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Sex during pregnancy: What's OK, what's not

Has pregnancy spiked your interest in sex? Or is sex the last thing on your mind? Either way, here's what you need to know about sex during pregnancy.

By Mayo Clinic staff

If you want to get pregnant, you have sex. No surprises there. But what about sex while you're pregnant? The answers aren't always as clear. Here's what you need to know about sex during pregnancy.

Is it OK to have sex during pregnancy?

As long as your pregnancy is proceeding normally, you can have sex as often as you like. But you may not always want to. At first, hormonal fluctuations, fatigue and nausea may sap your sexual desire. During the second trimester, increased blood flow to your sexual organs and breasts may rekindle your desire for sex. But by the third trimester, weight gain, back pain and other symptoms may once again dampen your enthusiasm for sex.

Can sex during pregnancy cause a miscarriage?

Many couples worry that sex during pregnancy will cause a miscarriage, especially in the first trimester. But sex isn't a concern. Early miscarriages are usually related to chromosomal abnormalities or other problems in the developing baby — not to anything you do or don't do.

Does sex during pregnancy harm the baby?

Your developing baby is protected by the amniotic fluid in your uterus, as well as the mucous plug that blocks the cervix throughout most of your pregnancy. Sexual activity won't affect your baby.

What are the best sexual positions during pregnancy?

As long as you're comfortable, most sexual positions are OK during pregnancy. As your pregnancy progresses, experiment to find what works best. Rather than lying on your back, you might want to lie next to your partner sideways or position yourself on top of your partner or in front of your partner. Let your creativity take over, as long as you keep mutual pleasure and comfort in mind.

What about oral and anal sex?

Oral sex is safe during pregnancy. There's a caveat, however. If you receive oral sex, make sure your partner doesn't blow air into your vagina. Rarely, a burst of air may block a blood vessel (air embolism) — which could be a life-threatening condition for you and the baby.

Generally, anal sex isn't recommended during pregnancy. Anal sex may be uncomfortable if you have pregnancy-related hemorrhoids. More concerning, anal sex may allow infection-causing bacteria to spread from the rectum to the vagina.

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June 14, 2008

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