Sex During Fertility Treatment: When It’s Safe & When to Avoid

Dr. Cassandra Roeca explains that sex during fertility treatments like IUI and IVF depends on the phase of treatment. Intercourse is encouraged after IUI to boost fertilization chances but avoided during IVF stimulation due to ovarian risks. Patients should consult their doctor for personalized advice.

---

Key Takeaways

Optimizing Semen Samples: 2-5 Day Abstinence Before Testing

For accurate semen analysis results, men should abstain from ejaculation for 2–5 days prior. Exceeding this timeframe can reduce sperm quality, as prolonged abstinence hinders sperm motility and concentration.

Clomid Cycles & Timed Intercourse: Manage Bleeding Risks

During Clomid cycles, intercourse is encouraged post-ovulation. However, patients experiencing pain or bleeding due to hormonal changes should avoid sex and consult their physician to prevent complications.

IUI Treatment: Strategic Abstinence and Post-Insemination Intimacy

Couples should abstain from intercourse 1–2 days before IUI to ensure a high-quality sample. Post-IUI, having sex the following evening can increase sperm count in the fallopian tubes, improving fertilization odds.

IVF Stimulation Phase: Avoiding Ovarian Complications

During IVF, sex is discouraged after ovarian stimulation due to risks like ovarian torsion or cyst rupture. Barrier contraception is advised early in the cycle to prevent unintended pregnancy if multiple follicles develop.

Post-Embryo Transfer Pelvic Rest: Enhancing Implantation Success

After IVF, FET, or donor egg transfers, patients should avoid intercourse for 5–7 days to allow embryos to implant. Resuming sexual activity is typically safe after 1 week, but confirmation with a doctor is essential.

---

Source: Read full article