Sexual dysfunction in women in the postpartum period: literature review

Authors

DOI:

https://doi.org/10.33448/rsd-v9i9.6785

Keywords:

Postpartum; Sexuality; Puerperium.

Abstract

Most women return to sexual activity within three to six months after delivery, however, in the first three months sexual dysfunction is common in a large part of this population, decreasing at six months, and most of the time complaints of dyspareunia and loss of desire. This study aims to investigate sexuality in the puerperium. This is a literature review, which carried out searches in the Lilacs, PubMed and Bireme databases. Articles in Portuguese, English and Spanish were included. As a result, 134 articles were found, of which 17 were selected for review. From the studies analyzed, it can be concluded that the mode of delivery does not influence sexual dysfunction, however, it can influence the psychological factor due to situations in which the puerperal woman passed during childbirth, in addition, all women should be oriented on return to sexual activity, especially primiparous women.

References

Alum, A. C., Kizza, I. B., Osingada, C. P., Katende, G., & Kaye, D. K. (2015). Factors associated with early resumption of sexual intercourse among postnatal women in Uganda. Reproductive health, 12(1), 107.

AMANHI Maternal Morbidity Study Group. (2016). Burden of severe maternal morbidity and association with adverse birth outcomes in sub–Saharan Africa and south Asia: protocol for a prospective cohort study. Journal of global health, 6(2).

Amiri, F. N., Omidvar, S., Bakhtiari, A., & Hajiahmadi, M. (2017). Female sexual outcomes in primiparous women after vaginal delivery and cesarean section. African Health Sciences, 17(3), 623-631.

Andreucci, C. B., Cecatti, J. G., Pacagnella, R. C., Silveira, C., Parpinelli, M. A., Ferreira, E. C., & Cecchino, G. N. (2015). Does severe maternal morbidity affect female sexual activity and function? Evidence from a Brazilian cohort study. PLoS One, 10(12), 1-14.

Banaei, M., Azizi, M., Moridi, A., Dashti, S., Yabandeh, A. P., & Roozbeh, N. (2019). Sexual dysfunction and related factors in pregnancy and postpartum: a systematic review and meta-analysis protocol. Systematic reviews, 8(1), 161.

Barrett, G., Pendry, E., Peacock, J., Victor, C., Thakar, R., & Manyonda, I. (2000). Women's sexual health after childbirth. BJOG: An International Journal of Obstetrics & Gynaecology, 107(2), 186-195.

Bento, A. (2012). Como fazer uma revisão da literatura: Considerações teóricas e práticas. Revista JA (Associação Académica da Universidade da Madeira), 7(65), 42-44.

Brasil. (2013). Saúde sexual e saúde reprodutiva. Cadernos de atenção básica.

Cardoso, T., Alarcão, I., & Celorico, J. A. (2010). Revisão da literatura e sistematização do conhecimento. Porto Editora.

Corrêa Junior, M. D., & Passini Júnior, R. (2016). Selective episiotomy: indications, techinique, and association with severe perineal lacerations. Revista Brasileira de Ginecologia e Obstetrícia, 38(6), 301-307.

Chayachinda, C., Titapant, V., & Ungkanungdecha, A. (2015). Dyspareunia and sexual dysfunction after vaginal delivery in Thai primiparous women with episiotomy. The journal of sexual medicine, 12(5), 1275-1282.

De Souza, W. W. P., Fernandes, C. A., Pinheiro, J. E. P., Oliveira, E. C. F., Nobre, A. H., Latorre, G. F. S., & Nunes, E. F. C. (2019). As gestantes que frequentam o serviço publico do Brasil são orientadas a treinar os músculos do assoalho pélvico?. Revista Inspirar Movimento & Saude, 19(4).

De Souza, A., Dwyer, P. L., Charity, M., Thomas, E., Ferreira, C. H. J., & Schierlitz, L. (2015). The effects of mode delivery on postpartum sexual function: a prospective study. BJOG: An International Journal of Obstetrics & Gynaecology, 122(10), 1410-1418.

Etienne, M. D. A., & MC, W. (2006). Disfunções sexuais femininas: a fisioterapia como recurso terapêutico. São Paulo: LMP.

Faisal-Cury, A., Menezes, P. R., Quayle, J., Matijasevich, A., & Diniz, S. G. (2015). The relationship between mode of delivery and sexual health outcomes after childbirth. The Journal of Sexual Medicine, 12(5), 1212-1220.

Fortunato, G. L., Aliberte, P. L., Angelin, E. C. N., & Gruber, C. R. (2011). Correlação entre a força dos músculos do assoalho pélvico e a satisfação sexual de mulheres. Cadernos da Escola de Saúde, 2(6), 143-158.

Gommesen, D., Nøhr, E., Qvist, N., & Rasch, V. (2019). Obstetric perineal tears, sexual function and dyspareunia among primiparous women 12 months postpartum: a prospective cohort study. BMJ open, 9(12).

Handelzalts, J. E., Levy, S., Peled, Y., Yadid, L., & Goldzweig, G. (2018). Mode of delivery, childbirth experience and postpartum sexuality. Archives of Gynecology and Obstetrics, 297(4), 927-932.

Holanda, J. B. D. L., Abuchaim, E. D. S. V., Coca, K. P., & Abrão, A. C. F. D. V. (2014). Disfunção sexual e fatores associados relatados no período pós-parto. Acta Paulista de Enfermagem, 27(6), 573-578.

Huang, L. H., Lai, Y. F., Chen, G. D., Lee, M. S., & Ng, S. C. (2019). Effect of far-infrared radiation on perineal wound pain and sexual function in primiparous women undergoing an episiotomy. Taiwanese Journal of Obstetrics and Gynecology, 58(1), 68-71.

Kaviani, M., Rahnavard, T., Azima, S., Emamghoreishi, M., Asadi, N., & Sayadi, M. (2014). The effect of education on sexual health of women with hypoactive sexual desire disorder: A randomized controlled trial. International journal of community based nursing and midwifery, 2(2), 94.

Lagaert, L., Weyers, S., Van Kerrebroeck, H., & Elaut, E. (2017). Postpartum dyspareunia and sexual functioning: a prospective cohort study. The European Journal of Contraception & Reproductive Health Care, 22(3), 200-206.

Lee, J. T., & Tsai, J. L. (2012). Transtheoretical Model‐based Postpartum Sexual Health Education Program Improves Women's Sexual Behaviors and Sexual Health. The Journal of Sexual Medicine, 9(4), 986-996.

Lolowang, N. L., Afiyanti, Y., & Ungsianik, T. (2019). Kegel's exercise to improve sexual self-efficacy in primiparous women. Enfermeria clinica, 29, 535-540.

Necesalova, P., Karbanova, J., Rusavy, Z., Pastor, Z., Jansova, M., & Kalis, V. (2016). Mediolateral versus lateral episiotomy and their effect on postpartum coital activity and dyspareunia rate 3 and 6 months postpartum. Sexual & Reproductive Healthcare, 8, 25-30.

Oliveira, S. M., de Souza Caroci, A., de Paula Batista Mendes, E., Guimarães de Oliveira, S., & Penha Silva, F. (2018). Disfunciones del suelo pélvico en mujeres primíparas después del parto. Enfermería Global, 17(51), 26-67.

Pereira, T. R. C., Dottori, E. H., Mendonça, F. M. D. A. F., & Beleza, A. C. S. (2018). Assessment of female sexual function in remote postpatum period: a cross-sectional study. Revista Brasileira de Saúde Materno Infantil, 18(2), 289-294.

Pissolato, L. K. B. P., Alves, C. N., Prates, L. A., Wilhelm, L. A., & Ressel, L. B. (2016). Amamentação e sexualidade: uma interface na vivência do puerpério. Revista de Pesquisa Cuidado é Fundamental Online, 8(3), 4674-4680.

Rietjens, P., Magalhães, S. L., Araújo, M. A., Jorge, L. B., & Latorre, G. F. S. (2016). Importância da propriocepção e consciência muscular no tratamento de disfunções pélvicas. Femina, 44(3), 46-48.

Rusavy, Z., Karbanova, J., & Kalis, V. (2016). Timing of episiotomy and outcome of a non‐instrumental vaginal delivery. Acta obstetricia et gynecologica Scandinavica, 95(2), 190-196.

Saleh, D. M., Hosam, F., & Mohamed, T. M. (2019). Effect of mode of delivery on female sexual function: A cross‐sectional study. Journal of Obstetrics and Gynaecology Research, 45(6), 1143-1147.

Salim, N. R., Araújo, N. M., & Gualda, D. M. R. (2010). Corpo e sexualidade: a experiência de um grupo de puérperas. Revista Latino-Americana de Enfermagem, 18(4), 732-739.

Tennfjord, M. K., Hilde, G., Stær‐Jensen, J., Siafarikas, F., Engh, M. E., & Bø, K. (2016). Effect of postpartum pelvic floor muscle training on vaginal symptoms and sexual dysfunction—secondary analysis of a randomised trial. BJOG: An International Journal of Obstetrics & Gynaecology, 123(4), 634-642.

Wallwiener, S., Müller, M., Doster, A., Kuon, R. J., Plewniok, K., Feller, S., ... & Wallwiener, C. (2017). Sexual activity and sexual dysfunction of women in the perinatal period: a longitudinal study. Archives of gynecology and obstetrics, 295(4), 873-883.

World Health Organization. (2006). Defining sexual health: report of a technical consultation on sexual health, 28-31 January 2002, Geneva. World Health Organization.

Yıldız, H. (2015). The relation between prepregnancy sexuality and sexual function during pregnancy and the postpartum period: a prospective study. Journal of sex & marital therapy, 41(1), 49-59.

Published

20/08/2020

How to Cite

CABRAL, J. C.; FRIGO, L. F. Sexual dysfunction in women in the postpartum period: literature review. Research, Society and Development, [S. l.], v. 9, n. 9, p. e344996785, 2020. DOI: 10.33448/rsd-v9i9.6785. Disponível em: https://rsdjournal.org/index.php/rsd/article/view/6785. Acesso em: 14 nov. 2024.

Issue

Section

Review Article