Background: Pregnancy is characterized by physical, hormonal and psychological changes that could influence women's sexuality. The study aimed at ascertaining changes in the women's sexual domains as well as factors affecting their sexual responses. Methods: A total of 177 healthy heterosexual pregnant Nigerian women at term and in stable marital relationships were included in the study. Authors' designed structured questionnaire featuring socio-demographic and obstetric characteristics as well as assessment of their sexual desire, arousal, orgasm, sexual satisfaction and pain compared to the pre-pregnancy period was used to collect the information. Data was analyzed using SPSS version 16 for windows. Results: Mean age of the women was 30.9 ± 4.7 years. Majority of them reported decline in sexual desire, arousal, frequency of orgasm and sexual satisfaction compared to the pre-pregnancy period. Reduce sexual desire was marked in the first trimester but sexual desire peaked in second trimester. Women aged ≥31 years were four times more likely to experience increase frequency of orgasm (OR 4.0, 95% CI 1.9 -8.7, P = 0.02) while those with tertiary education (OR 2.2, 95% CI 1.1 -4.2, P = 0.02) and unplanned pregnancy (OR 2.4, 95% CI 1.8 -5.0, P = 0.04) were more likely to experience decreased sexual satisfaction compared to the pre-pregnancy period. Conclusions: Pregnancy is associated with decline in all domains of female sexual response cycle among the women. Older maternal age positively impacts on frequency of attainment of orgasm while tertiary educational level and unplanned pregnancy negatively affect their sexual satisfaction during pregnancy.
Background: Female infertility due to tubal damage resulting from pelvic infections including Chlamydia trachomatis is common among women in our environment. The study aimed at determining the prevalence of Chlamydia trachomatis antibody amongst infertile women and to assess the relationship between exposure to Chlamydia trachomatis infection and tubal infertility in Garki Hospital, Abuja, Nigeria.Methods: This was a case control study among 76 infertile patients with tubal occlusion diagnosed with hysterosalpingography and confirmed by laparoscopy compared with 81 pregnant women recruited from the antenatal clinic. Both cases and control were investigated with a study protocol which solicited information on socio-demographic variables, sexual and reproductive risk factors and history of previous pelvic infection. Each subject and control had 5 ml of blood collected for serological assay for Chlamydial antibody titre using the immunocomb Chlamydia trachomatis 1gG kit. The data was analyzed using the SPSS version 20 (IBM, Armonk, NY, USA). A p-value of < 0.05 was considered statistically significant.Results: The prevalence of serum Chlamydial antibody was 57 (75.0%) and 19 (23.5%) among the cases and the pregnant controls respectively (P-value < 0.001). The results showed statistically significant associations between tubal infertility and early age at sexual debut, three or more sexual partners, nulliparity and positive Chlamydia trachomatis antibody titre (P-values < 0.001).Conclusions: The prevalence of Chlamydia trachomatis antibody titre was higher among women with infertility compared to the pregnant controls. The findings suggest that tubal infertility is associated with exposure to Chlamydial trachomatis infection.
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