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Sexual Health and Postpartum Depression

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By Editorial Team

3 min read

Reviewed by: HU Medical Review Board | Last reviewed: October 2023

While caring for a newborn, many mothers find themselves experiencing postpartum depression (PPD). PPD is a form of depression that occurs after the birth of a child. PPD is more than just the "baby blues." It is a mental health disorder that affects a mother's mental and emotional well-being after childbirth.1

PPD can have a big impact on various aspects of life. This includes sexual health and sex drive (libido).1

Changes in sexual health after childbirth

It is no secret that childbirth brings about significant changes in a birthing parent’s body. Physically, the body transforms to carry and deliver a baby. And it takes time to recover. These physical changes, combined with hormonal shifts, can affect a person's sexual health and libido.1,2

It is common for a person’s sex life to change after having a baby. But PPD has been shown to increase the risk of sexual dysfunction (problems having sex and worries about sex), especially in mothers.1,2

Studies show that about 45 to 87 percent of women have some form of sexual dysfunction in the year following childbirth.1

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How PPD affects partner relationships

PPD can lead to persistent feelings of sadness, anxiety, and hopelessness. These symptoms make it hard for partners to connect on an emotional and physical level.1,2

A 2020 study found that women with PPD experience the following at greater rate:1

  • Trouble reaching orgasm
  • Vaginal dryness and lubrication issues
  • Sexual dissatisfaction
  • Pain during sex

The role of SSRIs in libido

Many people with PPD are prescribed selective serotonin reuptake inhibitors (SSRIs) as part of their treatment. SSRIs are medicines that help reduce symptoms of depression and anxiety. While SSRIs can be very effective in managing the symptoms of depression, a common side effect is low libido and delayed orgasm.3

Talk with your healthcare provider if you believe SSRIs are affecting your sexual health. Your doctor can adjust the dosage, switch you to a different medicine, or give you strategies to lessen the side effects.3

How long after giving birth should you wait to have sex?

The timing for resuming sexual activity after childbirth is different for everyone. And it should be a personal decision. In general, healthcare providers recommend waiting until after the 6-week postpartum checkup. This makes sure the birthing parent has fully healed and recovered after giving birth.4

That said, the healing process varies for each person. You may need more time to fully recover physically and emotionally. Listen to your body and communicate openly with your partner about when you feel ready.4

Ways to improve sexual health after giving birth

Once you have gotten the all-clear from your doctor and feel ready to have sex, discuss any concerns or anxieties you may have with your partner. Take things slowly. Use lubrication if needed. In general, prioritize comfort and communication.4

It is perfectly normal for sex to feel different after childbirth. With time and patience, intimacy can be rekindled. Here are some other tips that can help:4

  • Communicate openly. The foundation of a healthy sex life is communication. Share your feelings, fears, and desires with your partner. Remember, you are in this together.
  • Build intimacy. Do things that build emotional intimacy, such as cuddling, kissing, and spending quality time together outside of the bedroom.
  • Take time for self-care. Make sure you are getting enough sleep, eating well, and engaging in activities that bring you joy.
  • Do pelvic floor exercises. Pelvic floor exercises, often known as Kegels, can help strengthen the muscles in the pelvic area. This may increase sexual satisfaction.
  • Seek professional help. If PPD or a medicine’s side effects are affecting your sexual health, consult with a healthcare provider. They can offer practical guidance, support, and treatment options.

Be patient

Couples may find it challenging to maintain intimacy when one partner is struggling with PPD. Do not rush the process – rediscovering intimacy takes time and patience.4

Partners should engage in open conversations to understand each other's needs and emotions. They may want to seek support from mental health professionals or support groups to navigate this difficult period together.