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Sex can still be a part of your relationship during pregnancy, but you may have to adjust your positions for comfort and safety as your belly grows. Pregnancy sex positions where you're on top of your partner will give you more control over the angle and speed of penetration. And ones where you're on your side are safer for your baby late in pregnancy, when lying on your back can be problematic. If pregnant sex isn't as pleasurable as you imagined, try foreplay or mutual masturbation, which are perfectly acceptable replacements until after your baby is born.
What if pregnant sex is uncomfortable?

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When it comes to sex during pregnancy , your go-to positions may start feeling awkward as your belly gets bigger. Sex can still be in the picture though, as long as your healthcare provider hasn't told you otherwise and you’re still in the mood. And while some women may experience a drop in libido during pregnancy, others see a spike. (Everyone’s different!)
You'll probably find yourself looking for new and more comfortable pregnancy sex positions: Go ahead and start experimenting! Amniotic fluid protects your baby, so there are no worries about causing any harm unless you’re at high risk for placenta previa or going into early labor.
Here are some of the best sex positions for pregnant women, complete with illustrations.
Just as side sleeping during pregnancy is great for moms-to-be, so is side-by-side sex. In this position, you and your partner each lie on your side so that your bodies create a V shape. Wedge a pillow under your back for support as you face your partner, and rest both legs over their hip. This position allows your partner to keep most of their weight off your belly.
Not only is side-by-side sex one of the most comfortable sex positions during pregnancy, the opportunity to lie face-to-face lets you connect with your partner on a deeper and more intimate level. Just think of all that gazing into each other’s eyes you can do.
Pregnant or not, sometimes you want to be in charge. Getting on top puts you in control of the sexual experience, allowing you to make the calls when it comes to depth of penetration, angles, and speed. Some women also find being on top during pregnant sex to be more pleasurable. In one study, pregnant women who assumed this position reported more sexual satisfaction.
The woman-on-top position is pretty straightforward: Straddle your partner as they lie on their back. Another bonus of being on top is that your partner's weight is off your belly, which makes this one of the most popular third trimester sex positions.
Who said sex always has to happen in a bed? Sometimes it's fun to mix things up by switching the location to another piece of furniture – like, say, a favorite chair.
The chair sex position is well-suited to pregnancy because it puts you on top, resulting in no extra pressure on your belly. To get into this position, straddle your partner as they sit on a sturdy chair (a couch or loveseat does the trick, too). You can face each other for more intimacy, or face away when your belly gets bigger. Place the chair near a wall or another piece of furniture so you have something to lean on and won't lose your balance when you try to get up.
Lying on your side is one of the best sex positions for pregnancy. This variation on the classic side-by-side sex position allows for your partner to enter you from behind. Lie with your partner facing your back, and be sure to keep some pillows handy for extra support around your belly as your pregnancy progresses.
Penetration tends to be shallower in this position. That can be a good thing, because deep thrusts may become uncomfortable in later months. You may already feel more pressure on your pelvis from your growing baby. A penis or sex toy pushing hard against this area may not feel as good as it did pre-pregnancy.
The term "missionary" first became popular back in the 1960s and 1970s, and many couples still prefer this position today, including during early pregnancy sex. (In one Polish study, for example, women said they were most likely to choose the missionary position in their first trimester.)
The missionary position is fine early in your pregnancy, but it may become uncomfortable as your pregnancy progresses. Beginning when you're around 20 weeks pregnant , lying on your back allows your uterus to press against your inferior vena cava, the large blood vessel that sends blood back to your heart. Compressing this could interfere with blood flow to your baby.
If you do try the missionary position after the first trimester, wedge a pillow beneath you so you're tilted and not lying flat on your back . And make sure your partner supports themselves with their hands or forearms on either side of you, so they're not bearing weight on your belly.
This position gives you some control over the angle at which your partner enters you, which can increase your comfort. To get into this position, start by shifting your bottom to the side or foot of the bed and lie back with your knees bent.
After the first trimester, wedge a pillow under one side so you're not lying flat on your back. (You can also prop yourself up on your elbows, but that might get uncomfortable.) Depending on the height of the bed, your partner can kneel or stand to enter. Place your legs or feet on your partner's torso for more leverage or stability.
Having sex from behind is another one of the best pregnancy sex positions because it takes pressure off your growing belly. Support yourself on your knees and elbows as your partner kneels and enters from behind. A pillow or rolled-up towel can provide extra tummy support.
This position does allow your partner to penetrate more deeply, which may not be as comfortable late in pregnancy. Ask your partner to be gentle if you start to feel pressure on your cervix. And as your cervix softens late in the third trimester, you may notice some light spotting after sex. (If you have heavy bleeding or bleeding for more than an hour, call your healthcare provider.)
Remember that sex doesn't always have to involve penetration. If you find intercourse uncomfortable during pregnancy, you and your partner can find other ways to be intimate.
You could try non-sexual types of touch, like kissing, cuddling, or giving each other a gentle massage. Or stick to foreplay and masturbation, helping each other reach orgasm without penetration. Oral sex is another good option: Just make sure your partner is careful not to blow air into your vagina, which could cause an air embolism, an air bubble that blocks a vein or artery. It's rare, but it could increase your risk for a heart attack or stroke.

BabyCenter's editorial team is committed to providing the most helpful and trustworthy pregnancy and parenting information in the world. When creating and updating content, we rely on credible sources: respected health organizations, professional groups of doctors and other experts, and published studies in peer-reviewed journals. We believe you should always know the source of the information you're seeing. Learn more about our editorial and medical review policies .

Alexandria Journal of Medicine . 2020. Sexual function of pregnant women in the third trimester. https://www.sciencedirect.com/science/article/pii/S2090506817300192 [Accessed September 2021]
Cleveland Clinic. 2018. Exactly how bad is it to sleep on your back when you're pregnant? https://health.clevelandclinic.org/exactly-how-bad-is-it-to-sleep-on-your-back-when-youre-pregnant/ [Accessed September 2021]
Current Anthropology. 2001. Missionary positions: Christian, modernist, postmodernist. https://www.journals.uchicago.edu/doi/abs/10.1086/318433?journalCode=ca [Accessed September 2021]
Fairview. Are there any sexual positions that aren’t safe during pregnancy? https://www.fairview.org/blog/2019/july/are-there-any-sexual-positions-that-arent-safe-during-pregnancy [Accessed September 2021]
International Journal of Environmental Research and Public Health. 2019. Sexual functioning in pregnant women. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6862185/ [Accessed September 2021]
International Society for Sexual Medicine. Is oral sex safe for pregnant women? https://www.issm.info/sexual-health-qa/is-oral-sex-safe-for-pregnant-women/ [Accessed September 2021]
Journal of Sex & Marital Therapy. 2010. Sexual positions and sexual satisfaction of pregnant women. https://www.tandfonline.com/doi/abs/10.1080/0092623X.2010.510776?src=recsys&journalCode=usmt20& ; [Accessed September 2021]
United Kingdom National Health Service. 2021. Sex in pregnancy. https://www.nhs.uk/pregnancy/keeping-well/sex/ [Accessed September 2021]
Science Direct. 2020. Vaginal bleeding in late pregnancy. https://www.sciencedirect.com/science/article/pii/S2090506817300192 [Accessed September 2021]

Varuna Srinivasan is a gender justice activist, writer, and sexual health consultant. They are also co-chair of the Women's Mental Health Conference at Yale University, which focuses on contemporary issues affecting women and gender minorities surrounding mental health, as well as a published writer on intersectional feminism, reproductive health, gender, and sexuality.

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Maressa Brown is a seasoned lifestyle journalist, writer, and astrologer. In addition to being a regular contributor to Parents.com, her bylines appear on InStyle, Shape, What to Expect, Cosmopolitan, et al. She is the author of a forthcoming parenting title to be published by Artisan Books in early 2023. A graduate of Emerson College, she's based in Los Angeles.

One of the most-preferred positions by pregnant people, cowgirl allows for increased sexual satisfaction for the pregnant partner to control penetration during penis-in-vagina sex by being on top of their partner. And, according to a 2019 study published in the International Journal of Environmental Research and Public Health, it's the most-chosen position during the second trimester.

This comes as no surprise to Shannon Chavez, Psy.D. , a psychologist and sex therapist in Los Angeles, who notes, "Being on top allows [the pregnant person] to not only control the depth of penetration but also position [their] body for the best comfort and friction for pleasure. This position allows control of speed, depth, and body position."

It can also be done during the first, second, or third trimester, says Janet Brito, LCSW , a licensed clinical psychologist and AASECT certified sex therapist in Honolulu.

A favorite for many people, whether they're expecting or not, rear-entry sex keeps pressure off of a growing stomach. "A partner can enter from behind while using the other hand to stimulate the clitoris," Chavez explains. "This allows the belly to be free, and it's more comfortable to hold the extra weight on all fours." (Excess weight may become more of a concern as you move toward the end of the second trimester.)

Chavez recommends using products such as the Liberator wedge to support the belly or body weight while receiving stimulation from behind.

Cunninglingus is a wonderful go-to that prioritizes and bolsters your pleasure. Brito likes oral sex as a way to "connect intimately with your body, yourself, and your partner while also taking a break to relax and be in the present."

If you want to totally chill out and not have to think about any sort of balancing act or getting too active, Brito recommends this relaxing, seated position.

"By sitting up on your bed, and placing pillows all around you for support, you can comfortably rest, while your partner, in the prone position, gives you oral stimulation," she explains. "Your partner could also sit next to you or in front of you and give you manual stimulation, or use a vibrator to stimulate your clitoris." This pregnancy sex position can also be recreated wherever you're most comfortable, such as in a chair or on the edge of the couch.

Being on top, facing your partner's legs, can offer a switched-up sensation without compromising the benefits of classic cowgirl. Plus, Brito likes reverse cowgirl for any trimester—especially the third. "Due to the size of your belly at this stage, you can sit on your partner and thrust as you wish," she notes. "For extra support, place your arms behind you, as you shift your weight back toward your partner."

You can also have your partner sit on a solid chair, which can offer more "stability as you stand on your ground and move like you want," Brito explains.

Mutual masturbation lets you connect with your partner—and enjoy the heightened libido you may be experiencing—wherever you're comfortable, from the couch to the shower to the bed.

According to the March of Dimes , it's important to remind your partner not to blow air into your vagina during oral sex as this could lead to air embolism that could be dangerous for you and the fetus.

This face-to-face variation on spooning bolsters intimacy, which allows for more eye contact, kissing, and romantic or dirty talk. Another bonus: You'll be lying on your side, which is one of the most comfortable pregnancy positions as your belly grows. Do you want even more support? Place a pillow behind you or a towel or pillow under your stomach.

Lying on your side while your partner lies behind you, facing the same direction, can feel intimately soothing. Add in penetration, which by the nature of the position will be more slow and sensual, and you can't go wrong.

"When you're pregnant, it's important to be as comfortable as possible during sex," Chavez notes. "This position allows you to be in a close and intimate position where you can spoon and a partner can stimulate your clitoris with hands while entering from behind. It allows there to be closeness and comfort while being physically connected and able to stimulate all the right places. This position also allows there to be less tension in the body due to the extra weight in the belly."

"If you have already been enjoying anal sex, and it's something that you and your partner have already been comfortable doing, then enjoying it during pregnancy should be fine," says Brito.

But if you're trying it for the first time during pregnancy, Brito recommends doing it early on (given that there are already "a lot of changes" that come with expecting, so you "may not be up to this learning experience"). What's more, you should only attempt anal sex after at least 20 minutes of foreplay, and "always use lube."

That said, Brito warns against anal sex at any point if you have placenta previa , as it can cause trauma to the placenta if it covers all or part of your cervix. It's also best avoided in the case of hemorrhoids or constipation , which are both common during pregnancy, she says. Finally, "if you're going to switch positions, let's say from anal to vaginal sex, it's best to wash your genitals thoroughly to avoid infection," Brito notes. "To practice safer anal sex, use condoms."

Brito likes this "fun," rear-entry sex position while pregnant in the first trimester (it may get less comfortable as the baby grows). "Place your palms on a sturdy wall, hold a grounding stance, and then ask your partner to hold your waist and enter your from behind," she says. "To reduce falls, don't stand on anything." This pregnancy sex position also makes it easy for you or your partner to stimulate you with a vibrator or your fingers, boosting its pleasure quotient.

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