Sexual Function and Related Factors in Lactating Women with Decreased Sexual Desire referred to Sonqor Health Centers in 2018

Document Type : Original Article

Authors

1 Assistant Professor, Department of Reproductive Health, Mother and Child Care Research Center, School of Nursing and Midwifery, Hamadan University of Medical Sciences, Hamadan, Iran.

2 M.Sc. of Counseling in Midwifery, School of Nursing and Midwifery, Hamadan University of Medical Sciences, Hamadan, Iran.

3 Associate Professor, Department of Biostatistics, Modeling of Non-communicable Diseases Research Center, School of Public Health, Hamadan University of Medical Sciences, Hamadan, Iran.

4 Gynecologist, Sonqor Imam Khomeini Hospital, Kermanshah University of Medical Sciences, Kermanshah, Iran.

Abstract

Introduction: Various factors such as childbirth and breastfeeding can affect women's sexual function, it is important to know about sexual problems and related factors in the postpartum period. This study was performed with aim to determine the factors related to sexual function of lactating women with decreased sexual desire.
Methods: This descriptive study was performed in 2018 on 104 lactating women at 2-6 months postpartum with decreased sexual desire in Sonqor health centers. Data collection tools included demographic and midwifery questionnaire, Decreased Sexual Desire Screener (DSDS) and Female Sexual Function Index (FSFI). Data were analyzed by SPSS software (version 24) and Mann-Whitney test, Pearson correlation coefficient, mean and standard deviation. P<0.05 was considered statistically significant.
Results: The results of Pearson correlation coefficient showed a significant inverse correlation between age and total score of sexual function, sexual desire, sexual arousal, orgasm and sexual satisfaction (P <0.05). There was also a significant inverse correlation between the number of pregnancies with sexual desire and sexual arousal (P <0.05) and between the number of live children with sexual desire (P <0.05). There was no statistically significant correlation between sexual function with marriage age, infant's age, the interval between recent pregnancies and income (P >0.05).
Conclusion: Age, number of pregnancies and number of live children are inversely correlated with sexual function, so that the score of sexual function decreases with increase in age, the number of pregnancies and the number of live child. There was no statistically significant correlation between sexual function with marriage age, infant's age, the interval between recent pregnancies and income.

Keywords

References

  1. Ghana S, Jouybari LM, Sanagoo A. Exploration of Women's Sexual Experiences during Pregnancy and Breast Feeding. Iran J Obstet Gynecol Infertil 2013; 16(60):18-24.
  2. Rostamkhani F, Ozgoli G, Merghati KE, Jafari F, Alavi MH. Effectiveness of the PLISSIT-based Counseling on sexual function of women. Advances in Nursing & Midwifery 2012; 22(76):1-9.
  3. Abedi P, Jorfi M, Afshari P, Fakhri A. How does health-promoting lifestyle relate to sexual function among women of reproductive age in Iran?. Global health promotion 2018; 25(3):15-21.
  4. Khamse A. New strategies in couple therapy. Tehran: Arjmand-Nasle Farda 2010: 226.
  5. Novak E. Berek & Novak's gynecology. 15nd ed. Philadelphia: Lippincott Williams & Wilkins; 2011.
  6. Keshavarz Safie Z. The efficiency of marital and sexual skill training on hypoactive sexual desire and marital satisfaction in women. International Journal of Behavioral Sciences 2015; 9(1):51-9.
  7. Bakhtiari M, Sheydaei H, Bahreynian SA, Nori M. The effect of cognitive-behavioral therapy on low sexual desire and marital satisfaction. Thoughts and Behavior in Clinical Psychology 2015; 10(36):7-16.
  8. 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: An International Journal of Obstetrics & Gynaecology 2006; 113(8):914-8.
  9. Hasanzadehbeshtian M. Effective factors on woman's sexuality. Iran J Obstet Gynecol Infertil 2006; 9(1):86-91.
  10. Adanikin AI, Awoleke JO, Adeyiolu A, Alao O, Adanikin PO. Resumption of intercourse after childbirth in southwest Nigeria. Eur J Contracept Reprod Health Care 2015; 20(4):241-8.
  11. Hicks TL, Goodall SF, Quattrone EM, Lydon-Rochelle MT. Postpartum sexual functioning and method of delivery: summary of the evidence. J Midwifery Womens Health 2004; 49(5):430-6.
  12. Yıldız H. The relation between prepregnancy sexuality and sexual function during pregnancy and the postpartum period: a prospective study. J Sex Marital Ther 2015; 41(1):49-59.
  13. Mahmodiyan A, Kazemi S, Ghojazade M. Comparison of Sexual problems during the first 6 month after normal vaginal delivery and cesarean in nulliparous women referred to health centers of Ramsar in 2014-2015. Iran J Obstet Gynecol Infertil 2017; 20(5):7-14.
  14. Christensen BS, Grønbæk M, Osler M, Pedersen BV, Graugaard C, Frisch M. Sexual dysfunctions and difficulties in Denmark: prevalence and associated sociodemographic factors. Archives of sexual behavior 2011; 40(1):121-32.
  15. Lewis RW, Fugl‐Meyer KS, Bosch R, Fugl‐Meyer AR, Laumann EO, Lizza E, et al. Epidemiology/risk factors of sexual dysfunction. The journal of sexual medicine 2004; 1(1):35-9.
  16. Rezaei N, Azadi A, Sayehmiri K, Valizadeh R. Postpartum sexual functioning and its predicting factors among Iranian women. The Malaysian journal of medical sciences: MJMS 2017; 24(1):94.
  17. Gungor S, Baser I, Ceyhan T, Karasahin E, Kilic S. Original Research–Couples'sexual Dysfunctions: Does Mode of Delivery Affect Sexual Functioning of the Man Partner?. The journal of sexual medicine 2008; 5(1):155-63.
  18. Nourouzi M, Bashardoust NA, Farmahini FM. Postpartum Physico ـ Sexual Problems and Related Factors. Journal of Shahrekord Uuniversity of Medical Sciences 2005; 7(3):28-32.
  19. Yasaee F, Mohseni RB. Mothers want the type of delivery and birth outcome. Med J 1386(31):13-29.
  20. Anbaran ZK, Baghdari N, Pourshirazi M, Karimi FZ, Rezvanifard M, Mazlom SR. Postpartum sexual function in women and infant feeding methods. J Pak Med Assoc 2015; 65(3):248-52.
  21. Heidari M, Merghati Khoei ES, Kiani A. A study of the relationship between sexual activity and breastfeeding. Journal of Mazandaran University of Medical Sciences 2009; 19(70):54-60.
  22. Dabiri F, Yabandeh AP, Shahi A, Kamjoo A, Teshnizi SH. The effect of mode of delivery on postpartum sexual functioning in primiparous women. Oman medical journal 2014; 29(4):276-9.
  23. Tehrani FR, Farahmand M, Simbar M, Afzali HM. Factors associated with sexual dysfunction; a population based study in Iranian reproductive age women. Archives of Iranian medicine 2014; 17(10):679.
  24. Anzaku A, Mikah S. Postpartum resumption of sexual activity, sexual morbidity and use of modern contraceptives among nigerian women in jos. Ann Med Health Sci Res 2014; 4(2):210-6.
  25. Goodarzi M. Prevalence of sexual dysfunction and related factors among married couples in Qazvin. Journal of Inflammatory Disease 2009; 13(1):49-55.
  26. Hezbiiyan Z, Khodakarami B, Parsa P, Faradmal MJ. The effect of postnatal counseling on sexual function in women referred to health centers in Hamedan in 1392. Avicenna J Nurs Midwifery Care 2016; 24(4):272-280.
  27. Derogatis LR, Clayton AH, Goldstein A, Lewis-D'Agostino D, Wunderlich G, Cotton D. eDiary and Female Sexual Distress Scale(©) in evaluating distress in hypoactive sexual desire disorder (HSDD). J Sex Res 2011;48(6):565-72.
  28. Lewis-D'Agostino DJ. An Analysis of the Development and Validation of the Decreased Sexual Desire Screener for the Diagnosis of Hypoactive Sexual Desire Disorder. Masters of Public Health Thesis 2011; 4(1):5-7.
  29. 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(2):191-208.
  30. Fakhri A, Mohammadi ZI, Pakpour HA, Morshedi H, Mohammad JR, Ghalambor DF. Psychometric properties of Iranian version of female sexual function index. Jundishapur Scientific Medical Journal 2011; 10(4):345-54.
  31. Heydari M, Faghihzadeh S. The female sexual function index (FSFI): validation of the Iranian version. Payesh (Health Monitor) 2008; 7(3):269-78.
  32. Malakoti J, Zamanzadeh V, Maleki A, Farshbaf Khalili A. Sexual function in breastfeeding women in family health centers of tabriz, iran, 2012. J Caring Sci 2013; 2(2):141-6.
  33. Chedraui P, Pérez-López FR, Sánchez H, Aguirre W, Martínez N, Miranda O, et al. Assessment of sexual function of mid-aged Ecuadorian women with the 6-item Female Sexual Function Index. Maturitas 2012; 71(4):407-12.
  34. Jonusiene G, Zilaitiene B, Adomaitiene V, Aniuliene R, Bancroft J. Sexual function, mood and menopause symptoms in Lithuanian postmenopausal women. Climacteric 2013; 16(1):185-93.
  35. Lianjun P, Aixia Z, Zhong W, Feng P, Li B, Xiaona Y. Risk factors for low sexual function among urban Chinese women: a hospital-based investigation. J Sex Med 2011; 8(8):2299-304.
  36. Ornat L, Martínez-Dearth R, Muñoz A, Franco P, Alonso B, Tajada M, et al. Sexual function, satisfaction with life and menopausal symptoms in middle-aged women. Maturitas 2013; 75(3):261-9.
  37. Yencilek F, Attar R, Erol B, Narin R, Aydın H, Karateke A, et al. Factors affecting sexual function in premenopausal age women with type 2 diabetes: a comprehensive study. Fertil Steril 2010; 94(5):1840-3.
  38. Direkvand-Moghadam A, Suhrabi Z, Akbari M, Direkvand-Moghadam A. Prevalence and Predictive Factors of Sexual Dysfunction in Iranian Women: Univariate and Multivariate Logistic Regression Analyses. Korean J Fam Med 2016; 37(5):293-8.
  39. Torkzahrani SH, Banaei M, Ozgoli G, Azad M, Emamhadi MA. Postpartum sexual function; conflict in marriage stability: a systematic review. International Journal of Medical Toxicology and Forensic Medicine 2015; 6(2).
  40. Yee LM, Kaimal AJ, Nakagawa S, Houston K, Kuppermann M. Predictors of postpartum sexual activity and function in a diverse population of women. J Midwifery Womens Health 2013; 58(6):654-61.
  41. Barrett G, Pendry E, Peacock J, Victor C, Thakar R, Manyonda I. Women's sexual health after childbirth. BJOG 2000; 107(2):186-95.
  42. Lagaert L, Weyers S, Van Kerrebroeck H, Elaut E. Postpartum dyspareunia and sexual functioning: a prospective cohort study. The European Journal of Contraception & Reproductive Health Care 2017; 22(3):200-6.
  43. Afshary P, Nik Bina M, Najjar S. Determination of Factors Related to Sexual Function in Women; a Case Study. Health Research Journal 2018; 3(4):197-203.
  44. Aghababaei S, Soltanian AR, Sharifi S, Torkzaban E, Refaei M. Investigating the factors related to severity of nausea and vomiting during Pregnancy and how it is controlled by pregnant Women in Hamadan, 2014. Iran J Obstet Gynecol Infertil 2019; 21(11):23-31.
  45. Dadgar S, Karimi FZ, Bakhshi M, Abdollahi M, Rahimzadeh Borj F. Assessment of sexual dysfunction and its related factors in pregnant women referred to Mashhad health centers (2017-2018). Iran J Obstet Gynecol Infertil 2018; 21(8):22-9.
  46. Karimi A, Dadgar S, Afiat M, Rahimi N. The effect of sexual health education on couples’ sexual satisfaction. Iran J Obstet Gynecol Infertil 2013; 15(42):23-30.
The Iranian Journal of Obstetrics, Gynecology and Infertility
Volume 24, Issue 2
April 2021
Pages 23-32

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