الفهرس 
Sexual AnatomyOnly 14 pages are availabe for public view
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Abstract
Background: The definition of female sexual dysfunction has evolved over the past years. After giving birth, women often struggle with reduced sexual desire and arousal, but how they delivered – by CS or vaginally – is not to blame. Aim of the Work: Is to compare the female sexual function before pregnancy, first sexual activity after delivery and one year postpartum in relation to mode of delivery. Patients and Methods: The current study was carried out as a cross sectional observational study included women attending outpatient contraception clinic and pediatric outpatient clinic in El Demerdash hospital. Results: A total of 146 (45%) of these women had experienced vaginal delivery with episiotomy (VD/epi) and 178 (55%) individuals had a caesarean section (CS) delivery. Comparison between before pregnancy, first sexual activity after delivery and one year after delivery according to total FSFI score shows no statistically significant difference between before pregnancy, first sexual activity after delivery and one year after delivery according to FSFI score. Conclusion: Based on the current findings of this study, Postpartum sexual problems are common but delivery method has no long-term effect on female sexual Function where VD/epi has no impact on the sexual function of the women one year after delivery. Hence, undergoing CS in order to preserve sexual function is not a prophylactic measure. There was no statistically significant difference between VD/epi and cesarean section according to FSFI score in the three periods of participants’ life; before pregnancy, first sexual activity after delivery, and one year after delivery. Recommendations: Health providers should educate women about the appropriate delivery type and the advantages and disadvantages of both procedures. Sexual problems are common in early months after delivery; which is not persistent, or related to mode of delivery. Health providers are suggested to develop a positive attitude towards VD, and change pregnant women misbelief of demanding CS to protect them against sexual dysfunction. Further study is required to evaluate the postpartum sexual dysfunction and its associated factors.