Motherhood is a transformative journey filled with joy and challenges alike. However, many new moms face unexpected physical changes after childbirth, one of the most common being pain during sex. This can be both physically uncomfortable and emotionally distressing, but it’s important to remember that you’re not alone, and effective solutions are available.
In this blog post, we will discuss why you experience postpartum pain with sex and what you can do in order to alleviate the discomfort so that you can go smoothly back to your normal sexuality.
Post-delivery, most parts of your body have been transformed, especially the pelvic region. Consequently, there is pain during intercourse, which is usually due to the following:
After delivery, hormonal changes, most notably a decline in estrogen, cause dryness and reduced elasticity of the vagina. This is particularly true for breastfeeding women.
The pelvic floor muscles, which bear the weight of the uterus, bladder, and rectum, are usually stretched or weakened during pregnancy and childbirth. It may cause pain or even cramping during sex.
Tearing or an episiotomy during delivery may also cause scar tissue, which can be tender and tight.
Emotional reasons such as anxiety, fear of pain, or postpartum depression can cause discomfort. The new mother might feel she is too exhausted, both mentally and physically.
Post-delivery infections, vaginitis, urinary tract infections, etc., may also lead to pain or discomfort.
Postpartum pain when engaging in sexual activities can manifest in different ways. Watch out for these symptoms:
• Chronic dryness or burning feelings.
• Severe muscle spasms while penetrating.
• Tight or sensitive vagina.
• Psychological anguish and sexual phobia triggered by physical discomfort.
The initial step in postpartum pain is recognizing the condition and seeing a professional. So, here's a detailed guide on how to handle recovery:
• If you’re experiencing persistent pain during sex, consult your gynecologist to rule out infections, scarring issues, or hormonal imbalances.
• A pelvic floor specialist can also evaluate the strength and flexibility of your pelvic muscles.
• Postpartum pelvic floor therapy is a proven approach to addressing pain and restoring muscle function.
• A postpartum physiotherapist can educate a woman on relaxation techniques and exercises to strengthen the pelvic floor and improve blood circulation.
• Reintroduce intimacy gradually. Use a lubricant to counter vaginal dryness and reduce friction.
• Communicate with your partner to ensure both emotional and physical comfort.
• Massage or physiotherapy techniques can be used to soften and desensitize scar tissue.
• If the pain is caused by anxiety or fear, a session with the counselor or therapist will help deal with emotional blocks.
• Keep yourself hydrated and have an adequate diet to maintain good vaginal health.
• When there is dryness, your doctor can prescribe hormonal cream.
• Deep breathing, mindfulness, and warm baths will relax pelvic floor muscles, hence minimizing tension and pain.
To reduce the postpartum pain during sexual intimacy:
• Practice Kegel exercises during pregnancy and postpartum to strengthen the pelvic floor muscles.
• Follow your doctor's advice on when to resume sexual activity after childbirth.
• Be proactive about postpartum checkups and pelvic health evaluations.
If pain persists for months or is accompanied by emotional distress, it's crucial to seek professional assistance. Ignoring the issue can impact your physical health and relationships, so don't hesitate to reach out for support.
Postpartum pain during sex is a common but treatable condition. With the right combination of medical care, pelvic floor therapy, and emotional support, you can regain your comfort and confidence.
Dr. Leena Daware is an accomplished physiotherapist and pelvic rehabilitation expert. She provides caring and personalized postpartum care for all your challenges. She has worked alongside specialists in different medical fields, which ensures that you receive holistic care for your recovery.
