During your pregnancy, sex can become a complicated issue. Your desire can decrease, your discomfort can increase, and you might just lose interest altogether. Or, you might still be in the mood but find that your partner is backing off! All of this is perfectly normal and very common. Sexual enjoyment tends to decline as pregnancy goes on. Around 22-50% of pregnant women find intercourse painful and many women find it difficult to orgasm. It’s normal for your libido to decline too, largely to the change in hormones, and feeling sick, tired and physically uncomfortable [1]. And, as your body changes, you might just feel less sexy. This is particularly likely during the later stages of pregnancy, when you’re all achy and bloated. About a quarter to a half of pregnant women feel less attractive than before, and only 12% feel more attractive [1]. Giving it a go If you do feel up to having sex, there’s no reason you shouldn’t give it a go. For the majority of healthy pregnant women and their partners, sex is perfectly safe, even in the last few weeks before you give birth [1]. If you’re not sure whether it’s OK, seek advice from your doctor or midwife but, if you do want to have a go, give yourself time to be in the mood, and accept that it might take longer than usual. It’s possible that your partner will be reluctant, which can be frustrating. However, don’t assume that it’s from a lack of desire, or a loss of sexual attraction. One possible reason for hesitancy is a fear of harming the baby, which inhibits at least a quarter of male partners, and a quarter to half of expectant mothers [1]. Talk to your partner. Have an open and honest conversation about how you both feel right now. If your partner admits that they’re feeling funny about sex, try not to get annoyed or take it personally – you won’t be pregnant forever! If you’re feeling a bit insecure, make it clear that you are learning to adjust to your changing body and that, even if sex is off the table, a little TLC would be appreciated. Finding other ways to feel close If you really don’t want to have sex, don’t force yourself. Be honest with your partner, offer reassurance that it’s not a personal rejection, and ask for the support you need. It might be helpful to discuss this article, and reassure yourselves that these are common adjustments that couples face during pregnancy. If you’re feeling icky and your partner tries to reassure you that you look beautiful, accept the compliment and choose to believe them. Lots of people find their partners especially attractive when they’re carrying their child. Finding other ways of being intimate that aren’t sexual – like hugging, kissing, and massage – can help you bond when sex isn’t available. Just spending quality time together can help you maintain a sense of closeness. And remember that you won’t feel like this forever. Though there will be new challenges for your sex life when your baby comes along, the physical changes you’re experiencing during pregnancy should return to normal about three months after the birth. Some women even experience more intense orgasms than they did before [1]. References [1] Von Sydow, K. (2000). Sexuality during pregnancy and after childbirth: A meta-analysis of 59 studies. Reproductive Health Matters, 8 (15), 183. doi:10.1016/s0968-8080(00)90068-5

Since finding out she was pregnant, your partner might have been reacting to you differently during sex, or avoiding intimacy altogether. It might seem like she’s aroused less often or less attracted to you. Aside from simply missing something that you enjoy, sex an important way to feel closer to your partner. Without it, you may worry that you will struggle to stay close. While it might feel like it, a lack of sex during pregnancy is not a personal rejection. A quarter of new dads say they’re worried that their partner may no longer be interested in having sex [1] but it’s important to recognise that a decrease in sex during pregnancy is normal, and not your fault. Less sex during pregnancy is normal Your partner may be experiencing a decline in libido. This is very common during a time of changing hormones and physical discomfort like backache and water retention. Bear in mind that 22-50% of pregnant women experience painful intercourse, and reaching orgasm becomes progressively more difficult as pregnancy goes on [b]. Sex may have become a stressful experience for your partner. On top of this, about a quarter to a half of pregnant women feel less attractive during pregnancy, and only 12% feel more attractive [2], so your partner may just not be feeling as physically confident as she’d like to. Be open and honest with your partner. Talk about your concerns and tell her that you want to be supportive. If she is worried about her changing body, you can reassure her that you still find her desirable, but the most important thing is to respect her needs and desires. If she is experiencing a loss of libido, remember that this has nothing to do with you as a sexual partner. It might be helpful to discuss this article with her – talk about how these are common changes that couples face all the time during pregnancy. Can sex during pregnancy harm your baby? Up to half of women and at least a quarter of men worry that having sex during pregnancy will harm the baby in some way [2]. From a medical point of view, there is no reason to ‘forbid’ sex for the majority of healthy pregnant women and their partners, even in the last weeks before the birth [2]. If you’re not sure whether you fit into this category, seek advice from your doctor or midwife. Remember also that anxiety around sex isn’t always rational, and your partner may find it difficult to shake the fear. If that’s the case, try other ways of being intimate. You may find that other kinds of sexual activity that don’t involve vaginal penetration are a bit easier but, if not, things like hugging, kissing or massage can all help you feel closer to each other. Looking to the future Don’t expect things to pick back up again too soon after the birth. Your partner will need time to recover, and you might soon sense another obstacle to your sex life – fatigue. Irregular sleeping patterns, feeding schedules, nappy changes, and constant attention to the baby will probably continue to get in the way of your sex life. You might want to consider asking a family member or close friend to take care of the child for a while so you and your partner can spend some time together as a couple. If you’re used to having spontaneous sex, this might seem a little too regulated, but it might be a start. Finally, try to remind yourself that it’s not forever. As your child settles into more regular patterns of sleep, you’ll begin to find that there are more chances to be intimate without being interrupted by a crying baby. References [1] Houlston, C., Coleman, L. Milford, L., Platts, N., Mansfield, P. (2013). Sleep, sex and sacrifice: The transition to parenthood, a testing time for relationships? OnePlusOne. Retrieved from: http://www.oneplusone.org.uk/wp-content/uploads/2013/05/Sleep-Sex-and-Sacrifice-OPO-report-FINAL-embargoed-until-29-May-2013.pdf [2] Von Sydow, K. (2000). Sexuality during pregnancy and after childbirth: A meta-analysis of 59 studies. Reproductive Health Matters, 8(15), 183. doi:10.1016/s0968-8080(00)90068-5