Official websites use. Share sensitive information only on official, secure websites. Address for correspondence: Dr. Prakash Prabhakarrao Doke, Department of Community Medicine, Bharati Vidyapeeth Deemed University Medical College, Pune, Maharashtra, India. E-mail: prakash. This is an open access journal, and articles are distributed under the terms of the Creative Commons Attribution-NonCommercial-ShareAlike 4. To calculate the risk ratio of non-resumption of vaginal sex and dyspareunia during the postpartum period among cesarean-delivered women. This large multisite study was conducted in 13 selected hospitals in Pune District during — A total of 3, women half cesarean delivered and half vaginally were interviewed by trained health workers using a structured questionnaire. Women were interviewed at 4 weeks, 6 weeks, and 6 months. At 6 weeks, the risk ratio of non-resumption of vaginal sex was significantly high among cesarean-delivered participants 1. Cesarean-delivered women had a lesser risk ratio of dyspareunia at both follow-ups 0. Even at 6 months, about one-third vaginally delivered women had dyspareunia. The proportion of women non-resuming vaginal sex gradually decreased from 6 weeks to 6 months. The proportion of women having dyspareunia also decreased from 6 weeks to 6 months following childbirth. Residence in the rural area and cesarean delivery were the significant determinants of an early resumption does sex hur vaginal sex. Dyspareunia was significantly high among vaginal delivered than cesarean. A large number of women suffer from dyspareunia; hence antenatal and postnatal care should include some counseling and management about the resumption of sex and dyspareunia. Keywords: Cesarean, dyspareunia, early resumption of sexual activity, postpartum, vaginal. Abstinence by couples during late pregnancy and immediately after delivery is entrenched in the culture. Women desire resumption of sex but there may be pain or apprehension about pain. Openly communicating about sexuality particularly among women is usually taboo in India and may have poor response during obtaining information. Several women in the postpartum period face problems like postcoital bleeding, dyspareunia, pain on orgasm, loss of vaginal lubrication, does sex hur. Sociodemographic factors like age, occupation, education cultural beliefs as well as obstetric factors including parity, use of family planning, are associated with early postpartum resumption of vaginal sex. Cesarean delivery thwarts perineum damage and consequently prevents postpartum sexual dysfunction. A study documented a better score for sexual function among women with cesarean delivery than those who have had a vaginal delivery. In the context of the increasing proportion of cesarean deliveries in India, the study was considered necessary. To calculate the risk ratio of not resuming vaginal sex among cesarean delivered women during postpartum 6 months. To calculate the risk ratio of dyspareunia among cesarean-delivered women during postpartum 6 months. The study was conducted in Pune district, India. As per the last censusthe population of the Pune district is 9, The urban population in the district is There are six medical college hospitals, one civil hospital, one women hospital, five sub-district hospitals, and 20 rural hospitals Community Health Centers in the district. Both the corporations have one tertiary care hospital each and many small hospitals. There are many private non-teaching hospitals in the district. The criterion of selection of study centers was a non-teaching government hospital conducting more than five cesarean sections per month. Additionally, one government and one private teaching hospital were selected. Thus, the study was conducted in 13 selected hospitals in the district. These hospitals included five tertiary care hospitals two medical college hospitals, two corporation hospitals, and one civil hospital and eight secondary care hospitals.
Clinical characterisation of women with persistent genital arousal disorder: the iPGAD-study
theblood – Revolutionizing the Gender Data Gap [3] These. Several women in the postpartum period face problems like postcoital bleeding, dyspareunia, pain on orgasm, loss of vaginal lubrication, etc. Injury pattern. This is in contrast to the gynecology examination which. The forensic medical examination revealed extragenital injuries in % of patients. Risk of non-resumption of vaginal sex and dyspareunia among cesarean-delivered women - PMCSign up for Nature Briefing. Psychological, medical, and pharmacological correlates of persistent genital arousal disorder. Secondly, private non-teaching hospitals were not included in the study. Progesterone is one of the two main hormones that regulate the menstrual cycle, with levels rising after ovulation during the luteal phase. Find articles by Tushar Madhavrao Panchanadikar.
The colours of period blood and what they could mean for your health.
This is in contrast to the gynecology examination which. [3] These. Several women in the postpartum period face problems like postcoital bleeding, dyspareunia, pain on orgasm, loss of vaginal lubrication, etc. However, a detailed sexual history was taken, and—according to clinical experience—a possible severe sexual trauma would have been reported. The reasons people have sex have been assumed to be few in number and simple in nature-to reproduce, to experience pleasure, or to relieve sexual tension. The forensic medical examination revealed extragenital injuries in % of patients. Injury pattern.Consequently, this results in increased genital blood flow and possible newfound awareness of genital sensations 20 , Persistent genital arousal disorder: A review of its conceptualizations, potential origins, impact, and treatment. To calculate the risk ratio of not resuming vaginal sex among cesarean delivered women during postpartum 6 months. In addition, the detailed history of the PGAD symptomatology was taken. Article CAS PubMed Google Scholar. Can my penis all gets in? Article PubMed Google Scholar Miyake, K. Supplementary Information. That would make sense right? To specify the exact localisation of the symptomatology, the patient could mark the concerned regions on a body illustration. You can also search for this author in PubMed Google Scholar. A total of 3, women half cesarean delivered and half vaginally were interviewed by trained health workers using a structured questionnaire. Have you ever wondered about the possible connection between your menstrual cycle and sexual desire? Persistent genital arousal disorder: A clinical challenge. In PGAD, this sensation occurs despite the absence of a sexual stimulus and usually lasts for days or weeks and does not subside after one or more orgasms 1. Ask your question It can last from a few minutes to many hours or even several days. Article PubMed Google Scholar Giraldi, A. Although this did not result in a statistical difference, attention should be paid to this in the future. This includes the variables sleep quality, sleep latency, sleep duration, sleep efficiency, sleep disturbance, the use of sleeping pills and daytime sleepiness. Socio-demographic and obstetric factors for early resumption of vaginal sex and dyspareunia among participants, Pune District, India, As per the last census , the population of the Pune district is 9,, Localization of PGAD symptoms: Own illustration of a perineum in lithotomy position showing the localization of PGAD symptoms with their frequencies in percent. Department of Obstetrics and Gynaecology, Hannover Medical School, Hannover, Germany. Kümpers, F.
