Guest Post: Getting Back to Getting Busy After Baby

SO excited to bring you this post today! At Expecting and Empowered, we're committed to bringing you relevant information by EXPERTS in all different areas of mamahood. 

Today, physical therapist Sara Reardon is on the blog sharing her knowledge on postpartum sex! Head to the bottom of the post to learn more about her and her services. We'll be doing an Instagram giveaway (The Complete Set of Expecting and Empowered Guides and a virtual session with her) on March 6th, 2018! 

Without further adieu, The Vagina Whisperer's post: 

“When can I start having sex again?” It’s  a common question after having a baby, only second to “When can I start working out?” There are a few things we want to get back to make us feel like normal human beings after having a baby, and being intimate and having sex with our partner is one of them.

Most women wait until after their 6 week physician check up to get the okay to return to intercourse.  Some women may want to start having sex sooner than that, but I highly encourage you to let your body heal during that time. You want to make sure vaginal bleeding has stopped and any scar tissue from an episiotomy or tear has healed. More severe tears or scars can take up to 6-12 months to heal. So be patient with your body and don’t push through any pain. Learning how to perform gentle scar massage on the area starting 6 weeks after your delivery can help soften the tissue and promote faster healing. You can consult a pelvic physical therapist for advice.

Even if you did not have a vaginal delivery, C section scars can often be the culprit of painful intercourse. The vaginal muscles have decreased blood flow and may get too tense causing pain with sex. Seeing a pelvic physical therapist who can perform external scar massage and internal massage to the vaginal muscles can help improve bloodflow. Using vaginal dilators (they looks like tampons of different sizes) can also help retrain the vaginal wall muscles to relax and promote blood flow to the area to help decrease pain.

Pain can also occur during sex because your vagina feels dry, like really dry. Like Sahara desert dry. Estrogen levels may not have returned to normal yet, especially if you are nursing or pumping, causing vaginal tissue to be thin, dry, and even prone to tearing. Use a water-soluble lubricant or natural oil like coconut oil (and lots of it!) during intercourse to help decrease friction. Staying super hydrated and performing gentle kegel exercises to help promote bloodflow to the area can also help.

After pregnancy, labor, childbirth, and possibly nursing, our bodies (vaginas in particular) are often just not the same afterwards. So whether its leaky boobs, saggy skin, stretch marks, weight gain, or a more relaxed vagina, body image issues are legit. You may never get to the point of viewing your new body as a badge of honor of motherhood, but take some time to allow it to recover and to accept some of the changes in this new season of life. Talking to other moms, staying active, and returning to a regular exercise routine can to help the process.

Lastly, you may have nooooo sex drive. You are exhausted, irritable, emotional, and in desperate need of a shower. Doing your partner a solid by getting busy is low on the list of priorities. Don’t push yourself to do something you don’t feel ready for, but do try taking small steps to stay connected with your partner. A frequent complaint from new moms is they often feel lonely and less connected to their partners. Being intimate is a great way to connect and can just entail having outercourse. That can be anything from holding hands or cuddling to other forms of foreplay or fondling.

The takeaway here is to be patient with yourself and your body as it heals. You should return to sex at the pace that is comfortable for you. AND painful intercourse is not normal. Talk to your doc and request to see a pelvic physical therapist who can help guide you on the path to painfree and enjoyable sex.  

Sara Reardon, PT, DPT, WCS, BCB-PMD

Sara is a pelvic health physical therapist, specializing in the treatment of pelvic floor muscle dysfunctions, including pelvic pain, bowel and bladder dysfunction, sexual dysfunction, and pregnancy and postpartum recovery. She is the owner of NOLA Pelvic Health, a pelvic health therapy clinic for men and women, in her hometown of New Orleans, Louisiana. Sara also has an online presence as The Vagina Whisperer, supporting women during pregnancy, postpartum recovery and beyond and offering virtual therapy sessions in an effort to help women worldwide with pelvic health conditions. She can be reached via her website www.thevagwhisperer.com or follow along on Instagram @the.vagina.whisperer