Sexual Intercourse during Pregnancy: Safe or Risky?

Once you are pregnant, and if it is a normal, healthy pregnancy, no need to panic. Sex does not cause miscarriages. Most miscarriages in early pregnancy are caused by chromosomal defects or genetic problems, not because of sexual activity.

Your baby is well-protected by several layers, such as the amniotic sac, uterine muscles, and cervical plug, which are barriers against infection. But if you are a high-risk case or have had previous complications, your physician might recommend that you abstain from sex to avoid unwanted miscarriages. Always ask your physician to verify whether sexual intercourse is safe for you.

Even though sex is usually safe, there are some conditions where you should avoid intercourse. Your physician might recommend avoiding sex if you have:

• Placenta Previa – If your placenta is low-lying, covering, or touching the cervix, the risk of miscarriage could be greater.

• A History of Miscarriage or Preterm Labor – Having intercourse can cause contractions in some cases that are at high risk.

• Cervical Insufficiency – If your cervix is shorter than average, physicians might recommend avoiding intercourse to avoid early labor.

• Infections – When either you or your partner has an infection, avoid sex until it is treated.

• Unexplained Vaginal Bleeding or Spotting – Any abnormal or unexplained bleeding must be checked by a physician.

Minimal spotting or mild post-sexual intercourse bleeding is very normal in pregnancy. The cervix is extremely sensitive and also has a good blood supply, hence the susceptibility to minor bleeding. In case of heavy bleeding, bright red bleeding, or constant bleeding, visit your doctor right away.

It is completely normal for libido to fluctuate during pregnancy due to hormonal changes, fatigue, nausea, and physical discomfort. Some women experience an increased sex drive, particularly in the second trimester when morning sickness subsides and energy levels rise. Others may find that their desire decreases, especially in the third trimester when the growing belly causes discomfort.

Partners should communicate openly about their feelings and find ways to maintain intimacy, even if traditional intercourse isn’t always comfortable or appealing.

• Open Communication – Talk to your partner about any discomfort, emotional changes, or changes in sexual desire.

• Listen to Your Body – If something feels uncomfortable or painful, stop immediately.

• Use Safe Lubricants – If needed, opt for doctor-approved lubricants to ease discomfort.

• Be Mindful of Your Pregnancy – Avoid putting too much pressure on the abdomen to prevent unnecessary complications.

• Choose Comfortable Positions – Side-lying, woman on top, and sitting positions can reduce pressure on the belly.

• Get Doctor’s Approval – Always consult your doctor if you are unsure about engaging in sexual activity.

Sexual intercourse during pregnancy is generally safe and can be a healthy part of a couple’s relationship. However, every pregnancy is different, and it’s essential to listen to your body and follow medical advice. If you have concerns or experience pain, bleeding, or discomfort, consult your doctor immediately. Open communication between partners and proper guidance from a healthcare provider can help ensure a safe and enjoyable pregnancy journey.