Most people agree that having a baby changes your life, and giving birth is no easy feat. Depending on whether you give birth naturally (vaginal birth) or by Cesarean section (C-section), your recovery time can vary. This recovery time impacts how quickly you can return to normal activities, including resuming sex with your partner.
If you’re wondering how long you should wait before resuming sex after a C-section delivery, you’ve come to the right place. David Puls, DO, with Banner Health, says it’s important for women to listen to their OB provider after giving birth—especially if they had a C-section.
“A C-section is a major abdominal surgery, and it has a much different expected recovery time and unique set of issues compared to a vaginal delivery,” Dr. Puls said.
C-section recovery
Women typically spend 2-3 days in the hospital after a C-section if there are no complications. Most women can expect to feel back to normal after 3-6 months.
Immediately after the surgery, you may experience pain at the incision site, some mild cramping and vaginal discharge for about 4-6 weeks. While recovery varies from woman to woman, many experience decreased mobility and difficulty using their abdominal muscles.
When it comes to returning to normal activities after a C-section, Dr. Puls noted there are no specific guidelines. A lot depends on the woman and any complications she may have had during the procedure.
Generally, doctors will recommend avoiding lifting anything from the ground in the first week or two—other than your new baby, of course. Some surgeons may recommend limiting lifting to no more than 13 pounds for 4-6 weeks postpartum.
“We want the C-section incisions to be well healed before adding additional stress,” Dr. Puls explained. “If women overdo it, they may experience increased soreness and discomfort.”
When is it safe to have sex after a C-section?
According to the American Academy of Obstetrics and Gynecology (ACOG), you should not place anything in the vagina or have sex for a few weeks after a C-section. Dr. Puls recommended waiting until about 6 weeks postpartum for most women to resume sexual activity.
“In general, we want the uterus to heal and for surgical incisions to be fully closed, reducing the risk of infection,” Dr. Puls said.
What happens if you don’t wait?
If you don’t allow enough time to heal, you might experience pain or discomfort from vaginal dryness or changes in your pelvic area from pregnancy. Additionally, if your incisions haven't fully healed, there’s a risk they could reopen.
In some cases, a woman may have to wait longer to resume sexual activity. Reasons for this include:
- Significant vaginal trauma from an instrument-assisted delivery or dystocia (baby getting stuck)
- A Cesarean hysterectomy, which involves removing the uterus during the C-section
- Any wound or organ infections
- A drain placed after the surgery
Tips for resuming sexual activity after a C-section
Once you feel ready to resume sexual activity, it’s important to talk to your OB provider first. Keep in mind that the first time you have sex after a C-section could be uncomfortable, and the experience might not feel the same as it did before.
Couples may want to consider using silicone-based lubricants to help with vaginal dryness and improve comfort. Your OB may also suggest certain positions that can help reduce discomfort. Be sure to monitor your C-section incision site for signs of bleeding or increased pain.
“It’s important to communicate with your partner about concerns as well,” Dr. Puls said. “Patience and understanding are key in maintaining a healthy relationship during this recovery time.”
Warning signs to watch for after a C-section
While most women recover well after a C-section, it's important to stay vigilant for any signs that something might be wrong. According to the American Pregnancy Association, if you experience any of the following symptoms, it's essential to call your doctor:
- Fever over 100.4°F.
- A severe headache that begins immediately after birth and doesn’t go away.
- Sudden pain in the abdominal area, possibly with tenderness or a burning sensation.
- Vaginal discharge with a foul odor.
- Pain at the incision site, possibly with a pus discharge.
- Swelling, pain, or redness in the legs.
- A burning sensation when urinating or blood in the urine.
- Hives or a rash that appears suddenly.
- Heavy bleeding (soaking a maxi pad within an hour) or passing large clots.
- Red, painful areas on the breasts, along with flu-like symptoms.
- Feelings of anxiety, panic, or depression.
If you notice any of these symptoms, don’t hesitate to reach out to your health care provider for further evaluation and care. Early detection and treatment of complications can help ensure a smoother recovery.
Take care of yourself during recovery
The stress of having a newborn combined with the extent of the surgery makes the first few weeks after giving birth an essential time for healing. Listen to your body and follow your provider's advice as you recover.
“Women need to listen to their bodies and their providers when it comes to increasing physical activity and resuming sexual activities,” Dr. Puls said.
Have questions about C-section recovery or need personalized care?
Our team of specialists at Banner Health is here to help. Whether you're seeking advice on postpartum recovery or looking for a trusted OB provider, we’re committed to supporting your health and well-being every step of the way. Schedule an appointment today with one of our experts.
Recommended reading
- Four Things to Know About Intimacy and Sex After Birth
- 5 Tips When Choosing a Pediatrician for Your Baby
- New Baby? Seven Sleep Tips for Exhausted Parents
