Relationships & Intimacy While Trying to Conceive

Man sitting on the edge of a bed looking thoughtfully at a woman who is lying on her stomach, resting her head on a pillow, suggesting emotional distance or contemplation.

Pregnancy is a time of significant physical and emotional changes, including fluctuations in sex drive. These changes can vary widely among individuals, with some experiencing increased libido and others noticing a decrease. Understanding the stages of pregnancy and how they can affect sexual desire is crucial for expecting couples navigating these changes.

Sex Drive Changes Through The Pregnancy Stages

  • First Trimester (weeks 0–13) – Many women find their sexual desire decreases due to hormone surges, nausea, and fatigue. However, some might see an increase in libido because of changing hormone levels.
  • Second Trimester (weeks 14–27) – For most, libido goes up. Nausea lessens, energy returns, and increased hormone levels boost sexual desire and pleasure.
  • Third Trimester (weeks 28–40) – This period can bring challenges like swelling and exhaustion that might reduce the desire for sex. Different positions or forms of intimacy may be more comfortable.

How Safe is Sex During Pregnancy?

Most forms of sexual activity are safe during pregnancy. Comfort and safety are important, and certain activities might need adjustment. Deep penetration may become uncomfortable, and care is needed with positions as the pregnancy advances. Anal sex is okay if it’s comfortable, but cleanliness is crucial. Oral sex is also safe, but avoid blowing air into the vagina. Masturbation is safe unless advised otherwise due to specific health concerns.

How Relationships and Intimacy Can be Affected When Trying to Conceive

Trying to conceive can affect a relationship and intimacy in various ways. It can be a very exciting time, however, it can also be a time that can bring unexpected challenges. For instance, the pressure to conceive can lead to increased stress and tension, which could potentially result in decreased libido or difficulty in connecting intimately. Additionally, the process of tracking ovulation, scheduling sex, and undergoing fertility treatments can feel scheduled and may take away from the spontaneity and enjoyment of intimacy. 

Moreover, repeated disappointments or unsuccessful attempts to conceive can take an emotional toll on both partners, which can lead to feelings of inadequacy, frustration, or resentment, which are all feelings that can strain a relationship. 

During this process it is essential for couples to communicate openly, support each other, and seek professional help or counseling if needed to navigate challenges and maintain a strong connection during this journey.

How Can We Help?

We offers perinatal care services, counseling, assessments, and psychiatric help. Within our Amare program, we offer accepting and compassionate sex and intimacy resources and counseling for singles, couples, pregnant persons, and those of the LGBTQIA+ communities. Below are more information about it:

  • Supports individuals and couples with libido changes during pregnancy
  • Team includes Certified Sex Therapists for sexual behaviors and intimacy issues
  • Addresses male and female sexual dysfunctions, improving connection with self and others
  • Provides tailored therapy for challenges during pregnancy and beyond
  • Addresses alternative and deviant sexual behaviors
  • Addresses issues specific to the LGBTQ2S+ community

Contact us to learn more about how we can support you on your journey.

[1] https://www.medicalnewstoday.com/articles/324556#pregnancy-and-sex-drive

[2] https://www.healthline.com/health/pregnancy/sex-drive