Is It OK to Have Sex While Pregnant? Here’s What You Need to Know

As an expecting parent, you have a lot on your mind, from dealing with new pregnancy symptoms to preparing for your baby’s arrival. It’s also natural to have questions about intimacy during this time. If you’ve wondered, "Is it ok to have sex while pregnant?" then this guide is for you.

Learn how sex affects you and your baby, when to stop sex during pregnancy, and how to navigate intimacy through each trimester.

Sex During Pregnancy

So, is it ok to have sex while pregnant? For most healthy, low-risk pregnancies, the answer is a resounding yes. According to ob-gyn Dr. Christia Padolina, "The developing baby is protected by the amniotic fluid inside the mother's uterus so that sexual intercourse won't affect the baby."

Penetration and even the uterine contractions that happen during an orgasm will not hurt your little one. A strong mucus plug also seals your cervix, guarding against infection.

Sex also won’t cause a miscarriage in a healthy pregnancy. Most happen because of issues with the baby's development, which are out of your control.

When to Stop Sex During Pregnancy

Your doctor can confirm if you have a low-risk pregnancy or advise you on any necessary precautions for sex during pregnancy.

While sex during pregnancy is usually safe, your doctor may advise you to abstain from intercourse if you have pregnancy complications. These specific situations include:

• Vaginal bleeding
• Leaking amniotic fluid
• Placenta previa, a condition where the placenta partially or completely covers the cervix
• Incompetent cervix (cervical insufficiency), where your cervix might open too early
• History or signs of preterm labor

How Sex and Your Libido Change by Trimester

Your sex drive will likely shift as your body changes during pregnancy, which is typical and can vary from person to person.

First trimester

The first few months (Week 1 to Week 12) can be a rollercoaster of hormonal changes. A systematic review in Public Health Reviews found that women's sexual desire tends to be at its lowest at this time, mainly due to physical changes like fatigue, nausea, tender breasts, and hormonal shifts.

Don’t worry if you’re not in the mood; focus on other forms of intimacy with your partner, like cuddling or massage.

Second trimester

Many people refer to the second trimester (Week 13 to Week 27) as the honeymoon phase of pregnancy. Morning sickness often subsides, your energy returns, and you have a cute bump. 

That same research in Public Health Reviews also found that sexual drive typically peaks during this time. Increased blood flow to the pelvic area can heighten sensitivity and arousal, making sex more enjoyable than ever.

Third trimester

As your belly grows, finding a comfortable position becomes the main challenge during the third trimester (Week 28 to Week 40). While you may feel physically awkward, it’s a great time to get creative with your partner. Talk to your partner about what feels good.

Safe and Comfortable Positions to Try

The goal is to find positions that take pressure off your growing abdomen and back. Here are a few to try:

• You on top: Puts you in complete control of the pace and depth while keeping all the weight off your belly
• Spooning (side-lying): An intimate, low-energy position that keeps pressure off your abdomen and back
• On your hands and knees: Helps relieve pressure on your lower back by tilting your uterus forward
• At the edge of the bed or in a chair: Allows for different angles and can be easily adapted using a chair for better support in later pregnancy

Your Top Questions About Sex During Pregnancy

Many couples have questions about safety, comfort, and changing desires when it comes to sex during pregnancy.

Can sex trigger labor?

Generally, sex won’t make you go into labor. Some doctors might even suggest it to help things along once you've reached your due date, but it won't send you to the hospital early.

Is it okay to lose interest in sex?

Absolutely. Hormonal shifts, physical discomfort, and psychological changes influence your sex drive. It’s perfectly fine for your libido to ebb and flow during pregnancy, so be honest with your partner about how you’re feeling.

What are the benefits of sex during pregnancy?

Apart from giving you pleasure, sex is a stress reliever. During orgasm, your brain releases oxytocin, also known as the love hormone, which is why you feel so connected to your partner and your stress seems to melt away.

At the same time, a rush of endorphins (your body's natural feel-good chemicals) brings on feelings of happiness and deep relaxation. Orgasms may also improve sleep, according to a study in the Journal of Sleep Research.

Are there any disadvantages of sex during pregnancy?

For most, there are no real disadvantages of sex during pregnancy, aside from the challenge of finding a comfortable position. However, avoid sex if your doctor has advised against it for a medical reason. You should also use condoms to prevent STIs that could harm your baby if you’re not in a monogamous relationship.

So, is it OK to have sex while pregnant? The answer is a personal choice for you and your partner, guided by your doctor's advice. Prioritize your comfort, keep the lines of communication open, and enjoy this special time of connection.

Head to the ParentTeam Moms and Dads Facebook group and share your experience or questions about navigating intimacy during pregnancy.