Please remember, this column is designed to help the consumer seeking behavioral-health information, and not intended to be any form of psychotherapy or a replacement for professional, individualized services. Opinions expressed in the column are those of the columnist and do not represent the position of other SelfhelpMagazine.com staff.

Question

Is it normal to have a reduction in sexual relations after having twins?

Answer

Congratulations on your new family additions! If you are like most families you are running short on sleep, diapers, money, help and energy--times two! You don't say how old your new twosome are but after childbirth hormones are in flux and, if an episiotomy or cesarean section helped ease their arrival, some soreness in healing may decrease mom's interest in sex.

The transition to parenthood is fraught with challenges and change and if couples aren't aware and don't take special steps to prevent it, they may find their relationship slipping to the back burner.

03/18/98

Dr. Al Cooper, clinical director at the San Jose Marital and Sexuality Centre (408-248-9737), runs the training program for Counseling and Psychological Services at Stanford University. Dr. Cooper is internationally known for his work in sexuality and is freqently interviewed by the media. He currently writes a column in Men's Health Magazine.

Dr. Coralie Scherer coordinates online services for the Centre and specializes in sexual trauma, women's issues, and marital therapy.