?In Primipara Mothers who delivered vaginally or by cesarean section, is there an impact on the sexual function

Abstract

he strength of the muscles of the pelvic floor and other supporting structures of the pelvic organs are affected by various events that occur during a woman's lifetime. Pregnancy and childbirth have a pronounced influence on maternal anatomy and physiology. After childbirth, neuromuscular damage may cause a reduction in levator resting tone and a widening of the urogenital hiatus. The uterus and vagina are therefore only supported by the endopelvic fascia of the parametrium and paracolpium. If the fascia is inherently weak or already damaged then the ligaments will stretch and lead to prolapse. Vaginal delivery can cause significant long term damage to the perineum including perineal discomfort, dyspareunia and anal sphincter damage and weakness. These symptoms are often long-standing and may require repeated gynaecological surgery. Therefore, the clinician at delivery should aim to minimise the amount of trauma encountered by the patient in an attempt to prevent later consequences. Human sexuality is a complex subject since it encompasses a broad range of issues, behavior and processes, including sexual identity and sexual behavior, the T