Gynecologic and Obstetric Investigation
Gutzeit O. · Ben Zvi D. · Levy G. · Mazor D. · Iluz R. · Tzur L. · Lauterbach R. · Dibbiny S. · Weiner Z. · Lowenstein L.
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Article / Publication Details
Abstract
Objectives
Sexual function is an important part of quality of life at all ages. Childbirth brings many changes that may affect sexual function. During quarantine due to the COVID-19 global pandemic, nuclear families were forced to stay home. The goal of this study was compere sexual function prior to the COVID-19 quarantine and during the quarantine, in postpartum couples in the first months following their first vaginal childbirth.
Design
This is a single-center, prospective study of females following their first vaginal delivery and their male partners. The study included couples recruited from October 2019 until February 2020.
Participants
Participants were interviewed by telephone during the last week of the first COVID19 quarantine, according to Arizona Sexual Experience Scale (ASEX). Main outcome measures: Pre- and post-quarantine sexual function according to ASEX scores. ASEX is a survey that assesses sexual drive, arousal, vaginal lubrication, the ability to reach orgasm, and satisfaction from orgasm. Responses are scored on a 1–6 Likert scale with a potential range of 5–30, where the highest scores indicate worse sexual function.
Results
The participants were 38 women and 29 men. The average time from delivery to the interviews was 182.8± 84.7 days; 56% of the spouses were under quarantine. The median baseline total ASEX score was 13 (sexual drive 3, arousal 2.5, vaginal lubrication 2.5, ability to reach orgasm 2, orgasm satisfaction 2) for women; and 11 (sexual drive 3, arousal 2, penile erection 1, ability to reach orgasm 2, orgasm satisfaction 2) for men. Sixteen percent of the women and none of the men had a baseline sexual dysfunction (ASEX score >19). Significant differences were not observed in total ASEX scores before and during the quarantine.
Limitations
Sexual function at the end of the quarantine was evaluated prospectively and pre-quarantine sexual function was evaluated retrospectively, with the limitation of recall bias.
Conclusions
COVID-19 quarantine did not seem to have a significant effect on female or male sexual function, three to nine months after the first vaginal delivery. The current study is the first to discride primiparous postpartum sexual function as median ASEX score.
S. Karger AG, Basel
Article / Publication Details
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