Sex During Pregnancy What Couples Should Know
Sarah Johnson, MD
Pregnancy brings profound changes to the body as it prepares to support new life. Still, many people view sex during pregnancy as something taboo — especially when it comes to anal sex.
It’s common for couples to worry about how pregnancy might affect their intimacy or wonder whether they need to stop having sex completely. These concerns often arise alongside questions about how sexuality shifts over time, similar to what many notice during the early stages of trying to conceive, which is described in resources on sex while trying to get pregnant.
Below, we’ll cover what you need to know about sex during pregnancy, including safety, myths, and ways to stay comfortable and connected.
Can I have sex during pregnancy?
In most pregnancies, yes — sex is completely safe unless your doctor or midwife advises otherwise. Many people actually feel more comfortable or more sensitive during the second trimester due to natural hormonal and physical changes, much like those described in an overview of how the second trimester affects the body.
Anal sex is also safe when done gently and with proper lubrication. The main concerns — such as irritation, fissures, or hemorrhoids — are preventable with slow pace, water-based lube, and stopping immediately if something feels uncomfortable.
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However, a doctor may ask you to avoid sex or adjust sexual activity if you have:
- Placenta previa (a placenta covering the cervix)
- Unexplained vaginal bleeding
- Leaking amniotic fluid
- A partner who currently has a sexually transmitted infection
Myths about sex during pregnancy
It’s normal to feel nervous, especially with the amount of misinformation surrounding pregnancy. Some of these worries become even more intense when general pregnancy anxiety rises — something explored in discussions of maternal anxiety and coping.
Myth #1: Sex can induce labor.
This myth comes from the fact that semen contains prostaglandins, which soften the cervix. But semen contains very small amounts — far too little to trigger labor unless the body is already fully ready. If prostaglandins are a concern, condoms are an option.
Myth #2: Sex will hurt the baby.
Your baby is protected inside the uterus, which is sealed off from the vagina by the cervix. Neither a partner’s penis nor sex toys can reach the baby. Amniotic fluid and uterine muscles act as natural protection.
Myth #3: Orgasms can be dangerous.
Orgasms can cause Braxton Hicks contractions — gentle, practice contractions that are normal throughout pregnancy. They’re not strong enough to start labor. Toward the final trimester, the body’s natural changes make these sensations more noticeable, similar to patterns described in third-trimester body changes.
Benefits of pregnancy sex
Sex during pregnancy can offer several emotional and physical benefits:
- Increased blood flow and sensitivity
- Improved body confidence during a time of change
- Reduced tension and physical discomfort
- A calming endorphin release
- Strengthened emotional connection with a partner
How to make sex better during pregnancy
Your sexual experiences may shift as your body changes — that’s normal.
Pay attention to hormonal changes. Breast tenderness, vaginal dryness, or pelvic pressure may influence what feels good. Some of these sensations overlap with general stress-response patterns, and many people find grounding techniques helpful, especially those inspired by gentle nervous-system work like vagus-nerve relaxation.
Find comfortable positions. As your belly grows, certain positions may stop feeling comfortable. Experimenting often leads to new favorites:
- Side-lying positions
- Spooning
- Woman-on-top / cowgirl (full control of depth and speed)
- Sitting at the edge of the bed
Communicate with your partner. Openness is key to staying comfortable.
Explore intimacy beyond penetration. Touch, closeness, oral sex (with caution), and non-penetrative forms of intimacy can all help maintain connection and pleasure.
Listen to your body. Your desire may increase, decrease, or fluctuate — all of this is normal. Some people want sex more during pregnancy, others less, and some not at all.
Conclusion
You can stay connected, explore different types of intimacy, and enjoy closeness in ways that feel comfortable for you. Emotional wellbeing also plays a major role during pregnancy, and many people find gentle support tools — such as Mental Health AI for Female Wellbeing — helpful for reducing stress and easing worries.
Your comfort, boundaries, and wellbeing define what a healthy sex life looks like for you during pregnancy.