Can Women Have Sex After a C Section?
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Sex After a C-Section

Written by 
Dr. Tamilini Ravindran
 and medically  reviewed by Dr. Raveendran S R

Education: MBBS, MD, FSM

Professional Bio:

Dr. Raveendran. S. R. is a General Practitioner with 13 years of clinical experience is specialized in Diabetology, Sexology, and Andrology. He completed his MBBS, MD, and FSM at Annamalai Universi... 

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Published on Nov 02, 2022 and last reviewed on May 02, 2023   -  4 min read

Abstract

Sex after a C-section is recommended after six weeks of delivery. This is because of bleeding from the incision site, which can make things difficult.

Introduction:

Sex after a C-section is a common question that many women ask. This can be true for women who have had C-sections and vaginal births. You may be wondering if it is considered safe to have sex after a C-section. When will you start bleeding again? This article will answer your questions regarding sex after a cesarean section.

When Is It Safe to Have Sex After a C-Section?

According to most doctors, it is best to wait four to six weeks after delivery before having sex. This six weeks frame allows your body to heal and recover from the childbirth process.

If you have sex sooner than six weeks, you may experience pain or bleeding. However, the chances of bleeding or infection are less if you wait at least two weeks. You might need to wait longer before having sex when your delivery is involved complications.

The recovery period after a C-section is different for every woman, so do not worry if you do not feel ready to have sex at the six-week mark. Just listen to your body and take things at your own pace.

What if I am in Pain?

It is normal to feel little tenderness after your C-section. It is also common to feel some discomfort, pain, soreness, and or tenderness in the scar for up to six weeks after surgery.

  • The pain will usually be worse in the first few days, but it should not be too bad after a few days.

  • Painkillers can help reduce pain and inflammation, as well as help you sleep better at night.

  • Heat (for example, a warm shower or bath) is another way to relieve swelling and muscle stiffness, which may cause some discomfort for up to six weeks after delivery.

  • A hot compress applied straight onto your wound will help with healing without causing any damage.

  • This pain is usually temporary but if it persists, you should talk to your doctor, who may prescribe some medication or recommend some exercises that will help strengthen the abdominal muscles and improve posture, which can help reduce backache or pain in general.

What Are the Tips for Having Sex After a C-Section?

When it comes to enjoying sex, there is no one-size fits all solution - what one person finds effective may not be possible for others. Here are some general tips that can help make sex more enjoyable for everyone involved.

  • The most crucial thing to do is to make sure you are using a lubricant that you are comfortable with. This makes sex more pleasurable by reducing friction. If you are not sure what kind of lubricant to use, ask your doctor for advice.

  • Foreplay is also important, as it can help increase arousal. Take the time to explore each other’s bodies, and do not be afraid to speak up if something feels good.

  • Another way to make sex more enjoyable is to do kegel exercises regularly. These exercises help tone the pelvic floor muscles, which can lead to more intense sex.

  • Try different positions, speeds, and levels of pressure to find out what you and your partner enjoy. You can also experiment with mutual masturbation, oral sex, and other forms of sexual activity.

What Is the Best Position for Having Safe Sex?

Experimentation is the key when it comes to finding the most comfortable and pleasurable sex positions. Different people enjoy different positions. That being said, lateral vaginal entry, also known as spooning sex, is a position that is often comfortable and allows control over the depth of penetration. To do this, both partners lie on their sides, with the woman in front and the man behind her. This can be an enjoyable position for both partners as it takes the pressure off the woman’s body and allows her to relax and enjoy the experience.

What Are the Risk Factors Associated?

  • Infection and bleeding are the two main risk factors associated with having sex after a C- section. All women undergo a phase of vaginal bleeding called lochia after giving birth. This vaginal bleeding continues until the uterus shrinks to its actual size.

  • Women may also notice periodic, minor bleeding from the incision site for about a week or two after a C-section.

  • Opening the incision site and blood clots may occur due to strenuous activities, including sex.

How About Birth Control?

There are several different birth control options available to women after they give birth, but it is important to choose a reliable method that will not pose an increased risk of blood clots.

To reduce the risk of pregnancy complications, it is necessary to wait at least 18 to 24 months before attempting the next pregnancy.

If you perform sex immediately after delivery, many contraceptive options are available, such as the contraceptive implant, copper or intrauterine hormonal device, or contraceptive injections.

Taking oral contraceptives that contain both estrogen and progestin can pose an increased risk of blood clots after delivery. However, if you are a healthy woman, these combined birth control pills (oral contraceptive pill) are generally safe to start taking one month after giving birth. It is important to discuss birth control options with your doctor during postpartum visits, to be sure that they are right for you.

Conclusion:

Every woman is different. Taking things slow and listening to your body is the best option. If you notice any pain or discomfort during sex, it is always best to talk with your doctor about how to ease your symptoms. The important thing is that you are feeling comfortable and confident about your body, and the more time you give yourself, you will feel better in the long run.

Frequently Asked Questions


1.

When Is It Safe to Have Sex After a C-Section?

 

Most doctors recommend waiting four to six weeks after delivery before having sex. This six-week period allows your body to heal and recover from childbirth.

2.

What Are the Risks of Having Sex After a C-Section?

The two main risks associated with having sex after a c-section are infection and bleeding. After giving birth, all women experience lochia, a period of vaginal bleeding. Women may also experience minor bleeding from the incision site for a week or two after having a c-section.

3.

What Is the Right Time to Have Sex After a C-Section?

One should wait for six weeks after a c-section to have sex. The recovery period after a c-section varies in every woman, so do not be concerned if one is not ready to have sex after six weeks. Simply listen to the body.

4.

Can One Have Oral Sex After C-Section?

Oral sex a few days after the delivery is safe. However, doctors advise waiting at least four to six weeks after childbirth before engaging in penetrative sex.

5.

What Are the Ways to Avoid Pregnancy After C-Section?

If a person is not planning on getting pregnant for at least a year after giving birth, they must consider getting an IUD. Breastfeeding also causes ovulation to stop. This keeps one from becoming pregnant.

6.

Can I Know if the C-Section Is Open Internally?

 

The c-section incision on the uterus can rupture or open internally. A few days after the c-section, the internal stitches will begin to dissolve. However, the incision will be very fragile for six weeks and may not heal completely. If the stitches open internally, there can be redness, swelling, and fluid leaking from the wound and around the incision can be seen.

7.

Is the Incision Made in the Same Place as the 2nd C-Section?

The doctor should cut through the same scar to avoid multiple scars on the abdomen and uterus. The scar tissue can be difficult to cut through at times.

8.

How Long Does It Take for Stitches to Heal?

The internal stitches start to dissolve a few weeks after the c-section, but the incision may not heal completely and can be fragile for up to six weeks.

9.

How Many Layers of Skin Are Cut During C-Section?

Six separate uterus and abdominal wall layers are opened individually during the c-section. After the baby is delivered, the uterus is closed with a double layer of stitching.

Article Resources

Last reviewed at:
02 May 2023  -  4 min read

Dr. Raveendran S R

Dr. Raveendran S R

Sexology

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