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Monday, May 9, 2011


Unfortunately many couples are inhibited about sexuality. So they do not discuss their problems with the Doctor. Every expectant couple finds that their sexual relationship undergoes some kind of change, during the nine months of pregnancy. For some, sex may be virtually non-existent or for some it may become a little uncomfortable and for others better than ever before.

In The First Trimester: The sexual desires of women with comfortable first trimesters is more or less the same. In others the fatigues, nausea and vomiting and painful tender breasts may be a deterrent. In a small minority, the sexual desire increases because the engorged vulva and breast have heightened sensitivity and  women may experience multiple orgasms for the first time.

Mid Trimester: The couple, by now is physically and psychologically better adjusted to the pregnancy, so the interest picks up, but not always. You may find it is the best you have ever had!
Third Trimester: As the D-day approaches, the sexual desire usually wanes, sometimes more drastically than the 1st trimester, for obvious reasons:
The size of the abdomen, makes things difficult to get around.
  • The discomfort of advancing pregnancy cools even the hottest passion. 
  • It is hard to concentrate as one anxiously waits for the awaited moment.

There are certain fears and hangups that can interfere with sexual enjoyment   during pregnancy, but these can be minimised by proper understanding :
  • Fear of hurting the foetus or causing a miscarriage.
Understand: The foetus is well protected by the amniotic sac and uterus, so the  foetus is not harmed.
  •  Fear that orgasm may stimulate miscarriage or early labour
Understand: Though the uterus has contractions after an orgasm, it does not cause  danger to a normal pregnancy. Avoid in cases where there is a high risk of   miscarriage.
  • Fear that introduction of penis will cause infection
Understand: As long as the male does not have a sexually transmitted disease,  there is no danger of infection. The baby is safe in the  amniotic sac, both from  the semen and infectious organisms.
  • Fear of hitting the baby once the head is engaged in the pelvis.
Understand: You cannot hurt the baby but deep penetration won’t be comfortable  at this time, so it should be avoided.

Sexual relations may be limited if:
  • There is any unexplained bleeding.
  • If there is a history of miscarriage in the 1st trimester or history of premature  labor in the 3rd trimester.
  • If amniotic membranes (bag of water) has ruptured in last trimester in case of  multiple pregnancy.
  • Good lasting sexual relationships happen with patience, understanding and love.  This is more true when the relationship undergoes the emotional and physical  assaults of pregnancy.
  • Think positive, enjoy it more, even if you are doing it less, by putting emphasis  on love, rather than love making.
  • Find alternative routes to intimacy. The classic missionary position with man or  woman on top may be uncomfortable but the male could be off to one side  supported by his arms (to keep his weight off the woman) or both partners on the  side, front to front or front to back, or kneel or crouch so that the partner can  enter you from behind.
  • Find other ways than penetration to have gratification for e.g. mutual  masturbation. Massaging each other could be fun.

The best positions to have sex during pregnancy:
  • The position of women over. This position is most comfortable for many pregnant women, especially since pregnant women can control the depth of penetration.
  • Wheelbarrow. This position is usually in mid or advanced pregnancy which does not require much movement. Men and women sit on it sat facing each other or back to the man when the stomach is very big. This position also allows her to control the depth of penetration.
  • The position of the man lying above but only half of the body.
  • kneeling or standing position.
  • The most important of all sex positions during pregnancy this is do not put your weight into the pregnant mother's abdomen during sexual intercourse or limit pressure pregnant stomach.
Which still have to remember, that sexual intercourse may be one important part of the statement feelings of love, a sense of security and calm, togetherness, closeness of feeling in the conjugal relationship. But do not make sex the most powerful role in the harmony of conjugal relations. You can still express feelings of affection by exchanging ideas (communication), hug, kiss, or a massage without having sexual intercourse. Most importantly try to understand each partner desires.

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Clinic & Camp Clinics

Vivekanantha Homoeo Clinic & Psychological Counselling Center

Dr.Senthil Kumar’s Consultation Schedule


Head Office

Monday to Saturday:- 10.00am to 12.30pm &

5.00pm to 8.30pm

Sunday: - 10.30am to 12.30pm

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Near Vijaya nagar Bus Stand,

Velachery, Chennai 42,


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Cuddalore District,

Tamil Nadu, India


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Disclaimer: These articles is for information only and should not be used for the diagnosis or treatment of medical conditions. we used all reasonable care in compiling the information but make no warranty as to its accuracy. Consult a doctor or other health care professional for diagnosis and treatment of medical conditions.