Orgasmic Labor and Birth: Could It Be for You?

By the time you became pregnant, you probably noticed countless scenes on television and in movies depicting births as painful, chaotic events — full of loud cries, frantic faces and maybe a partner’s hand getting squeezed in the drama.

But what if childbirth didn’t have to resemble that at all? What if it could even be pleasurable? There’s a growing movement aimed at helping more people have this kind of orgasmic birth experience.

What is an orgasmic birth?

Often called an ecstatic birth, orgasmic birth is the concept that some individuals might experience an orgasm (or multiple orgasms) while giving birth. These sensations can arise spontaneously or be triggered by masturbation or sexual intercourse.

Birth doula Debra Pascali-Bonaro, who made a documentary about the topic in 2009, has long promoted the idea. On her site she even frames it as “every woman’s human right.”

Is it really possible to orgasm during labor and birth?

Short answer: Yes, it appears possible. That said, documentation is mostly anecdotal — robust scientific research is limited.

While it can happen, it seems to be uncommon — though exactly how uncommon is hard to pin down because the subject remains controversial and underreported. A 2013 paper suggested it might occur in roughly 0.3 percent of vaginal deliveries.

(Advocates argue those figures might be conservative since the topic is taboo and people often don’t disclose such experiences to partners or clinicians.)

How could it occur? One reason is anatomical: the baby moves through regions that are also involved in sexual pleasure.

Another explanation involves hormones. During labor and breastfeeding the body releases several hormones, including oxytocin — the same hormone that contributes to pleasurable sensations during orgasm.

How to know if you’re a good candidate for it

Predicting whether you’re likely to have an orgasmic birth is difficult, and planning specifically for one is challenging.

Not everyone will be able to have this experience because anatomy and the way people reach orgasm vary widely.

Some rely primarily on clitoral stimulation to orgasm; clitoral orgasms differ from uterine or vaginal ones. Clitoral stimulation may be less effective during active labor and may not diminish pain as uterine sensations could.

Those who report orgasms in labor typically describe vaginal orgasms. For this to occur, the birthing process would need to stimulate the G-spot area as the baby descends.

Sensitivity to pain also matters: people with different pain thresholds may feel labor and its sensations very differently, which can influence whether an orgasm is possible.

Your attitudes toward sexuality play a role, too.

People who feel ashamed or guarded about sexual matters may be less likely to experience pleasure in labor because they may view the idea as psychologically inappropriate. In short: being open to the possibility helps.

It’s also less likely in a hospital setting, where roughly 98.4 percent of U.S. births occur.

Hospitals often limit privacy and restrict movement due to policies or fetal monitoring, which can make orgasmic experiences less feasible.

That’s why proponents of orgasmic birth suggest not fixing your hopes on achieving one. Still, you can take steps to make labor more comfortable and pleasurable even if a “birthgasm” doesn’t happen — including in hospital births.

For instance, you might request a private room, inquire about a water birth, or seek permission to change positions and move freely during labor.

Benefits of orgasmic birth

Research going back to 1985 indicates orgasms can raise pain tolerance, and more recent 2016 findings support that orgasms might reduce pain during childbirth.

Studies from 2015 and 2014 show that oxytocin — elevated during both orgasm and labor — can act as a pain modulator and boost pain tolerance.

If you do have a birthgasm or orgasms in early labor, they could serve as natural analgesics and potentially reduce reliance on medical pain relief.

Also, aiming for a more pleasurable birth experience may increase feelings of empowerment during delivery.

2012 research suggests that having more control and choice in the birthing process can reduce the likelihood of experiencing trauma or childbirth-related PTSD.

For people curious about sexual pleasure during childbirth more broadly, resources like full body orgasm explore bodily pleasure and related topics that may be of interest.

Risks of orgasmic birth

There don’t seem to be direct physiological downsides, but focusing intensely on achieving an orgasmic birth could create pressure or disappointment if it doesn’t occur. It might lead some to decline other effective pain management options and then feel like they failed.

A major concern is that someone uncomfortable with attempting orgasmic birth in a public hospital might choose an unattended home birth. Physicians generally recommend home births only for low-risk pregnancies.

Home births carry higher risks of neonatal death or severe injury in some situations, so they’re not advised for people who:

• have previously had a C-section
• are carrying multiple fetuses
• have specific medical conditions

What to discuss with your doctor

If you want a more pleasurable birthing process, talk to your clinician about whether a home birth is a safe option for you.

If your provider advises against home delivery, you can still pursue a more pleasurable experience in the hospital by asking for privacy, discussing positional options, exploring a water birth, or getting freedom to move about during labor.

If you’re thinking about masturbation or sex before or during labor, mention it to your doctor so they can advise you on any potential concerns.

The takeaway

Many people consider pleasure during childbirth taboo, and that stigma can cause shame if someone experiences orgasm while giving birth.

Because orgasms can serve as natural pain relievers and a less stressful labor benefits everyone, those who want to pursue a more pleasurable birth and are open to the possibility have the right to include it in their birth planning.