The impact of pregnancy on sexual function among expectant mothers
pregnancy, sexuality, women
PURPOSE: To evaluate the influence of pregnancy on sexual function among expectant mothers.
METHODS: This cross-sectional study conducted from November 2013 to June 2015 assessed 225 pregnant women. It was applied a questionnaire on sociodemographic, clinical and behavioral characteristics of these women. Sexual function was evaluated by the Female Sexual Function Index (FSFI), scope to the examination of all areas (Desire, Arousal, Lubrication, Orgasm, Satisfaction and Pain). Initially, a univariate analysis of the sample was done. Absolute and relative quantitative and categorical variables were described. The mean domains according to the risk of sexual dysfunction (FSFI ≤ 26.5) were compared using the T-test for independent samples. The magnitude of association among sexual dysfunction and all sociodemographic, clinical and behavioral variables were measured by Chi-square test (ᵡ2). From this perspective, the odds ratio (OR) were adopted and their respective confidence intervals for the bivariate analysis. They were considered significant p values less than 0.05.
RESULTS: The mean age of the 225 women was 27 (± 12.64), 67% of whom exhibited sexual dysfunction (FSFI ≤ 26.55). Most were non-white (58.6%), with up to 8 years of school education (41.8%), and nonsmokers (94.2%) and 48% were diagnosed with some type of vulvovaginitis in the previous 6 months. Regarding the sexual function, 99.1% reported 1-2 partners and stable relationship, in the previous year and 50% mentioned first intercourse around 16 years old. Analyzing sexual dysfunction outcome on the areas, the average negative scores (FSFI) was significantly higher in all the domains: Desire, Arousal, Lubrication, Orgasm, Satisfaction and Pain (p <0.001). Domains Arousal, Orgasm and Pain were the main contributors to the low scores of the FSFI. Vaginal ejaculation was the only independent variable significantly associated with the risk of sexual dysfunction (p value = 0.001).
CONCLUSION: The pregnancy status appears to influence on sexual function among expectant mothers.