After having a baby - sex and contraception

Choosing when to start to have sex and use contraception after birth can depend on, when you delivered your baby, your birth experience, how you’re recovering, and whether you’re breastfeeding.

Why is this important?

Giving birth and becoming a parent is physically and emotionally tiring. It’s important to look after your own health as well as that of your new baby in the first few months.

What does this mean for me

Your hormones change dramatically in the first few days after giving birth.

It is up to you when you start having sex again after you've given birth. A number of things may affect your decision.

Talking to your partner

If you are in a relationship remember everyone can find the adjustment to parenthood difficult. Many people worry about what’s right for their partner - they're unsure what to do and they may feel worried about hurting you. It can help to keep talking and sharing how you’re feeling. Sometimes it’s hard to find time to be together when you have a new baby.

Speak with your health visitor or GP if you or your partner have any concerns about sex after childbirth.

How long you should wait before using contraception?

  • Breastfeeding (lactational amenorrhoea)

    If you are fully breastfeeding (your baby is taking no additional food or fluids and you are breastfeeding at least every 4 hours in the day and 6 hours at night), your baby is less than six months old and your periods have not returned, then breastfeeding is over 98% effective as a contraceptive.

  • Male condoms and female condoms
  • Progestogen only pill, implant and injection

    Progestogen only methods of contraception can be used from three weeks (21 days) after birth. There is no evidence to suggest that they affect your milk supply.

    Some women experience troublesome bleeding with the injection in the early post-birth period, so you might prefer to wait six weeks before having an injection. Irregular bleeding is a common side effect of any progestogen only method.

  • Combined pill, ring and patch

    These methods are only suitable if you are not breastfeeding, as they may affect your milk supply. If you are breastfeeding, you are usually advised to wait until your baby is six months old.

  • Non-hormonal coil (IUD) and hormonal coil (IUS)

    Coils should be fitted at least four weeks (28 days) after birth.

  • Diaphragm

    If you used a diaphragm before becoming pregnant, see your GP or contraception (family planning) clinic to ensure it still fits correctly. This is because childbirth (and other factors such as weight loss or gain) can mean you need a different size.

Questions?

Sometimes called Kegel exercises. You can do pelvic floor exercises anywhere and at any time, either sitting or standing up:

  • squeeze and draw in your anus at the same time, and close up and draw your vagina upwards
  • do it quickly, tightening and releasing the muscles immediately. Then do it slowly, holding the contractions for as long as you can (but not more than 10 seconds) before you relax
  • repeat each exercise 10 times, four to six times a day
  • you may find it helps to imagine you’re stopping a bowel movement, holding in a tampon or stopping yourself urinating.

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