Sex After Birth: How Your Sex Life Changes

Rediscovering intimacy with your partner after the birth of your child can be a unique challenge. As psychiatrist Dr. Gail Saltz of New York-Presbyterian Hospital/Weill Cornell Medical Center puts it, “Babies are sex killers.” The demands of caring for a newborn can consume your time and energy, leaving little room for romance. However, it’s crucial to remember that rekindling your sex life is possible. This article delves into the intricacies of postpartum intimacy, offering guidance on how to manage this transformative phase in your relationship.

Resuming Intimacy Safely

Before reinitiating sexual activity post-childbirth, it’s essential to ensure that you’re no longer experiencing postpartum vaginal discharge, known as lochia. Typically, women can resume intercourse four to six weeks after delivery, irrespective of whether it was a vaginal or C-section birth. Engaging in sex before this period increases the risk of infection, particularly if stitches are needed during childbirth.

The Sleep Factor: Impact on Moms and Dads

One of the primary challenges in resuming sexual activity is the overwhelming fatigue that comes with caring for a newborn. For the first few months, newborns often require feeding every two to three hours, even during the night. Lack of sleep can significantly dampen a mother’s sexual desire and sensation. Dads, on the other hand, often retain their interest in sex, driven by the need to feel emotionally connected to their partners and relax.

Addressing Fatigue

If exhaustion is affecting your sexual desire, open communication with your partner is vital. Seek ways to obtain more rest, such as asking your partner to care for the baby while you nap. Consider morning intimacy when you’re both well-rested. Enlist the help of family, friends, or babysitters to ensure quality alone time for you and your partner.

Hormonal Changes and Their Effects

After childbirth, estrogen levels decrease, leading to potential issues with vaginal lubrication, making sex less enjoyable or even painful. This problem often resolves after you stop breastfeeding or your menstrual cycle resumes. In the meantime, topical lubricants can alleviate discomfort.

Hormonal changes post-birth can also contribute to postpartum depression, characterized by feelings of sadness, anxiety, or irritability. These emotions can diminish sexual desire. If you experience depression or anxiety after childbirth, consult your healthcare provider for support.

Breastfeeding Challenges

Breastfeeding is an essential bonding experience for both mother and baby but can interfere with your sex life. Frequent nursing or breast pumping can make breasts tender and discourage touching. To address this, consider keeping your bra on during sex. The energy and time devoted to nursing may also make you feel like a ‘baby feeding machine,’ potentially diminishing sexual interest.

Dealing with Body Changes

Pregnancy often brings about significant body changes, such as weight gain and stretch marks. A C-section can leave a scar. These transformations may lead to self-consciousness and even depression. It’s crucial to recognize that your partner likely still finds you attractive. To regain your pre-baby body, involve your partner in exercising and preparing healthy meals. Consider wearing flattering lingerie to boost your confidence.

Vaginal delivery may cause the vaginal walls to stretch, reducing friction and sexual enjoyment. To help restore pelvic muscle tone, practice Kegel exercises, which can also aid in healing after vaginal tears or an episiotomy.

Addressing Emotional Barriers

Sometimes, a lack of interest in sex post-childbirth extends beyond the physical realm. Emotional issues within your relationship may be at play. It’s essential to examine these factors and ask yourself what’s making you uncomfortable about expressing intimacy through sex. Feelings of resentment or isolation due to the demands of baby care can affect your relationship.

Communication is Key

Open dialogue with your partner is crucial in addressing emotional barriers. Reassure each other that you’re a team working together for your family’s well-being. If communication proves challenging, consider couples counseling to resolve issues proactively.

Exploring Alternatives

Sex isn’t solely about intercourse. There are numerous ways to connect intimately, including oral sex, manual stimulation, or erotic massage. Even when you’re not feeling particularly sexual, small acts of physical intimacy like kissing, hugging, holding hands, or cuddling can maintain your emotional connection.

Scheduling Intimacy

The first year with a newborn is incredibly demanding, and your sex life may not revert to its pre-baby state. However, most sexual issues women experience post-childbirth improve within the first year. You may find it necessary to schedule sex, which might lack the spontaneity of the past but can ensure you don’t miss out on intimacy.

Embracing the New Normal

After having a child, your sex life may differ from what it once was, and you may engage in sex less frequently. If both you and your partner are content with this arrangement, it’s perfectly acceptable. However, if either partner feels persistently denied, it can create vulnerability in the relationship. Address these issues openly before they escalate.


Resuming your sex life after childbirth is indeed a challenge, but with patience, understanding, and communication, you and your partner can navigate this transformative phase together. Accepting that your intimacy may change and seeking alternative ways to connect can help maintain a strong bond. Remember, you’re not alone, and many couples successfully transition into this new chapter of their relationship.


  • Elisa Ross, MD, FACOG, Department of Gynecology and Obstetrics, Cleveland Clinic; Adjunct Clinical Instructor, Case Western Reserve University School of Medicine; Diplomate, National Board of Medical Examiners.
  • Family Doctor: “Postpartum Depression | Overview.”
  • Gail Saltz, MD, Associate Professor of Psychiatry, New York-Presbyterian Hospital/Weill Cornell Medical Center; Author, The Ripple Effect: How Better Sex Can Lead To a Better Life; Member, New York Psychoanalytic Society and Institute.
  • National Sleep Foundation: “Children and Sleep.”

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