Does Mode of Delivery Affect Sexual Functioning of the Man Partner?

Abstract

Introduction Recent surveys showed that the major reasons for avoiding vaginal delivery were the fear of childbirth and the concern for postpartum sexual health. Although sexual dysfunction is a disorder that affects a couple rather than an individual, all studies investigating the relationship between the mode of delivery and sexual problems have been conducted only in cohorts of women. Aim To determine the effect of mode of delivery on quality of sexual relations and sexual functioning of men by using the Golombock–Rust Inventory of Sexual Satisfaction (GRISS). Main Outcome Measure Mean score of sexual function and prevalence of sexual dysfunction in overall and specific areas of the GRISS were compared among the three groups. Methods A total of 107 men accompanying their wives in outpatient clinics of obstetrics and gynecology met inclusion/exclusion criteria. Three groups of men were defined; men whose partners had: (i) “elective cesarean delivery” (N=21; mean age 32.2 ± 3.8 years); (ii) “vaginal delivery with mediolateral episiotomy” (N=36; mean age 31.4 ± 4.5 years); and (iii) “not given birth” (N=50; mean age 28.8 ± 4.0 years). Results Mean overall sexual function score (normal value<25 points) was 20.5 ± 8.2 in the elective caesarean group, 19.3 ± 6.5 in the vaginal delivery group, and 18.8 ± 9.3 in the nulliparae group (P = 0.731). Prevalence of sexual dysfunction in men was 28.6% in the elective caesarean group, 19.4% in the vaginal delivery group, and 30.0% in the nulliparae group (P = 0.526). Conclusion Overall sexual function of men was not affected by their partner's parity and mode of delivery. An elective cesarean section simply because of concerns about sexual function would not provide additional benefit to men, and could deny women a possible vaginal delivery, which is generally assumed to be safer than cesarean section.

Sexual health problems of women in the postpartum period, role of midwife and nurse

“…Eşi ile cinsel ilişkisindeki memnuniyet derecesi ise sezaryen doğum yapanlarda belirgin düzeyde yüksek ve istatistiksel olarak anlamlı bulunmuştur. (14) Başka bir çalışmada ise; Lurie ve arkadaşları 4362 doğum yapan kadını örneklem olarak almış ve doğum şekillerine göre cinsel yaşamlarını karşılaştırmıştır. Çalışma sonucunda; isteğe bağlı sezaryen olan veya vajinal doğum yapan kadınların, postpartum 6.-24. haftalarda cinsel işlevleri karşılaştırıldığında, aralarında anlamlı bir farklılık görülmemiştir.…”

Concordance of sexual dysfunction and dissatisfaction by self-report and those by partner’s perception in young adult couples

“…The first results of the larger study have been published elsewhere. [14][15][16] This paper focuses on concordance of sexual dysfunction and dissatisfaction by self-report and those by partner's perception in young adult couples.…”

Does Delivery Method Have Any Effect On Sexual Function?

“…Klitoris, vulva ve perineyi inerve eden pudendal sinir vajinal doğum-da bebeğin başının basısıyla ve/veya forsepsle zarar görebilir (5) . İlave olarak, vajinal prolapsusa bağlı olarak hipotonik olan vajinal kaslar da azalmış orgazm kabiliyetine yol açabilir (6) . Disparoni ile özellikle epiztotomiye bağlı perineal hasar arasında ilişki olduğu birçok çalışmada göste-rilmiştir (7,8) .…”