of provoking bleeding from blood vessels that are injured during labor. The duration of abstinence may increase up to several months because of serious birth injuries or complications after them. All terms are agreed by the obstetrician-gynecologist on an individual basis.

Many women after a pregnancy permit show a complete lack of sexual desire. They associate this with nervous exhaustion, the stress experienced by the body, especially if the birth process was difficult, plus fatigue, fears, doubts, etc. Intimate intimacy for the first time after childbirth often causes discomfort, pain syndrome in women. First, suturing could damage nerve endings. Secondly, the mucous membrane of the vagina becomes more sensitive. Third, the amount of natural lubricant is reduced. All this must be taken into account by the spouses.

Sex after pregnancy according to the perception of the spouses becomes different, as the walls of the vagina take some time to restore the lost tone. Women are more difficult to achieve orgasm, and men may not feel vaginal volume. To help come physical exercise, intimate gymnastics and love.

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When can you have sex after pregnancy?

Resume intimate closeness obstetricians-gynecologists advise after a lapse of at least six weeks after childbirth. This is the time it takes the uterus to recover and return to its original size. The cervix is a wound surface, bloody outflows from the vagina are observed, and by means of sexual contact infection can be noted. The postpartum period includes healing of the rupture sites, restoration of the secretion of the genital area. Very often after birth, a woman's libido decreases, being a natural protective reaction against possible complications and unwanted new conception.

When can you have sex after pregnancy? The answer to this question depends on how the birth was taking place. The presence of postpartum trauma, discomfort in the form of vaginal dryness, stretched muscles can require abstinence for up to two months. Then the couple will have to remember about alternative ways of satisfying, for example, oral caresses.

Parents should remember that lack of menstruation, breastfeeding is not a means of contraception. Therefore, if the gynecologist has allowed early sex after childbirth, do not forget about the condom.

Sex after abortion

As practice shows, the common cause of miscarriage is the fatal viability. If in the process of spontaneous interruption from the uterine cavity all fetal membranes come out, then no additional medical manipulation is performed. If the miscarriage was not complete and in the case of a stiff pregnancy, gynecological cleansing (curettage, scraping) is required.

The return of the body to a healthy state after a spontaneous miscarriage may take several weeks to four months. During this time, bleeding must stop completely. Women at this period should forget about physical activity, hot bath and intimate relationships. The menstrual cycle is restored in 4-5 weeks. Sex is extremely undesirable after the termination of pregnancy in the first two weeks.

Immediately address to the gynecologist if in the first days after miscarriage or cleansing found: 

  • abdominal pain; 
  • bleeding; 
  • temperature, severe weakness and chills.

It is better to plan a new pregnancy after spontaneous interruption no earlier than in six months. Use reliable contraceptives at first to prevent re-conception.

Sex after drug abortion

Pharmacological (pharmacological) abortion of pregnancy is called abortion with the use of medicines. For this purpose, the drug "mifegin" is used, referring to a steroidal antiprogestagenic substance. Abortion in this case occurs as a miscarriage. Bloody efflux is observed one to three weeks. At this time, a woman should give up sex. Physical overload, as well as sex after a medical abortion, can provoke uterine bleeding. It also takes time to restore the uterine epithelium. Intimacy increases the risk of infection and complications after abortion.

Abstinence for several weeks is explained besides hygienic norms, a malfunction of the menstrual cycle, which leads to a repeated pregnancy. The optimal period for abandoning physical intimacy will be the period to the next monthly period, which occurs on average in a month.

Sex after ectopic pregnancy

Ectopic pregnancy is a pathological process in which a fetal egg is implanted and develops outside the uterine cavity. Such a condition threatens the life of a woman and requires medical care, so in case of bleeding one must immediately call an ambulance.

Treatment is carried out surgically: 

  • laparoscopy - microsurgical effect (discharge takes place after 4-5 days); 
  • laparotomy, when dissecting the wall of the peritoneum (discharged after 7-10 days).

The postoperative period includes mandatory monitoring of the patient's condition in the hospital with the setting of droppers to adjust the water-electrolyte balance. With the preventive purpose (to reduce the risk of complications of an infectious nature) antibiotics are prescribed - "cefuroxime" / "metronidazole". An important role is played by rehabilitation measures aimed at the normalization of reproductive functions: prevention of adhesions, methods of contraception, restoration of hormonal balance.

The duration of the recovery period, including physiotherapeutic effects on the reproductive system, is selected individually. Sex after an ectopic pregnancy is best practiced not earlier than in a month. Very seriously, we should approach the issue of contraception, which should be discussed with a gynecologist. Planning pregnancy is desirable not earlier than six months, in some cases a year.

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