Determinants of Postpartum Sexual Dysfunction in the First Year: A Systematic Review
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View abstract on PubMed
Summary
This summary is machine-generated.Postpartum sexual dysfunction is linked to perineal trauma and early pain. Breastfeeding impacts sexual function initially, while partner support and positive body image offer protection.
Area Of Science
- Reproductive Health
- Women's Health
- Sexual Health
Background
- Postpartum sexual dysfunction (PSD) affects many women within the first year after childbirth.
- Understanding the factors contributing to PSD is crucial for developing effective interventions.
Purpose Of The Study
- To systematically review somatic and psychosocial determinants of postpartum sexual dysfunction (PSD).
- To synthesize evidence on factors influencing sexual health in the first 12 months postpartum.
Main Methods
- Systematic review following PRISMA 2020 guidelines.
- Searched PubMed, Web of Science, and Scopus for studies on postpartum women (≤12 months).
- Included studies reporting validated sexual outcomes, dyspareunia, or sexual activity, examining specific risk factors.
Main Results
- Perineal morbidity and early pain were consistently associated with worse sexual outcomes.
- Assisted vaginal birth and breastfeeding were linked to increased dyspareunia and lower sexual function, particularly in the early postpartum period.
- Higher partner/family support and positive body image correlated with better sexual function scores.
Conclusions
- Perineal trauma and early pain are significant risk factors for PSD.
- Breastfeeding effects on sexual function are prominent early on but may diminish over time.
- Psychosocial factors like partner support and body image play a protective role in postpartum sexual health.
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