Sexual Aspects of Breastfeeding and Lactation

In many cultures, the breasts are, in many ways, connected to sexuality and intimacy. Next to providing nutrition for the baby, they are erogenic zones, a relevant factor for female identity, causing insecurity or pride, a source of pain, and a source of pleasure. There are striking similarities between breastfeeding, birth, and orgasm, with oxytocin orchestrating these processes, which are also comparably influenced by the ability ‘to relax’ (sometimes called ‘to let down’). During parturition, breast stimulation can influence the process of birth. Once lactation has started, it can affect sexuality positively and negatively, partly resulting from hormonal changes. Finally, when the lactating woman becomes sexually aroused or has an orgasm, milk outflow can be a source of confusion for some couples and a source of pleasure for others. It is the best nutrition for the baby, a vital factor in the bond between mother and child, and it has long-term health benefits for both. On the other hand, breastfeeding can cause severe fatigue, lack of sex drive, dyspareunia, and the fear of disfigurement. This chapter will include the HCP’s role in information on the different advantages and disadvantages of breastfeeding. This chapter is part of ‘Midwifery and Sexuality’, a Springer Nature open-access textbook for midwives and related healthcare professionals. © The Editor(s) (if applicable) and The Author(s). 2023.