Abstract
BackgroundSexual function is one of the main aspects of life. Pregnancy affects sexual function. The aim of this study was to determine the sexual dysfunction in young pregnant women and its correlation with intimate partner violence (IPV).MethodsThis cross-sectional study was conducted using two-stage cluster sampling method. The data were collected using a socio-demographic questionnaire, Female Sexual Function Index (FSFI), and Conflict Tactics Scale (CTS2). Multivariate logistic regression was used to determine the relationships between sexual dysfunction with IPV and socio-demographic factors.ResultsThe results of this study on 346 pregnant women aged 18–29 years showed that mean (SD = standard deviation) of the total sexual function score was 25.4 (5.9), within a possible score range of 2 to 36. About 66% of the young pregnant women had a sexual dysfunction. The lowest and the highest prevalence of sexual dysfunction were in sub domains of sexual satisfaction and sexual desire, respectively. The prevalence of overall IPV against young women was 63%. The most common type of IPV experienced by women was psychological aggression (56.6%). There were statistically significant relationships between sexual dysfunction and IPV (OR (Odds Ratio) = 0.4, 95% Confidence Interval = 0.2 to 0.6, p < 0.001), sufficiency of income for expenses (0.2, 0.1 to 0.6, p = 0.005), husband educational level (0.5, 0.3 to 0.9, p = 0.028) and marriage duration (1.9, 1.0 to 3.7, p = 0.044).ConclusionsSexual dysfunction has a high prevalence in young pregnant women and IPV had correlation with sexual dysfunction. The routine screening for sexual dysfunction and IPV is recommended during pregnancy for detection and consulting.
Highlights
Sexual function is one of the main aspects of life
A general decrease in sexual desire is observed during the first trimester of pregnancy; different patterns are observed in the second trimester, and, it again decreases in the third trimester [4]
The most common type of intimate partner violence (IPV) experienced by women was psychological aggression (56.6%), followed by physical assault (25.7%), sexual coercion (22.3%), and injury (8.4%)
Summary
Sexual function is a multidimensional phenomenon, which is affected by mental, social, economic, political, and cultural factors [1] as well as pregnancy [2]. A general decrease in sexual desire is observed during the first trimester of pregnancy; different patterns are observed in the second trimester, and, it again decreases in the third trimester [4]. Some factors affect sexual relationship during pregnancy, including fear of injury to the fetus [4], common complaints of pregnancy such as nausea and vomiting, the wife’s avoidance to have sex, sexual pain [6], post sex problems such as vaginal bleeding and abdominal cramp, as well as a reduced sexual desire and sexual pleasure during pregnancy [2]. Pregnancy increases sexual dysfunction in women [4], and sexual dysfunction increases with the progress of pregnancy [5]
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