This is one of the most common problems after having a baby and one of the least discussed, so let’s be straightforward about it.
“Has pregnancy affected the quality of your sex life?” 18,706 votes
- 40%: Yes, sex isn’t as enjoyable now
- 34%: We don’t have sex anymore
- 13%: Yes, better than ever
- 12%: No, it feels the same
Three quarters report a decline or a stop. Whatever you’re going through, it’s the norm, not a private failure.
And separately, 70% of readers say they wish they and their spouse had more sex (3,201 votes). That suggests the problem is rarely that one person has stopped wanting it.
What the six-week check means
The postnatal check is a clearance to consider it, not an instruction. Many couples are ready much later, and taking six to twelve months is entirely ordinary.
Healing varies enormously. A tear or episiotomy, a caesarean scar, and simple exhaustion all move the timeline. There’s no schedule to be behind.
If it hurts
The most important thing in this article:
Pain is common, it has causes, and it’s treatable. It isn’t something to put up with in silence.
The most frequent cause is straightforward and rarely explained: breastfeeding suppresses oestrogen, which causes vaginal dryness. This is physiological, has nothing to do with desire, and often clears up almost entirely with a good lubricant. Many couples spend months assuming something is wrong with the relationship when the fix was a bottle from the pharmacy.
Other causes:
- Scar tissue from a tear or episiotomy, which can be tender for months and can be treated
- Pelvic floor muscles that are too tight instead of too weak: a common and frequently missed cause, and one that Kegels make worse, not better
- Not enough time or arousal, which sounds obvious and is the explanation more often than anything medical
See someone if pain continues past about three months. Women’s health physiotherapists at the hospitals treat exactly this, and it’s a normal referral to ask your doctor for. Pain during sex isn’t a permanent consequence of childbirth, however often that’s implied.
Contraception after a baby
You can ovulate before your first period returns. That means it’s entirely possible to conceive again without ever having had a period in between.
Breastfeeding is not reliable contraception except under strict conditions: under six months, exclusively feeding on demand including at night, and no period yet. Miss any of those and the protection largely goes.
Sort out contraception before you need it, not after. Some methods are compatible with breastfeeding and some aren’t, so it’s a conversation to have at the postnatal check.
Why desire drops
- Exhaustion is the main factor, not lost attraction. Sleep deprivation flattens libido in anyone.
- “Touched out” is real. A day of being climbed on, fed from and held constantly can leave a person wanting no further physical contact at all. That’s a capacity problem, not a rejection.
- Desire often follows instead of leading in a long relationship. Waiting to feel like it can mean waiting a very long time; starting and seeing what happens works better for many couples.
- Body image after birth is a real barrier and rarely named out loud.
- Postnatal depression flattens libido, and so do some antidepressants. If that fits, treat the depression first.
- The initiator-and-rejector cycle is the trap: one person asks, the other declines, the first stops asking, the second concludes they’re no longer wanted. Name it out loud before it settles in.
Getting back to it
- Restore non-sexual affection first. Holding hands, sitting close, a proper hug. 76% of our readers still hold hands in public (3,876 votes), and that kind of contact is what most couples lose first.
- Say it out loud. “I do want to, I’m just exhausted” prevents months of the wrong conclusion.
- Use lubricant, generously. Not a signal of anything.
- Go slowly and stop if it hurts. Pushing through pain teaches the body to brace, which makes the next time worse.
- Choose a better time than 11pm. Nobody is at their best at the end of these days.
- Reduce the pressure. Time together that’s explicitly not going anywhere takes the performance out of it.
- Share the load. The most reliable predictor of desire in the first year is usually how much practical help the exhausted partner is getting.
See a doctor about
- Pain continuing beyond about three months
- Bleeding after sex
- A feeling of heaviness or something coming down: possible prolapse, and treatable
- Leaking urine when coughing, laughing or exercising. Common, and not something to accept permanently
- Low mood, hopelessness, or no enjoyment in anything for two weeks or more
Frequently asked questions
When can you’ve sex after giving birth?
The six-week check is clearance to consider it, not an instruction. Many couples are ready much later, and six to twelve months is entirely ordinary. Healing varies with tearing, episiotomy or a caesarean, and exhaustion moves the timeline as much as anything physical.
Why does sex hurt after having a baby?
Most often because breastfeeding suppresses oestrogen and causes vaginal dryness: physiological, unrelated to desire, and often resolved almost entirely by a good lubricant. Other causes include scar tissue from a tear or episiotomy, and pelvic floor muscles that are too tight instead of too weak, which Kegels make worse. Pain lasting past three months should be seen by a doctor or a women’s health physiotherapist.
Can I get pregnant before my period returns?
Yes. Ovulation happens before the first period, so conception is possible without having had one in between. Breastfeeding is only reliable contraception under strict conditions: under six months, exclusive feeding on demand including at night, and no period yet. Missing any of those largely removes the protection. Arrange contraception at the postnatal check.
Is it normal to have no interest in sex after a baby?
Very. Of 18,706 readers, 40% said sex was less enjoyable after pregnancy and 34% said they no longer had it. Exhaustion is the main driver, not lost attraction, and being “touched out” after a day of constant physical contact is a real capacity limit, not a rejection.
How do we get back to it?
Restore non-sexual affection first, since that’s usually what goes missing earliest. Say out loud that you do want to but are exhausted, which stops your partner drawing the wrong conclusion for months. Use lubricant generously, go slowly, stop if it hurts, and pick a time that isn’t 11pm. Sharing the practical load does more for desire in the first year than anything else.
Is leaking urine after birth normal?
Common, but not something to accept permanently. It’s treatable, usually by a women’s health physiotherapist, and you can ask your doctor for a referral. The same applies to any sensation of heaviness or something coming down.
What to remember
Three quarters of readers report a decline or a stop. You aren’t the exception.
If it hurts, it’s usually breastfeeding-related dryness, and a lubricant fixes most of it. Pain past three months needs a doctor, not endurance.
Sort contraception before you need it. You can conceive before your first period.
And say the sentence out loud: “I do want to, I’m just exhausted.” It prevents most of the damage.
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This article is general information and not a substitute for medical advice. Speak to your doctor, polyclinic or a women’s health physiotherapist about pain, bleeding, prolapse or incontinence.