After giving birth, you kind of become a woman again. You are waiting for the "first" menstruation again, you are having the "first time" with your husband … We will try to dispel some fears related to intimate problems after childbirth, When is it safe to start intercourse, does breastfeeding guarantee the absence of menstruation and whether it is possible to return to sex faster after a cesarean section.

1. After giving birth, I want to breastfeed for at least a year. Is it true that I will not be menstruating all this time?

Not necessarily. Many women do not have aperiodthroughout the entire periodbreastfeeding . It is related to the fact that during lactation there is a high concentration of prolactin in the body, which inhibits ovulation, and since there is no ovulation, also menstruation (with a normal cycle). But also in nursing mothers, menstruation may appear after 6 weeks - and it does not mean that lactation will stop.

2. It's been 6 weeks since I gave birth, and although I am not breastfeeding, I am still not having a period. When will he finally appear?

You have nothing to worry about. Menstruation can occur either 4 or 8 weeks after giving birth. When exactly this happens - it is an individual matter.

3. I've had two periods since I'm mom, and both times they were very tight. This is normal? Does the period change after childbirth?

The intensity of your first few bleeds can vary from light to heavy. However, it should stabilize soon. Many womenafter giving birthalso find that their menstrual cramps are weaker and less painful than before.

4. I've always preferred tampons to pads. Can I also use them after childbirth?

Not right away, you probably won't want it yourself. The vagina will definitely be sore, the perineum can be painful - and if only that is why tampons are not a good idea. But the most important thing is that there is a fresh wound in the uterus - by inserting a tampon into the body that retains blood and puerperal excrements in the vagina, ideal conditions for infection are created. Therefore, for your own safety, do not use tampons at least during the postpartum period. Then you can return to them.

5. I did not have an incision in my crotch during childbirth and I feel great. Can I start intercourse even though the 6th week of puerperium has not yet passed?

Intercourse must be stoppedat least 4 weeks after giving birth to give the wound in the uterus time to heal. After this period, you can try to get closer, but it is worth consulting with your gynecologist.

6. If I give birth by Caesarean section, will I be able to get back to sex sooner than after a normal birth?

It happens differently. Most women who have given birth vaginally begin their sex life after 7 weeks, while after cesarean delivery, intercourse is often possible after 4 weeks. Remember, however, that after cesarean, there is a wound in the uterus that must heal (otherwise the ratio is the risk of infection). Besides, a caesarean section is a surgical operation, after which the body needs to recover.

7. I gave birth 3 months ago. My husband would like to make love normally, and I still have resistance, my crotch still hurts sometimes. When will it finally pass?

Three months is usually enough for everything to heal well, but that's not always the case. When childbirth has been difficult, invasive, with a deep incision and many sutures, it may take longer, up to six months, to recover. The husband must acknowledge this and show understanding. After all, sexual tension can be de alt with, with the good will of both parties, other than through intercourse. But if a woman, six months after giving birth, still avoids sex, she is afraid of it - it is worth seeking the help of a specialist.

8. Although the puerperium is over and nothing hurts anymore, I don't even want to think about sex. I'm afraid it will hurt. What is it really like?

Sometimes the first few intercourse after childbirth can be a bit uncomfortable, but most of the time the fear is unfounded. When the delivery was correct, the puerperium was over and the doctor did not find any abnormalities during the control visit (which should take place by then), sexual intercourse should not cause any discomfort. Talk to your partner about your concerns - if they are careful and gentle, the pain can be avoided. And if it does, you can stop at any time.

9. Although the first intercourse after birth was not painful, I noticed a small amount of blood. What could this mean?

If you haven't felt any pain, it's probably bleeding from a slight damage to the vaginal lining. It is not difficult to get them, because due to the sharp drop in the level of estrogens and progesterone, the vagina is poorly moisturized, often dry. You will reduce the risk of injury by using an intimate, water-based moisturizer (but not petroleum jelly). When hormone levels normalize (it can take up to six months), vaginal moisture will also be the same as before.

10. Secondmy husband and I are behind us for the first time. I haven't asked him about his impressions, but I feel like my postpartum vagina is looser now. I'm worried about it. Will it stay that way?

The feeling of vaginal looseness is quite common because her muscles have been stretched a lot during childbirth. But it is a very flexible organ, and it usually returns to its pre-pregnancy state over time. However, it's worth speeding up by doing Kegel exercises. When looseness bothers you a lot, positions in which a woman has tight thighs are recommended - this should enhance the sensations of both partners.

11. Which Sex Positions Are Best For The First Sexual Intercourse?

If the perineum and the wound in the uterus have healed, it really shouldn't matter. However, if only for psychological reasons, it is better to avoid positions that allow deep penetration to begin with. It's also good to make love in such a way that the woman can control the pace and depth of intercourse. For these reasons, for example, "on the rider" or "on the spoon" are better than the classic position. The partner of a woman who has had a caesarean section should also be careful not to put her weight on her stomach.

12. Breastfeeding reportedly protects against pregnancy. Is that true?

Not really. Although lactation inhibits ovulation (and without it, a woman is not fertile), this process is sometimes disturbed for various reasons, so the risk of getting pregnant, although small, does exist.

13. Can I get pregnant before my first period comes after giving birth?

Yes. Ovulation (the fertile cycle) always precedes menstruation. So you can - with great luck - get pregnant without having the first menstruation after the birth.

14. I just gave birth, I don't want to have a second child right away. Which method of contraception will be the best?

If you are not breastfeeding, you can use any method you choose with your he althcare provider. The most effective are: the intrauterine device and hormonal agents: tablets, patches, discs. You can also use condoms, but they are unreliable. And if you are breastfeeding, do not use hormone patches or classic pills, only the so-called. mini-pill (Cerazette). During lactation, the following are also recommended: intrauterine device and injections (Depo-provera).

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Pregnancy