Pregnancy & Baby 

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Difficulty making love in early pregnancy

Whenever a woman has problems with intercourse we look for the physical causes, but we must also pay heed to the emotional and psychological issues that may initiate or compound the problem.

‘Tightness’ may result from several conditions. Two of the most common are lack of lubrication and vaginismus. The predominant cause of both of these is fear or discomfort.

Lack of lubrication is a normal symptom in pregnancy, as oestrogen levels fall and progesterone becomes the dominant hormone. This is similar to what happens during the menopause. You may find that you need much more stimulation or foreplay to lubricate adequately. The use of a lubricant is often necessary during pregnancy.

Vaginismus may also be a normal condition in pregnancy when the woman has a deep-seated notion that intercourse is just not right during pregnancy or that it may damage the pregnancy or the baby in some way. For some women, even though they know intellectually that this is not true, emotionally they feel that it may be harmful. This leads to a lack of lubrication, but can also lead to a constriction in the band of muscle surrounding the outer third of the vagina. Such a condition may make intercourse difficult or impossible.

Although intercourse does not cause a miscarriage, it can make the uterus contract. A bit of cramping after intercourse can be very normal. However, watch to see if it continues or if it is associated with any spotting. If so, you should see your doctor right away.

You may wish to try alternative pleasuring activities that do not involve penetration — at least for a while. Manual or oral stimulation is fine during pregnancy. Try to find a time when you can be alone, without fear of interruption.

I believe these suggestions will help, but if they don't be sure to talk to your GP or midwife.

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