Sexual Function of Primiparous Women After Elective Cesarean Section and Normal Vaginal Delivery

Urol J. Spring 2012;9(2):498-504.


Purpose: To compare sexual function between two groups of women who had normal vaginal delivery (NVD) and planned cesarean section (PCS).

Materials and methods: In this cross-sectional study, two groups of healthy women, with antenatally normal singleton pregnancies at term, who underwent NVD (n = 114) or PCS without labor (n = 99), have been retrospectively studied. Sexual function of participants was assessed using physician-administered Female Sexual Function Index (FSFI) questionnaire before pregnancy and 6 and 24 months after delivery. Primary outcome measures were questions 3 to 6 and 14 to 16 from FSFI questionnaire. Secondary outcome measures included the remaining items.

Results: There were no significant differences regarding six domains of sexual function, including desire (P = .55), arousal (P = .39), lubrication (P = .45), orgasm (P = .36), pain (P = .74), and satisfaction (P = .39) between the two groups. Eighty percent of women who had undergone vaginal delivery complained from hypotonic pelvic floor muscles.

Conclusion: We believe that PCS is not preferred to NVD in regard to preserving normal sexual functioning.

MeSH terms

  • Adult
  • Analysis of Variance
  • Arousal / physiology
  • Cesarean Section / adverse effects
  • Chi-Square Distribution
  • Cross-Sectional Studies
  • Delivery, Obstetric / adverse effects*
  • Female
  • Humans
  • Multivariate Analysis
  • Muscle Hypotonia / etiology
  • Muscle Hypotonia / physiopathology
  • Orgasm
  • Pain / etiology
  • Parity
  • Parturition
  • Pelvic Floor / physiology
  • Personal Satisfaction
  • Retrospective Studies
  • Sexual Dysfunction, Physiological / etiology*
  • Sexual Dysfunctions, Psychological / etiology*
  • Sexuality*
  • Surveys and Questionnaires
  • Time Factors
  • Young Adult