After cesarean, the ideal time to start sexual intercourse in
the puerperium is about 4-6 weeks. This period is the postpartum period and
during this period, the whole body of the mother tries to get the prenatal
form. Bleeding and discharge after birth ends at the end of this period. The
mother accustomed herself physically and psychologically to the postnatal baby
care process. However, this period is not necessary. Some couples may feel
ready for intercourse in a shorter time, while some couples may require a
longer time. Although it is ideally stated for 4-6 weeks, if the couples feel
pleasure and want, sexual intercourse earlier will not harm the mother or the
surgery area, the stitches.
Will there
be a decrease or change in sexual desire after cesarean?
Especially in the first month due to the mother's interest in
post-operative pain, fatigue and baby, there may be a decrease in her desire
for sexuality, this is normal and will improve later. In addition, bleeding, spotting,
and discharge that continue for 4-6 weeks after cesarean can prevent the vagina
from being suitable for intercourse. This can reduce the pleasure of the
spouses from the relationship.
Will there
be dryness in the vagina after cesarean?
After cesarean section, especially in nursing mothers, there
may be dryness in the vagina and the woman may therefore suffer during
intercourse. To eliminate this, lubricating gels can be used. If there is bad
smell and infection, dryness and pain in the relationship will not be fully
recovered without this treatment.
Relationship
positions after cesarean section:
There is no specific position recommended for sexual
intercourse after cesarean surgery. Positions where couples are comfortable and
women feel the least pain can be selected. There is no question of any position
particularly damaging the surgery or suturing.
Could there
be pregnancy in sexual intercourse in the months after cesarean?
After the cesarean operation, especially mothers who cannot
breastfeed regularly should start to be protected immediately. There is a risk
of pregnancy due to unprotected sexual intercourse. There is a risk of
pregnancy even if the mother does not start menstruating. Ovulation may occur
before the period starts and pregnancy may occur.
Sexual
reluctance after cesarean:
There is no sexual intercourse in the first weeks due to
surgical pain and tingling. In the following weeks, sexual desire is not
generally good due to the mother's intense attention to the baby, not being
able to sleep at night, and fatigue. Continuous discharge and staining during
the postpartum period may also cause dryness in the vagina and discomfort in
the relationship. This contributes to reluctance. As weeks progress, usually
sexual desire will return to normal within a few months.
Does
cesarean or normal birth differ in terms of sexual intercourse?
After both, there is sexual anorexia and pain in a similar
period, but both of them completely recover in an average of one and a half
months. The only difference is that in some normal deliveries, episiotomy and
suturing to the vagina will cause pain in the seams for the first two to three
weeks, so intercourse is impossible. It normally takes no more than 2-3 weeks
for the stitches in the vagina to fully heal. Feeling pain in sexual desire or
intercourse is similar in both delivery methods after this period.
Pain and
bleeding in the relationship after cesarean section:
In women with cesarean surgery, the pain should be very mild
or absent in the relationship after the first month. If a severe pain is felt,
it is absolutely necessary to consult a doctor. Bleeding continues by
decreasing in the form of spotting and discharge already in postpartum period.
After 6 weeks after cesarean, there should be no bleeding, red-brown spotting
during or even in the relationship. If it is happening, a doctor's assessment
is also required. Some women experience pain and groin pain in the relationship
for months or even years after cesarean surgery. Some of these patients state
that they have never had such complaints before cesarean surgery. These
patients require detailed evaluation. The cause can sometimes be serious
surgical adhesions or endometriosis, or other causes.