How to Enjoy Sex After a C-Section If you've had a cesarean delivery and are recovering, resuming any activity in the bedroom is probably the last thing on your mind. Even so, you’re probably wondering when you’ll be able to have sex again and what it will feel like. While some people may think that having a;cesarean deliverymeans you will have less problem resuming sexual activity simple because there isn't as much trauma to the vaginal area, that isn't always the case. It's still common for women who have had cesarean deliveries to experience sexual struggles, especially in the early;postpartum period. Studies have shown that both women with vaginal and C-section births report sexual challenges in the first three months after giving birth.
NEWSLETTER How to Enjoy Sex After a C-Section Medically reviewed by Euna Chi MD on September 30, 2016 — Written by Chaunie Brusie, RN, BSN WhenRecoveryComfortKegelsBirth controlDoctor visitsTakeaway
Overview If you've had a cesarean delivery and are recovering, resuming any activity in the bedroom is probably the last thing on your mind. Even so, you’re probably wondering when you’ll be able to have sex again and what it will feel like. While some people may think that having a;cesarean deliverymeans you will have less problem resuming sexual activity simple because there isn't as much trauma to the vaginal area, that isn't always the case. It's still common for women who have had cesarean deliveries to experience sexual struggles, especially in the early;postpartum period. Studies have shown that both women with vaginal and C-section births report sexual challenges in the first three months after giving birth. When can I have sex? There’s no one-time fits all when it comes to returning to sexual activity after a cesarean delivery, but many women will wait between four and six weeks before resuming intercourse. Although you may experience slightly less bleeding with a cesarean section, it will still take about six weeks for your cervix to close completely. Some women may feel ready to resume intercourse sooner than others, but you should only have sex again once given the ok by your obstetrician and when you feel comfortable. Here's what to expect from your cesarean delivery recovery and sex postpartum. Recovery from a cesarean delivery Following your cesarean delivery, you’ll be in the hospital for two to four days to recover. You’ll be slowly weaned off medical equipment like pain medications and your;urinary catheter. Even though you didn't deliver your baby vaginally, you’ll still have vaginal bleeding as your;uterus;contracts back to normal size. As a nurse, I noticed that a lot of cesarean delivery patients didn't have as much initial vaginal bleeding as those who delivered vaginally. That’s because some of the blood tends to get cleared out during surgery. But you can still expect to bleed for four to six weeks. A woman's uterus takes about six weeks to return to normal size and for her cervix to close back up. The physical timeline for a woman's body to heal "down there" is pretty much the same, no matter how she gives birth. The cervix needs to be closed in order for sexual relations to resume safely. You’ll need to avoid sex or putting anything like tampons in the vagina for a few weeks after a cesarean delivery. While some women may be ready to resume sexual activity sooner, most cesarean delivery patients can have sex after they have been cleared by their doctor at their six week postpartum checkup.
Getting comfortable The physical recovery from birth is similar for both vaginal and cesarean deliveries. But the recovery process is going to be very different in the abdominal area for mothers who’ve gone through surgery. Staples from the incision site will be removed within a week of surgery. The actual incision site itself should be healed by six weeks postpartum. But it’s common for women to feel some discomfort in the incision area. Some women experience numbness or tingling for months after surgery. This is generally normal, as long as the pain doesn’t increase and isn’t accompanied by other symptoms like a;fever. The area around your incision site might be uncomfortable, so it will be helpful to try sexual positions that don't put any pressure on your abdomen. The first time you have sex, you may be fearful of what it will feel like. Because sex is not just physical, it's also mental, any hesitation or fear you have about having sex again is very real and may have an affect on your sexual experience. Be sure to talk to your partner, take your time, engage in some non-sexual foreplay, like massage, to help you relax, and use;lubrication;to get started. Some women experience;sexual dysfunction;after a cesarean delivery, so if you find sex is abnormally painful, be sure to speak to your doctor.
When to see your doctor Speak to your doctor if you have any increased pain, discharge, or bleeding after a cesarean delivery. I always tell my patients that as time goes on, they should start to feel better, not worse. If anything starts hurting more, it's a sign that something might be wrong. Having sex for the first time postpartum might be a little uncomfortable, especially if you’re breast-feeding, your menstrual cycle hasn't returned, or you’re on birth control. All of these could lead to a lowered amount of natural vaginal secretions. Try lots of foreplay, use lubrication, and take your time. You should also keep an eye on your incision site as you recover. See your doctor if the incision opens, is painful, or becomes reddened or swollen. These may be signs of an;infection.