Healing, Connection and Sex After Giving Birth

Labor is one of the most stressful experiences a woman can go through. It affects her body, mind, and emotions all at once. With all that, and a newborn who needs constant feeding, changing, and soothing, the idea of sex is often the last thing on her mind. Adjusting to motherhood, recovering from childbirth, and dealing with exhaustion can make intimacy feel overwhelming or even impossible.

In general, for women who have delivered vaginally without complications, doctors recommend waiting about six weeks before resuming sexual intercourse. This allows the uterus to return to its normal size, bleeding to stop, and tissues to heal. Women who have experienced tears and required episiotomy stitches usually need more time for the wound to fully heal. The same is true for those who delivered through surgery. Engaging in sex before the body has healed can cause pain, reopen wounds, and increase the risk of infection. It is essential to wait until a healthcare professional confirms that recovery is progressing well and gives the green light.

Once the waiting period is over, it is important to approach sex gently and patiently. Even if sex has been a familiar part of the relationship for years, pregnancy and childbirth can bring many changes. Hormonal fluctuations in the postpartum period can lead to vaginal dryness, mood changes, fatigue, and body aches. Some women may also feel disconnected from their bodies or struggle with self-image, or even fall into a state of depression. Taking time, using lubrication if needed, and communicating openly with your partner can help make the experience more comfortable. Listening to your body and stopping if anything feels painful or uncomfortable is key. Consent and emotional safety are just as important as physical readiness. Sex is not something done to a woman, but something shared and enjoyed together. Both partners should feel ready and comfortable.

Sadly, the Me Too movement has highlighted deeply troubling stories of women being pressured, coerced, or even forced into sex soon after childbirth. This is never acceptable. Respect, empathy, and open communication should be the foundation of intimacy. A woman’s consent should always be enthusiastic and freely given, especially during such a vulnerable time.

Another important point to remember is contraception. It might seem unlikely to get pregnant right after giving birth, but it is still possible. Breastfeeding can delay the return of fertility, especially within the first six months, but it is not a guarantee. Ovulation can occur before a woman’s first postpartum period, which means pregnancy is still possible. To avoid an unplanned pregnancy, safe sex practices such as using condoms or other forms of contraception should be considered.

Sex after delivery is not something that should be rushed. Every woman’s recovery is different, and every couple moves at their own pace. With patience, communication, mutual respect, and care, intimacy can become a positive and healing part of life once again.

Writer:  Hosaena Gebru

Preparing for Childbirth: A Full-Body, Full-Mind Journey for Every Mother

Whether you are counting down the final weeks or just entering your third trimester, preparing for childbirth is a full-body and full-mind experience. It can be exciting, emotional, and at times overwhelming. With the right knowledge and intentional choices, you can approach labor feeling strong, grounded, and confident.

1. Preparing Your Body: What Every Mama Should Know

Stay Active

Gentle, pregnancy-safe movement such as walking, pelvic tilts, and prenatal yoga helps relax your muscles, strengthen your core, and improve your posture. Staying active can ease back pain, support circulation, and make common labor positions more comfortable when the time comes.

Practice Breathing and Relaxation

Controlled breathing and relaxation exercises help your body cope more effectively with contractions by lowering stress hormones. Deep belly breathing, guided meditation, stretching, and mindful relaxation all contribute to a calmer and more resilient labor experience.

Know Your Birth Plan

Discuss your preferences with your healthcare provider, including natural birth goals, pain-management options, mobility during labor, the role of your support person, and immediate postpartum care. Being informed and aligned with your care team can significantly reduce fear and build confidence.

2. Preparing Your Mind: Mental Readiness Matters

Learn, but Avoid Overload

Childbirth classes, trusted educational resources, and conversations with midwives or obstetric providers help you understand the stages of labor and potential interventions. Knowledge creates comfort, but try not to overwhelm yourself with too much information. Choose sources that feel supportive and balanced.

Use Positive Visualization

Visualizing your body working with you can shift your mindset in a powerful way. Many women find that affirmations, grounding exercises, or focusing on positive birth stories help them stay centered during contractions.

Prioritize Rest

Sleep and intentional rest are essential. Your body is preparing for one of the most physically demanding experiences it will ever go through, and proper rest supports both mental clarity and physical endurance.

3. Smart Nutrition for Natural Childbirth

Late-pregnancy nutrition can influence your digestion, energy levels, and overall sense of readiness.

Flaxseed

Flaxseed contains fiber and healthy fats, which can support digestion and ease constipation, a common experience in late pregnancy. Introduce it gradually and consume plenty of water.

Raspberry Leaf Tea

Raspberry leaf tea is traditionally used to tone the uterine muscles and support efficient contractions. Some women report shorter or smoother labor. However, research findings are mixed, and it is not suitable for everyone. Always check with your doctor or midwife before adding it to your routine, especially if you are high-risk.

Okra

Okra provides hydration, fiber, vitamins, and minerals that support healthy digestion. Some cultural traditions suggest that okra may help soften the cervix or make labor easier. Scientific evidence is limited, but it remains a nutritious addition to your diet.

4. The Importance of Hydration

Proper hydration supports muscle function, energy levels, and overall comfort. Water, electrolyte drinks, coconut water, infused water, and broths are excellent ways to stay hydrated as labor approaches.

5. When to Be Cautious

Although the foods above are generally considered safe, it is important to avoid herbal supplements unless approved by your healthcare provider. Do not consume large or excessive amounts of any one food or tea. If you notice any unusual symptoms, discontinue use and consult your provider.

Final Thoughts

Preparing for childbirth involves both your body and your mind. Surround yourself with support, listen to the signals your body gives you, nourish yourself with intention, and trust your instincts. You are bringing life into the world, and that alone reflects strength and courage.

To all the girls, baby mamas, and strong women reading this: you have everything it takes.

 Writer: Hermon Israel

The Pink Ribbon Movement

If you’ve ever seen someone wear a tiny pink ribbon in October, you’ve seen a symbol that changed how the world talks about breast cancer. But behind that small ribbon lies a powerful story,  one that began with quiet acts of courage and grew into a global movement of awareness, hope, and, at times, controversy.

Before the 1980s, breast cancer was something many women didn’t talk about openly. The topic was wrapped in silence and stigma, often treated as a private shame rather than a public health issue. Even in hospitals, patients rarely heard the words “breast cancer” spoken aloud. That began to change when survivors and women’s health advocates started to demand transparency, better research, and dignity for women facing the disease.

The pink ribbon as we know it began in the early 1990s. A woman named Charlotte Haley, who survived breast cancer, made peach-colored ribbons by hand to raise attention to how little money was going into prevention research. Her idea caught on and soon after, companies like Estée Lauder and The Susan G. Komen Foundation adopted a new version of her symbol: the pink ribbon. It became the universal sign of breast cancer awareness.

By the mid-1990s, the pink ribbon had become a universal sign of solidarity and awareness. It encouraged open conversations, early screening, and national campaigns that helped millions of women get diagnosed earlier  and live longer. For the first time, the world began to see breast cancer not as a hidden illness, but as a shared human struggle. Hospitals launched awareness drives, governments funded mammogram programs, and survivors began sharing their stories with courage instead of shame.

Yet, as the movement grew, so did the debate around it. Some critics began to question whether the symbol had lost part of its original purpose.  Some argued that it became too commercial, used by brands to sell products during “Breast Cancer Awareness Month” without meaningful contributions to research or patient care. Others worry it focuses too much on optimism and not enough on the real struggles patients face.

Beyond its color and campaigns, the ribbon stands for something more profound,  the courage of women who refuse to be silent. It honors those who have survived, those still fighting, and those who were lost but never forgotten. For young people in Ethiopia, its message remains deeply relevant: talk about your health, learn the signs, and encourage the women in your life to get screened early. Because awareness isn’t just about wearing pink,  it’s about compassion, honesty, and the collective strength to protect one another.

Writer- Bezawit Elias

Beyond the Diagnosis: A Woman’s Silent Journey

Breast cancer is not only a physical battle; it’s an emotional journey that changes how a woman sees herself, her body, and her future. Behind every brave smile, there are waves of feelings that words can hardly describe.

1st: The First Shock
When a woman first hears the word “cancer,” time seems to stop. It’s as if the world suddenly becomes silent, filled with fear, confusion, and disbelief.
“I couldn’t even hear what the doctor said after that word,” one woman recalls. “All I could think was, this can’t be happening to me.”
Many ask themselves, “Why me?” or “What did I do wrong?” It’s a moment that reshapes everything she thought she knew about life.

2nd: Fear and Uncertainty
There’s fear, not just of the illness itself, but of what’s to come. Fear of losing a part of her body that symbolizes femininity. Fear of the treatments.
Fear of being seen differently. Uncertainty about tomorrow becomes a constant companion.
As one survivor said, “Every morning, I’d wake up wondering what version of me would face the mirror today,  the strong one or the scared one.”

3rd: The Emotional Rollercoaster
Some days are filled with hope; others, with tears. There’s strength in the morning and exhaustion by night. The emotions swing between courage and sadness, between wanting to fight and wanting to rest. “It’s okay,” one woman reminds herself. “It’s human.”

4th: The Changing Self-Image
Breast cancer often challenges how women see themselves. Hair loss, scars, and body changes can deeply affect confidence.
But many women say this journey also teaches them to love themselves beyond appearance, to value the power within rather than the reflection in the mirror. “I stopped seeing scars,” says another survivor. “I started seeing survival.”

5th: Support and Sisterhood
Amid the pain, there’s something beautiful: the support of family, friends, and fellow survivors. A hug, a prayer, or a message saying “you’re not alone” becomes medicine for the heart. Through shared tears and laughter, women find strength in one another.

6th: Hope and Healing
With time, courage grows stronger than fear.
The journey of breast cancer becomes one of rediscovery, of strength, purpose, and the beauty of life itself.
Women come out of it not just as survivors, but as warriors who inspire others to never give up.

At Letena Ethiopia, we believe every woman’s story matters. Breast cancer awareness is not only about early detection; it’s also about understanding the emotional battles behind the diagnosis and reminding every woman that she is seen, loved, and never alone

Writer- Hermon Israel

 

Dear Letena: From Fear to Strength

My name is Tsehay. I am a 45-year-old married woman living with my husband in Addis Ababa. My days are simple and familiar, following the rhythm and routine I have grown used to. Most mornings begin the same way: my youngest daughter brews coffee on the charcoal stove while I prepare breakfast. The clinking of cups and quiet conversations fill the room before I head to work, accompanied by the sound of minibuses and the morning rush echoing through the busy city.

I have two daughters, one is 25 and the other is 20. They are truly my world. Watching them grow into strong, thoughtful young women has been my greatest pride and joy.

Lately, however, I feel that the happy life I have built for myself is beginning to come undone. There is a heaviness that follows me through the morning and into the day. The rhythm I once relied on is quietly being replaced by worry I try to ignore but cannot.

It began a few months ago while I was bathing. I felt a small lump in my right breast. It was not painful, so I did not give it much thought at first. But over time, the lump grew larger, and my nipple began to pull inward. That was when I started to fear the worst. Out of curiosity and fear, I looked up information online and read that some of these changes could be signs of breast cancer. My heart sank, and I could not sleep that night.

The next morning, I gathered my courage and went to my local health center, where I was referred to Black Lion Hospital. The doctor examined me carefully and spoke with calm reassurance. She told me that not every breast lump is cancer and that some can be harmless. She also explained that checking early makes all the difference. The doctor described the warning signs I should look out for, especially as I get older, such as changes in the size or shape of the breast, dimpling of the skin, nipple discharge, or new pain that does not go away.

She also taught me how to examine myself at home, showing me how to use my fingertips in circular motions and to check both breasts and underarms at the same time every month. As she spoke, I realized how much I did not know about my own body and how easily ignoring it could have done more harm than good. I also thought about my daughters when the doctor mentioned how important family history can be for early detection. “Is there anyone in my family with breast or ovarian cancer? Could my daughters face this in the future?” I wondered.

After counseling and examination, she told me that I would need a few tests to know for sure. Waiting for the results was one of the hardest experiences of my life. Every day felt longer, filled with thoughts I could not push away. I went through many “what ifs.” But in that waiting period, I reminded myself that facing the truth, whatever it might be, is better than living in fear of the unknown.

Eventually, I found the courage to talk to my husband and, most importantly, to my daughters. They needed to know how much I loved them and that I needed their support to get through this.

Now I am still following up with my doctors and taking things one step at a time. I am learning that caring for myself is not selfish but necessary.

To all women reading this: listen to your body. Do not wait for pain to tell you that something is wrong. A small change may be your body’s quiet cry for help. Early care saves lives.

Disclaimer: This story is a work of fiction. Names, characters, and places are used for illustrative purposes only and do not represent real people or events.

Writer : Kidus Solomon

How to Do a Breast Self-Exam: A Guide for Young Women

A breast self-exam (SBE) for breast cancer detection is often discussed as a practice for older women, but it should actually be adopted by every young woman. An SBE is a simple way to check your breasts for unusual changes. It does not replace professional screening, but it helps you become familiar with your own body so that you can notice any new developments sooner. Ideally, this practice should begin early in life.

A breast self-exam involves looking at and feeling your breasts to understand what is normal for you. The purpose is to become familiar with your body and be able to detect anything that differs from your normal more quickly. Medical experts recommend doing this once a month, preferably just after your menstrual period ends. If you do not menstruate, choosing the same date each month helps create consistency.

Performing regular self-exams can help women identify abnormalities and seek medical advice sooner than they might otherwise. Early detection of breast cancer can be lifesaving. Many women first notice a change themselves before a doctor would. By practicing self-exams, you give yourself the chance to catch symptoms earlier.

The procedure for performing an SBE is simple but requires care and attention. The goal is to feel all around the breast, including the area above and to the sides of the chest muscle and each armpit. Use different motions and positions to make sure no area is missed. A mirror can help you spot visual changes and ensure every part of the breast is examined. Be focused and intentional, taking time to notice not only lumps but also any abnormalities in skin texture, nipple discharge, or differences in size or shape.

It is important to understand that breast tissue naturally feels uneven and bumpy. Not every bump is dangerous. What matters is noticing any changes. This is why building this habit from a young age is essential. Starting early helps you become familiar with your baseline.

The idea that young women do not need to think about breast cancer is a myth. Cancer can occur at any time. It is important to notice anything abnormal quickly and take action. Some women worry that finding something unusual must mean cancer, but this is not true. Most lumps turn out to be harmless conditions. However, the only way to know for sure is to get checked by a healthcare provider. Another myth is that only people with relatives who have had breast cancer should practice this. Family history is not necessary to develop breast cancer. Only about 5 to 10 percent of cases are familial, and most occur in people without any family history.

A self-breast exam takes only a few minutes once a month and costs nothing. Adopting this habit is not about creating fear but about paying attention to yourself. If you notice something different, visit a health facility for advice and testing. Remember that going to the hospital is not only for those who are sick but also for maintaining good health. Early action saves lives.

Writer :  Dr. Hosaena Gebru

 

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