Vol 92, No 1 (2021)
Research paper
Published online: 2021-01-29

open access

Page views 3572
Article views/downloads 4726
Get Citation

Connect on Social Media

Connect on Social Media

The impact of motherhood on sexuality

Anna Fuchs1, Iwona Czech1, Agnieszka Dulska1, Agnieszka Drosdzol-Cop1
Pubmed: 33576487
Ginekol Pol 2021;92(1):1-6.


Objectives: Motherhood is a beautiful, extremely satisfying time ina woman’s life, but also very challenging at the same
time. Forty weeks of pregnancy, delivery, postpartum and breastfeeding periods affect physiological and mental functions
that may unfortunately hinder women sexuality.
Material and methods: A longitudinal study was carried out. The questionnaire was developed to include a validated tool
as wells as socio-demographic and medical data. The completely self-administered questionnaire was provided to patients
twice — before pregnancy and postpartum. Finally, 398 women were included in the study and filled out the survey.
Results: Pregnancy and childbirth significantly (p < 0.001) reduce female sexual activity by lowering FSFI score. A similar
relationship occurs in the six domains included in the FSFI scale.The number of women who received ≤ 26 points (which
may indicate sexual dysfunctions) before pregnancy is 34 (8.54%) and after giving birth it is 167 (41.96%)
Conclusions: Pregnancy and childbirth significantly reduce female sexual activity by lowering FSFI score. The number of
women who with sexual dysfunctions increases fivefold after giving birth, and may even reach the value of 40% of young
mothers. The role of the medical personnel in maintain women’s sexual health is extremely important.

Article available in PDF format

View PDF Download PDF file


  1. Phillips NA. Female sexual dysfunction: evaluation and treatment. American Family Physician. 2000; 62(1): 127–48.
  2. Majda A, Zalewska-Puchała J, Kamińska A, et al. Uwarunkowania seksualności kobiet ciężarnych w Polsce. Hygeia Public Health. 2014; 49(4): 864–869.
  3. Żak-Łykus A, Nawrat M. Satysfakcja seksualna, życiowa i partnerska. Sexual satisfaction, quality of life and relationship satisfaction. Family Forum. 2013; 3: 172–186.
  4. World Health Organization (‎2010)‎. Developing sexual health programmes: a framework for action. ‎http://www.who.int/iris/handle/10665/70501.
  5. Lewis RW, Fugl-Meyer KS, Corona G, et al. Epidemiology/risk factors of sexual dysfunction. J Sex Med. 2004; 1(1): 35–39.
  6. Zyśk N, Durka P. Wpływ macierzyństwa na seksualność kobiet. The impast of motherhood on women’s sexuality. Polski Przegląd Nauk o Zdrowiu. 2015; 1(42).
  7. Rosen R, Brown C, Heiman J, 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.
  8. Smoliński R. Aktywność seksualna kobiet w ciąży. In: Lew-Starowicz Z, Skrzypulec V. ed. Podstawy seksuologii. Wydawnictwo Lekarskie PZWL, Warszawa 2010: 134–136.
  9. Bręborowicz G. Połóg. In: Położnictwo i Ginekologia Tom 1, wyd 2. Wydawnictwo Lekarskie PZWL, Warszawa 2015.
  10. Keskin D. Mode of Delivery and Number of Children Effect on Sexual Function. Middle Black Sea Journal of Health Science. 2018: 7–11.
  11. Matusiak-Kita M, Zdrojewicz Z. Seksulaność kobiet w ciąży, w okresie poporodowym i karmienia piersią. Przegląd Seksuologiczny. 2010; styczeń/marzec(21).
  12. Allahdadi KJ, Tostes RCA, Webb RC. Female sexual dysfunction: therapeutic options and experimental challenges. Cardiovasc Hematol Agents Med Chem. 2009; 7(4): 260–269.
  13. American College of Obstetricians and Gynecologists. ACOG technical bulletin. Sexual dysfunction. No. 211. , Washington, D.C. September 1995.
  14. Sipiński A, Kazimierczak M, Ciesielska B. Ocena zachowań seksualnych kobiet karmiących. Seksuologia Polska. 2005; 3(2): 52–59.
  15. Tenfelde S, Tell D, Brincat C, et al. Musculoskeletal Pelvic Pain and Sexual Function in the First Year After Childbirth. J Obstet Gynecol Neonatal Nurs. 2019; 48(1): 59–68.
  16. Sobel L, O'Rourke-Suchoff D, Holland E, et al. Pregnancy and Childbirth After Sexual Trauma: Patient Perspectives and Care Preferences. Obstet Gynecol. 2018; 132(6): 1461–1468.
  17. Banaei M, Torkzahrani S, Ozgoli G, et al. Addressing the Sexual Function of Women During First Six Month After Delivery: Aquasi-Experimental Study. Mater Sociomed. 2018; 30(2): 136–140.
  18. Martínez-Galiano JM, Hernández-Martínez A, Rodríguez-Almagro J, et al. Women's Quality of Life at 6 Weeks Postpartum: Influence of the Discomfort Present in the Puerperium. Int J Environ Res Public Health. 2019; 16(2).
  19. Machaj A, Stankowska I. Poczucie atrakcyjności seksualnej kobiet w wieku prokreacyjnym po przebyciu ciąży i okresu karmienia. Nowiny Lekarskie. 2011; 80(5): 323–333.
  20. Faisal-Cury A, Menezes PR, Tedesco JJ, et al. Maternity "blues": prevalence and risk factors. Span J Psychol. 2008; 11(2): 593–599.
  21. Gavin NI, Gaynes BN, Lohr KN, et al. Perinatal depression: a systematic review of prevalence and incidence. Obstet Gynecol. 2005; 106(5 Pt 1): 1071–1083.
  22. Ghaedrahmati M, Kazemi A, Kheirabadi G, et al. Postpartum depression risk factors: A narrative review. J Educ Health Promot. 2017; 6: 60.
  23. Anzaku As, 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): 210–216.
  24. Stadnicka G, Łepecka-Klusek C, Pilewska-Kozak A, et al. Satysfakcja seksualna kobiet po porodzie — część I. Problemy Pielęgniarstwa. 2016; 23(3): 357–361.
  25. Golmakani N, Zare Z, Khadem N, et al. The effect of pelvic floor muscle exercises program on sexual self-efficacy in primiparous women after delivery. Iran J Nurs Midwifery Res. 2015; 20(3): 347–353.
  26. Eid MA, Sayed A, Abdel-Rehim R, et al. Impact of the mode of delivery on female sexual function after childbirth. Int J Impot Res. 2015; 27(3): 118–120.
  27. Thom DH, Rortveit G. Prevalence of postpartum urinary incontinence: a systematic review. Acta Obstet Gynecol Scand. 2010; 89(12): 1511–1522.
  28. Rogers RG, Borders N, Leeman LM, et al. Does spontaneous genital tract trauma impact postpartum sexual function? J Midwifery Womens Health. 2009; 54(2): 98–103.
  29. Stadnicka G, Łepecka-Klusek C, Pilewska-Kozak A, et al. Satysfakcja seksualna kobiet po porodzie — część II. Problemy Pielęgniarstwa. 2015; 23(3): 362–366.
  30. Filipek K, Marcyniak EM, Kuran-Ohde J. Jakość współżycia płciowego kobiet 6 miesięcy po porodach drogami natury a samoocena stanu sromu i krocza. Seksuologia Polska. 2014; 12(2): 58–63.
  31. Thom DH, Rortveit G. Prevalence of postpartum urinary incontinence: a systematic review. Acta Obstet Gynecol Scand. 2010; 89(12): 1511–1522.