Sex During the Two Week Wait: What You Need to Know

The two week wait is the time between an embryo transfer and your pregnancy test. It’s often filled with a mix of hope, uncertainty, and many questions. One of the most common of which is whether it’s safe to have sex during this stage of the IVF process.
The answer isn’t always the same for everyone, but understanding the reasoning behind your provider’s recommendations can help you feel more confident in your choices.
Is Sex Safe After an Embryo Transfer?
According to the Society for Assisted Reproductive Technology (SART), for most people, gentle sexual activity during the two-week wait is considered safe. However, patients should follow their clinic’s guidelines.
Intimacy itself will not dislodge an embryo or reduce the chances of implantation. By the time of transfer, the embryo is placed securely inside the uterus where it cannot just “fall out.”
That said, every situation is unique. Certain medical conditions or treatment-related risks may lead your fertility specialist to advise against sexual activity. Some of the reasons to avoid intercourse include:
- Heavy spotting or bleeding following the transfer
- Risk of ovarian torsion, particularly if your ovaries are still enlarged after stimulation
- Uterine conditions or abnormalities that could make contractions problematic
If your doctor has recommended abstaining, it’s always best to follow that guidance.
Why Do Some Clinics Recommend Waiting?
Different clinics can give different advice. Some suggest abstaining from sex for a few days after transfer, while others have no restrictions at all. This difference usually comes down to caution rather than proven risk.
One of the reasons why providers may recommend waiting is that activity can trigger mild uterine contractions.
While there’s no clear evidence that this affects implantation, a period of rest immediately after transfer may give patients peace of mind.
After 3-5 days, most clinics consider sex safe unless there are specific complications.
CNY Fertility's Recommendation
We recommend waiting at least 24 hours after transfer before resuming low intensity sexual intercourse.If You Resume Sex During the Two Week Wait
If you’ve been cleared for sex during the two week wait, a few tips can help you feel more comfortable:
- Choose gentle positions that don’t place pressure on the abdomen.
- Avoid anything high-impact or strenuous. This includes vigorous activity or anything that might jostle your body excessively.
- Listen to your body. If you experience cramping, spotting, or discomfort, it’s a good idea to pause and reach out to your provider.
Intimacy during this time doesn’t need to be physical. Many couples find cuddling, kissing, and talking to be meaningful ways to connect intimately while waiting for their results.
Managing the Emotional Side
Beyond physical safety, it’s worth considering how intimacy affects you emotionally during the two week wait.
This period can be stressful, and some people feel more anxious about doing anything with even a hint of a risk that it could interfere with implantation.
If abstaining helps you feel more at ease, that’s perfectly valid. On the other hand, if sex reduces stress and brings comfort, and your provider is ok with it, it can be a healthy choice.
Sex During the Two Week Wait: The Bottom Line
Sex during the two week wait is often safe, but every patient’s situation is different. Some may benefit from a few days of rest after transfer, or total abstinence. While others may choose not to restrict themselves. What matters most is following your fertility clinic’s guidance and listening to your body.
If you’re unsure, don’t hesitate to ask your provider directly. They understand your unique medical needs and can give you the most accurate advice for your circumstances.
Trust your doctor’s guidance, honor your comfort level, and focus on nurturing yourself as you wait for your pregnancy test.
