Women usually can resume their sex lives when they feel ready, typically this is 4-6 weeks after delivery and when bleeding has substantially decreased. Medically, this will be when the cervix has closed, which should occur at 4 weeks' postpartum, and uterine bleeding is minimal. Breastfeeding may cause increased vaginal dryness due to slightly decreased estrogen levels. Women who have had an episiotomy need at least 2-3 weeks to heal before intercourse. ACOG has pointed out in a recent bulletin that some women may find that they do not have much interest in sex after giving birth because of fatigue, stress, fear of pain, lack of opportunity, and/or lack of desire. This is usually temporary.
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