Sex and relationships during pregnancy: What to expect

Article By
Kate
Published On
01 Oct, 2025
Read Time
5 minutes
  • Sex is usually safe during pregnancy unless your doctor advises otherwise. 
  • Libido and comfort can change from trimester to trimester, all experiences are normal. 
  • Safe positions, open communication, and emotional intimacy help couples stay connected. 
  • Warning signs like bleeding, pain, or leaking fluid mean you should stop and seek medical advice. 

Pregnancy brings a lot of changes to your body, emotions, and relationships, and it’s completely normal to have questions about sex and intimacy during this time. Every couple’s experience is different, but most find that open communication, flexibility, and reassurance make the journey easier. 

In this guide, we’ll explore what’s safe, what to expect, and how to keep your relationship strong and connected while you prepare for parenthood. 

Is it safe to have sex during pregnancy? 

Yes, unless you’ve been told otherwise by your doctor or midwife, you can have sex when you’re expecting. But libidos (yours and your partners) can fluctuate during pregnancy, so rest assured that however you’re feeling about doing it, rest assured that it’s totally normal.  

Can sex harm the baby? 

Any sexual activity that doesn’t harm you, won’t harm your baby as they’re cushioned by the amniotic sac, uterus, and the protective mucus plug in the cervix.  

They may feel the movements when you have sex, but they won’t be harmed. 

Many parents-to-be worry about hurting the baby, but rest assured, if your midwife or healthcare provider hasn’t advised against it, intimacy is generally safe and natural for most healthy pregnancies. 

When to avoid sex during pregnancy

There are some situations where your doctor or midwife may recommend avoiding sex. These include conditions such as placenta previa, a history of preterm labour, if your waters have broken early, or if you’re experiencing bleeding, unusual discharge, or abdominal pain.  

If you’re ever unsure, don’t hesitate to ask your midwife or healthcare provider for reassurance. 

How pregnancy affects your sex life and relationship 

It’s normal for partners to have mismatched sex drives at times. Honest communication, patience, and finding alternative ways to be intimate can help you stay connected without pressure or guilt. 

Hormones and changes in libido during pregnancy 

Hormonal shifts during pregnancy can affect your sex drive in surprising ways.  

Some people notice an increase in desire, especially during the second trimester, while others may feel less interested due to fatigue, nausea, or physical discomfort. For some pregnant people, sex is the last thing on their mind.  

All experiences are completely normal.  

Safe sex positions during pregnancy 

As your bump grows, certain positions may feel awkward or uncomfortable, and you should avoid lying flat on your back in the third trimester.  

Many couples find side-lying or position where the person on top bears their weight on their arms more comfortable later in pregnancy. The key is experimenting gently, using lube, bringing in pillows for support, and focusing on what feels good for you. 

Remember, sex doesn’t have to be penetrative. Cuddling, kissing, massages, and other forms of closeness can be just as meaningful and enjoyable. 

Emotional intimacy beyond sex

Beyond the physical, pregnancy often sparks emotional shifts and changes in expectations. Some couples feel closer than ever, while others need to consciously nurture their bond.  

Setting aside time to talk, share your hopes and fears, and check in with each other helps keep your emotional connection strong. 

Non-sexual ways to stay close to your partner 

Honest conversations are the foundation of a healthy relationship during pregnancy. Talking openly about your needs, boundaries, and feelings helps avoid misunderstandings and keeps both partners feeling supported.  

And remember, intimacy goes beyond the bedroom. Simple acts like holding hands, cooking together, or enjoying quiet evenings on the sofa can keep your bond alive during this time of change. 

All pregnancies and every experience with sex and intimacy are different 

What matters most is listening to your body, respecting each other’s feelings, and staying connected in ways that feel right for you both.  

Sex should always be fun, safe, and pressure-free. If you ever have concerns, your midwife or healthcare provider can offer guidance and reassurance.  

Remember, pregnancy is just one chapter of your relationship, and the love and understanding you build now will help carry you confidently into parenthood together. 

For more tips on supporting your pregnancy journey, explore our pregnancy and parenting guides

What if I don’t feel like having sex while pregnant?

It’s very common to experience dips in sexual desire during pregnancy, especially if you’re dealing with morning sickness, fatigue, or changes to your body. Everyone’s sex drive is different (not just during pregnancy, but at any stage of life) and it’s completely normal for it to fluctuate from day to day, week to week, or even trimester to trimester. 

The most important thing is to listen to your own comfort levels and boundaries. You should only engage in sexual activity when you feel ready and comfortable. 

If you experience bleeding, leaking fluid, painful contractions, or unusual discharge after sex, stop immediately and call your midwife or healthcare provider. These may be signs that something needs medical attention. 

Sex during pregnancy can feel different for everyone, and even from one trimester to the next. Some people notice heightened sensitivity and stronger orgasms due to increased blood flow, while others may feel less comfortable or experience reduced desire because of nausea, tiredness, or body changes.  

The most important thing is to listen to your body, go at your own pace, and focus on what feels good and safe for both you and your partner. 

Many people wonder if sex can bring on labour, but research doesn’t support a direct link. Orgasms and breast stimulation release the hormone oxytocin, which can cause mild uterine contractions, and oxytocin is sometimes used in hospitals to help start labour. However, studies have not found that sexual intercourse actually triggers labour naturally. 

While sex isn’t proven to induce labour, it can still be enjoyable and beneficial for intimacy, provided your doctor has no concerns and you feel physically and mentally comfortable.