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Female Sexual Function during Pregnancy and after Childbirth
Authors:Maurizio Serati  Stefano Salvatore  Gabriele Siesto  Elena Cattoni  Mara Zanirato  Vik Khullar  Antonella Cromi  Fabio Ghezzi  Pierfrancesco Bolis
Affiliation:2. Department of Urogynaecology, St. Mary''s Hospital, Imperial College, London, UK;2. Department of Psychiatry, Cambridge Health Alliance, Harvard Medical School, Cambridge, MA, USA;3. Department of Psychiatry & Behavioral Sciences, University of Washington Medical School, Seattle, WA, USA;2. School of Nursing and Program in Women''s Studies, University of Michigan, Ann Arbor, MI, USA;3. Departments of Psychology & Women''s Studies, Program in Neuroscience, Reproductive Sciences Program, University of Michigan, Ann Arbor, MI, USA
Abstract:IntroductionHealthy sexual function during pregnancy and after childbirth is one of the cornerstones for couples to evolve from partners to parents.AimThe aim of our review is to evaluate the available evidence and define present knowledge about female sexual function during pregnancy and after childbirth.MethodsPubMed was searched for articles on sexual function during pregnancy and after childbirth, published from 1960 up to date. The most relevant articles have been reviewed and included.Main Outcome MeasuresThe main outcome is the review of the effect of pregnancy, delivery, and postpartum on female sexuality.ResultsA total of 48 articles which specifically addressed this topic were included. Sexual function was found to have a significant global decline during pregnancy, particularly in the third trimester and this persisted for 3–6 months following delivery. The lack of adequate information about sex in pregnancy and concerns about the possible adverse obstetric outcomes are the most relevant factors responsible for the avoidance of sexual activity during pregnancy. Breast-feeding, dyspareunia, and postpartum pelvic floor dysfunction were reported as possible causes for the delay in resuming sexual intercourses after childbirth.ConclusionsCouples should be informed about the decline of libido, desire and orgasm, commonly encountered during pregnancy, particularly in the last trimester, and puerperium which may lead to reduction in sexual intercourse frequency. Serati M, Salvatore S, Siesto G, Cattoni E, Zanirato M, Khullar V, Cromi A, Ghezzi F, and Bolis P. Female sexual function during pregnancy and after childbirth.
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