Introduction
Sexual dysfunction is a broad term encompassing several symptoms which
have been defined by the International Uro-Gynecology Association (IUGA)
and the International Continence Society (ICS)(1). Some sexual symptoms
are specific to pelvic floor dysfunction, such as dyspareunia and
vaginal dryness(1). Pregnancy and childbirth are likely to lead to
pelvic floor dysfunction, including sexual dysfunction(2). Previous
studies showed that sexual dysfunction was common in the first year
postpartum(3, 4). The reported prevalence of sexual dysfunction after
childbirth reaches 83% at three months after delivery and it declines
to 64% at six months(5). Sexual dysfunction also has a negative impact
on the quality of life (5-7). Defining the possible risk factors can
contribute to counsel and prepare women during the antenatal period on
the possibility of sexual dysfunction after childbirth and also,
theoretically its prevention. The relationship between obstetric events
and sexual function after delivery has been well investigated, and
operative delivery, perineal laceration and episiotomy are considered to
negatively affect sexual function (8-11). Sexual function is thought to
be related to a women’s self-perceived body image, which may change
around the time of delivery (12). However, the relationship between
sexual function and self-perceived body image in the postpartum period
has been poorly investigated.
Herein we aim to address which obstetric events are risk factors forsexual dysfunction, dyspareunia and vaginal dryness in women up
to one year after delivery and what is their effect estimate. In
addition, we attempt to answer whether there is a relationship between
sexual dysfunction after delivery and body image dissatisfaction .