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Sex and contraception

There are no rules about when to start making love again. If you haven’t had stitches you may be eager to share the extra love you feel with your partner. On the other hand, if you’re tired and sore, sex may be the last thing you have in mind. Don’t rush into it. If it hurts, it will be no pleasure. You may want to use a lubricating jelly the first time because hormone changes may make your vagina feel drier than usual.

 

It can take some time for the old feelings to come back but they will and, until they do, you may both feel happier finding other ways of being loving and close. If you have any worries, discuss them with your GP or health visitor.

 

It’s possible for a woman to conceive even if she has not started her periods again or even if she is breastfeeding. Contraception should be discussed before you leave hospital and again when you go for your six-week postnatal check.

 

In the meantime, you could talk to your midwife or health visitor when they visit you at home or you could go to your GP or family planning clinic.

 

Possible methods of contraception:

  • The condom – this may be the best and simplest choice for the early weeks after childbirth.   

  • The combined pill – if you’re not breastfeeding, start taking this pill from
  • The 21st day after delivery. If you start it later than the 21st day, it won’t be reliable for the first seven days, so for this time you’ll have to use some other form of contraceptive (like a condom) as well. Don’t take this pill if you’re breastfeeding as it reduces the milk flow.
  • Progestogen-only pill – if you’re breastfeeding, you may be offered a progestogen-only pill which will not affect your milk supply. This is also started on the 21st day after

  • delivery and has to be taken at the same time every day. There’s no evidence to suggest that this pill affects the baby in any way but, even so, some women prefer not to take any form of contraceptive pill while they are breastfeeding and use another form of contraception instead.
  • Cap or diaphragm – these can be used six weeks after delivery. Your old one probably won’t fit. Have a new one fitted at your postnatal check-up.
  • IUD (intra-uterine device) – this can be fitted at your postnatal check-up when the womb is back to its normal size.

 

Information provided by Health Promotion England.