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Painful intercourse after childbirth

Painful intercourse after childbirth


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It is very common in our midwifery consultations for women to attend by coitalgia (pain during penetration) postpartum. Often when asked directly about their sex life after childbirth they describe it as annoying, burning, uncomfortable, and even for many women it is almost impossible to have penetration.

We have to remember that intercourse is discouraged during quarantine, and once this period has passed, we can resume full sexual relations, although we already know that the libido in the puerperium is quite low.

To women they are afraid on many occasions to resume sexual intercourse after vaginal delivery, either because they have had a tear, an episiotomy or simply because they notice the 'strange' area. This fear makes the woman tense, and the tension can increase the painful sensation during the relationship. This 'vaginismus', which is nothing more than the involuntary contraction of the pelvic floor, can lead to the impossibility of having intercourse, and that we enter a 'cycle of pain', which must be treated as soon as possible.

A recent study carried out in Australia indicates that 9 out of 10 women experience pain the first time they have intercourse after childbirth, and almost 25% continue to feel pain after 18 months.

In addition, the study reveals some surprising things such as that those women who had given birth by cesarean or instrumental had longer painful sexual relations (in relation to those women who had had a vaginal delivery), and that the moment of resuming sexual relations with penetration (at 6 weeks or at 3 or 6 months) it did not influence the pain: almost all the women suffered it. All of this is magnified if the woman has suffered sexual abuse at some point in her life.

The study published by Brown and his team is endorsed by the American College of Obstetricians and Gynecologists, ACOG.

Having said all this, I would like to emphasize the importance of the woman going to the midwife or to the physiotherapist specialized in obstetrics and gynecology to be evaluated in the event that the situations described above occur, and to be put into rehabilitation treatment to be able to regain satisfactory sexual relations. It is essential that we do not settle, since it should not be understood as a 'secondary effect' of motherhood, in most cases it has treatment; that can happen from simply using vaginal lubricants, to massage in the area of ​​the scar (if there has been a tear or episiotomy) or rehabilitation.

You can read more articles similar to Painful intercourse after childbirth, in the Postpartum On-Site category.


Video: Pain with Intercourse after Childbirth? (May 2022).