Evaluation of changes in sexual response and factors influencing sexuality during pregnancy among Nigerian women in Jos, Nigeria

Authors

  • Stephen A. Anzaku Department of Obstetrics and Gynaecology, College of Health Sciences, Bingham University, Jos campus, Jos, Nigeria
  • Emmanuel A. Ogbe Department of Obstetrics and Gynaecology, Dalhatu Araf Specialist Hospital, Lafia, Nigeria
  • George I. Ogbu Department of Obstetrics and Gynaecology, Federal Medical Centre Keffi, Nigeria
  • Bassey E. Edem Department of Anaesthesia, Benue State University Teaching Hospital, Makurdi, Nigeria
  • Stephen D. Ngwan Department of Obstetrics and Gynaecology, Federal Medical Centre Makurdi, Nigeria

DOI:

https://doi.org/10.18203/2320-1770.ijrcog20163448

Keywords:

Pregnancy, Sexual function, Changes in sexuality, Nigeria

Abstract

Background: Pregnancy is characterized by physical, hormonal and psychological changes that could influence women’s sexuality. The study aimed at ascertaining changes in the women’s sexual domains as well as factors affecting their sexual responses.

Methods: A total of 177 healthy heterosexual pregnant Nigerian women at term and in stable marital relationships were included in the study. Authors’ designed structured questionnaire featuring socio-demographic and obstetric characteristics as well as assessment of their sexual desire, arousal, orgasm, sexual satisfaction and pain compared to the pre-pregnancy period was used to collect the information. Data was analyzed using SPSS version 16 for windows.

Results: Mean age of the women was 30.9 ± 4.7 years. Majority of them reported decline in sexual desire, arousal, frequency of orgasm and sexual satisfaction compared to the pre-pregnancy period. Reduce sexual desire was marked in the first trimester but sexual desire peaked in second trimester. Women aged ≥31 years were four times more likely to experience increase frequency of orgasm (OR 4.0, 95% CI 1.9 – 8.7, P = 0.02) while those with tertiary education (OR 2.2, 95% CI 1.1 – 4.2, P = 0.02) and unplanned pregnancy (OR 2.4, 95% CI 1.8 – 5.0, P = 0.04) were more likely to experience decreased sexual satisfaction compared to the pre-pregnancy period.

Conclusions: Pregnancy is associated with decline in all domains of female sexual response cycle among the women. Older maternal age positively impacts on frequency of attainment of orgasm while tertiary educational level and unplanned pregnancy negatively affect their sexual satisfaction during pregnancy.

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Published

2016-12-15

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Original Research Articles