The concern that vaginal birth will result in loose vagina and negatively affect their postnatal sexual life is one of the main reasons that many women choose cesarean section. Here we aimed to implement a new device to measure and compare the intra-vaginal pressures between women who gave vaginal birth and those who had cesarean section, and to evaluate the relationship between sexual function and type of delivery by Female Sexual Function Index (FSFI). A total of 165 women including 88 in the vaginal-delivery group and 77 in the cesarean-delivery group were recruited in the study. Significant differences in intra-vaginal pressures were found between the two groups, and intra-vaginal pressures of vaginal-delivery group were lower than those of cesarean-delivery group. Significant difference was also found in coitus time. However, no significant difference was found regarding sexual satisfaction and sexual function indicated by the FSFI. We concluded that vaginal delivery indeed may result in loose vagina compared with cesarean delivery. However, it did not negatively affect the postnatal sexual function. Therefore, women should be assured that their sexual functions won’t be affected by the types of delivery.
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Aslan Y, Tuncel A, Aydin O, Balci M, Karabulut E, Atan A . The association between Erection Hardness Grading Scale and International Index of Erectile Function in men with erectile dysfunction treated with sildenafil citrate. Urol Int 2011; 86: 434–438.
Gruenwald I, Appel B, Vardi Y . Low-intensity extracorporeal shock wave therapy-a novel effective treatment for erectile dysfunction in severe ED patients who respond poorly to PDE5 inhibitor therapy. J Sex Med 2012; 9: 259–264.
Rosen R, Brown C, Heiman J, Leiblum S, Meston C, Shabsigh R et al. The Female Sexual Function Index (FSFI): a multidimensional self-report instrument for the assessment of female sexual function. J Sex Marital Ther 2000; 26: 191–208.
Wiegel M, Meston C, Rosen R . The female sexual function index (FSFI): cross-validation and development of clinical cutoff scores. J Sex Marital Ther 2005; 31: 1–20.
Wall LL, Hewitt JK, Helms MJ . Are vaginal and rectal pressures equivalent approximations of one another for the purpose of performing subtracted cystometry? Obstet Gynecol 1995; 85: 488–493.
Qin C, Zhou M, Callaghan WM, Posner SF, Zhang J, Berg CJ et al. Clinical indications and determinants of the rise of cesarean section in three hospitals in rural China. Matern Child Health J 2012; 16: 1484–1490.
van Brummen HJ, Bruinse HW, van de Pol G, Heintz AP, van der Vaart CH . Which factors determine the sexual function 1 year after childbirth? BJOG 2006; 113: 914–918.
Safarinejad MR, Kolahi AA, Hosseini L . The effect of the mode of delivery on the quality of life, sexual function, and sexual satisfaction in primiparous women and their husbands. J Sex Med 2009; 6: 1645–1667.
Baytur YB, Deveci A, Uyar Y, Ozcakir HT, Kizilkaya S, Caglar H . Mode of delivery and pelvic floor muscle strength and sexual function after childbirth. Int J Gynaecol Obstet 2005; 88: 276–280.
Boroumandfar K, Rahmati MG, Farajzadegan Z, Hoseini H . Reviewing sexual function after delivery and its association with some of the reproductive factors. Iran J Nurs Midwifery Res 2010; 15: 220–223.
Huang YC, Mathers NJ . A comparison of sexual satisfaction and post-natal depression in the UK and Taiwan. Int Nurs Rev 2006; 53: 197–204.
Singh JC, Tharyan P, Kekre NS, Singh G, Gopalakrishnan G . Prevalence and risk factors for female sexual dysfunction in women attending a medical clinic in south India. J Postgrad Med 2009; 55: 113–120.
DeJudicibus MA, McCabe MP . Psychological factors and the sexuality of pregnant and postpartum women. J Sex Res 2002; 39: 94–103.
The authors declare no conflict of interest.
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Cai, L., Zhang, B., Lin, H. et al. Does vaginal delivery affect postnatal coitus?. Int J Impot Res 26, 24–27 (2014). https://doi.org/10.1038/ijir.2013.25
- sexual behavior
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