Questions about pregnancy sex


Just because you have a bun in the oven, it doesn’t mean you can’t have fun in the sheets. Yup, as scary

as it might sound to mix his P with your growing B, there is no reason you shouldn’t enjoy a romp sesh

whenever you feel like it (unless your clinician has told you otherwise).

“The biggest question I get is, ‘Can I have sex while I’m pregnant?’” says Alyssa Dweck, M.D., gynecologist

and co-author of The Complete A to Z for Your V. (We’ll say it again: Yup, you can.) But while Dweck says

a lot of women don’t ask their gynos about pregnancy action because they find the topic taboo, it’s totally

normal to have tons of other questions about getting it on while you’re expecting. Some of the other burning

questions that Dweck says come up a lot: How is your sex drive affected when you’re pregnant?

Will getting it on harm the health of your baby in any way? Which sex positions are best when you’re

preggers? And that’s just for starters.


And no matter how awkward you might feel about getting it on with a baby on board, you should absolutely

ask your ob-gyn about any sex concerns you have.

In the meantime, that’s where we come in. We went ahead and tapped two pros for the most common “not

dumb” pregnancy sex questions they get all the time because, let’s be honest, nine months is a long time to

wait for sex.



Sex is not going to cause a miscarriage, says Leah Millheiser, M.D., ob-gyn, director of the female sexual

medicine program at Stanford. Even during the first trimester, when the risk for a miscarriage is higher,

you’ve got the green light to get it on as much as you want.


But, there’s a caveat! If you’re having what docs call “a threatened miscarriage,” meaning you’re spotting

and your doctor doesn’t know whether that bleeding is a sign of a future miscarriage, you should avoid

sexual activity, says Millheiser. Similarly, if you’re experiencing any bleeding, premature labor, or placenta

previa (your placenta is unusually low in the cervix), then you should not have sex. But if you’re

symptom-free and your ob-gyn doesn’t tell you otherwise, doing the deed during any trimester won’t lead to




Unfortunately, there’s no one-size-fits-all answer to this one. Pregnancy libido varies person to person and

depends on what term you’re in. “In the first trimester, lot of women are feeling nausea, fatigue, and they

aren’t really in the mood,” Dweck says. But, in the second trimester, which Dweck calls “the holiday

trimester,” you may see your libido soar. After those less-than-fun months of morning sickness, fatigue, and

increased hormones, you may finally start to get into a rhythm and feel more energized—and ready to get



In the final trimester some might be eager to get your freak on, but others might feel less sexual as a result

of weight gain, back pain, and fatigue. At the end of the day, every woman experiences pregnancy

differently, and you might not feel any change in your libido at all.



Odds are that your partner’s penis isn’t big enough to reach the placenta. Plus, there’s plenty of protection

between the fetus and your vagina, including the cervix, the amniotic sac, and the uterus. Even during the

third trimester, when your cervix might be a little bit dilated, the answer remains the same, Millheiser says.



Typically no. “The chance of orgasm causing pre-term labor would be extremely small and rare,” Millheiser

says. When you orgasm, your body releases the hormone oxytocix, which causes your uterus to contract,

so it’s common for a woman to experience cramping after climaxing. Unless these contractions are

happening for one to two hours and are getting closer together, they’re probably not labor contractions.

That being said, an orgasm could make you go into labor if you’re 38-weeks or more pregnant, says

Millheiser. If you’re close to the end of your term and the post-orgasm contractions happen frequently for a

long duration post-O, you might be in labor.

On the other hand, if you’ve had pre-term contractions or pre-term labor, orgasming could bring on a “spell

of contractions,” which might falsely appear to be labor contractions, Millheiser says. You might also

experience something like a “practice cramp,” which is just mild cramping post-orgasm. But, again, these

do not turn into labor.



Positions that take pressure off your uterus (woman on top, cowgirl, doggy style) are great for pregnancy

sex. “Lying on your back can cause your blood pressure to decrease because your uterus is getting bigger

and heavier,” Dweck says. “So it weighs down on the vein that is behind the uterus called the vena cava.”

Millheiser adds that by lying on your back you can also temporarily compress the vessels that delivering

blood to the baby in the uterus. Though it’s not harmful to try this position for a short period of time, it

definitely runs the risk of being uncomfy. Instead, try other feel-good options like side-by-side or any kind of

rear entry.



As long as your partner’s not blowing air up there, receiving oral sex while pregnant is a-okay—and should

feel damn good. Umm, air? “There is a very rare event called an air embolism, where air enters the blood

stream and blocks a blood vessel,” says Millheiser. “That can happen if you blow air into the vagina of a

pregnant woman.” While very rare, the risk of air embolism is higher in pregnant women because the blood

vessels in their pelvis are dilated. So blowing air into the vagina could “traumatize” the vessel wall and

cause air to pass through, Millheiser says. Otherwise, you’re free to enjoy as much oral action as you want.


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