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 the first menstrual period. If you are breastfeeding and have good uterine involution, sexual intercourse is usually not a problem, but you should also take contraceptive measures. A good contraceptive method 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 deliver the baby. Compared to normal delivery, cesarean section causes significant physiological changes in the mother: the uterus is traumatized, affecting normal uterine contractions; blood loss during surgery reduces the level of oxytocin in the blood, impairing uterine involution; postoperative fasting, weakness, and limited activity delay the uterus from descending 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 essential to strengthen postpartum care to ensure the safety of both mother and baby.
Avoid lying flat: After the anesthesia wears off, the wound will feel painful, and lying flat increases the sensitivity of uterine contraction pain. Therefore, side-lying is recommended, with the body and bed forming a 20-30 degree angle. A blanket or quilt can be placed behind the back 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 slow walking to enhance gastrointestinal motility, promote early defecation, and prevent intestinal adhesion or thrombosis that could lead to embolism in other parts.
Avoid excessive