Orgasm During Pregnancy: Why It’s Fine (and How It’s Different)

It’s generally safe to have an orgasm during pregnancy. A pregnancy orgasm may feel different during each trimester.

It can feel like pregnancy changes everything.

In some ways, it does.

You’re skipping your favorite sushi place and reaching for well-done steak instead. The smallest odors seem to have you rushing to the toilet to throw up, and even sitcoms can leave you in an emotional puddle of tears.

You’ve asked an OB everything under the sun, from whether you can have beef jerky to if your belly button will become an outie — and why.

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But there’s one subject you may be wondering about that you’ve felt a little uncomfortable bringing up: the big O.

So is it OK to have an orgasm during pregnancy? (And if you’ve already had one, why did it feel really, really good — better than it ever has before?)

The short answer is yes. In most cases, it’s absolutely fine to have an orgasm while pregnant. In fact, it can also be great for your emotional and mental well-being.

Let’s take a closer look at orgasm safety, sensations in the first, second, and third trimesters, and whether orgasms really bring on labor.

When it comes to sex during pregnancy, there’s a lot that can cause hesitation.

You may not feel “in the mood,” thanks to hormones and morning sickness; your partner may worry about “poking the baby” or otherwise hurting you; and you both may have concerns about orgasms and uterine contractions.

Always check with a doctor about whether you, specifically, are OK to have sex. But if a doctor hasn’t told you otherwise, and your pregnancy is low risk, it’s generally completely safe to get it on between the sheets.

In fact, when researchers looked at studies involving 1,483 pregnant women, they found that there were no significant differences between those who had sex during their pregnancy and those who didn’t when it came to inducing labor contractions.

Researchers also noted that in low-risk pregnancies, sex wasn’t associated with “preterm birth, premature rupture of membranes, or low birth weight.”

However, if you have any of the following, a doctor may indeed tell you to abstain from sexual activity:

spotting or bleeding
incompetent cervix (when the cervix is shorter than about 22 millimeters and you’re at higher risk for preterm birth)
vasa previa (when the umbilical cord vessels run too close to the cervix)
placenta previa (when the placenta covers the cervix)

Also, don’t have sex if your water has already broken. Amniotic fluid forms a protective barrier between your baby and the outside world. Without it, you’re more at risk for infection.

What is pelvic rest?

If a doctor puts you on “pelvic rest” and hasn’t explained what that means, absolutely ask questions. It usually means no vaginal sex because your pregnancy is considered high risk.

Since you can achieve orgasm without penetrative sex, it’s worth clarifying what’s off limits.

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If your pregnancy is high risk for other reasons, like multiples, talk to an OB. One review of studies found that there simply isn’t enough research about sex during high-risk pregnancies.

First trimester

Sex in the first trimester may be great, or it may suffer from many “false starts”: You’re in the mood one minute, and a wave of nausea hits you the next.

On the other hand, your body is already becoming more sensitive. Your breasts, for example, may be more tender to the touch and therefore more easily stimulated by your partner or yourself. Your libido may increase, too.

These things, along with more natural lubrication down there, may result in quicker and more satisfying orgasms.

Or, you may just need to wait for the discomfort of first trimester symptoms to pass. And some women’s libido actually decreases. And that’s OK, too. It’s all within the realm of normal.

Second trimester

This might be the sweet spot when it comes to reaching your, ahem, sweet spot.

With morning sickness (usually) a thing of the past and the discomforts of the third trimester yet to come, sex and orgasm during the second trimester may be the most enjoyable.

Here are a few things that you may experience:

Your orgasms may be more pleasurable. One of the main reasons for this may be increased blood flow during pregnancy. This means your uterus and vaginal area are more engorged, making them more sensitive. For many, it means more pleasure and easier orgasms.
You may feel post-orgasm uterine contractions or cramps. These are perfectly normal and even happen when you’re not pregnant, but you just may not feel them. Don’t worry — these contractions aren’t labor, and won’t bring on labor. Cramps will generally subside with rest.
Your stomach may feel very hard. This is another common occurrence during orgasm, pregnant or not. But with your stretched skin and more extended belly, chances are you’ll notice this sensation more.
The release of hormones may be compounded. This means your body is already producing more oxytocin (the “love hormone”) during pregnancy. You’ll release even more when you orgasm. And that’s typically going to feel pretty darn good.

Third trimester

Sex in general may be more difficult during the home stretch that is the third trimester. For one thing, your adorable baby bump may feel more like an enormous sack of potatoes: awkward to carry and always in the way. (That’s where creative sex positions come in!)