Is it safe to have sexual intercourse during the first month of pregnancy?

Feb 18, 2025 Source: Cainiu Health
Disease description:

Xiao Li has just confirmed her pregnancy, which has now reached one month. She and her husband recently got married and would like to consult whether it is safe to have sexual intercourse at this stage.

Doctor's answer (1)
Dr. Zhang Lu

Sexual intercourse is not recommended during the first month of pregnancy. The first month of pregnancy is considered the early stage of pregnancy, during which the embryo is not yet stable within the uterine cavity. Sexual activity may easily stimulate uterine contractions and increase the risk of miscarriage. Additionally, due to early pregnancy symptoms, the pregnant woman's physical condition is generally not optimal, often resulting in a lack of interest in sexual activity. Forcing sexual intercourse may cause physical and psychological discomfort for the pregnant woman. Moreover, if intrauterine pregnancy has not yet been confirmed via ultrasound, there remains a risk of ectopic pregnancy rupture during sexual activity, which could endanger the pregnant woman's life.

It is recommended that pregnant women avoid sexual intercourse during the first trimester and prioritize rest to ensure stable embryonic development. If a pregnant woman has a desire for sexual activity, it should be resumed during the second trimester (between 4 to 7 months of pregnancy) under the guidance of a healthcare provider or professional. Appropriate positions and frequency should be chosen, with gentle movements to avoid pressure on the abdomen, ensuring hygiene and safety during sexual activity. After sexual intercourse, the pregnant woman should closely monitor her physical response, and if abnormal symptoms such as abdominal pain or vaginal bleeding occur, she should seek medical attention promptly.