Childbirth is a transformative experience for a new mother, leading to numerous physical and mental changes. Although many postpartum conditions are temporary, some can have long-term effects on the new mother. Therefore, the significance of postnatal care cannot be overstated.

Postpartum is an extremely delicate phase in a woman's life. She has recently endured the pain of childbirth, and her body is in the process of healing. As she recovers, there is also the added anxiety of caring for and nourishing the baby. Consequently, returning to a state of normal sexual well-being can be quite challenging.

Resume sex after four to six weeks of vaginal delivery

Following delivery, hormonal fluctuations can lead to thinning and increased sensitivity of vaginal tissue. The vagina, uterus, and cervix also need time to return to their normal size. Additionally, breastfeeding can lower libido. 

It is important to allow your body sufficient time to recover after childbirth. While there is no set timeline, most doctors advise waiting four to six weeks after a vaginal delivery before resuming sexual activity. Even after receiving clearance from your doctor, it may be necessary to proceed cautiously and gradually. Remember that apart from physical healing, you will be adapting to the presence of a new family member, sleep deprivation, and a change in your daily routine.

If you experienced a perineal tear or had an episiotomy (a surgical cut to widen the vaginal canal), you might need to wait even longer. Engaging in sexual activity too soon can heighten the chances of experiencing complications, such as postpartum haemorrhage and uterine infection.

Pregnancy impacts libido

Please remember not to take low libido personally. If you're concerned about a lack of sexual desire after giving birth, it's important not to internalise it as a reflection of your worth. It's quite common for new mothers to experience a decrease in libido. The demands of caring for an infant make the early stages of motherhood incredibly intense for women. However, with time and patience, you can navigate the challenges of being a new parent and gradually reintroduce intimacy into your relationship.

During pregnancy, the hormones oestrogen and progesterone play a crucial role in the healthy development of your baby. Interestingly, these hormones also have a significant impact on your sex drive.

Throughout pregnancy, hormone levels are considerably elevated. However, after giving birth, they rapidly decline and return to their pre-pregnancy levels. Consequently, it is common to experience a temporary decrease in sexual desire for a few weeks as your body recovers

Explore sensual touch

Consider exploring sensual touch. Just because you've received medical clearance to resume sexual intercourse doesn't mean you have to rush into it. Engaging in sensual touch, both alone and with your partner, can be pleasurable and help alleviate any fears or discomfort you may have. It allows for a gentle reconnection with your sexuality. Communicate openly with your partner about the types of sexual intimacy you feel ready for, as well as those you're not ready for yet. Remind them that a soft and gentle approach is essential.

Practice hygiene

It is important to practise proper perineal hygiene both before and after engaging in sexual intercourse. It is advisable to cleanse the perineal area using water and soap prior to and following sexual activity. Additionally, washing your hands and urinating after sexual intercourse are effective measures for upholding hygiene and reducing the chances of infection.

Avoid delaying urination

It is advisable for women not to delay urination for an extended period as it increases the risk of urinary infections, which can have detrimental effects on their sexual health.

Bleeding during sex after giving birth

During the initial weeks after childbirth, it is normal to have regular bleeding as your uterus heals. Engaging in sexual activity may result in additional blood loss. Additionally, in the early weeks following delivery, your vagina may be drier and more sensitive. This can cause the vaginal muscles to become thinner, increasing the risk of tearing or injury. In some cases, the vagina may become inflamed and swollen, leading to bleeding. If bleeding during sex persists for more than four to six weeks or becomes worse, it is advisable to consult your doctor.

Use barrier contraception

During breastfeeding, ovulation can be unpredictable. Therefore, if a new mother is lactating, it is recommended for the couple to consider using barrier contraceptive methods.

Conclusion

Returning to pre-pregnancy intimacy can be challenging for a new mother. Psychological support from her partner is crucial during the postpartum period. The physical changes such as weight gain and stretch marks can make new mothers feel uncomfortable when it comes to engaging in sexual activity. The support of a partner can greatly impact this situation.