When intimacy feels uncomfortable

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Published 22 May 2025 | Written by Dr Briand P. Marshall

Pregnancy is a time of profound transformation not just physically, but emotionally and relationally as well. As your body nurtures a new life, it undergoes rapid changes that can impact every aspect of your world, including intimacy with your partner. While it’s often portrayed as a glowing, deeply connected time, many women find that intimacy can start to feel uncomfortable. This discomfort is both valid and common and you’re not alone.

In this article, we’ll explore why intimacy might feel uncomfortable during pregnancy, what it means for your relationship, and how you and your partner can navigate this tender phase together.


1. The Changing Body and Mind

From the first trimester to the third, your body goes through monumental changes. Hormones like estrogen and progesterone surge, affecting not only your physical sensations but also your emotional responses.

Common physical changes that affect intimacy:

  • Tender breasts

  • Nausea or morning sickness

  • Increased fatigue

  • Weight gain and body image issues

  • Pelvic pressure or discomfort

These changes can lead to a decrease in libido or even physical discomfort during sex. For some, sensations that were once pleasurable may now feel strange or even painful.

Emotional changes might include:

  • Heightened anxiety

  • Mood swings

  • Fear about the pregnancy or parenting

  • Feeling disconnected from your partner

These emotional states can make it hard to relax and enjoy physical closeness, even outside of sexual intimacy.


2. When Intimacy Hurts Physically

If intimacy is physically painful, it’s crucial to communicate with your doctor. Pain during intercourse or other forms of intimacy could be due to:

  • Vaginal dryness (often caused by hormonal changes)

  • Increased blood flow and sensitivity in the pelvic region

  • Uterine stretching or pressure

  • Infections or underlying medical issues

Always consult a healthcare professional if you’re experiencing pain, spotting, or anything that feels abnormal. Often, solutions like using lubricants, modifying positions, or pausing certain activities can help.


3. The Mental Load of Pregnancy

The mental and emotional weight of pregnancy managing doctor appointments, preparing for childbirth, dealing with body changes can be exhausting. It’s common to feel “touched out,” especially as your belly grows and movement becomes more limited. These feelings are natural and should be acknowledged, not ignored.

Instead of forcing yourself to “get back to normal,” try asking: What does my body need right now? It might be rest, affection, or simply open communication with your partner.


4. Redefining Intimacy

During pregnancy, it’s helpful to shift your definition of intimacy. Physical closeness doesn’t have to mean sexual activity. It could look like:

  • Holding hands

  • Cuddling on the couch

  • Giving each other massages

  • Talking openly and vulnerably

  • Laughing together

By nurturing emotional intimacy, you strengthen your bond during a period when physical intimacy might be inconsistent or evolving.


5. Talking With Your Partner

Many partners feel unsure of how to support you when intimacy becomes uncomfortable. They may worry about hurting you or the baby, feel rejected, or struggle to express their own emotions.

Here are some conversation starters:

  • “Lately, my body feels really different. Can we talk about how that’s affecting our closeness?”

  • “I still want to feel close to you, even if I’m not in the mood for sex.”

  • “What’s been on your mind when it comes to our relationship lately?”

Openness builds trust. This is a shared journey, and vulnerability from both partners helps maintain intimacy even when sex is off the table.


6. Seeking Professional Support

If intimacy challenges start to affect your mental health or strain your relationship, don’t hesitate to seek help. Therapists who specialize in prenatal or couples counseling can provide tools and strategies tailored to your unique needs.


7. Give Yourself Permission to Change

Above all, remember: it’s okay for your needs and desires to change during pregnancy. Your body is performing a miracle, and you deserve grace, compassion, and support.

Some days you may feel more open to closeness, and others you may want space. Communicate clearly, listen to your body, and remind yourself that this season is temporary but meaningful.