Abstract
Objectives:
to establish the prevalence of dyspareunia in the third gestational trimester and associated factors.
Methods:
202 puerperal women were evaluated. Data was collected using a socio-demographic questionnaire; the ICIQ-Short Form questionnaire; an intestinal constipation questionnaire;and, questions from the FSFI questionnaire to evaluate dyspareunia. The data were analyzed using the chi-squared, Mann-Whitney U and Wilcoxon tests, p<0.05.
Results:
the prevalence of dyspareunia in the third gestational trimester was 48.5% (n=98), compared with 15.3% (n=31) before gestation. The factors associated with dyspareunia in this period were: constipation in the third trimester of gestation (p=0.05); urinary incontinence in the third trimester of gestation (p<0.001) and dyspareunia prior to gestation (p=0.01). The mean age of women with dyspareunia was significantly higher than that of those without dyspareunia (p=0.01).
Conclusions:
the prevalence of dyspareunia is high during gestation and is associated with alterations in the functions of the pelvic saddle, such as the presence of urinary incontinenceand constipation, and prior dyspareunia.
Key words:
Dyspareunia; Pregnancy; Sexual behaviour; Pelvic floor