Pelvic rest refers to limiting activity to allow the pelvic organs to rest and heal. It is often recommended after certain medical procedures or during pregnancy. The exact restrictions vary based on a person’s condition and needs. Here are some common rules for pelvic rest:
Why pelvic rest may be recommended
Pelvic rest may be recommended for various reasons, including:
- After surgery – To allow incisions to heal and reduce risk of bleeding or infection
- During pregnancy – To prevent preterm labor or reduce bleeding
- After delivery – To allow the pelvic floor and perineum to heal
- For pelvic floor dysfunction – To relieve pressure and irritation
- For endometriosis – To minimize inflammation and lesions
- For pelvic inflammatory disease – To reduce inflammation and risk of abscess
Pelvic rest limits activity that might put strain on the pelvic organs while healing occurs. The duration of pelvic rest varies depending on the underlying cause.
Restrictions on sexual activity
One of the main restrictions of pelvic rest involves limitations on sexual activity:
- No vaginal intercourse – The insertion of a penis or object into the vagina is prohibited.
- No oral sex – This applies to both giving and receiving oral sex.
- No orgasms – This includes orgasms from masturbation or manual stimulation by a partner.
- No sexual arousal – Any activity that leads to arousal, including viewing pornography, should be avoided.
These restrictions allow the pelvic region to rest and prevent added irritation or contraction of the pelvic muscles. Some doctors may allow modified intercourse with restrictions.
Restrictions on physical activity
Vigorous physical activity can also be restricted during pelvic rest:
- No heavy lifting – Lifting objects over 15-20 pounds may be prohibited.
- No high-impact exercise – This includes activities like jogging, aerobics, and jumping.
- No abdominal exercises – Such as crunches or sit-ups.
- No swimming or baths – The muscles may involuntarily contract.
- No straining – During bowel movements or urination.
Low-impact activities like walking, stretching, and kegels may be permitted. Any bothersome or painful activity should be avoided.
Restrictions on inserting objects
Inserting objects into the vagina can also be prohibited:
- No tampon use – Sanitary pads are recommended instead.
- No vaginal medications – Such as suppositories or creams.
- No vaginal devices – Such as menstrual cups or dilators.
- No douching or vaginal cleansing.
Digital vaginal exams by a doctor may be allowed when necessary. Anything inserted into the vagina has the potential to introduce bacteria or cause irritation.
Duration of pelvic rest
How long pelvic rest is required depends on the underlying condition:
- After surgery – Typically 4-6 weeks.
- During pregnancy – As long as recommended by your provider.
- After delivery – Typically 4-6 weeks for vaginal delivery, 6-8 weeks for c-section.
- For pelvic floor issues – A few weeks to months depending on response.
- For endometriosis or PID – Often at least several weeks.
Your doctor will advise when it is safe to resume normal activity. Returning too soon risks slowing healing or causing further injury.
Tips for following pelvic rest
Here are some tips to help successfully follow pelvic rest guidelines:
- Communicate with your partner – Explain why rest is needed and how long.
- Explore non-penetrative intimacy – Massage, cuddling, or oral sex above the shoulders.
- Practice meditation and relaxation techniques.
- Try low-impact exercise like walking or prenatal yoga.
- Take sitz baths for soothing comfort.
- Find new hobbies and activities.
- Focus on your healing goals.
While challenging, remember pelvic rest is temporary. Take it one day at a time until your provider gives the all-clear.
Warning signs to watch for
Notify your healthcare provider if you experience:
- Bleeding from the vagina
- Foul-smelling vaginal discharge
- Fever over 100.4°F (38°C)
- Severe pelvic pain
- Contractions or onset of labor
- Difficulty urinating or moving bowels
These may indicate an infection, wound separation, onset of preterm labor, or other complication requiring prompt medical attention.
When can pelvic rest be lifted?
Your doctor will determine when it is appropriate to lift restrictions based on:
- Healing of surgical incisions
- Resolution of inflammation or infection
- Gestational age of pregnancy
- Time elapsed since delivery
- Improvement in pelvic floor or endometriosis symptoms
They will examine and evaluate your unique situation. Some women may need to resume activity in a gradual, step-wise fashion. Follow your provider’s specific guidance.
Conclusion
Pelvic rest involves restricting sexual activity, exercise, and insertion of objects into the vagina. It allows the pelvic structures to heal and recover from procedures, childbirth, infections, or chronic conditions affecting the pelvic floor. Typical pelvic rest lasts 4-6 weeks but your healthcare provider will advise on the duration you need. While challenging, remember pelvic rest is temporary and helps promote optimal healing. Notify your provider if you experience any warning signs during pelvic rest. With patience and by limiting activity, most women find their pelvic issues improve with rest.