Patient's question:
How long after a cesarean section can one have sexual intercourse? What precautions should be taken?Doctor's answer:
Hello: Generally speaking, like natural childbirth, postpartum sexual activity should not be resumed until three months after delivery, preferably after having one menstrual period. If you are breastfeeding and experiencing good uterine involution, sexual intercourse is usually not a problem, but you should also take contraceptive measures. A good method of contraception is the use of male condoms. Additionally, some women may experience low libido or dissatisfaction with sexual activity postpartum, and it is important to identify the cause and treat accordingly.Cesarean section refers to the surgical incision of the abdominal wall to remove the baby. Compared to normal delivery, cesarean section causes significant changes in the mother's body: the uterus is traumatized, affecting normal uterine contractions; blood loss during surgery reduces the level of oxytocin in the blood, impacting uterine involution; postoperative fasting, weakness, and limited activity delay the uterus's descent into the pelvis and prolong the duration of lochia; surgical trauma, maternal fatigue, and insufficient prolactin secretion by the pituitary gland affect normal milk production. Therefore, it is evident that enhanced postpartum care is necessary to ensure the safety of both mother and baby.
Avoid lying flat: After the anesthetic wears off, the wound may feel painful, and lying flat increases the sensitivity of uterine contractions. Therefore, side-lying is recommended, with the body and bed forming a 20-30 degree angle. You can place a blanket or comforter behind you to reduce vibration and pulling pain when moving.
Avoid prolonged bed rest: After recovery of sensation, limb movement should be initiated. After 24 hours, practice turning over, sitting up, and gradually getting out of bed to enhance gastrointestinal motility, promote early (bowel movement), and prevent intestinal adhesion or thrombosis that could lead to embolism in other parts.
Avoid excessive