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Current Women`s Health Reviews

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ISSN (Print): 1573-4048
ISSN (Online): 1875-6581

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Research Article

Does Female Sexuality Decrease in Pregnancy?: A Cross-sectional Questionnaire- based Study

Author(s): Neha Dagar, Ruchira Nautiyal and Mishu Mangla*

Volume 19, Issue 4, 2023

Published on: 24 October, 2022

Article ID: e020922208453 Pages: 9

DOI: 10.2174/1573404819666220902113305

Price: $65

Abstract

Background: Reproductive health is considered a cardinal component of an individual's overall health and well-being. Cultural beliefs, myths, and taboos about sexual practices during pregnancy depend on various factors, including education, occupation, religion, cultural practices, and even area of residence.

Objectives: The present study was undertaken to evaluate the sexual patterns and beliefs regarding the sexuality of women during pregnancy and compare them with the pre-pregnancy period.

Methods: A total of 190 pregnant women (> 18 years of age) in the third trimester of pregnancy, i.e., beyond 28 weeks of gestation, were interviewed using Female Sexual Function Index (FSFI) scale to assess female sexual dysfunction during pregnancy and pre-pregnancy periods. If the score was less than 26.55, the woman was diagnosed as suffering from female sexual dysfunction. An effort was also made to find the causes of female sexual dysfunction in these women.

Results: A total of 64 (35.56%) participants considered sexual activity unsafe during pregnancy. Moreover, 45.56% of the study subjects reported no change in libido. The mean +/- 2SD FSFI score in the pre-pregnancy period was 30.93 ± 1.18, whereas, in the pregnancy, the score was 22.64 ± 7.91, with a wide range of 6.4-28.5. A significant decline was noted in all domains of sexual function, including desire, arousal, lubrication, orgasm, satisfaction, and pain.

Conclusion: Pregnancy is associated with a significant decline in all domains of female sexual function, including desire, arousal, lubrication, orgasm, satisfaction, and pain. The fallacious knowledge regarding the safety of sex in pregnancy is the most important contributing factor.

Keywords: Sexuality in pregnancy, female sexual dysfunction, FSFI scale, sex in pregnancy, trimester of pregnancy, pregnant women

Graphical Abstract

[1]
World Health Organization. Sexual health. 2005. Available from: http://www.who.int/topics/sexual_health/en/
[2]
Wright, J.J.; O’Connor, K.M. Female sexual dysfunction. Med. Clin. North Am., 2015, 99(3), 607-628.
[http://dx.doi.org/10.1016/j.mcna.2015.01.011] [PMID: 25841603]
[3]
Achen, S.; Atekyereza, P.; Rwabukwali, C.B. The role of culture in influencing sexual and reproductive health of pastoral adolescent girls in Karamoja sub-region in Uganda. Pastoralism, 2021, 11(1), 25.
[http://dx.doi.org/10.1186/s13570-020-00188-9]
[4]
Saotome, T.T.; Yonezawa, K.; Suganuma, N. Sexual dysfunction and satisfaction in japanese couples during pregnancy and postpartum. Sex. Med., 2018, 6(4), 348-355.
[http://dx.doi.org/10.1016/j.esxm.2018.08.003] [PMID: 30342866]
[5]
Caparros-Gonzalez, R.A.; García-García, I.; Mariñas-Lirola, J.C.; Peralta-Ramírez, M.I. Gestastres cohort study protocol on the effects of stress during pregnancy by measuring the cortisol in women’s and newborn’s hair. Rev. Esp. Salud Publica, 2018, 92, e201804027.
[6]
White, S.E.; Reamy, K. Sexuality and pregnancy: A review. Arch. Sex. Behav., 1982, 11(5), 429-444.
[http://dx.doi.org/10.1007/BF01541575] [PMID: 7181650]
[7]
Aslan, G.; Aslan, D.; Kızılyar, A.; İspahi, Ç.; Esen, A. A prospective analysis of sexual functions during pregnancy. Int. J. Impot. Res., 2005, 17(2), 154-157.
[http://dx.doi.org/10.1038/sj.ijir.3901288] [PMID: 15538394]
[8]
Fernández-Carrasco, F.J.; Rodríguez-Díaz, L.; González-Mey, U.; Vázquez-Lara, J.M.; Gómez-Salgado, J.; Parrón-Carreño, T. Changes in sexual desire in women and their partners during pregnancy. J. Clin. Med., 2020, 9(2), 526.
[http://dx.doi.org/10.3390/jcm9020526] [PMID: 32075159]
[9]
Pauls, R.N.; Occhino, J.A.; Dryfhout, V.L. Effects of pregnancy on female sexual function and body image: A prospective study. J. Sex. Med., 2008, 5(8), 1915-1922.
[http://dx.doi.org/10.1111/j.1743-6109.2008.00884.x] [PMID: 18547388]
[10]
MacPhedran, S.E. Sexual activity recommendations in high-risk pregnancies: What is the evidence? Sex. Med. Rev., 2018, 6(3), 343-357.
[http://dx.doi.org/10.1016/j.sxmr.2018.01.004] [PMID: 29606552]
[11]
Naim, M.; Bhutto, E. Sexuality during pregnancy in Pakistani women. J. Pak. Med. Assoc., 2000, 50(1), 38-44.
[PMID: 10770049]
[12]
Rosen, R.; Brown, C.; Heiman, J.; Leiblum, S.; Meston, C.; Shabsigh, R.; Ferguson, D.; D’Agostino, R., Jr The Female Sexual Function Index (FSFI): A multidimensional self-report instrument for the assessment of female sexual function. J. Sex Marital Ther., 2000, 26(2), 191-208.
[http://dx.doi.org/10.1080/009262300278597] [PMID: 10782451]
[13]
Calabrò, R.S.; Cacciola, A.; Bruschetta, D.; Milardi, D.; Quattrini, F.; Sciarrone, F.; Rosa, G.; Bramanti, P.; Anastasi, G. Neuroanatomy and function of human sexual behavior: A neglected or unknown issue? Brain Behav., 2019, 9(12), e01389.
[http://dx.doi.org/10.1002/brb3.1389] [PMID: 31568703]
[14]
Perkins, R.P. Sexuality in pregnancy: What determines behavior? Obstet. Gynecol., 1982, 59(2), 189-198.
[PMID: 7078864]
[15]
Fuchs, A.; Czech, I.; Sikora, J.; Fuchs, P.; Lorek, M.; Skrzypulec-Plinta, V.; Drosdzol-Cop, A. Sexual functioning in pregnant women. Int. J. Environ. Res. Public Health, 2019, 16(21), 4216.
[http://dx.doi.org/10.3390/ijerph16214216] [PMID: 31671702]
[16]
Fok, W.Y.; Chan, L.Y.S.; Yuen, P.M. Sexual behavior and activity in Chinese pregnant women. Acta Obstet. Gynecol. Scand., 2005, 84(10), 934-938.
[http://dx.doi.org/10.1111/j.0001-6349.2005.00743.x] [PMID: 16167907]
[17]
Abouzari-Gazafroodi, K.; Najafi, F.; Kazemnejad, E.; Rahnama, P.; Montazeri, A. Demographic and obstetric factors affecting women’s sexual functioning during pregnancy. Reprod. Health, 2015, 12(1), 72.
[http://dx.doi.org/10.1186/s12978-015-0065-0] [PMID: 26285569]
[18]
Vannier, S.A.; Rosen, N.O. Sexual distress and sexual problems during pregnancy: Associations with sexual and relationship satisfaction. J. Sex. Med., 2017, 14(3), 387-395.
[http://dx.doi.org/10.1016/j.jsxm.2016.12.239] [PMID: 28143716]
[19]
Kiemtorè, S.; Ouèdraogo, I.; Ouattara, A.; Zamanè, H.; Sawadogo, Y.A.; Kain, P.D.; Thiebta, B. Sex during pregnancy: Opinions, attitudes and practices among pregnant women. J. Womens Health Care, 2016, 5(6), 1-5.
[20]
Bhargava, A. Desired family size, family planning and fertility in Ethiopia. J. Biosoc. Sci., 2007, 39(3), 367-381.
[http://dx.doi.org/10.1017/S0021932006001593] [PMID: 16928286]
[21]
Jones, C.; Chan, C.; Farine, D. Sex in pregnancy. CMAJ, 2011, 183(7), 815-818.
[http://dx.doi.org/10.1503/cmaj.091580] [PMID: 21282311]
[22]
Aribi, L.; Ben Houidi, A.; Masmoudi, R.; Chaabane, K.; Guermazi, M.; Amami, O. Female sexuality during pregnancy and postpartum: A study of 80 Tunisian women. Tunis. Med., 2012, 90(12), 873-877.
[23]
Ahmed, M.R.; Madny, E.H.; Sayed, A.W.A. Prevalence of female sexual dysfunction during pregnancy among Egyptian women. J. Obstet. Gynaecol. Res., 2014, 40(4), 1023-1029.
[http://dx.doi.org/10.1111/jog.12313] [PMID: 24612115]
[24]
Babazadeh, R.; Mirzaii, K.; Masomi, Z. Changes in sexual desire and activity during pregnancy among women in Shahroud, Iran. Int. J. Gynaecol. Obstet., 2013, 120(1), 82-84.
[http://dx.doi.org/10.1016/j.ijgo.2012.07.021] [PMID: 23073227]
[25]
Corbacioglu Esmer, A.; Akca, A.; Akbayir, O.; Goksedef, B.P.C.; Bakir, V.L. Female sexual function and associated factors during pregnancy. J. Obstet. Gynaecol. Res., 2013, 39(6), 1165-1172.
[http://dx.doi.org/10.1111/jog.12048] [PMID: 23718891]
[26]
Jamali, S.; Mosalanejad, L. Sexual dysfnction in Iranian pregnant women. Iran. J. Reprod. Med., 2013, 11(6), 479-486.
[PMID: 24639782]
[27]
Nobre, P.J.; Pinto-Gouveia, J.; Gomes, F.A. Prevalence and comorbidity of sexual dysfunctions in a Portuguese clinical sample. J. Sex Marital Ther., 2006, 32(2), 173-182.
[http://dx.doi.org/10.1080/00926230500442334] [PMID: 16418107]
[28]
Khamis, M.A.; Mustafa, M.F.; Mohamed, S.N.; Toson, M.M. Influence of gestational period on sexual behavior. J. Egypt. Public Health Assoc., 2007, 82(1-2), 65-90.
[PMID: 18217325]
[29]
Wallwiener, S.; Müller, M.; Doster, A.; Kuon, R.J.; Plewniok, K.; Feller, S.; Wallwiener, M.; Reck, C.; Matthies, L.M.; Wallwiener, C. Sexual activity and sexual dysfunction of women in the perinatal period: A longitudinal study. Arch. Gynecol. Obstet., 2017, 295(4), 873-883.
[http://dx.doi.org/10.1007/s00404-017-4305-0] [PMID: 28251311]
[30]
Livingstone, J.D.; Ralte, L.; Magar, J.T.; Choudhari, S.; Cherian, A.G.; Mohan, V.R. Sexual behaviour in pregnancy among antenatal women attending a secondary hospital in southern India. Int. J. Community Med. Public Health, 2018, 5(8), 3501-3505.
[http://dx.doi.org/10.18203/2394-6040.ijcmph20183088]

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