The best pregnancy sex positions for every trimester

Nikki Stevenson

Nikki Stevenson

Nikki is a parenting writer and a mom to three wild boys who keep her on her toes (and occasionally make her question her sanity). With over 15 years of experience in the parenting industry, she has more tips and tricks than Mary Poppins on speed dial. When she's not typing away at her keyboard, you can find her sipping on coffee, hiding in the bathroom for five minutes of...
Medically reviewed Medically reviewed by Faith Hobson
Updated on Oct 28, 2024 · 14 mins read
The best pregnancy sex positions for every trimester

Pregnancy comes with its fair share of surprises — like that sudden urge to reorganise the pantry at 3 a.m., or the way your partner now smells like they’ve bathed in coffee. But let’s talk about the other surprise: how pregnancy can seriously crank up your libido.


Yep, just because you’re growing a human doesn’t mean your sex life has to take a nine-month hiatus.

Of course, as your belly expands and your body goes through all sorts of changes, the usual bedroom routines might need a little tweaking. Fear not! With the right pregnancy sex positions, you can keep things hot, fun, and — most importantly — comfortable throughout all three trimesters.

Is sex during pregnancy safe and beneficial?


One of the biggest questions expectant parents have is, “Is it safe to have sex while I’m pregnant?” Spoiler alert: for most healthy pregnancies, the answer is a resounding yes! Not only is sex during pregnancy generally safe, but it can also offer a whole range of benefits, both physically and emotionally.

When it comes to physical perks, sex is a great way to keep those pelvic floor muscles strong, and the extra rush of endorphins can work wonders for reducing stress. Plus, let’s be real, sex is a fun form of light exercise – especially when lugging around that growing bump feels like a workout on its own.

Emotionally, pregnancy can sometimes feel like a rollercoaster (thank you, hormones!), and intimacy with your partner can help strengthen your bond during this exciting, albeit chaotic, time. Let’s not forget, it’s a chance to enjoy each other without the post-baby madness of nappy changes and sleepless nights.

That said, if you have specific health concerns — like placenta previa or a history of preterm labour—your doctor might recommend certain precautions or even a temporary ban on bedroom activities. So, if you’re ever unsure, it’s always best to get a thumbs-up from your healthcare provider before diving in.


Finding the best pregnancy sex positions


As your body changes throughout pregnancy, certain pregnancy sex positions might become less comfortable, while others will feel like a perfect fit.

Whether you’re in your first trimester and feeling like your usual self or you’re in your third and wondering if you’ll ever see your toes again, there are plenty of ways to keep things steamy without sacrificing comfort.

These are our tried and tested best sex positions in pregnancy.

First trimester: Keep it simple

In the early weeks of pregnancy, your body hasn’t changed too drastically yet. You might still have your usual energy (or you might be battling morning sickness), but for the most part, your favourite positions from pre-pregnancy should still work well. During this phase, stick to what feels good without overthinking it.

  • Missionary: This classic sex position is often a go-to in the first trimester. There’s minimal effort involved, and with a small bump, there’s no need for adjustments. However, as your pregnancy progresses, this one may become less comfortable.
  • Doggy style: If you’re feeling nauseous or bloated, this position can help take pressure off your stomach. Plus, it’s a great angle for deeper penetration without putting pressure on your belly.
  • Standing: If you’re feeling frisky but fatigued, standing positions can be an easy way to sneak in some intimacy, especially if you’re struggling with the low energy of the first trimester. Leaning against a wall or kitchen counter (hey, no judgment!) can provide support and keep things spontaneous.

Second trimester: Time to get creative

Welcome to the sweet spot! For many, the second trimester is when energy levels bounce back, and you start to feel more like yourself. Your bump is growing, but it’s not too big yet, which means you can get a little more adventurous with your pregnancy sex positions.

This is a great time to experiment with positions that provide support without putting too much strain on your body.

  • Spooning: Lie on your side with your partner behind you. This position is ideal for the second trimester because it doesn’t put pressure on your growing belly.
  • Reverse cowgirl: You being on top gives you full control over the depth and pace. By facing away from your partner, you’re able to keep your bump-free from any interference while still enjoying the connection.
  • Seated positions: Have your partner sit in a sturdy chair or at the edge of the bed, and you can sit on their lap. This allows for deep intimacy without either of you needing to support too much weight, making it perfect for the second trimester’s “just right” phase.
  • Side-by-side (Scissors): Lie facing each other on your sides, wrapping your legs around each other. This position is gentle, intimate, and works well for a growing bump.

Third trimester: Support is everything

By now, you’ve likely noticed your growing belly is making certain positions feel, well, impossible. That’s okay! The third trimester is all about comfort and finding the best sexual positions that keep the pressure off your bump. With some extra support, you can still keep things intimate and fun.

  • Cowgirl or modified cowgirl: Being on top is still a great sex position in the third trimester because it lets you control the depth, angle, and pace. Lean back slightly to take the pressure off your belly, and maybe even add a few pillows for back support.
  • Edge of the bed: Have your partner stand at the edge of the bed while you lie back with your hips near the edge. Your legs can rest on their shoulders or around their waist, taking the weight off your bump.
  • Hands and knees (modified doggy style): If lying on your back is no longer comfortable, this position can be a lifesaver. Being on all fours takes pressure off your spine and bump, but if your wrists get sore, prop yourself up on pillows or lean against the headboard.
  • Spooning with a twist: A twist on the earlier spooning position—this time, have your partner slightly behind you, with one leg draped over their hip.
  • Mutual masturbation: Not everyone has a flourishing libido during pregnancy – and that’s okay too. If the trimester is getting to you, perhaps mutual masturbation is the way to go. It can still bring sexual satisfaction, but maybe you’re just not comfortable going the full distance. (For the non-pregnant one in the relationship reading this, make sure to give this option to your pregnant partner in this slightly sensitive time.)


Adjustments and alternatives for maximum comfort


Pillow power: Your new bedroom MVP

Pregnancy pillows aren’t just for sleeping! Use them to support your hips, back, or knees during sex to take pressure off your body and make things more comfortable. The right cushioning can make all the difference, especially as your bump grows.

Slow and steady wins the race

Pregnancy sex is the perfect excuse to take things slow. Focus on what feels good in the moment, and don’t worry about getting to the finish line quickly. Switch up positions as needed and communicate openly with your partner about what’s working (and what’s not).

Think outside the box: Non-penetrative alternatives

If penetration starts feeling awkward or uncomfortable, explore other ways to connect. Oral sex, sensual massages, and mutual stimulation are great alternatives for staying intimate without the pressure (literally and figuratively).

Every day is different

Remember, your body changes daily during pregnancy. What was a hit last week might not feel right today — and that’s okay! Be patient and keep experimenting to find what feels best as you progress through your trimesters.

Health and safety Q&A


When it comes to sex during pregnancy, it’s natural for pregnant women (and soon-to-be dads) to have a few questions (or a lot!). After all, there’s a tiny human growing inside you, and keeping them safe is the top priority. So, let’s clear up some common concerns and give you the peace of mind to enjoy intimacy without the worry.

Q: Can sex hurt the baby?

A: Nope! Your baby is well-protected inside the amniotic sac, with layers of muscles and your uterus acting like a snug cushion. They won’t be able to tell what’s going on, and as long as your doctor hasn’t advised otherwise, there’s no harm in getting frisky. If anything, they might enjoy the rhythmic movement, like being gently rocked to sleep!

Q: What if I experience spotting after sex?

A: Light spotting can happen after sex, especially during pregnancy, because your cervix becomes more sensitive. It’s usually harmless, but if the bleeding is heavy or accompanied by cramping, call your doctor right away to rule out anything serious.

Q: Is orgasm safe during pregnancy?

A: Yes! Orgasms can cause your uterus to contract, which might feel a bit different than before, but they are perfectly safe for most pregnancies. However, if you have a high-risk pregnancy or a history of preterm labour, your doctor might suggest avoiding orgasm as a precaution. When in doubt, check with your healthcare provider.

Q: Can I still have sex in the third trimester?

A: Absolutely. As long as you’re comfortable and your healthcare provider gives you the green light, there’s no reason to stop. You might need to adjust positions to accommodate your bump (no one likes feeling squished), but intimacy is still very much on the table.

Q: Are there any infections or risks my partner should worry about?

A: If your partner has an active infection (like an STI or even a cold sore), it’s important to avoid sexual contact until they’ve recovered, as infections can pose a risk to your baby. Using condoms can help prevent the transmission of infections, especially if you’re unsure about your partner’s health.

Q: Is anal sex safe during pregnancy?

A: Anal sex can be safe during pregnancy, but there are a few important things to consider. First, as pregnancy progresses, you may experience increased pressure in your pelvic area and more sensitivity in the rectal region, which can make anal sex uncomfortable. Also, haemorrhoids, a common pregnancy symptom, can make anal sex more painful or irritating. If you’re experiencing haemorrhoids or discomfort, it might be best to skip it.

Additionally, it’s crucial to practice good hygiene. If you engage in anal sex, make sure to avoid transferring bacteria to the vagina (for example, by switching from anal to vaginal sex without changing condoms or cleaning thoroughly), as this can lead to infections like UTIs or bacterial vaginosis, which can be more common during pregnancy.

Q: Is oral sex safe during pregnancy?

A: Yes, oral sex is generally safe during pregnancy and can be a great alternative if penetrative sex feels uncomfortable. It’s a fun way to stay connected and intimate without putting pressure on your bump. That being said, there are a few safety precautions to consider, especially as your pregnancy progresses.

Q: Are there any risks involved with oral sex?

A: The main thing to watch out for during oral sex is air. It’s crucial that your partner doesn’t blow air into your vagina, as this can cause an air embolism—a rare but serious condition that can be dangerous for both you and your baby. As long as there’s no blowing involved, oral sex is perfectly safe.

Q: Can I still perform oral sex on my partner while pregnant?

A: Yes! As long as you’re comfortable, there’s no reason why you can’t perform oral sex on your partner. Just be mindful of your energy levels and any nausea that might make certain positions uncomfortable for you (especially if you’re dealing with morning sickness in the first trimester).

Q: What about STIs and oral sex during pregnancy?

A: It’s important to be cautious about sexually transmitted infections (STIs) during pregnancy. If your partner has an active infection, such as a cold sore (which is caused by the herpes virus), it’s best to avoid oral contact until it’s cleared up. STIs can be passed to your baby during pregnancy or delivery, so taking extra precautions is a must. Using dental dams or condoms during oral sex can also help reduce the risk of STI transmission.

When to pause: Recognising warning signs


While sex during pregnancy is generally safe, there are a few times when it’s better to put things on hold and check in with your healthcare provider. Your body is doing some pretty amazing things right now, so it’s important to listen to it if something doesn’t feel right. Here are some warning signs to watch out for:

1. Heavy bleeding or unusual discharge

A little light spotting after sex can be normal, but if you experience heavy bleeding or discharge that seems unusual, it’s time to hit pause and call your doctor. This could be a sign of something more serious, like placenta previa or other complications, and it’s better to be safe than sorry.

2. Intense cramping or pain

Mild cramping after sex can happen due to uterine contractions (thanks, orgasms!), but anything that feels sharp, severe, or doesn’t ease up is a red flag. Pain is your body’s way of telling you something’s not right, so don’t ignore it.

3. Leaking amniotic fluid

If you notice any fluid leaking, especially in the later stages of pregnancy, it could be a sign your waters have broken. This is definitely a moment to put the brakes on and contact your healthcare provider. Leaking amniotic fluid needs to be checked out right away to ensure everything is okay.

4. Decreased baby movements

While your baby likely won’t know what’s going on during your intimate moments, it’s important to keep an eye on their movements afterward. If you notice a decrease in your baby’s usual activity or are concerned about their movements, take a pause and reach out to your doctor for advice.

5. Contractions that don’t stop

Braxton Hicks contractions (those “practice” contractions) are normal and can be triggered by orgasm, but if you start experiencing strong, regular contractions that don’t go away, this could be a sign of preterm labour. In this case, get in touch with your healthcare provider immediately.

hen the placenta partially or completely covers the cervix. Engaging in sexual activity can increase the risk of bleeding in cases of placenta previa, so it’s typically best to abstain until the condition resolves or your healthcare provider gives the all-clear.

Ruptured membranes: If your water breaks or you experience a rupture of the membranes (also known as your “bag of waters”), it’s important to avoid sex to reduce the risk of infection.

Cervical insufficiency: Cervical insufficiency occurs when the cervix begins to dilate too early during pregnancy. Engaging in sexual activity may increase the risk of further cervical dilation, so your healthcare provider may recommend abstaining from sex until later in the pregnancy.

Severe pelvic pain: If you experience severe pelvic pain during pregnancy, it’s important to discuss this with your healthcare provider. Engaging in sexual activity may exacerbate the pain, so your provider may recommend abstaining until the cause of the pain is identified and addressed.

Your comfort and well-being: Ultimately, if anything doesn’t feel right or comfortable to you during pregnancy sex, it’s okay to take a break. Listen to your body and communicate openly with your partner about your needs and concerns. Your health and well-being are the top priority.

Wrapping it up


Pregnancy can be a wild ride, but your sex life doesn’t have to be sidelined just because you’re growing a tiny human.

In fact, with a little creativity, communication, and some well-placed pillows, you and your partner can still enjoy plenty of intimacy throughout all three trimesters.

The key is to listen to your body, adjust as you go, and never shy away from asking your doctor if something doesn’t feel right. And hey, don’t forget to have a bit of fun along the way—this is a unique time for both of you, so why not embrace the quirks that come with it?

Whether you’re sticking to the tried-and-true or getting adventurous with new positions, remember that it’s not about perfection. It’s about staying connected, laughing through the awkward moments, and enjoying the ride—bump and all!

Sources


Mayo Clinic, Sex during pregnancy: What’s OK, what’s not, July 2024

WebMD, The Truth About Sexual Positions and Getting Pregnant, February 2023

NHS, Sex in pregnancy, December 2023

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