From the Research
Dyspareunia during pregnancy is often caused by increased blood flow to the pelvic area, pressure from the growing uterus, and hormonal changes affecting vaginal tissues, and can be managed with simple adjustments such as different sexual positions and water-based lubricants 1.
Causes of Dyspareunia
The causes of dyspareunia during pregnancy can be multifactorial, including:
- Increased blood flow to the pelvic area
- Pressure from the growing uterus
- Hormonal changes affecting vaginal tissues
- Vaginal dryness due to hormonal changes
Management of Dyspareunia
To manage dyspareunia during pregnancy, the following adjustments can be made:
- Try different sexual positions that reduce pressure on the abdomen, such as side-by-side, woman on top, or rear entry positions
- Use a water-based lubricant like K-Y Jelly or Astroglide to address vaginal dryness
- Allow more time for foreplay to enhance natural lubrication
- Empty your bladder before sex to reduce discomfort from pressure on the bladder
- Avoid oil-based lubricants as they can damage condoms and increase infection risk
When to Seek Medical Attention
While some discomfort is normal, severe pain, bleeding after intercourse, or unusual discharge warrants immediate medical attention as these could indicate complications like placenta previa or infections 2. Always consult your healthcare provider if you're concerned about persistent pain during intercourse.
Additional Considerations
Pelvic floor physical therapy may help relieve muscle tension and improve symptoms of dyspareunia 3. It's essential to discuss any concerns or questions with your healthcare provider to determine the best course of management for your individual situation.