Edmonds, WA · Pelvic Floor Physical Therapy

Call to schedule · (425) 582-0727

The journal Pregnancy

Intimacy During Pregnancy: Understanding the Benefits & Safe Practices

By Dr. Allison Feldt, PT, DPT 3 min read

It’s a question on the minds of many expecting couples: Is it safe to engage in intimacy and sexual intercourse during pregnancy? Today, we’ll dive into some positions tailored for your comfort throughout every stage of your pregnancy journey.

Why Intimacy Matters During Pregnancy

Hi there, I’m Allison from Body Motion Physical Therapy. As a Pelvic Expert and physical therapist, I specialize in helping people prepare and heal their pelvic floor for childbirth. During intimacy, the pelvic floor is engaged, aiding in blood flow to the tissues. This can be beneficial in keeping the pelvic floor healthy and primed for the birthing process. However, it’s essential to ensure that every part of your body, from hips to knees, feels comfortable. Pregnancy makes the body more flexible, which sometimes results in joint irritation and pain.

Understanding Intimacy Options

Intimacy during pregnancy can range from cuddling and hugs to penetrative intercourse, anal intimacy, and oral sex. We’ll primarily focus on positions suitable for penetrative intimacy, ensuring relaxation and comfort. Do note that penetrative intercourse is safe unless you’re on pelvic rest. Always consult with your doctor about what’s safe for you.

A Look at Pelvic Anatomy

Before diving into positions, it’s essential to grasp the anatomy of the pelvis. When engaging in penetrative intimacy, the goal is for the pelvic floor to be relaxed. If any discomfort is experienced, it’s often because of tight muscles, not the cervix, which doesn’t have many sensory nerves. If you face any challenges, a pelvic expert physical therapist can help.

Intimacy Positions Tailored for Pregnancy

  1. Missionary Position with Support: Initially, you could lie on your back with legs open. As the belly grows, support your legs with pillows or elevate your butt with pillows to alleviate pressure and increase comfort.
  2. Sideline Position: Lie on your side, prop one knee up using a pillow, and let your partner approach from behind. This position is typically comfortable and lessens strain on the back and pubic bone.
  3. All Fours (Doggy Style): Another popular option is the all-fours position. Use pillows for support, ensuring relaxation of the pelvic muscles to avoid strain.
  4. Standing Position: Stand with a flat back, leaning slightly forward with hands supported. Your partner can approach from behind, offering a position where your belly remains unpressed.
  5. Sitting on a Couch: If your partner sits on a couch, you could take a top position. Depending on your pelvic floor’s tightness, this might be more or less comfortable.

In Conclusion

There you have it—several positions to try out during your pregnancy. Always remember, the key is to find what feels best and most comfortable for you. If you found this information helpful, please like, subscribe, and drop a comment below. It’s essential to discuss these topics openly, ensuring that everyone can have a safe, enjoyable intimacy experience during pregnancy. Take care, and till next time!

Dr. Allison Feldt, PT, DPT, founder of Body Motion Physical Therapy

About the author

Dr. Allison Feldt, PT, DPT

Allison is a pelvic floor physical therapist and the founder of Body Motion PT in Edmonds. A mom who knows the aftermath of pregnancy and birth firsthand, she's on a mission to help women restore their core and pelvic floor at every stage of life.

Keep reading

More from the journal

View all articles

Ready when you are

Questions about your own body?

Let's talk it through.

Book a free discovery visit and get real answers from our pelvic health team. Every conversation stays private, respectful, and centered on you.