7 Reasons Why Sex Can Be Painful After Giving Birth, According to a Specialist

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It’s often suggested that couples can resume sexual activity about six weeks postpartum. However, just because your body is physically ready doesn’t mean you’re eager to jump back into the bedroom. The truth is, many women experience discomfort during sex after childbirth, and there are several reasons for this pain.

Let’s delve into the seven common culprits:

  1. The Extra Stitch
    If you experienced a vaginal delivery that involved tearing or an episiotomy, you might have received stitches from your doctor. Unfortunately, some practitioners might add an unnecessary stitch known as “the Husband Stitch,” intended to make your vaginal opening tighter for sexual pleasure. Many women are unaware this has been done, and the result can lead to discomfort during intercourse due to a tighter vaginal canal.
  2. Necessary Stitches
    If your stitches were strictly for medical reasons, you may still face complications. Sometimes, scar tissue can form at the perineum, creating tightness or sensitivity that makes sex uncomfortable. It’s essential to address any scar tissue that might develop during healing.
  3. Natural Tears
    Even if you didn’t require stitches, natural tearing can lead to scar tissue as well. Without appropriate care and massage, this scar tissue might cause discomfort during sexual activity.
  4. Breastfeeding Effects
    While breastfeeding is a beautiful experience, it can also lead to decreased hormone levels, resulting in vaginal dryness and a reduced libido. This can create a frustrating cycle: less desire leads to less natural lubrication, which in turn makes sex feel uncomfortable. Using a gentle lubricant, such as coconut oil or a water-based option like Slippery Stuff, can help alleviate this issue.
  5. Distractions from Parenting
    Worrying about your baby waking up or being nearby can create tension. The pelvic floor muscles are sensitive to your mental state; if you’re anxious or distracted, these muscles tense up, making sex painful. Finding the right moment to relax can significantly improve the experience.
  6. C-Section Scars
    For those who underwent a cesarean section, scar tissue can form similar to that of vaginal delivery. If not managed properly, this scar tissue can extend deeper into the body, potentially causing bladder and bowel issues, along with painful intercourse.
  7. The Double Whammy
    If you attempted a vaginal delivery but ended up with a C-section, you’re likely dealing with complications from both. This can lead to significant tension in the pelvic floor and abdominal muscles, resulting in discomfort during sex. Addressing scar tissue in both areas is vital for a smoother recovery.

If you’re experiencing any of these challenges, seeking help is crucial. Pelvic floor physical therapy specializes in addressing issues related to pain, tightness, and other pelvic concerns. It’s not as daunting as it seems; a skilled therapist can provide valuable insights and exercises to help you regain comfort and confidence in your sexual health. Many countries prioritize this therapy post-delivery, recognizing its importance for new mothers.

For more information on home insemination options, check out this at-home intracervical insemination syringe kit or the Cryobaby home kit for additional support. If you’re looking for a comprehensive resource on pregnancy, WebMD offers excellent insights.

In summary, pain during sex after childbirth is common, and understanding its causes can help in finding effective solutions. Whether it’s managing scar tissue or addressing hormonal changes, there are resources available to help new mothers regain their comfort and intimacy.


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