8 Surprising Truths About Postpartum Sex After Birth

How long after birth can you have sex, and what will it feel like? Follow this postpartum guide for having comfortable and enjoyable sex after pregnancy.

The very thought of postpartum sex can seem exhausting for new parents, especially given everything that's stacked against them: the lingering pain from delivery, raging hormones, baby blues or postpartum depression, weird body changes, and of course, the biggest libido-killing elephant in the room: the pure exhaustion a having a newborn. You also might feel "touched out" after cuddling a baby much of the day.

But while getting it on may be the last thing on your mind, that won't be the case forever. In fact, according to one study, a full 94% of parent respondents claimed to be satisfied with their post-baby sex lives, and more than half said having a baby improved things. (Woot!)

So how long after birth can you have sex? If you're having penile-in-the-vagina sex, most doctors advise not to put anything in the vagina for six weeks to allow for healing. The lochia (discharge of leftover blood and uterine tissue) has probably stopped by then as well. Before hopping under the sheets, though, it's important to note that sex after birth takes some time and effort—and that intimacy can take many forms. These truths can help you bring back the heat and connection that got you that baby in the first place.

1. Postpartum penile-vagina sex might not feel good at first.

If you've given birth and are having penile-vagina sex, know that it's perfectly normal if it doesn't feel as good initially as it once did. And it's important to understand that this applies to anyone who has given birth vaginally or via a C-section because it's not just about tissue trauma. "The assumption is that the pain is from the trauma of delivery, which it definitely can be, but it also has to do with low levels of estrogen that affect the elasticity of the vaginal tissues," says Rebecca Booth, M.D., a Louisville, Kentucky, gynecologist and author of The Venus Week. Estrogen levels drop right after giving birth and remain low while breastfeeding. "When someone is nursing, especially in the beginning, the decrease in estrogen combined with high prolactin and oxytocin levels can mimic menopause for the first two to three months," says Dr. Booth. "Think night sweats, hot flashes, vaginal dryness, and often pain."

Even parents who underwent C-sections can experience painful vaginal sex after birth—even six weeks postpartum. If you had an episiotomy or other laceration, the time it takes to heal will depend on how extensive it was and where the cutting was done.

2. It's not you.

If you're worried that your lack of libido is your fault, let us put your fears to rest. The severe lack of sleep, a changing dynamic between you and your partner, feeding challenges, and body changes are real factors that can impact your sex drive. Plus, if you're breastfeeding, even Mother Nature is working against you. "Nursing releases oxytocin, a hormone that triggers good feelings toward the baby but also suppresses your libido," says Dr. Booth. "Anthropologically speaking, keeping your sex drive low is your body's way of preventing another pregnancy too soon. Patients are always relieved to find out there's a reason they're not as into sex."

3. Your body may change.

Depending on your age and how many children you've had, your body may very well change. Vaginal elasticity is usually regained after childbearing or delivery, but your body's structure can definitely be impacted. And, says Dr. Booth, "even someone who had a C-section can be affected, because the hormones of pregnancy widen the pelvic rim." This is also why a person who loses their baby weight quickly may still not fit back into their jeans for many months. If you're looking to feel stronger, try Pilates: "All that focus on the core also helps tighten the pelvic floor," Dr. Booth adds.

4. Sex after baby is important.

"If there's no physical intimacy, or if it's really limited, couples start to feel like roommates, which is rarely a good thing. Feeling disconnected can lead to resentment," says Amy Levine, a New York City sex coach and mom. "Start with kissing or touching each other in a loving way, and work your way up to post-delivery sex when you're ready."

The fact is, you won't have as much time to linger over dinner or go out for elaborate dates, so sex can be the thing to remind you that you're on the same team—and still more than just parents. Also, let's be honest, it puts everyone in a better mood.

5. Quickies are your new best friend.

Knowing that it doesn't have to be a long drawn-out session is a lovely grown-up fact. "Have your partner do what it takes to get you turned on, and then you do what it takes to keep your attention in the moment," says Levine. "Focus on the feeling—what they're doing to you, what you're doing to them—to stay present."

6. Afternoons really can be delightful.

"By the time I would get into bed at night, I was too tired to read a page of my book, let alone have sex," recalls Maryanne, a mom of two, of the early days. "I found myself turning my husband down a lot, which never feels good." Then they figured out that weekends during their son's nap was the perfect time to bond. "It took the pressure off our nights and became something we both started to look forward to," she says. "And we still love our naptime ritual!"

7. Sex after birth may be better than you think.

Contrary to popular belief, a lot of people enjoy sex more after birth than they did before they were parents. One possible explanation: "Giving birth awakens us to a range of sensations, and as a result, our bodies, particularly our genitals, become more alive, increasing our pleasure potential," Levine notes. Childbirth can also shift our internal parts into just the right place, to make them more sensitive to stimulation. "Many women report more comfort with their bodies and more intense orgasms after having kids," she adds.

8. You will want postpartum sex again.

Just like you'll sleep again and go out with friends again and even be up for giving birth or welcoming a new child again, you'll want to have sex again. "Give yourself time to literally heal, but also to adjust to your new roles," says Christi, a mom of two who had a tough time resuming a normal sex life after her first. "Be honest and open with each other, and remember that sometimes you may not be in the mood going in, but you will be really glad you did it afterward!"

Contrary to what you might think, having more kids does not equal less sex. Similar to how going from zero to one child is the biggest adjustment, returning to sex after baby number one is also the toughest. Bottom line: At a certain point you realize life with kids is always going to be chaotic, and you just have to do certain things, like fooling around, wherever and whenever you can.

Was this page helpful?
Related Articles