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Vol. 66, No. 1, 2008
Issue release date: July 2008
Section title: Original Article
Gynecol Obstet Invest 2008;66:1–7
(DOI:10.1159/000113464)

Sexuality after Delivery with Episiotomy: A Long-Term Follow-Up

Ejegård H. · Ryding E.L. · Sjögren B.
Department of Woman and Child Health, Karolinska Institutet, Stockholm, Sweden

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Article / Publication Details

First-Page Preview
Abstract of Original Article

Received: 11/23/2006
Accepted: 7/17/2007
Published online: 1/17/2008
Issue release date: July 2008

Number of Print Pages: 7
Number of Figures: 0
Number of Tables: 3

ISSN: 0378-7346 (Print)
eISSN: 1423-002X (Online)

For additional information: http://www.karger.com/GOI

Abstract

Aim: To investigate the quality of women’s sex life 12–18 months after first, episiotomy-assisted childbirth and risk factors for long-term dyspareunia after childbirth. Methods: Two hundred and six women who gave birth vaginally at the Karolinska University Hospital between September 1997 and February 1998 and from June 1998 to January 1999 received postal questionnaires at 12–18 months postpartum. Obstetrical, psychological and sexological data, concerning 110 primiparae who underwent episiotomy and 153 age-matched women who did not, were compared. Possible risk factors for postpartum dyspareunia were investigated in the entire sample. Results: Women who underwent episiotomy experienced a more complicated and emotionally difficult delivery. They reported a higher frequency of dyspareunia and insufficient lubrication than women who had given birth without episiotomy. Arousal, orgasm and satisfaction with sex were not affected. Episiotomy, perineal lacerations, fundal pressure at delivery and a history of dyspareunia were independent risk factors for dyspareunia 12–18 months postpartum. Conclusion: Episiotomy may affect women’s sex life during the second year post partum with more frequent pain and vaginal dryness at intercourse. Other obstetrical factors and pain history may also influence the propensity for dyspareunia.


  

Author Contacts

Dr. Elsa Lena Ryding
Department of Obstetrics and Gynaecology
Karolinska University Hospital
SE–171 76 Stockholm (Sweden)
Tel. +46 8 517 742 22, Fax +46 8 517 705 00, E-Mail elsa-lena.ryding@karolinska.se

  

Article Information

Received: November 23, 2006
Accepted after revision: July 17, 2007
Published online: January 17, 2008
Number of Print Pages : 7
Number of Figures : 0, Number of Tables : 3, Number of References : 32

  

Publication Details

Gynecologic and Obstetric Investigation

Vol. 66, No. 1, Year 2008 (Cover Date: July 2008)

Journal Editor: D'Hooghe, T. (Leuven)
ISSN: 0378–7346 (Print), eISSN: 1423–002X (Online)

For additional information: http://www.karger.com/GOI


Article / Publication Details

First-Page Preview
Abstract of Original Article

Received: 11/23/2006
Accepted: 7/17/2007
Published online: 1/17/2008
Issue release date: July 2008

Number of Print Pages: 7
Number of Figures: 0
Number of Tables: 3

ISSN: 0378-7346 (Print)
eISSN: 1423-002X (Online)

For additional information: http://www.karger.com/GOI


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