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Postpartum female sexual function

      Abstract

      Although many women experience sexual problems in the postpartum period, research in this subject is under-explored. Embarrassment and preoccupation with the newborn are some of the reasons why many women do not seek help. Furthermore, there is a lack of professional awareness and expertise and recognition that a prerequisite in the definition of sexual dysfunction is that it must cause distress to the individual (not her partner). Sexual dysfunction is classified as disorders of sexual desire, arousal, orgasm and pain. However, in the postpartum period the most common disorder appears to be that of sexual pain as a consequence of perineal trauma. Health care workers need to be made aware of this silent affliction as sexual morbidity can have a detrimental effect on a women's quality of life impacting on her social, physical and emotional well-being.

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      References

      1. Human Female Sexuality, 2008; Available at: http://en.wikipedia.org/wiki/Human_female_sexuality (accessed July 24, 2008).

      2. World Health Organization. Sexual Health: working definitions. 2002; Available at: http://www.who.International/reproductive-health/gender/sexual_health.html (accessed July 24, 2008).

        • Masters W.H.
        • Johnson V.E.
        The human female: anatomy of sexual response.
        Minn Med. 1960; 43: 31-36
        • Barrett G.
        • Pendry E.
        • Peacock J.
        • Victor C.
        • Thakar R.
        • Manyonda I.
        Women's sexual health after childbirth.
        BJOG. 2000; 107: 186-195
        • Glazener C.M.
        Sexual function after childbirth: women's experiences, persistent morbidity and lack of professional recognition.
        Br J Obstet Gynaecol. 1997; 104: 330-335
        • Oboro V.O.
        • Tabowei T.O.
        Sexual function after childbirth in Nigerian women.
        Int J Gynecol Obstet. 2002; 78: 249-250
        • Gjerdingen D.K.
        • Center B.A.
        First-time parents’ prenatal to postpartum changes in health, and the relation of postpartum health to work and partner characteristics.
        J Am Board Fam Pract. 2003; 16: 304-311
        • Clinton J.F.
        Physical and emotional responses of expectant fathers throughout pregnancy and the early postpartum period.
        Int J Fam Stud. 1987; 24: 59-68
        • Brown S.
        • Lumley J.
        Physical health problems after childbirth and maternal depression at six to seven months postpartum.
        BJOG. 2000; 107: 1194-1201
      3. World Health Organization. Postpartum care of the mother and newborn: a practical guide. Available at: https://www.who.int./reproductive-health/publications/msm_98_3/msm_98_3_14.html (accessed July 24, 2008).

        • Basson R.
        • Berman J.
        • Burnett A.
        • et al.
        Report of International Consensus Development Conference on Sexual Dysfunction: definitions and classifications.
        J Urol. 2000; 163: 888-893
        • Glazener C.M.
        • Abdalla M.
        • Stroud P.
        • Naji S.
        • Templeton A.
        • Russell I.T.
        Postnatal maternal morbidity: extent, causes, prevention and treatment.
        Br J Obstet Gynaecol. 1995; 102: 282-287
        • Glazener C.M.A.
        • Abdalla M.I.
        • Russell I.T.
        • Templeton A.A.
        Postnatal care: a survey of patient's experiences.
        Br J Midwifery. 1993; 1: 67-74
        • Glazener C.M.
        Women's health after delivery.
        in: Henderson C. Bick D. Perineal care: an international issue. 1st ed. Quay Books Division, Salisbury2005: 11-17
        • Signorello L.B.
        • Harlow B.L.
        • Chekos A.K.
        • Repke J.T.
        Postpartum sexual functioning and its relationship to perineal trauma: a retrospective cohort study of primiparous women.
        Am J Obstet Gynecol. 2001; 184: 881-888
        • Klein M.C.
        • Gauthier R.J.
        • Robbins J.M.
        • et al.
        Relationship of episiotomy to perineal trauma and morbidity, sexual dysfunction, and pelvic floor relaxation.
        Am J Obstet Gynecol. 1994; 171: 591-598
        • Andrews V.
        • Thakar R.
        • Sultan A.H.
        • Jones P.W.
        Evaluation of postpartum perineal pain and dyspareunia—a prospective study.
        Eur J Obstet Gynecol Reprod Biol. 2008; 137: 152-156
        • Rogers R.G.
        • Leeman L.M.
        • Migliaccio L.
        • Albers L.L.
        Does the severity of spontaneous genital tract trauma affect postpartum pelvic floor function?.
        Int Urogynecol J Pelvic Floor Dysfunct. 2008; 19: 429-435
        • Elliott S.A.
        • Watson J.P.
        Sex during pregnancy and the first postnatal year.
        J Psychosom Res. 1985; 29: 541-548
        • Kumar R.
        • Brant H.A.
        • Robson K.M.
        Childbearing and maternal sexuality: a prospective survey of 119 primiparae.
        J Psychosom Res. 1981; 25: 373-383
        • Reading A.E.
        • Sledmere C.M.
        • Cox D.N.
        • Campbell S.
        How women view postepisiotomy pain.
        Br Med J. 2003; 284: 243-246
        • Ellis D.J.
        • Hewat R.J.
        Mothers’ postpartum perceptions of spousal relationships.
        JOGN Nurs. 1985; 14: 140-146
        • Robson K.M.
        • Brant H.A.
        • Kumar R.
        Maternal sexuality during first pregnancy and after childbirth.
        Br J Obstet Gynaecol. 1981; 88: 882-889
        • Clayton A.H.
        • Pradko J.F.
        • Croft H.A.
        • et al.
        Prevalence of sexual dysfunction among newer antidepressants.
        J Clin Psychiatry. 2002; 63: 357-366
        • Sanders S.A.
        • Graham C.A.
        • Bass J.L.
        • Bancroft J.
        A prospective study of the effects of oral contraceptives on sexuality and well-being and their relationship to discontinuation.
        Contraception. 2001; 64: 51-58
        • Baksu B.
        • Davas I.
        • Agar E.
        • Akyol A.
        • Varolan A.
        The effect of mode of delivery on postpartum sexual functioning in primiparous women.
        Int Urogynecol J Pelvic Floor Dysfunct. 2007; 18: 401-406
        • Rosen R.
        • Brown C.
        • Heiman J.
        • et al.
        The female sexual function index (FSFI): a multidimensional self-report instrument for the assessment of female sexual function.
        J Sex Marital Ther. 2000; 26: 191-208
        • Thompson J.F.
        • Roberts C.L.
        • Currie M.
        • Ellwood D.A.
        Prevalence and persistence of health problems after childbirth: associations with parity and method of birth.
        Birth. 2002; 29: 83-94
        • Lydon-Rochelle M.T.
        • Holt V.L.
        • Martin D.P.
        Delivery method and self-reported postpartum general health status among primiparous women.
        Paediatr Perinat Epidemiol. 2001; 15: 232-240
        • Sultan A.H.
        • Kamm M.A.
        • Hudson C.N.
        • Thomas J.M.
        • Bartram C.I.
        Anal-sphincter disruption during vaginal delivery.
        N Engl J Med. 1993; 329: 1905-1911
        • Johanson R.
        • Wilkinson P.
        • Bastible A.
        • Ryan S.
        • Murphy H.
        • O’Brien S.
        Health after childbirth: a comparison of normal and assisted vaginal delivery.
        Midwifery. 1993; 9: 161-168
        • van Brummen H.J.
        • Bruinse H.W.
        • van de Pol G.
        • Heintz A.P.
        • van der Vaart C.H.
        Which factors determine the sexual function 1 year after childbirth?.
        BJOG. 2006; 113: 914-918
        • Buhling K.J.
        • Schmidt S.
        • Robinson J.N.
        • Klapp C.
        • Siebert G.
        • Dudenhausen J.W.
        Rate of dyspareunia after delivery in primiparae according to mode of delivery.
        Eur. J Obstet Gynecol Reprod Biol. 2006; 124: 42-46
        • Barrett G.
        • Peacock J.
        • Victor C.R.
        • Manyonda I.
        Cesarean section and postnatal sexual health.
        Birth. 2005; 32: 306-311
        • Falicov C.J.
        Sexual adjustment during first pregnancy and post partum.
        Am J Obstet Gynecol. 1973; 117: 991-1000
        • Gordon I.B.
        • Carty E.
        Sexual adjustment of postpartum couples.
        Can Fam Physician. 1978; 24: 1191-1198
        • Avery M.D.
        • Duckett L.
        • Frantzich C.R.
        The experience of sexuality during breastfeeding among primiparous women.
        J Midwifery Womens Health. 2000; 45: 227-237
        • Byrd J.E.
        • Hyde J.S.
        • DeLamater J.D.
        • Plant E.A.
        Sexuality during pregnancy and the year postpartum.
        J Fam Pract. 1998; 47: 305-308
        • Alder E.M.
        • Cook A.
        • Davidson D.
        • West C.
        • Bancroft J.
        Hormones, mood and sexuality in lactating women.
        Br J Psychiatry. 1986; 148: 74-79
        • Alder E.
        • Bancroft J.
        The relationship between breast feeding persistence, sexuality and mood in postpartum women.
        Psychol Med. 1988; 18: 389-396
        • Rowland M.
        • Foxcroft L.
        • Hopman W.M.
        • Patel R.
        Breastfeeding and sexuality immediately post partum.
        Can Fam Physician. 2005; 51: 1366-1367
        • Waterstone M.
        • Wolfe C.
        • Hooper R.
        • Bewley S.
        Postnatal morbidity after childbirth and severe obstetric morbidity.
        BJOG. 2003; 110: 128-133
        • Morof D.
        • Barrett G.
        • Peacock J.
        • Victor C.R.
        • Manyonda I.
        Postnatal depression and sexual health after childbirth.
        Obstet Gynecol. 2003; 102: 1318-1325
        • Pauls R.N.
        • Kleeman S.D.
        • Segal J.L.
        • Silva W.A.
        • Goldenhar L.M.
        • Karram M.M.
        Practice patterns of physician members of the American Urogynecologic Society regarding female sexual dysfunction: results of a national survey.
        Int Urogynecol J. 2005; 16: 460-467
        • Roos A.M.
        • Thakar R.
        • Sultan A.
        • Scheer I.
        Female sexual dysfunction: are urogynecologists ready for it?.
        Int Urogynecol J. 2009; 20: 89-101