3624
3.5 Minute

26-05-2025 Team Medicover Woman-and-child

Written by Medicover Team and Medically Reviewed by Dr Bommisetti R Nagarjuna

Sex During Pregnancy

Sex during pregnancy is surrounded by uncertainty and curiosity. If you're wondering if sex during pregnancy is safe, how it feels or whether itâ€™s even recommended, you're not alone.

The truth is that in most healthy pregnancies, sexual activity during pregnancy is completely safe and can be a powerful way to maintain emotional and physical intimacy with your partner.

Is It Okay To Have Sex While Pregnant?

For most women with uncomplicated pregnancies, sexual activity is safe throughout all three trimesters. The baby is well-protected inside the amniotic sac, surrounded by the uterus and cushioned by strong pelvic muscles.

This protective environment means that intercourse doesnâ€™t harm the baby. However, some medical conditions or pregnancy complications may require abstaining from sex. If your doctor has warned you against sexual activity, always follow their advice.

Conditions like placenta previa, signs of preterm labour or unexplained bleeding are some reasons to avoid sex.

Get a second opinion from trusted experts and makeconfident, informed decisions.

Get Second Opinion

Can Sex During Pregnancy Cause a Miscarriage?

In most cases, sex during a normal, healthy pregnancy does not cause miscarriage. Miscarriages are usually caused by chromosomal abnormalities or medical conditions, not sexual activity.

However, your doctor may advise against sex if you have:

A history of preterm labor or miscarriage.
Placenta previa or bleeding during pregnancy.
Cervical insufficiency.
Signs of infection or amniotic fluid leakage.

Are Condoms Needed During Sexual Intercourse in Pregnancy?

Condoms are not medically required during pregnancy if both partners are free from sexually transmitted infections and there are no pregnancy complications. However, condoms may be recommended in these situations:

To prevent STIs.
If your partner has a new or untreated STI.
To prevent vaginal infections.
If advised by your doctor, in some high-risk pregnancies.

The Effects of Sex on a Pregnant Mother

For most women with a healthy pregnancy, sex is safe and can offer both physical and emotional benefits. However, the effects of sex during pregnancy can vary based on the individual and the stage of pregnancy.

Improved Mood and Emotional Bonding
Better Sleep
Pelvic Floor Strengthening
Increased Vaginal Lubrication and Blood Flow

Sex should be avoided or modified if:

There is placenta previa, cervical insufficiency or a history of miscarriage or preterm labor.
You are leaking amniotic fluid or have signs of infection.
Your doctor advises pelvic rest due to pregnancy complications.

The Effects of Sex on the Baby

In a healthy pregnancy, sex does not harm the baby. The fetus is well-protected inside the uterus.

The baby doesnâ€™t feel any pain or physical impact from intercourse. Movements from sex do not reach the baby in a way that would cause harm.
Some research suggests the baby may notice slight movements or changes in heart rate during orgasm, but these are temporary and not harmful.
After sex, the release of feel-good hormones like oxytocin may actually be calming for both mother and baby.

While sex is safe for most, it may need to be avoided if:

You have a high-risk pregnancy.
Youâ€™ve been diagnosed with placenta previa, preterm labour or cervical insufficiency.
There is unexplained bleeding, leaking of fluid or signs of infection.

In these cases, your doctor may recommend pelvic rest to avoid complications.

Benefits of Sex During Pregnancy

Sex while pregnant can be much more than just physical pleasure. It fosters emotional connection, supports physical well-being and helps reduce stress.

Benefits include:

A natural mood booster due to the release of oxytocin.
Better sleep and relaxation.
Improved blood flow and cardiovascular health.
Strengthening of pelvic muscles during orgasm.
Emotional bonding helps couples feel connected.

Many expectant couples discover that maintaining physical intimacy strengthens their ability to handle challenges during pregnancy together.

When To Stop Sex During Pregnancy?

While having sex during pregnancy is usually safe, there are certain situations where it's better to avoid or check with your doctor first. Here are some signs to be aware of:

Placenta Previa: This is when the placenta sits low in the womb and covers the opening of the cervix. Having sex could lead to bleeding in this case.
Signs of Preterm Labor: If you're experiencing regular contractions, feeling pressure in your pelvis or noticing any fluid leaking, itâ€™s important to seek medical advice.
Multiple Pregnancies with Complications: If you're expecting twins, triplets or more and there are any health issues, it's wise to discuss sex with your healthcare provider.
Unexplained Vaginal Bleeding: Any bleeding during pregnancy should be looked at by a doctor. Itâ€™s always better to be safe.
History of Cervical Insufficiency or Premature Birth: If youâ€™ve had a miscarriage or baby born early in the past, you might be at higher risk, so consult your doctor.

Importance of Sexual intercourse during pregnancy

During pregnancy, the dynamics of a relationship can shift significantly. This is where intimacy plays a vital role in emotional security.

Why itâ€™s important:

Encourages honest communication about changing needs.
Helps partners feel valued and attractive despite physical changes.
Creates a safe space for managing emotional stress.
Keeps romance alive in a time often focused solely on the baby.

If both partners are emotionally and physically on the same page, sex during pregnancy can be a grounding force through this major life transition.

Safe Sex Positions During Pregnancy

Many sex positions can be enjoyable and safe throughout each trimester, especially when you avoid pressure on the belly and ensure open communication with your partner.

Here are some commonly recommended positions:

Side-Lying
Woman on Top
Edge of the Bed
Rear Entry (Modified Doggie Style)
Seated Face-to-Face

What Should You Keep In Mind During The Third Trimester?

In the final stretch of pregnancy, sex in the third trimester can be more difficult due to physical discomfort. However, itâ€™s still safe for most people, unless your doctor advises otherwise.

Your belly is larger and movement is limited, so experiment with safe sex positions during pregnancy that donâ€™t apply pressure to the abdomen (like spooning or side-lying)
Vaginal sensitivity increases, so gentle intimacy is key
Orgasms might cause harmless contractions, but monitor if they become intense or regular
You may feel more fatigued and that's okay focus on what feels good and comfortable

Always consult your doctor if youâ€™re experiencing bleeding, pain or any symptoms of preterm labour.

Oral and Anal Sex During Pregnancy

Oral sex during pregnancy is generally safe. Just ensure:

Good hygiene is maintained
Your partner avoids blowing air into the vagina to prevent rare but serious complications

Anal sex during pregnancy should be approached with caution due to increased risks like haemorrhoids, discomfort or infection:

Use adequate lubrication
Be gentle and communicate constantly
Never switch between anal and vaginal sex without cleaning in between

Comfort and safety should always be prioritised. If unsure, speak to your gynaecologist for personalised advice.

Safe Intimacy Practices for Expectant Couples

Sexual intercourse during pregnancy is enjoyable and safe and requires attentiveness to each otherâ€™s physical and emotional state.

Tips for safe intimacy:

Use water-based lubricants if dryness occurs
Choose positions that avoid pressure on the abdomen
Avoid rough intercourse and deep penetration in later stages
Maintain hygiene, especially when trying oral or anal sex
Use protection if thereâ€™s a risk of STIs, even if youâ€™re in a monogamous relationship
Focus on comfort, communication, and consent every time

Medical Advice on Sexual Health During Pregnancy

In most pregnancies, sex during pregnancy is safe. However, there are specific cases when avoiding sexual activity is advised.

Talk to your doctor if:

Youâ€™ve been diagnosed with placenta previa
You have signs of preterm labour
Youâ€™re carrying multiples with complications
You experience unexplained vaginal bleeding
You have a history of cervical insufficiency or premature birth

Never hesitate to ask your healthcare provider for guidance. Safe intimacy practices for expectant couples always begin with knowing your individual health status.

Common Myths About Sex During Pregnancy

Myth: Sex can harm the baby. False. The baby is well-protected in the uterus.
Myth: You shouldnâ€™t have orgasms during pregnancy. False. Orgasms are safe but may cause mild contractions.
Myth: Sex causes miscarriage. Usually false unless there are complications or medical advice against it.

Your health is everything - prioritize your well-being today.

Schedule Your Appointment

Conclusion

Sex during pregnancy can be beautiful, bonding and even therapeutic. For many couples, itâ€™s a period of growing closer, trying out new intimacy and figuring out how to navigate new emotional territory together.

Whatever the deal, fluctuations in desire, physical discomfort and emotional distress, try to remind yourself that this is a temporary phase. It is mutual care, understanding and openness that make for a meaningful journey.

If you're ever unsure, talk to your doctor. And most importantly, listen to your body, it knows best.

Frequently Asked Questions

In a normal, healthy pregnancy, sex doesnâ€™t cause complications or harm the baby. However, if you have risks like placenta previa or preterm labor, itâ€™s best to consult your doctor.

Use comfortable positions, avoid pressure on the belly, stay well-hydrated, and communicate openly. Always check with your doctor if you have any bleeding or unusual symptoms.

Hormonal changes can increase or decrease desire. Fatigue, nausea, and body changes may affect comfort. Emotional support and patience play a big role in maintaining intimacy.

Prioritize emotional connection over performance. Talk openly with your partner, avoid stress, and focus on comfort. Seeking counseling or reassurance from your doctor can also help.

This trimester is often more comfortable for intimacy. Choose supportive positions, go slow, and stay in tune with your body. Avoid deep penetration and always prioritize comfort.