Many pregnant women and their partner worry about sex during pregnancy and are quite embarrassed to ask their doctor or friends. It is important to remember that if the pregnancy is proceeding normally, you can have sex as often as you like and keep doing till the last stages. Some women have an increased sex drive during some stages of pregnancy, while others may completely resist any sexual intimacy. Hormonal fluctuations, fatigue, nausea and breast tenderness early in pregnancy are the main reasons for lower sexual desire. As the pregnancy progresses, weight gain, back pain and other symptoms might dampen enthusiasm for sex. Emotions can take a toll on sex drive, too.

During the initial weeks of pregnancy, any position is ok for sexual activity, but as pregnancy progresses you may find that the missionary position (man on top) isn’t comfortable and safe anymore. You then need to try different positions like “get on top”, “lie side by side in the spoon position” or the doggy position to make it more comfortable.

However, it is very important to remember that there are situations when it is not advisable to have sex. Your doctor is the best person to advise based on your medical history. Regardless, some of the situations are:

• If you have a history or threat of miscarriage
• Unexplained vaginal bleeding or spotting
• Abdominal pain or cramps
• History of cervical weakness
• Pregnant with twins or multiple babies
• Low-lying placenta (placenta praevia)
• Husband has genital Herpes/ If you or your partner have a sexually transmitted disease.
• If the water has broken.

Be assured that sexual activity during pregnancy causes no harm to your baby, as long as you have a normal pregnancy. Talk to your doctor if you have any doubts or concerns. Your developing baby is well protected by the amniotic fluid in your uterus, as well as by the strong muscles of the uterus. Remember to share your desires and feeling with your partner in an open way so that your partner is aware of the changes. There are other activities like cuddling, kissing, hugging, massage etc to continue your physical and emotional intimacy.

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