Introduction and Objective: Birth canal trauma after vaginal delivery is one of the causes of sexual dysfunction in primiparous women. Cesarean section procedure prevents perineal trauma, it can be considered to avoid the incidence of sexual dysfunction after delivery. This study is to evaluate and compare the level of sexual dysfunction based on the mode of delivery in primiparous women.
Methods: This study was an observational study using cross-sectional study design. This research was conducted in the obstetrics and gynecology department of the Ciptomangunkusumo National General Hospital from January to April 2014. Female Sexual Function Index (FSFI) questionnaire was used to measure sexual dysfunction. Data were analyzed using Chi Square test.
Results: There were 57 primiparous women as participants in this study, 28 participants with cesarean section procedure, and 29 participants with vaginal delivery. Sexual dysfunction was present in 25 participants, with 11 participants (39.3%) in the cesarean section cohort, and 14 participants (48.3%) after vaginal delivery. There was no significant difference in the level of sexual dysfunction in the cesarean section or vaginal delivery group (P = 0.494).
Conclusions: The mode of delivery does not affect the incidence of sexual dysfunction in primiparous women. Delivery method with cesarean section to avoid the incidence of sexual dysfunction is not in accordance with the results of this study.
Several studies have demonstrated the great impact of the climacteric on sexual function, which can lead to dysfunctions and important changes in women’s health. The interest in studying the sexual function of female patients diagnosed with Metabolic Syndrome (MetS) has been recent, and researchers point out to the fact that there exist few studies focusing on the female sexuality.