Many postpartum moms feel anxious or nervous about returning to intimacy after giving birth. There are several factors to consider when resuming sex, and pelvic floor physical therapists can help ease the transition so you can enjoy intimacy again.
Getting Clearance from Your OB
If you had a vaginal birth, the first six weeks focus on healing. At your six-week postpartum check-up, your OB will determine if you’re cleared for physical activities, including sex.
Most moms receive clearance at this point, but the six-week mark is based on wound healing—it doesn’t necessarily mean your pelvic floor is fully ready for penetration.
How Childbirth Affects the Perineum
- If you had a vaginal birth with tears, scar tissue may cause tightness, making penetration uncomfortable.
- If you had a C-section or vaginal birth without tears, your pelvic floor could still be tense from carrying your baby for nearly 10 months.
A pelvic floor physical therapist can check for tightness or tenderness in your perineum and pelvic floor muscles. If needed, we guide you through self-massage techniques or show you how to use a vaginal dilator or wand to improve flexibility.
How Nursing Affects Vaginal Tissues
Breastfeeding and pumping lower estrogen levels, making the vulva and vagina less elastic. This can lead to discomfort or pain during sex. Taking time for foreplay and using lubricants can help. A pelvic floor physical therapist can also help you choose the right lubricant for your needs.
The Role of Hydration
Did you know vaginal lubrication comes partly from water? Dehydration can lead to vaginal dryness and discomfort during sex. The general guideline is to drink half your body weight in ounces (e.g., 60 oz for a 120 lb person), and even more if you’re nursing. Staying hydrated benefits both you and your baby—and can make intimacy more comfortable.
Ready to Feel Like Yourself Again?
Feeling nervous about returning to sex? Experiencing discomfort? We’re here to help! Schedule a free discovery call to learn how pelvic floor therapy can support your postpartum journey.
Photo Credit: myPFM
