Postpartum female sexual dysfunctions in Hungary: A cross-sectional study

Abstract

Although the prevalence of sexual dysfunction after delivery is generally considered high, this has not been well examined in Hungary. The aim of our study was to evaluate female sexual function at 3-months postpartum and to investigate some of the possible predictor factors which might influence it.We designed a cross-sectional study using online questionnaires and recruited 253 participants. Risk factors such as infant-feeding method and urinary incontinence were assessed for a potential relationship with sexual dysfunction. The Female Sexual Function Index (FSFI) was used to assess sexual function. We wrote our own questions about potential predictors.48.79% of participants reported sexual dysfunction according to total FSFI score (M = 25.16, SD = 7.00). A significant relationship was found between infant-feeding method and sexual dysfunction (P = 0.003). Sexual dysfunction was more common in exclusive-breastfeeding mothers than in mixed or formula-feeding mothers. Women with urinary incontinence had significantly lower total FSFI scores (P = 0.006), and in the arousal (P = 0.033), lubrication (P = 0.022), satisfaction (P = 0.006) and pain (P = 0.032) domains compared to women with no incontinence problem.Women suffering from urinary incontinence are more likely to have sexual problems, especially a higher risk of dyspareunia and a lower level of sexual interest and wetness. Exclusive breastfeeding has a negative effect on sexual function.