What are the prevalence and factors associated with sexual dysfunction in breastfeeding women? A Brazilian cross-sectional analytical study

Fuentealba-Torres, Miguel; Cartagena-Ramos, Denisse; Fronteira, Inês; Lara, Lúcia Alves da Silva; Arroyo, Luíz Henrique; Arcoverde, Marcos Augusto Moraes; Yamamura, Mellina; Nascimento, Lucila Castanheira; Arcêncio, Ricardo Alexandre

doi:10.1136/bmjopen-2018-025833

Cited by 14 publications

(8 citation statements)

References 51 publications

(50 reference statements)

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“…Despite this evidence, few studies have been conducted to identify factors that contribute to the development of FSD among breastfeeding women. Sexual disorders occurring in the breastfeeding period may be related to hyperprolactinemia and physiological hypoestrogenism [ 20 ], which can lead to poor vaginal lubrication, increased breast sensitivity, decreased sexual desire and dyspareunia [ 17 , 34 ]. Our study shows that pain is the most prevalent dysfunction in the group of women breastfeeding, which could be connected with the influence of hypoestrogenism on sexual sensation [ 17 , 34 ].…”

Section: Discussionmentioning

confidence: 99%

“…However, this period is also marked by challenges, as two out of three women encounter difficulties related to sexual functioning, including decreased libido, difficulty achieving orgasm, vaginal dryness, and dyspareunia [ 14 ]. Factors contributing to reduced postnatal sexual activity include diminished interest in sex, postpartum pain, tender breasts, and lactation-related concerns (for example, uncontrolled milk leakage may be the reason for avoiding sexual intercourse for fear of the partner’s reactions) [ 5 , 15 , 16 , 17 , 18 ]. Notably, breastfeeding women report sexual dysfunction or inactivity more frequently than their non-breastfeeding counterparts [ 9 ].…”

Section: Introductionmentioning

confidence: 99%

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Breastfeeding vs. Formula Feeding and Maternal Sexuality among Polish Women: A Preliminary Report

Szablewska,

Michalik,

Czerwińska-Osipiak

et al. 2023

Healthcare

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Although postpartum sexual problems are common, there is a poor understanding of the underlying influencing factors and the impact of the infant feeding method on the mother’s sexual life. A cross-sectional control study was conducted with a group of 253 women during their postpartum period. This study aimed to investigate the effects of different infant feeding methods on female sexual life after childbirth. The study followed the STROBE guidelines for cross-sectional control analysis. The study design included a questionnaire characterizing sociodemographic, obstetric and breastfeeding variables and the PL-FSFI (Female Sexual Function Index). The authors collected the data in compliance with the CAWI (Computer-Assisted Web Interview) research methodology—an interview conducted via an Internet channel. Each respondent received and completed the survey provided to them via the same online link. This study included women in the postpartum period: 170 breastfeeding women (study group) and 83 formula-feeding women (control group). There were statistically significant difference between the groups that practiced different types of breastfeeding. Out of all the PL-FSFI-assessing domains, the highest average score for the whole group correlated with satisfaction and the lowest score correlated with lubrication use. Our findings indicate that women practicing only breastfeeding are more likely to develop sexual problems. In order to maintain sexual health and promote long-term breastfeeding, extensive and professional counseling is needed for couples about postpartum sexuality and the factors that affect it, such as breastfeeding.

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Breastfeeding vs. Formula Feeding and Maternal Sexuality among Polish Women: A Preliminary Report

Szablewska,

Michalik,

Czerwińska-Osipiak

et al. 2023

Healthcare

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“…Our findings are similar to a study in Japan and Brazil, where the majority of postpartum women had a lubrication disorder, apart from an arousal and orgasm disorder. 13 , 16 …”

Section: Discussionmentioning

confidence: 99%

The prevalence of sexual dysfunction among postpartum women on the East Coast of Malaysia

Khalid

Jamani

Aziz

et al. 2020

Journal of Taibah University Medical Sciences

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Objective Sexual health is a key component of the overall health and quality of life of both men and women. Sexual dysfunction is a common condition, but it lacks professional recognition. This study aims to determine the prevalence and types of sexual dysfunctions among postpartum women in primary care clinics and their associated factors in a Malaysian cohort. Method In this cross-sectional study, we recruited 420 women from nine primary care clinics in Kuantan, Pahang, Malaysia. All participants had given livebirths within six weeks to six months and had attended either a postnatal or a well-child clinic at a government primary care clinic. The assessment of female sexual dysfunction (FSD) was done using a validated Malay version of the female sexual function index (MVFSFI). Data were statistically analysed using appropriate methods. Results More than one-third (35.5%) of women had postpartum sexual dysfunction. The most common types were lubrication disorder 85.6% (n = 113), followed by loss of desire 69.7% (n = 92) and pain disorders 62.9% (n = 83). Satisfaction disorder 7.3% (n = 27), orgasmic disorder 9.7% (n = 56) and arousal disorder 11.0% (n = 41) were less common sexual problems. The independent associated factors for FSD were high education level (adjusted odd ratio = 1.717, 95% CI 1.036–2.844; p < 0.05) and usage of hormonal contraception (adjusted odd ratio = 0.582, 95% CI 0.355–0.954; p < 0.05). Conclusion This study showed a high prevalence of postpartum sexual dysfunction in Kuantan, Pahang, Malaysia. The most common type of sexual dysfunction was lubrication disorder. Efforts at increasing awareness in healthcare professionals should be made.

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“…The current study suggests that discussing sexual expectations with the partner and lack of willingness or need to introduce changes in one's sexual lif, are both correlated with higher life satisfaction and sexual satisfaction scores. Willingness to build a healthy sexual relationship should be expressed through interpersonal communication [30,31].…”

Section: Discussionmentioning

confidence: 99%

Female sexuality at reproductive age as an indicator of satisfaction with life – descriptive cross-sectional survey

Bień¹,

Rzońca²,

Chruściel³

et al. 2020

Ann Agric Environ Med.

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Introduction. Life satisfaction is the result of valuing one's own life, and it is higher when the individual situation is closer to the general norm. It is characterized by dynamic and subjectivity and the way it is perceived is regulated by internal and external factors. Life satisfaction can be described in subjective and objective categories, by various indicators. Objective. The aim of the study was to evaluate the determinants of satisfaction with life in selected aspects among women of reproductive age. Materials and method. The study was conducted on 280 women, selected according to the following criteria: age range 18-45, at least one sexual intercourse per month, lack of chronic diseases or cancer, and consent to participate in the research. The research instruments used were: Satisfaction With Life Scale (SWLS), Sexual Satisfaction Questionnaire (SSQ), Female Sexual Function Index (FSFI). Results. Life satisfaction increased with age (p<0.0001), higher life satisfaction was reported by women with higher education (p<0.001), married, (p<0.01), talked with their partner about their sexual expectations (p=0.03) and did not want to change anything in their sexual life (p<0.001). Analysis revealed a positive correlation between life satisfaction and sexual satisfaction (p < 0.0001). Conclusions. Higher level of sexual satisfaction and sexual health is related to better satisfaction with life. Factors affecting sexual satisfaction include residence, having children, discussing one's sexual expectations with their partner, feeling no need to change one's sex life, and frequency of sexual activity.

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What are the prevalence and factors associated with sexual dysfunction in breastfeeding women? A Brazilian cross-sectional analytical study

Cited by 14 publications

References 51 publications

Breastfeeding vs. Formula Feeding and Maternal Sexuality among Polish Women: A Preliminary Report

Breastfeeding vs. Formula Feeding and Maternal Sexuality among Polish Women: A Preliminary Report

The prevalence of sexual dysfunction among postpartum women on the East Coast of Malaysia

Female sexuality at reproductive age as an indicator of satisfaction with life – descriptive cross-sectional survey

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