Sexuality Post-Childbirth: Understanding Changes and Finding Solutions

Dear Doctor,

Eight weeks ago, I gave birth to my first child, and recently, I resumed sexual intercourse with my partner. However, things don't seem to be the same as before. Is this normal, and what can I do to improve this situation?

Ariane*, 28 years old *anonymized name

Dear Ariane,

Thank you very much for your important and entirely normal question after childbirth. It's common for sexual relations to undergo changes after giving birth to a child. Here are some explanations for possible reasons and advice to enhance your experience.

The Birth Itself:

After childbirth, your anatomy may be different. Interventions like an episiotomy or tears can lead to changes in sensation during the first months following delivery.

Stress Related to Sex After Childbirth:

Stress and anxiety can exacerbate sexual difficulties. Anxiety can heighten your awareness of every discomfort, creating a destructive cycle. It's important to take the time to adjust to this new phase in your intimate life.

Hormonal Changes:

After childbirth, your body's hormone levels need to return to their pre-pregnancy state. This adjustment can decrease your libido and sexual response. For example, if you are breastfeeding, lower estrogen levels can result in vaginal dryness.

New Relationship Dynamics:

Your relationship with your partner may also evolve after childbirth. It takes time to find a new balance in your family with the arrival of a newborn. During this transition period, your interest in sexual intercourse may not align with that of your partner. It's essential to openly discuss expectations and experiences to avoid confusion.

Pelvic Organ Prolapse:

The pelvic floor muscles can be affected by childbirth, potentially leading to pelvic organ prolapse. This can cause a sensation of descent or opening of the vagina, making sexual intercourse less enjoyable.

When to See a Doctor:

While time may be a factor in returning to a normal sex life, if changes persist beyond the standard six to eight weeks of postpartum healing, it's advisable to consult your doctor. They are there to answer your questions, discuss your concerns, and guide you toward solutions tailored to your situation.

The good news is that sexual issues after childbirth are usually not long-term. With time, open communication, and, if necessary, medical assistance, your sex life can return to normal.

Feel free to discuss your concerns during your next medical consultation.

Take care!

Kind regards,

Dr. Sandra Yene Amougui