Mojdeh Banaei1, Nourossadat Kariman2, Giti Ozgoli2, Maliheh Nasiri3, Vida Ghasemi4, Azam Khiabani5, Sareh Dashti6,7, Leila Mohamadkhani Shahri1,8. 1. Student Research Committee, School of Nursing and Midwifery, Shahid Beheshti University of Medical Sciences, Tehran, Iran. 2. Midwifery and Reproductive Health Research Center, School of Nursing and Midwifery, Shahid Beheshti University of Medical Sciences, Tehran, Iran. 3. Department of Biostatistics, School of Nursing and Midwifery, Shahid Beheshti University of Medical Sciences, Tehran, Iran. 4. Asadabad Faculty of Medical Sciences, Asadabad, Iran. 5. Mother and Child Welfare Research Center, Hormozgan University of Medical Sciences, Bandar Abbas, Iran. 6. Department of Community Health, Faculty of Medicine and Health Sciences, University Putra Malaysia, Serdang, Selangor, Malaysia. 7. Department of Midwifery, Mashhad Branch, Islamic Azad University, Mashhad, Iran. 8. Department of Midwifery, College of Nursing & Midwifery, Karaj Branch, Islamic Azad University, Karaj, Iran.
Abstract
BACKGROUND: Dyspareunia is one of the most common postpartum sexual dysfunctions. OBJECTIVE: To estimate the prevalence of postpartum dyspareunia. SEARCH STRATEGY: Web of Science, Scopus, PubMed, and Embase databases were searched to July 2019 using keywords including 'perineal pain,' 'dyspareunia,' and 'sexual pain'. SELECTION CRITERIA: Observational studies on the prevalence of postpartum dyspareunia were included. DATA COLLECTION AND ANALYSIS: Two authors independently reviewed articles and extracted data. Study heterogeneity was evaluated by I2 index; publication bias by Egger and Begg tests. MAIN RESULTS: Twenty-two studies enrolling 11 457 women were included. Based on meta-analysis, the overall estimated prevalence of dyspareunia was 35% (95% confidence interval [CI], 29%-41%). The prevalence was 42% (95% CI, 26%-60%) at 2 months, 43% (95% CI, 36%-50%) at 2-6 months, and 22% (95% CI, 15%-29%) at 6-12 months postpartum. Begg test showed no significant bias in data related to the prevalence of postpartum dyspareunia (p = 0.466). CONCLUSION: The prevalence of postpartum dyspareunia was 35% and decreased with increasing postpartum duration. Given the high prevalence and its impact on a woman's quality of life, special attention should be paid to this common complaint during the postpartum period.
BACKGROUND:Dyspareunia is one of the most common postpartum sexual dysfunctions. OBJECTIVE: To estimate the prevalence of postpartum dyspareunia. SEARCH STRATEGY: Web of Science, Scopus, PubMed, and Embase databases were searched to July 2019 using keywords including 'perineal pain,' 'dyspareunia,' and 'sexual pain'. SELECTION CRITERIA: Observational studies on the prevalence of postpartum dyspareunia were included. DATA COLLECTION AND ANALYSIS: Two authors independently reviewed articles and extracted data. Study heterogeneity was evaluated by I2 index; publication bias by Egger and Begg tests. MAIN RESULTS: Twenty-two studies enrolling 11 457 women were included. Based on meta-analysis, the overall estimated prevalence of dyspareunia was 35% (95% confidence interval [CI], 29%-41%). The prevalence was 42% (95% CI, 26%-60%) at 2 months, 43% (95% CI, 36%-50%) at 2-6 months, and 22% (95% CI, 15%-29%) at 6-12 months postpartum. Begg test showed no significant bias in data related to the prevalence of postpartum dyspareunia (p = 0.466). CONCLUSION: The prevalence of postpartum dyspareunia was 35% and decreased with increasing postpartum duration. Given the high prevalence and its impact on a woman's quality of life, special attention should be paid to this common complaint during the postpartum period.
Authors: Pedro Hidalgo-Lopezosa; Sandra Pérez-Marín; Andrea Jiménez-Ruz; Juan de la Cruz López-Carrasco; Ana María Cubero-Luna; Rubén García-Fernández; María Aurora Rodríguez-Borrego; Cristina Liébana-Presa; Pablo Jesús López-Soto Journal: J Pers Med Date: 2022-06-02