Is it safe to have sexual intercourse during pregnancy?

Healthy pregnant women may engage in moderate sexual intercourse during the second trimester. However, it is advisable to reduce or avoid intercourse during the first and third trimesters. Sexual activity is strictly contraindicated throughout pregnancy for women with high-risk conditions such as placental instability, vaginal bleeding, or uterine contractions. If abdominal pain, vaginal bleeding, or fluid leakage occurs after intercourse, prompt medical attention is required.

During the first trimester, embryonic implantation remains unstable; external stimulation may trigger uterine contractions and increase the risk of miscarriage. In the third trimester, heightened uterine sensitivity means intercourse may precipitate preterm labor or premature rupture of membranes. During the second trimester, when fetal development is relatively stable and no maternal complications are present, intercourse may be resumed—provided movements are gentle, frequency is limited, and pressure on the abdomen is minimized.

Sexual intercourse must be completely avoided in cases of threatened miscarriage, placenta previa, or recurrent vaginal bleeding. Upon diagnosis of threatened miscarriage, strict bed rest is required, along with appropriate tocolytic medications to suppress abnormal uterine contractions and reduce miscarriage risk. Such individuals should minimize all activities that could potentially stimulate the uterus.

Prior to and following intercourse, thorough external genital hygiene should be maintained. Both partners should remain relaxed, adopt positions that avoid abdominal compression, limit duration, and allow for adequate rest afterward—thereby minimizing physical stimulation and supporting pregnancy stability.