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Dyspareunia following childbirth

Academic Unit of Obstetrics and Gynaecology, Staffordshire University, University Hospital of North Staffordshire, Stoke-on-Trent ST4 6QG, UK. email: christine.kettle{at}uhns.nhs.uk (corresponding author)

Khaled MK Ismail, MSc MD MRCOG, Senior Lecturer and Consultant

Academic Unit of Obstetrics and Gynaecology, Keele University Medical School, University Hospital of North Staffordshire, Stoke-on-Trent ST4 6QG, UK.

Fidelma O'Mahony, MRCOG, Consultant and Senior Lecturer

Academic Unit of Obstetrics and Gynaecology, Keele University Medical School, University Hospital of North Staffordshire, Stoke-on-Trent ST4 6QG, UK.

While a temporary reduction in libido is acceptable following childbirth, women should not expect postpartum dyspareunia to occur. If these symptoms are left untreated a woman can become afraid of having intercourse and the problem can escalate, causing long-term physical and psychological morbidity. This can lead to sexual disharmony and relationship breakdown. Early and sensitive management is crucial in the prevention of long-term problems. In this article we present a multidisciplinary approach for managing women with dyspareunia following childbirth.

Keywords Keywords / dyspareunia / libido / perineum / postpartum / sexual intercourse / vaginismus