Typically, new mothers are advised that it’s safe to resume sexual activity about six weeks postpartum. However, it’s essential to recognize that just because it’s physically permissible doesn’t mean it’s desirable or comfortable. Indeed, many women experience discomfort during sex after giving birth, and there are several reasons for this. Here are seven common factors that can contribute to painful intercourse following childbirth:
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Unnecessary Stitches
For those who have undergone vaginal delivery and experienced tearing or required an episiotomy, there’s a possibility of receiving an additional stitch, often referred to as the “Husband Stitch.” This stitch, intended to tighten the vaginal opening, may not have been requested by the woman and can lead to discomfort during sex. Many women are unaware that they received this stitch, only to later feel that their vagina is smaller, which can result in pain during intercourse. -
Scar Tissue from Necessary Stitches
If stitches were applied ethically to address tearing, they usually heal well. However, they may result in scar tissue forming at the perineum, which can create tightness and sensitivity during sex. This can lead to discomfort as the body attempts to relax. -
Natural Tearing
Even if a woman experiences natural tearing during childbirth, scar tissue will still form. Without proper care, such as massage and stretching of the area, this scar tissue can lead to painful sex. -
Breastfeeding Effects
Breastfeeding can lower hormone levels, leading to vaginal dryness and a decrease in libido. This creates a cycle: a lowered sex drive results in less natural lubrication, leading to friction during intercourse that can feel akin to sandpaper. It’s crucial to utilize lubricants, such as coconut oil or water-based options. Gentle lubricants can significantly improve comfort levels during sex. -
Mental Distractions
The pelvic floor muscles respond to mental states. If a new mother is preoccupied with worries about her baby waking up or being nearby, her pelvic floor may tense up, leading to discomfort. To have a more enjoyable experience, it’s essential to ensure that the mind is relaxed and at ease. -
C-Section Scarring
A C-section creates scars that can lead to complications if not properly managed. Scar tissue can develop deeper layers beneath the surface, potentially causing pain during intercourse along with other complications. It’s vital to address these scars through appropriate physical therapy or exercises. -
Combined Trauma from Delivery Methods
If a mother attempted vaginal delivery but ended up with a C-section, she may experience a combination of pelvic floor and abdominal trauma. Both types of scarring can contribute to painful intercourse. Addressing scar tissue in both the vaginal and abdominal regions is crucial for recovery.
If you find yourself experiencing any of these issues, know that assistance is available. Pelvic floor physical therapy specializes in addressing such concerns and is often an essential part of postpartum care in many countries. Engaging with a pelvic floor therapist can help identify the causes of discomfort and provide tailored strategies to manage pain effectively.
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Summary:
Sex after childbirth can be painful due to various factors, including unnecessary stitches, scar tissue, natural tearing, breastfeeding effects, mental distractions, C-section scarring, and the combined trauma of different delivery methods. Seeking help from a pelvic floor physical therapist can provide relief and support in managing these issues.