A change in sexuality is normal in the short term, but how a couple reacts to this can make a difference in the long term, both sexually and to the relationship. Unfortunately, discussing sexuality is often neglected in antenatal education, and post partum management. Without appropriate help, sexual difficulties at this time can result in significant relationship distress and even breakdown, in some. This presentation will explore the complex issues that arise in trying to conceive, during pregnancy, labour and after childbirth. It will look at practical ways of addressing post-partum sexuality with couples.