Now that you are planning your pregnancy or you're already pregnant you may have some concerns regarding your sexual relation with your partner will be from this point. Culturally there's a tendency to dissociate expectant mothers from sexuality and you may have some difficulty finding information on this issue.

It's important that you maintain with your partner a open communication that will allow you to have a safe and satisfying sexual relationship during the time you're pregnant.

Yours and your partner's previous beliefs about sex along some physical and emotional aspects will be determinant to conduct your sex activity during the pregnancy. There a lot of reasons why sex can be enjoyable such as an engorgement of the genital area (helping some people becoming orgasmic) and the increase of the vaginal lubrication or even the lack of birth control.

But pregnancy also brings some concerns. The first doubt of almost all pregnant women is if it's safe to have sex during pregnancy. And the true is, if you're having a low-risk pregnancy so known as a "normal pregnancy" it's considered safe to have sex during all stages of pregnancy. In a low-risk pregnancy the risk for complications such as pre-term labor or miscarriage is inferior, but you always should talk to your doctor or midwife (nurse), if you've some doubts if you fall in this category.
And if you feel that your desire for sex fluctuates, don't worry. It's normal for many expectant mother to have this issues during certain stages in the pregnancy. It's very important that you talk with your partner about what is going on with you and how this affects your mood for sex. Some women, when their body gets larger find that sex becomes uncomfortable and their motivation and desire for sex late in the pregnancy may even disappear while men in general find the pregnant body very desirable. Try to find other ways, along with your partner, to satisfy your need for intimacy like cuddling, massages, mutual masturbation and caressing or you both my try to find other positions for sex that become more comfortable for both.

The women reactions to sex can vary during the trimesters. In the first trimester some women feel tired and nauseated to be interested in sex, while in the second as her abdomen grow they feel more happy and more receptive to sexual intercourse, and in the third trimester the desire my decrease due to women the concerns with the delivery and the excitement of becoming a new parent.

During pregnancy you must be careful with some sexual behaviors like:
- Do not have sexual relations with a partner whose has a sexual background of sexually transmitted disease like chlamydia, herpes, HIV or genital warts, because if you become infected you may transmit this diseases to your baby, and the consequences can be dangerous and irreversible.
- If you decide to engage in oral sex with your partner, he should not blow air into your vagina because this may cause an air embolism, that may be a fatal situation for the mom and the baby.

Most important, if you have some doubts, talk with your health care provider. And if he/she detects some complications with your pregnancy, its most likely that he/she advise against sexual intercourse.


Some of the most common risk factors are:
- unexplained vaginal bleeding,
- a history of pre-term labor (a delivery before 37 weeks) or of a theath of miscarriage,
- lackage of amniotic fluid,
- multiple fetuses (if you're having twins)
- incompetent cervix (the cervix may "open" prematurely, raising the risk of a premature delivery or even a miscarriage)
- placenta previa (the placenta is situated more down than it should and it covers the cervix).

Some common doubts and questions about pregnancy:

1. Can sex harm the baby? You have no reasons to be concerned because your baby is fully protected by the muscles of the uterus, amniotic sac and a thick mucus plug that seals the cervix and protects both mom and child against infection. And during sex, the penis doesn't comes into contact with fetus.

2. Can intercourse or orgasm cause contractions or miscarriage?The answer is no, in the case of "normal pregnancies". Talk with your health care provider and make sure that you are having a low-risk pregnancy and check with him/her the best options for your case. Orgasm contraction's and labor contraction's are entirely different. As a safety precaution, some doctors recommend some women stop having sex in final weeks of pregnancy, because, between other reasons semen contains a chemical that may stimulate contractions.

3. Is it normal to have a decrease of the sex drive during the pregnancy?Some pregnant women find sex bothersome due to some symptoms like nausea, breast tenderness or fatigue, specially in the first trimester. In the second trimester, with the disappearance of this symptoms their desire for sex increases. Some women find sex in pregnancy very fulfilling because they don't have to worry about contraception and they regain closeness with their partners. During the third trimester generally desire subsides again as the uterus goes larger and the delivery approaches. Men's desire may vary too. Some men enjoy the changes of the women body and a increase of desire while other experience a decrease of desire due to the anxiety about becoming a new parent, or even because concerns about the health of mom and child. Man may experience also some difficulties in reconciling the identity of the woman as a sexual partner and her new identity as an expectant mother. To deal with all this issues is important that the couple have a good communication.

4. When to call the health care provider? If you're no sure if sex is safe for you or if you notice any unusual symptoms after intercourse, such as bleeding, pain, a discharge or if experience some contractions that seem to continue after sex you should call you doctor. Never take "normal" as definitive term regarding sex during pregnancy. Communication is essential between the couple to accomplish what is better for both in intimacy.


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