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Effect of delivery method on sexual dysfunction.
Birsen Karaca Saydam1, Mahide Demireloz Akyuz1, Neriman Sogukpinar1
1a Ege Üniversitesi Faculty of Health Sciences , Bornova , Turkey.
Postpartum sexual dysfunction is common, affecting 67.7% of women within the first year after childbirth. While vaginal delivery and cesarean section show similar long-term sexual functioning, the early postpartum period significantly impacts recovery.
Area of Science:
- Reproductive Health
- Women's Health
- Obstetrics and Gynecology
Background:
- Sexual dysfunction is a common concern for women postpartum.
- Understanding the impact of delivery mode on sexual health is crucial for effective care.
Purpose of the Study:
- To investigate the effect of delivery mode (vaginal vs. cesarean section) on sexual dysfunction in women within the first year postpartum.
- To identify factors influencing sexual function recovery after childbirth.
Main Methods:
- A cross-sectional descriptive study involving 142 women who gave birth in the past year and were currently nursing.
- Data collected using sociodemographic questionnaires and the Female Sexual Function Index (FSFI).
- Statistical analysis included chi-square tests, independent sample t-tests, and logistic regression.
Main Results:
- 67.7% of participants reported sexual dysfunction.
- The early postpartum stage (0-6 months) was significantly associated with lower FSFI scores and increased risk of dysfunction.
- Women who delivered vaginally showed significant differences in FSFI scores across most domains between the first and second 6 months postpartum, except for desire.
Conclusions:
- Delivery mode (vaginal vs. cesarean) does not significantly impact long-term sexual functioning beyond a short initial period.
- The early postpartum phase is critical for sexual function recovery.
- Pelvic floor considerations are important in understanding postpartum sexual health outcomes.
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