Intimate life after cesarean section
Caesarean section is a serious abdominal surgical operation, after which a number of strict prohibitions and restrictions are imposed on the daily life of the newly-made mother. Intimate life after surgical delivery is no exception. It has its limitations and features.
Time limits
The common question about when you can begin to have sex after suffering a cognitive resolution, Doctors usually respond that no sooner than two months. But few people explain such a ban to women, and therefore many women simply don’t understand the seriousness of it.
During surgical birth, the child is born not through the natural reproductive tract provided by nature, but through two incisions on the anterior abdominal wall and on the wall of the uterus, respectively. After removing the baby and suturing each incision, and sometimes muscles, if the incision is made vertically, It takes some time to heal injured tissue.
External seams heal faster than internal ones; it takes about three weeks for scarring and the formation of a strong connective tissue of the external incision. But the main danger is injury and damage not to the external seam, but to the inside.
There is a chance of their infection through the genital tract, there is a possibility of formation of adhesions, formation of an inferior scar, which will call into question the possibility of having children in the future, give birth naturally and bear children, because an insolvent healed suture may not withstand uterine stretching during the subsequent bearing of the child. When infected can develop a variety of inflammatory diseases of internal genital organs.
Full restoration of the integrity of the uterine wall in the area of the scar occurs 7–8 weeks after surgery, if the postoperative period was uneventful. It is this period indicated in the statement of the doctor.
If after surgical birth there were some complications, the restriction on sex is imposed on an individual basis, the period of prohibition can be extended for any period that is required for the full restoration of women's health.
Therefore, after cesarean section for as minimum 8 weeks It is not recommended to have sex, it is not recommended to do douching, to use vaginal tampons, sex toys that provide for vaginal insertion. The orgasm is also undesirable, because with it the muscles of the uterus contract, which can lead to violations of the internal suture, because all three muscle layers of the female reproductive organ are cut and sutured.
Important! Eight weeks is a suspended sentence. You can call it the minimum recommended. Some need more time to recover from surgery.
It is important for women to independently assess their condition and readiness to return to marital duties. It is believed that you should start thinking about sex no earlier than the postnatal discharge - lochia. After the discharge becomes normal, light, colorless, moderate, it is worth visiting a gynecologist to make sure that there are no complications, and seek his permission for sexual relations.
Medical statistics states that full recovery in most women comes precisely to 7-8 weeks after surgery. From this point on, physiologically ladies are ready to live a sex life. About 7% of newly-born mothers recover after 5–6 weeks, and about 10% of women - only by 9–11 weeks after childbirth.
Psychological features of sex after COP
There are quite a few women who, after a postponed cesarean section, do not rush themselves to return to intimate relationships. The reason lies in the psychological unpreparedness of the newly-made mother to the beginning of sexual relations. The fact is that the postnatal period proceeded with pronounced pain, in the first days the pain delivered almost everything: movements, the need to go to the toilet, to tighten, to lean, to sit down.
Women are tense due to the fear of damaging the internal and external postoperative sutures. Therefore, the onset of orgasm in a natural way is impossible. Even sexual desire and desire are restored only after the woman ceases to have fears.
In the clamped state, experiencing an orgasm is almost impossible. Therefore, you should start sleeping with your husband even after there is no trace of fear and pain.
Only in this case, sexual intercourse will bring mutual pleasure and contribute to the spiritual unity of the spouses. Dyspareunia (pain during intercourse) after suffering a cesarean section occurs mainly for psychogenic reasons, when a woman is not ready to resume sexual relations. True painful intercourse after CS is very rare.
What you need to know?
Returning to an intimate life with a spouse after a cesarean section, It is important to remember one more prohibition: to become pregnant for 2 years after the operation. This period is also not accidental, and he also has good reasons: it is possible to endure a pregnancy without complications and the possible risk of rupture of the uterus along the scar after the organ is fully restored after surgery. Therefore, you need to take care of contraception.
A woman can theoretically become pregnant after stopping lochia, if she does not breastfeed or in the first months after birth, if the level of prolactin in the body for some reason starts to decline (a common reason is that the baby begins to eat complementary foods and decreases the number of breastfeeding).
You should not wait for the first menstruation to talk about the restoration of the female cycle, it is always important to remember that the cycle can recover now and the woman will not notice this before the onset of menstruation. But pregnancy may well come.
To discuss the issue of contraception should be in advance with the doctor and spouse. Contraceptive hormonal pills are excluded, the intrauterine device can not be installed during the first year after the operation due to the high risk of infection of the uterine cavity.
In fact, until the menstrual cycle is fully restored, a couple can only use barrier contraceptives - condoms. Six months after the operation, spermicidal creams and vaginal suppositories can be used. A year later, a woman can choose any means of contraception, which for her personally will not be contraindicated by the attending physician.
The partner of the newly-made mother should be warned that his movements should be as gentle as possible, not too deep and unsharp. Poses are best limited to the classic set. Other forms of sex as an alternative during the prohibition of traditional sex are unacceptable. Masturbation, affection with the aim of delivering a clitoral orgasm to a woman, from the point of view of possible infection of internal sutures, is no less dangerous than ordinary sexual intercourse.
It is not necessary to engage in the prohibition period and anal sex, because through the wall of the rectum there is a strong pressure on the posterior fornix of the vagina, the cervix and the back wall of the uterus.
Ideally, it is advisable for a man to have sexually and other urogenital infections tested before re-establishing relationships with his wife to make sure that sex does not cause any harm to his partner.
Possible problems
The most frequent problem of a woman after a postponed cesarean section is reduced libido. Partially, it can be explained by hormonal background during the lactation period, in part - by psychological difficulties, which almost every woman goes through after surgical delivery.
First of all, we are talking about complexes of our own inferiority. Some dreamed of giving birth themselves, but for some reason a cesarean section was performed, and now a woman may feel some female inconsistency, dissatisfaction with herself. Many people are dissatisfied with their own appearance; it seems to them that the external seam on the stomach distorts their appearance. Such a complex is also not conducive to the emergence of sexual desires and mood on sex.
Complexes can be strengthened and installed, because full-fledged sports after surgical childbirth are prohibited, and what women who gave birth in a natural way can do to restore the figure is not available for puerperal patients after cesarean section.
What remains for a woman to do? Just refuse under various pretexts or without explaining the reasons to her husband in intimate intimacy. If such problems occur, it is recommended to visit a psychologist. You can find the appropriate specialist in the antenatal clinic where you were seen while carrying a child in any private clinic.
Such complexes are dangerous because, in the absence of qualified assistance, they can develop into severe forms of postpartum depression, lead to divorce, severe personal conflicts and even psychiatric disorders.
Another common problem is excessive maternal instinct. They usually start to differ women who have long tried in vain to get pregnant, and the born baby is so long-awaited and suffered that more than him there is no one in the whole world. The husband and his sexual dissatisfaction for the hypermams go by the wayside. It is important to pull yourself together and stop surrounding the baby with hypertrophied care. This will have a bad effect on the character and upbringing of the child, as well as on family relationships, which are more likely to be destroyed.
Women after the operation experience a feeling of fatigue, they are not in vain recommended to rest more often, to try to get enough sleep, despite the presence of an infant. If there is no help and all the responsibilities of caring for the baby, housekeeping fall on the shoulders of the woman, then moral burnout, emotional exhaustion, which leads to the development of chronic fatigue syndrome, is possible. With him, the woman is also not too tuned to romantic feelings and sex. In this case, you should contact your relatives or husband for help.
If a partner takes on some of the trouble, if a mother or girlfriend sometimes comes in and helps - take a walk with your child or cook dinner while the young mother will sleep - that and sexual relations of spouses will recover much faster.
Important! Feel free to talk to a hearty partner. Men have even less ideas about your physiology and psychology after surgery. They do not know why the doctor forbade sex for two months, they do not understand why it cannot be replaced with an anal option, they don’t imagine that you can be tired of the child and the household so that sexual fantasies do not arise in principle.
Feel free to talk about all this. A loving person will understand and accept reality, it will be important for him not only what he wants, but also what will be useful for his beloved woman, he will try to help, if it is within his power. All misunderstandings between spouses after childbirth regarding sex usually arise either due to lack of information or due to psychological misunderstanding.
The following video presents the general recommendations of the gynecologist about intimate life after childbirth.