Most doctors will recommend not resuming vaginal intercourse until 6 weeks after a C-section, leaving time for any internal bleeding and for the incision to fully heal, and for a postnatal checkup with your healthcare provider. This doesn’t mean you’ll necessarily feel ready to have intercourse again at this 6-week point, though. Neither does it mean your sex drive won’t be active sooner - your body is working on its own recovery timeline.
One of the biggest concerns about resuming penetrative intercourse after delivery is the associated discomfort, which is something that you'll be able to judge better than your healthcare provider, or anyone else. The other common concern before 6 weeks, though, is the risk of infection as your body is recovering from what truly is major abdominal surgery.
If your sex drive starts making itself known before your doctor recommends resuming intercourse, you can check in with your provider about whether you’re good to go for oral sex and other forms of external stimulation. Chances are, he or she will tell you that as long as you keep it to the outside of your vagina or your clitoris, you’ll be fine.
You still might not be in the mood. Which is totally normal, as it could take months for your hormones to return to where they were before your pregnancy, and they won’t be the same as they were while you were pregnant, either. They could take even longer to return to normal if you’re breastfeeding, since the hormonal changes that happen during breastfeeding can affect your sex drive.
When you do start having intercourse again, your breasts may leak milk. If you and your partner are fine with this, that’s great, as it’s a perfectly natural hormonal response. On the other hand, if you and your partner aren’t comfortable, you can wear breast pads or have sex immediately after feeding your baby. This might be a good idea in any case, because after she has eaten, she may be less likely to interrupt you.
Even if you feel totally ready to have sex again, your vagina might be drier than you’re used to, even when you’re turned on. That’s another natural hormonal response to recent pregnancy, and is something you can manage by using a personal lubricant.
Most forms of birth control are perfectly safe and healthy after pregnancy. However, if you're breastfeeding, hormonal birth controls that use estrogen as well as progestin may decrease your milk supply. On the other hand, hormonal birth control that uses only progestin shouldn't cause you any problems, though. Your healthcare provider will be able to discuss which form of birth control might be right for you, which may include progestin-only hormonal birth control, either as the pill or through implants, or non-hormonal birth control like condoms or copper IUDs.
If you think you might be ready to start thinking about a sibling for your baby, or even if you're not, but think you might at some point, now is a great time to start tracking your cycle with Ovia Fertility!
Above all, it’s important to listen to your body. You’ll be able to feel when you're ready - and if you don’t feel ready, there’s no need to rush.