Reasons postpartum sex hurts!

Typically you can have sex about six weeks after delivering a baby.Of course this does not mean you want to have sex, it just means your body will not explode if you have sex at this time.
Sincerely, sex after childbirth could be scary and difficult. It is not just that you still look pregnant, your nipples are dripping milk and you are really tired; it is all about the fact that sex after childbirth can actually hurt.
For the past few weeks now we have discussed this topic and it is just best to state the reason why sex could be painful after childbirth.
The extra stitch. If you had a vaginal birth and tore naturally or the doctor had to cut the perineum; the space between the vagina and the anus and you needed stitches and you got the extra, unnecessary stitch at the perineum that is supposed to make your vaginal opening smaller.  (Though sometimes women ask for this, most of the time they don’t.  Some women don’t even know they got this, all they know is that their vagina feels smaller and they have no idea why). This can cause pain with sex. It is not that the stitch does not heal correctly; it is the fact that your vagina is smaller. This can lead to pains.
 No extra stitches. These stitches will heal well, but sometimes they can leave you with scar tissue at the perineum.  This can be really problematic with sex because scar tissue makes everything tighter and more sensitive. It can make  muscles in your vagina too tense when they are supposed to be relaxing.
 Natural tear.  This is the same as above. Even with natural tearing you are going to have some scar tissue. If you don’t work through this scar tissue, massage and knead it, then it can create painful sex.
Breastfeeding, vagina dryness and low libido. Breastfeeding can lower your natural hormone levels inside and outside the vagina, making sex dry and lowering your sex drive. If you don’t have sex drive, your vagina will not get wet. When your vagina doesn’t get wet enough, there is friction and this feels like sandpaper and tearing.  If you experience this, use some lubricant. 
5. Having sex and worrying about the baby waking or being in the room.  The good thing about the pelvic floor; the support muscles in the pelvis that keep up all your organs and span from all around your vagina and clitoris to all around your anus and from one hip to the other, basically  is that they respond to your thoughts. Your pelvic floor is a mind reader.  When you are scared, nervous, anxious or uncomfortable, your pelvic floor muscles will automatically respond and tense up. This makes vagina and your anus smaller; in that moment.  This is a really primitive response. It is your body’s old-fashioned way of trying to protect your reproductive parts. It is important that you have sex when the timing is right for your mind. When your brain is more relaxed, your vagina is more relaxed.
Cesarean section. Just like the stitches, c-sections leave scars. If you don’t work this scar, the scar tissue will grow down into the layers beneath it and really create problems. This can cause bladder problems, bowel problems and…painful sex.
Attempted vaginal delivery and a c-section.  Both your pelvic floor and abdomen have been through hell and back. You might have perineal tearing and a c-section scar. Then you have a lot of reasons why sex could hurt, so work the scars in both places to minimise and eliminate the problem.
If you find yourself with any of the above, it is not the end of the world. The very first thing to do is to let your doctor know. With this, you need a specialist. Your gynecologist will be your best bet here. He will help you out and if there is the need for you to see other specialists; then he can refer you. It is not that bad though, the most important thing is for you to do the right thing at the right time.



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