Your Sexuality During Pregnancy

Pregnant woman laying on bed, husband's head resting on her with hand on her abdomen
Photo: Tricia Shay Photography / Photographer's Choice RF

There is the old saying that medical and religious miracles aside, every pregnancy started with a sex act. That notwithstanding, nothing raises as many eyebrows as the subject of sex during pregnancy. 

One thing that I would note is that sex and sexuality are very different and that even if you are not having sexual intercourse, your sexuality can still be expressed.

Your sexual practices during pregnancy will depend on several factors:

  • Your previous beliefs about sex
  • Your Partner's previous beliefs
  • Physical aspects of your pregnancy
  • Emotional aspects of your pregnancy

There are many reasons why sex during pregnancy can be more enjoyable, even if you are doing it less. There is an increase in vaginal lubrication, engorgement of the genital area helps some people become orgasmic for the first time or multi-orgasmic, the lack of birth control, or if you have been trying for a while, a return to sex as pleasure as opposed to procreational, and other reasons.

On the other hand, there are reasons why sex might not be as pleasurable: fear of hurting the baby, nausea, fatigue, awkwardness, etc.



Make sure that you discuss the feelings that you have about sex and sexuality. These discussions can lead to a more fulfilling sex life. If either of you does not feel like having sex, this can be particularly important. Explain to your partner what is going on and what they can do to help you be sexual. For example, more cuddling, relaxing baths, romantic dinners, massages, mutual masturbation, whatever you and your partner agree upon is exactly what you need.

The hormonal fluctuations of pregnancy also play a part in your reactions to making love, as do the trimesters. Many women are too fatigued and nauseated to be very interested during the first trimester, while the second trimester brings a new sense of delight as her abdomen grows, and again later in the third trimester, the desire may wane as well. You can go from being horny in pregnancy to lacking a libido in 60 seconds.


Okay, so we know that there are wide variances in who is doing it and when. The big question (No pun intended.) is how?

Sex Positions in Pregnancy


  • Woman on top
  • Spooning (Man behind the woman, rear entry)
  • Hands and Knees
  • Side lying, knee pulled up

What are men saying about sex during pregnancy? Most are pleasantly surprised.

Rich says "I haven't noticed a real change in the was always awesome! The only real difference now is in the position! We've had to accommodate for a growing belly, and as a result, we've had to explore a little...but it's been fun exploring." Another couple added that they loved that she was "horny during pregnancy."

When You Shouldn't Have Sex in Pregnancy

When not to have sex and/or orgasms during pregnancy:

  • Your practitioner has advised against it
  • You have a history of premature birth or labor
  • Your water has broken
  • You are currently experiencing bleeding
  • You or your partner has an active sexually transmitted disease


Postpartum sex is a whole other article. However, I will leave you with one thought:

"To me, sex was a lot less enjoyable while we were pregnant," remarks Tami. "But, the first time after the babies were born were always awesome! "

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