Best Pregnancy Sex Positions—Safe, Sexy, & Trimester-Smart

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Best Pregnancy Sex Positions—Safe, Sexy, & Trimester-Smart

Marco gently kisses Ivy's pregnant belly as she smiles, relaxing comfortably in bed.

Think pregnancy means your sex life is on pause? Nah—it’s more like Twister: bump edition (a little awkward, plenty of fun). One study found up to 80% of men worry that sex might hurt the baby.


Keep reading to learn the best baby bump–proof sex positions for each trimester, how to adapt your favorites (yes, even doggy style), and what not to do—so you can keep things hot and safe all nine months.

In this article, we'll cover:

  • Discover pregnancy-friendly sex positions for each trimester (& why they work).
  • Learn how to adjust sex positions for comfort & pleasure.
  • Learn positions to avoid (the “Nope” list) for sex during pregnancy

Best Sex Positions During Pregnancy: 1st Trimester – Comfort & Familiar Favorites

The first trimester’s like your last chance to use all your favorite moves before the baby bump starts calling the shots. Most couples can comfortably stick to familiar positions with a few easy tweaks to avoid discomfort. Here’s your quick guide to first-trimester sex positions that keep things fun, intimate, and stress-free.

Position #1 – Missionary

Marco and Ivy comfortably enjoying missionary position, ideal for early pregnancy intimacy.

The missionary position is a classic go-to and still perfectly safe early on when there's no noticeable bump yet. It’s face-to-face, romantic, and requires zero gymnastics.

How To Nail It (Pregnancy Style)

  • Have her lie comfortably on her back with legs parted slightly.
  • Position yourself between her thighs, supporting your weight on your elbows or forearms.
  • Keep thrusts shallow and gentle—deep diving isn’t the goal here.

Position #2 – Amazon

Ivy confidently rides Marco in Amazon position, controlling pace and depth for pregnancy comfort.

Yep, the Amazon isn't just an exotic rainforest—it's your pregnant partner taking the lead. Perfect if her breasts feel sore (thanks, hormones!), since she decides how deep and fast things get.

How To Nail It (Pregnancy Style)

  • You lie comfortably on your back with your knees pulled slightly toward your chest.
  • She squats or kneels above you, facing your feet, controlling the rhythm and depth.
  • Let her use your thighs for balance—trust me, it’ll save you both a faceplant.

Position #3 – Sideways

Marco and Ivy comfortably spoon in a sideways position, ideal for relaxed pregnancy intimacy.

Sideways sex is the definition of comfort—easygoing, relaxed, and absolutely bump-friendly. It’s your best pick if fatigue or nausea are joining your bedroom party (yep, morning sickness can strike anytime).

How To Nail It (Pregnancy Style)

  • Lie together on your sides, facing the same direction (spooning style).
  • She lifts her top leg slightly, bent at the knee, allowing comfortable entry from behind.
  • Keep movements gentle and shallow, holding her close, and explore her body with your free hand.

Position #4 – Face Off (Chair Sex)

Chair sex adds spice without extra strain—ideal for intimacy without exhausting acrobatics.

If bed sex feels routine, a sturdy chair or the edge of the bed instantly shakes things up.

Quick Reminder: Make sure that the chair is sturdy—nothing kills the mood like a furniture collapse.

Marco sits on a chair as Ivy intimately faces him, embracing closely for comfortable pregnancy sex.

How To Nail It (Pregnancy Style)

  • Sit on a solid chair or the edge of the bed, feet firmly planted.
  • Have her straddle your lap facing you, controlling depth and pace.
  • Use hands on her hips or lower back to help guide and support her rhythm.

First-trimester sex is all about keeping it familiar and comfortable, so enjoy the freedom while you have it. Listen, communicate, and laugh off the awkward moments—that’s half the fun.

And speaking of fun... things are about to get a bit trickier. Let’s dive into the second trimester and see how to navigate sex as the bump grows.

Best Sex Positions During Pregnancy: 2nd Trimester – The “Honeymoon Phase” Of Pregnancy Sex

Ever heard someone say the second trimester is pregnancy’s "sweet spot"? Well, they weren’t talking about candy cravings, bro. Around 74% of couples say their sex life improves during these middle months. Stick around, because you’re about to see why the following pregnancy sex positions just got a lot more interesting.

Position #1 – The Hook

Marco stands behind Ivy supporting her raised leg, enjoying "The Hook"—a playful standing pregnancy sex position.

This position is killer in the second trimester—her bump’s bigger, but she’s still agile enough for some standing fun. It's perfect if you miss the excitement but not the balancing acts.

How To Nail It (Pregnancy Style)

  • Stand closely behind her, both facing the same direction.
  • She hooks one leg around your waist, supporting herself with your shoulder.
  • Hold her firmly under her thigh for extra stability (trust me, now is not the time to drop her).

Position #2 – Cowgirl

Ivy passionately rides Marco in cowgirl, comfortably controlling depth and rhythm during pregnancy.

Cowgirl is your MVP during trimester two. It gives her full control—zero pressure on her belly—and is perfect if she’s feeling extra sensitive (spoiler alert: she probably is).

How To Nail It (Pregnancy Style)

  • Lie comfortably on your back (zero effort required from you).
  • She straddles you, facing forward, controlling the speed and depth.
  • Encourage her to lean forward or back to find what feels best—she’s the captain now.

Position #3 – Spooning With Elevated Leg

Marco gently spoons Ivy from behind, her leg comfortably elevated on pillows for pregnancy intimacy.

Think of it like doggy style, but lying down—ultra-comfy and totally bump-friendly. It's perfect when missionary feels tight or uncomfortable.

How To Nail It (Pregnancy Style)

  • Both lie on your sides facing the same direction; you’re behind her.
  • She lifts her top leg slightly, resting it on pillows.
  • Enter gently from behind, shallow and slow to start.

Position #4 – Lotus

Marco and Ivy intimately embrace in lotus position, ideal for deep connection and comfort during pregnancy.

If you haven't tried Lotus yet, pregnancy is the perfect excuse. It's slow, intimate, and ideal when things feel a little weird physically.

How To Nail It (Pregnancy Style)

  • Sit cross-legged on the bed.
  • She sits facing you, wrapping her legs around your waist.
  • Move together slowly, syncing your breath—think yoga class, but way more fun.

The second trimester isn’t just the "honeymoon" of pregnancy—it’s your chance to get creative and stay connected sexually. Make the most of these months by trying new positions, communicating openly, and—most importantly—laughing off the awkward bits.

Speaking of awkward bits... let’s jump into trimester three, where creative adjustments become your new best friend.

Best Sex Positions During Pregnancy: 3rd Trimester – Comfort, Support & Creative Adjustments

Ever seen a pregnant woman in the third trimester? Yeah, she's basically smuggling a watermelon everywhere she goes. Around 45% of couples admit they're worried sex might cause discomfort. But trust me—third-trimester sex isn't off-limits. It just needs creativity, pillows, and maybe a sense of humor.

Position #1 – Doggy Style

Marco gently enters Ivy from behind in doggy style, comfortably supporting her baby bump during third-trimester intimacy.

Doggy style is your ultimate bump-friendly sex position. It takes pressure off her belly and gives comfort in these later stages. Plus, let's face it: rear entry always hits differently—especially now.

How To Nail It (Pregnancy Style)

  • Your pregnant partner comfortably positions herself on hands and knees.
  • Place stacked pillows or a rolled-up towel under her chest and knees for extra support.
  • Keep your movements gentle and shallow—deep thrusts aren't the vibe right now.

Position #2 – Emoji

Marco sits comfortably on a sofa while Ivy faces away, sitting on his lap for gentle, bump-friendly intimacy.

How To Nail It (Pregnancy Style)

  • Sit comfortably on a sofa or sturdy chair, letting your partner sit on your lap facing away from you.
  • She positions herself comfortably, knees bent and legs at a slight angle apart.
  • Hold her gently around her belly or waist, keeping things intimate without putting pressure directly on her bump.

Position #3 – Oral Sex

Marco gently pleasures Ivy with oral sex as she comfortably reclines, ideal for third-trimester intimacy.

When penetration becomes tricky, oral sex is your best friend. It's safe, feels amazing, and—bonus—you don’t have to worry about bump logistics.

How To Nail It (Pregnancy Style)

  • Let your partner lie back comfortably, avoiding lying flat (pillows behind her back help).
  • Gently provide clitoral stimulation without blowing air inside (seriously, no blowing).
  • Slow, relaxed, and patient movements win big here.

Position #4 – Mutual Masturbation

Marco and Ivy enjoy mutual masturbation, comfortably pleasuring each other during late pregnancy intimacy.

Mutual masturbation is underrated, especially now. It’s super safe, easy on her body, and intimately connects both of you without discomfort.

How To Nail It (Pregnancy Style)

  • Get comfy, no fancy positioning needed.
  • Both of you stimulate yourselves or each other gently—use a penetrative sex toy if she's into it.
  • Keep communication flowing; guide each other for maximum sexual satisfaction.

Try these pregnancy sex positions and you’ll maximize both safety and pleasure during pregnancy sex. When in doubt, defer to the medical professionals (don’t be shy to ask the OB/GYN questions—they’ve heard it all). Now, to wrap up, let’s hit the quick list of absolute No-Nos (the “Nope List”).

Andrew’s Expert Tips: The “Nope” List – Sex Positions Pregnant Bodies Should Avoid

Marco and Ivy demonstrating missionary position marked as unsafe during late pregnancy—avoid pressure on Ivy’s belly.

Every good sex therapist will tell you not just what you should do, but what you shouldn’t. Here’s the straight-up, easy-to-read "nope" list, so you keep both you and your partner comfortable—and safe—as pregnancy progresses. Clip and save this in your memory.

Tip #1 - No Flat-On-Her-Back Missionary (After Mid-Pregnancy)

After around 20 weeks, classic missionary and especially positions like cowboy, get risky. With your pregnant partner lying flat, you can squash her major blood vessels, making her dizzy and impacting the developing baby. If missionary’s your jam, modify it:

Pregnancy Modification

  • Put a pillow under one hip, keeping her tilted.
  • Keep sessions short—think quickies, not marathons.
  • Or better yet? Just pick different sex positions altogether (side-by-side sex is your friend).

Tip #2 - No Direct Belly Pressure—Ever

Putting weight directly on her belly isn’t just uncomfortable—it’s dangerous.

Avoid In Pregnancy

  • Positions where you press directly down on the bump (that means traditional missionary without support is out).
  • Prone positions with her belly down.
  • Even cuddling on the couch—lean to the side, give that belly weight space. Your unborn kid isn’t a stress ball.

Tip #3 - No Gymnastics Or Balancing Acts

Late pregnancy isn't the circus, bro. Skip positions where either of you risks a fall.

Pregnancy Modification

  • Avoid standing carries or partner lifting.
  • Avoid acrobatics like wheelbarrow or wild reverse cowgirl variations that test your balance.
  • Stick to sturdy furniture, bed, or couch—your ego can survive without pulling off Olympic moves.

Tip #4 - No Painful Deep Penetration

If your partner says “ouch,” stop. Period. Pregnancy isn’t the time for pushing through discomfort, no matter how great your rhythm feels.

Pregnancy Modification

  • Avoid positions allowing overly deep penetration (think legs-over-shoulders or unmodified doggy).
  • Use shallow thrusts and pillow buffers to prevent discomfort.
  • Watch her face. Listen to her words. Sexual health means comfort comes first.

Pregnancy sex is awesome—but play smart. Keep positions gentle, safe, and always put comfort first. Your goal? Hot, enjoyable sex that respects her changing body and your growing family.

Now, enough from me—it’s time for a different perspective—a woman’s take on pregnancy, sex, and all the emotions that come with it. She’s been through it, and as much as I can spiel on as the “expert,” there’s nothing like hearing from someone carrying a baby and navigating this territory from the other side.

A Woman's Perspective.. 
On Pregnancy, Sex & Emotions

from Isabel
SEXUALITY COACH
Isabel, certified sexologist at SQL & SOS, sharing insights on pregnancy, sex, and emotions.

Hey! Currently pregnant here—third trimester, glowing one day, sobbing the next (thanks, pregnancy hormones). Let’s say: pregnancy sex has taught me plenty about myself, my body, and intimacy in general—even as a certified sexologist.

Pregnancy sex isn’t always glamorous. One day, we feel like Beyoncé; the next, we feel emotional for "no reason". Sound familiar? Yeah, welcome to pregnant sex life.

Early Pregnancy—Libido On Steroids

Early on (first and second trimesters), most women experience that their libido goes into overdrive. Orgasms hit differently—pregnancy supercharges blood flow down there. It can be fantastic…but also weirdly emotional. Women swing from super horny to insecure faster than you can say "mood swing."


Another perk, due to increased blood flow, squirting might become easier and can be triggered by gentle pressure on the G-Spot or even just clitoral stimulation. Been there, and no, it wasn't my water breaking.

The Emotional Rollercoaster

True story: You might gently suggest sex one night, and your pregnant partner starts crying. Instantly. She may feel bloated, unattractive, or think you couldn’t possibly want her. But guess what? Turn her world around by voicing that you genuinely do desire her and her belly. Big surprise for most women—it was one for me.

So next time, when your pregnant partner doubts herself, don’t try fixing—just reassure her specifically and honestly. "I love those new curves" beats generic compliments every time.

Communication—Awkward But Essential

Any AASECT-certified sex therapist would probably say—talking openly should be easy, right? Nope. Hormones make us women insecure, it happened to me too. The fix? Clear, awkward-but-essential conversations.

  • "What’s feeling good today?"—explore her body as if you are touching her for the first time.
  • "Any no-go zones tonight?"—honor her no, and she will open up even more.

Less guessing means less crying. You're welcome.

Real Talk On Body Image

Body image is tricky. Some nights, pregnant women might wear lacy lingerie and feel fierce, while others, she might wear oversized hoodies and avoids mirrors. If your partner's hiding from mirrors, do this:

  • Compliment specifics ("Your belly looks amazing.")
  • Offer non-sexual touch (massage, cuddles—no expectations).
  • Encourage her to take that belly picture—celebrate her new curves and create memories.

Pregnancy redefines “good sex” for most women. It’s no longer about fancy moves, newness, or marathon sessions. Now? Good sex is intimacy, authentic chats, laughter, and permission to cry mid-foreplay without judgment.

Speaking of weirdness, let's tackle those awkward pregnancy sex questions you're too shy to ask.

Frequently Asked Questions

These pregnancy sex answers won’t pop up on your Instagram feed, but I promise, you’re not the only one asking.

How long after sex does a positive pregnancy test show?

Usually, about two weeks after sex. It’s biology, man: sperm meets egg, egg implants, hormones spike, then boom—positive test. Give it time before you panic or celebrate.

Can sex during pregnancy hurt the baby or cause miscarriage?

Nah, your pregnant person has got built-in protection—think of it as nature’s ultimate shock-absorber. Your baby is cushioned safely inside, wrapped in muscles, tissue, and fluid. Unless your doctor specifically warns otherwise, regular sex won’t cause harm.

Can orgasms or sex in late pregnancy induce labor prematurely?

Orgasms trigger mild contractions—totally normal, don’t freak out. But that’s different from actual labor. If your doctor hasn’t mentioned a preterm labor risk, you’re all good. Sure, her legs bent in weird sexual positions probably feels uncomfortable now—but discomfort alone isn’t sending you to the delivery room.

Is it safe to have oral or anal sex during pregnancy?

Oral sex? Absolutely safe (just skip air embolism or blowing air directly into the vagina—it’s rare, but can be risky). Anal sex? Usually fine too, if the pregnant person feels comfortable and you’re gentle and clean. But heads-up: pregnancy isn’t the ideal time to experiment if you weren’t into it pre-pregnancy. Keep comfort front and center.

What if our libidos don’t match during pregnancy?

Totally common, man. Pregnancy hormones can crank libido up or down, especially during the second and third trimesters. It’s normal and temporary. Your survival strategy:

  • Talk openly: Ask clearly, “How are you feeling about sex today?” Awkward conversations save relationships—trust me.
  • Get creative: Non-sex intimacy like massage or cuddling counts big-time.
  • Don't take it personally: Libido mismatches are biology, not rejection.

When should we avoid sex or talk to the doctor about it?

Stop sex and call your healthcare provider if:

  • You notice heavy bleeding or fluid leakage after vaginal sex.
  • Painful cramps or consistent contractions kick in.
  • Your pregnant person experiences dizziness or weakness, especially when standing up suddenly.
  • The doctor puts your partner on "pelvic rest" (no penetration allowed).

Doctors, licensed marriage counselors, and even family therapists have heard every scenario imaginable—trust me, they won’t blink. Call if something feels off.

Ready to take your skills to the next level? Join our exclusive online course “Foreplay Mastery: Pleasure without Penetration” and gain in-depth knowledge with expert guidance, easy-to-follow step-by-step explanations, live demonstrations, and a female perspective. Don’t just read about it – master it! Enroll today and start transforming your life. Get started Now!

Andrew Mioch

Andrew Mioch is a certified sexologist and one of the world’s leading sex coaches and best-selling author after spending 10 years learning from experts all over the world.

Andrew has personally coached over 5,000 men. His expertise is regularly sought in publications such as Men's Health, Medium, and Cosmopolitan Magazine.

These days, Andrew spends most of his time coaching clients privately and also through SQL’s online Mastery Academy.


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