Discomfort During Intercourse While Pregnant

Key Takeaways

• In most cases, staying sexually active during pregnancy is generally safe, though there may be instances when intercourse becomes uncomfortable or painful. 
• Adjusting positions and exploring different forms of physical intimacy can often help alleviate discomfort during intercourse while pregnant.
• If you experience severe pain, bleeding, itching, or a burning sensation while urinating, it’s important to contact your doctor immediately. These symptoms could indicate an issue that needs to be addressed to protect both your health and the pregnancy.

What Causes Discomfort During Sex While Pregnant?

Pregnancy brings numerous changes to your body, and it’s natural to experience some discomfort during sex. According to a study in the Journal of Sexual Medicine, approximately 20% of women experience clinically significant pain during intercourse while pregnant, yet most do not seek treatment for this issue.Several factors can contribute to a patient’s discomfort during intercourse while pregnant. Hormonal changes lead to increased blood flow and sensitivity in the pelvic area, which can make sex feel different or uncomfortable. Additionally, the growing uterus and changes in the vaginal walls can alter sexual positions and sensations. Physical changes like increased vaginal discharge or swelling can also contribute to discomfort.

In some cases, pain during sex can be related to common pregnancy symptoms like round ligament pain, which occurs as the ligaments supporting your uterus stretch. Other factors, such as stress or anxiety about the pregnancy, can also impact your sexual experience.

How to Prevent Pain During or After Sex When Pregnant

To minimize discomfort during intercourse, consider trying the following strategies:

• Communicate Openly: Talk with your partner about your feelings and any discomfort you’re experiencing. Open communication can help adjust positions and reduce anxiety.
• Experiment with Positions: Find positions that are more comfortable for you. Side-lying positions or those that avoid direct pressure on your abdomen might be more suitable.
• Use Lubrication: Hormonal changes can lead to vaginal dryness. Using a water-based lubricant can reduce friction and make intercourse more comfortable. According to a 2024 study, the most successful approach to mitigate pain was the use of a lubricant, with 72% of participants finding it to be frequently or always effective.
• Relax and Take Your Time: Approach intimacy with patience and relaxation. Foreplay can help ease any tension and increase comfort.
• Consult Your Healthcare Provider: Your doctor can offer personalized advice and address any specific concerns related to your pregnancy.

Studies show that as pregnancy advances, women often experience a decline in orgasm and sexual satisfaction, along with an increase in painful intercourse. Understanding what’s behind the discomfort and knowing how to manage it can help you maintain a healthy and fulfilling intimate relationship with your partner. 

When to Talk to Your Doctor About Painful Sex During Pregnancy

Continuing sex during normal-risk pregnancy is typically safe. However, it’s important to discuss any significant or persistent discomfort with your healthcare provider. You should reach out if:

• The pain is severe or doesn’t improve with adjustments.
• You experience bleeding or unusual discharge.
• You notice symptoms such as burning or itching during urination, or pain in the lower back or kidneys, which could be signs of a UTI or other infection. 
• You have concerns about how sexual activity might affect your pregnancy.

If you’re uncertain about whether to reach out, it's best to err on the side of caution to ensure your reproductive health during pregnancy. Your doctor can help determine if there are underlying issues or provide additional strategies to manage discomfort.

The Bottom Line

Experiencing discomfort during intercourse while pregnant is common, but it doesn’t have to diminish your intimate experiences. By understanding the causes and exploring ways to alleviate discomfort, you can maintain a healthy and satisfying relationship with your partner. If you have concerns or need personalized guidance, don’t hesitate to reach out to us at San Diego Fertility Center. Our compassionate team is here to support you through every stage of your fertility journey.

This blog is for informational purposes only and should not be considered medical advice.  Please consult with your physician or a qualified healthcare provider for any health concerns or before making any decisions related to your health or treatment.