What happened to the pelvic floor?

How long to wait to have sex after a baby is a question I get all the time. Every women needs to understand the changes that took place to your pelvic floor.

After giving birth, it is important to allow the body, pelvic floor muscles, and tissues time to rest and heal. This applies whether the birth was through c-section or vaginal delivery. Rest and healing are crucial for recovery. Listen to your body and not rush the healing process. 

Let’s not overlook the amazing event that just occurred at the culmination of your pregnancy. Here is a great article on understanding pain your pelvic floor.

When Can You Have Sex After Having a Baby? How long to wait?

Wait for your doctor’s approval before having sex after giving birth, typically at the 6-week postpartum check-up. You don’t want to have sex after baby to early and you want to be sure to talk with your OBGYN.

What if I return to sex early?

1. There could be disruption to the healing of the vaginal tissues in the perineum or the abdominal incision.
2. An increased risk for a vaginal infection exists.

Why you might not feel like having sex after a baby?

1. Fatigue. This affects libido, and fatigue is so common postpartum.
2. Hormones. Especially if breastfeeding, a drop in estrogen can contribute to vaginal dryness.
3. Body Changes. Yes, your body has changed, but this is a time to appreciate your body for all it has been able to do. As well as providing it a time to rest and heal.

What to remember:

Sex after a baby is an important aspect to your relationship, but it’s not the only aspect. 

Heather Marra, PT

A time of transition.

Your body has changed and your roles have now changed as now you have a baby to care for. Celebrate this new chapter, don’t compare it to the past. Learning about each other’s needs, wants and desires can provide time to strengthen the relationship during this time without intercourse.

Important to think about:

Before having sex after giving birth, make sure you feel physically and emotionally prepared. Listen to your body and emotions. Even if your healthcare provider has given you the green light, it is still important to check in with yourself.

Your well-being is the top priority. If you are anxious or fearful, seeking additional help from a professionally trained counselor may be helpful too.

Do not ignore sexual pain. It can indicate that scar tissue may be contributing to pain. Don’t just push through the pain.

A pelvic floor physical therapist can help with pain or scar tissue. They can also provide treatment to improve sexual enjoyment, rather than just reducing pain.

Vaginal dryness is common in the postpartum period. 

Using lubricant can be helpful. Dryness could be part of the reason for pain. 

Choosing a safe lubricant is important. Avoid lubricants that contain harsh chemicals, such as petroleum, glycerin and parabens. One water based lubricant is Slippery Stuff, a brand I recommend.

Many people desire to return to enjoyable and pain-free sex, but they may encounter a few bumps along the way. If you have any problems, talk to your doctor, therapist, or physical therapist who specializes in pelvic floor issues.  Don’t blame yourself or suffer silently. Support is available.