Prevalence of Female Sexual Dysfunction in Different Pregnancy Trimesters: A Systematic Review and Meta-Analysis

Abstract Introduction: Pregnancy is one of the most sensitive periods in a woman's life. Physical and psychological changes during pregnancy can significantly affect the couples' sexual relations. Healthy sexual desire during pregnancy is essential for the development of couples as parents...

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Main Authors: Mina Malary, Mahmood Moosazadeh, Malihe Amerian, Shadi Sabetghadam, Afsaneh Keramat
Format: Article
Language:English
Published: Guilan University of Medical Sciences 2022-03-01
Series:Journal of Holistic Nursing and Midwifery
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Online Access:http://hnmj.gums.ac.ir/article-1-1838-en.html
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author Mina Malary
Mahmood Moosazadeh
Malihe Amerian
Shadi Sabetghadam
Afsaneh Keramat
author_facet Mina Malary
Mahmood Moosazadeh
Malihe Amerian
Shadi Sabetghadam
Afsaneh Keramat
author_sort Mina Malary
collection DOAJ
description Abstract Introduction: Pregnancy is one of the most sensitive periods in a woman's life. Physical and psychological changes during pregnancy can significantly affect the couples' sexual relations. Healthy sexual desire during pregnancy is essential for the development of couples as parents. Objective: This meta-analysis study estimates the prevalence of sexual dysfunction overall and in different trimesters of pregnancy. Materials and Methods: This research is a systematic review and meta-analysis. A search was conducted in PubMed, Scopus, Science Direct, and Google Scholar databases to find cross-sectional and prospective cohort studies investigating the prevalence of sexual dysfunction in different trimesters using the female sexual function index (FSFI) published from 2000 to 2019. The methodological quality of each study was assessed using the modified from the STROBE (The Strengthening the Reporting of Observational Studies in Epidemiology) checklist to determine the risk of bias. The standard error of prevalence in each study was calculated based on the binomial distribution formula. Based on heterogeneity results, a random effect model was used to estimate the prevalence. Results: Fifteen articles met the inclusion criteria, with a total number of 3569 participants, of which 2538 were in cross-sectional studies and 1031 in prospective cohort studies. In the meta-analysis of both prospective cohort and cross-sectional studies, the prevalence rates of sexual dysfunction in the first, second, and third trimesters, and overall were estimated at 51.33% (95%CI; 37.41-65.25), 51.13% (95%CI; 38.93-63.33), 72.80% (95%CI; 65.78-79.81%), and 58.65% (95%CI; 51.50-65.80), respectively. Conclusion: The trimester of pregnancy has a predictive role in the prevalence of sexual dysfunction during pregnancy. The prevalence of sexual dysfunction is higher in the third trimester.
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publisher Guilan University of Medical Sciences
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spelling doaj-art-ebbaf2a6636045e3b561bdc18e8f4c132025-08-20T02:38:57ZengGuilan University of Medical SciencesJournal of Holistic Nursing and Midwifery2588-37122588-37202022-03-0132298108Prevalence of Female Sexual Dysfunction in Different Pregnancy Trimesters: A Systematic Review and Meta-AnalysisMina Malary0Mahmood Moosazadeh1Malihe Amerian2Shadi Sabetghadam3Afsaneh Keramat4 PhD candidate in Reproductive health, Student Research Committee, School of Nursing and Midwifery, Shahroud University of Medical Sciences, Shahroud, Iran Associate Professor, Gastrointestinal Cancer Research Center, Non-communicable Diseases Institute, Mazandaran University of Medical Sciences, Sari, Iran Midwifery (MSc), School of nursing and midwifery, Shahroud University of Medical Sciences, Shahroud, Iran. PhD candidate in Reproductive health, Department of Reproductive Health ,School of Nursing and Midwifery, Guilan University of Medical Sciences, Rasht, Iran. Professor, Department of Reproductive Health, School of Nursing and Midwifery, Shahroud University of Medical Sciences, Shahroud, Iran Abstract Introduction: Pregnancy is one of the most sensitive periods in a woman's life. Physical and psychological changes during pregnancy can significantly affect the couples' sexual relations. Healthy sexual desire during pregnancy is essential for the development of couples as parents. Objective: This meta-analysis study estimates the prevalence of sexual dysfunction overall and in different trimesters of pregnancy. Materials and Methods: This research is a systematic review and meta-analysis. A search was conducted in PubMed, Scopus, Science Direct, and Google Scholar databases to find cross-sectional and prospective cohort studies investigating the prevalence of sexual dysfunction in different trimesters using the female sexual function index (FSFI) published from 2000 to 2019. The methodological quality of each study was assessed using the modified from the STROBE (The Strengthening the Reporting of Observational Studies in Epidemiology) checklist to determine the risk of bias. The standard error of prevalence in each study was calculated based on the binomial distribution formula. Based on heterogeneity results, a random effect model was used to estimate the prevalence. Results: Fifteen articles met the inclusion criteria, with a total number of 3569 participants, of which 2538 were in cross-sectional studies and 1031 in prospective cohort studies. In the meta-analysis of both prospective cohort and cross-sectional studies, the prevalence rates of sexual dysfunction in the first, second, and third trimesters, and overall were estimated at 51.33% (95%CI; 37.41-65.25), 51.13% (95%CI; 38.93-63.33), 72.80% (95%CI; 65.78-79.81%), and 58.65% (95%CI; 51.50-65.80), respectively. Conclusion: The trimester of pregnancy has a predictive role in the prevalence of sexual dysfunction during pregnancy. The prevalence of sexual dysfunction is higher in the third trimester.http://hnmj.gums.ac.ir/article-1-1838-en.htmlprevalencesexual behaviorsexual dysfunctionpregnancymeta-analysis
spellingShingle Mina Malary
Mahmood Moosazadeh
Malihe Amerian
Shadi Sabetghadam
Afsaneh Keramat
Prevalence of Female Sexual Dysfunction in Different Pregnancy Trimesters: A Systematic Review and Meta-Analysis
Journal of Holistic Nursing and Midwifery
prevalence
sexual behavior
sexual dysfunction
pregnancy
meta-analysis
title Prevalence of Female Sexual Dysfunction in Different Pregnancy Trimesters: A Systematic Review and Meta-Analysis
title_full Prevalence of Female Sexual Dysfunction in Different Pregnancy Trimesters: A Systematic Review and Meta-Analysis
title_fullStr Prevalence of Female Sexual Dysfunction in Different Pregnancy Trimesters: A Systematic Review and Meta-Analysis
title_full_unstemmed Prevalence of Female Sexual Dysfunction in Different Pregnancy Trimesters: A Systematic Review and Meta-Analysis
title_short Prevalence of Female Sexual Dysfunction in Different Pregnancy Trimesters: A Systematic Review and Meta-Analysis
title_sort prevalence of female sexual dysfunction in different pregnancy trimesters a systematic review and meta analysis
topic prevalence
sexual behavior
sexual dysfunction
pregnancy
meta-analysis
url http://hnmj.gums.ac.ir/article-1-1838-en.html
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AT maliheamerian prevalenceoffemalesexualdysfunctionindifferentpregnancytrimestersasystematicreviewandmetaanalysis
AT shadisabetghadam prevalenceoffemalesexualdysfunctionindifferentpregnancytrimestersasystematicreviewandmetaanalysis
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