Effect of Sexual Education on Sexual Function of Iranian Couples During Pregnancy: A Quasi Experimental Study

Masumeh Heidari, Farkhondeh Aminshokravi, Farid Zayeri, Seyed Ali Azin, Masumeh Heidari, Farkhondeh Aminshokravi, Farid Zayeri, Seyed Ali Azin

Abstract

Background: The aim of this study was to evaluate the impact of husbands' participation in sexual education on sexual function during pregnancy.

Methods: This quasi experimental study was conducted on 123 couples who were divided in two intervention (A: couples, B: pregnant women) and one control (C) groups. Group A couples received sex education, Group B women received sex education without their spouses, and Group C women received routine prenatal care without sex education. Sexual functions of couples were assessed by Female Sexual Function Index (FSFI) and International Index Erectile Function (IIEF) questionnaires, before sex education, four weeks after the intervention, at the end of the second trimester and at the end of the third trimester.

Results: Mean total scores of FSFI and IIEF were not different at baseline in three groups. Repeated measure analysis showed significant differences between groups (A and B with C) in the mean total scores of FSFI and IIEF during the third trimester. The mean total scores of the two intervention groups of A and B were not significant.

Conclusion: According to the results of the present study, promoting the sexual function of pregnant women needs to include the sex education on prenatal care. Whereas spouses' participation was suggested to have a great role in the effectiveness and strengthening of the education in various studies, this study showed that the lack of spouses' participation for whatever reasons may lead to the same results of previous studies which emphasized the necessity of spouses' participation.

Keywords: Couple; Pregnancy; Sex education; Sexual function; Third trimester.

Conflict of interest statement

Conflict of Interest The authors declare no conflict of interest in this study.

Figures

Figure 1.
Figure 1.
Flow diagram of the participants’ selection process
Figure 2.
Figure 2.
Trend of mean FSFI scores during the study period in three groups
Figure 3.
Figure 3.
Trend of mean IIEF scores during the study period in three groups

References

    1. Bartellas E, Crane JM, Daley M, Bennett KA, Hutchens D. Sexuality and sexual activity in pregnancy. BJOG. 2000; 107( 8): 964– 8.
    1. Gałązka I, Drosdzol-Cop A, Naworska B, Czajkowska M, Skrzypulec-Plinta V. Changes in the sexual function during pregnancy. J Sex Med. 2015; 12( 2): 445– 54.
    1. Pauleta JR, Pereira NM, Graça LM. Sexuality during pregnancy. J Sex Med. 2010; 7( 1pt1): 136– 42.
    1. Pauls RN, Occhino JA, Dryfhout VL. Effects of pregnancy on female sexual function and body image: a prospective study. J Sex Med. 2008; 5( 8): 1915– 22.
    1. Nourani Sh, Jonaidy E, Shakeri MT, Mokhber N. Sexual satisfaction in fertile and infertile women attending state clinics in Mashad. J Reprod Infertil. 2010; 10( 4): 269– 77.
    1. Leite APL, Campos AA, Dias AR, Amed AM, De Souza E, Camano L. Prevalence of sexual dysfunction during pregnancy. Rev Assoc Med Bras. 2009; 55( 5): 563– 8.
    1. Jamali S, Mosalanejad L. Sexual dysfnction in Iranian pregnant women. Iran J Reprod Med. 2013; 11( 6): 479– 86.
    1. Bayrami R, Sattarzadeh N, Koochaksariie FR, Pezeshki MZ. Sexual dysfunction in couples and its related factors during pregnancy. J Reprod Infertil. 2008; 9( 3): 271– 82.
    1. Ebrahimian A, Heydari M, Saberi Zafar Ghandi MB, Delavari S. Comparing Sexual dysfunctions in men before and during their wives' pregnancy. Iran J Obstet Gynecol Infertil. 2012; 15( 33): 19– 25.
    1. Nakić Radoš S, Soljačić Vraneš H, Šunjić M. Sexuality during pregnancy: what is important for sexual satisfaction in expectant fathers? J Sex Marital Ther. 2015; 41( 3): 282– 93.
    1. Masters WH, Johnson VE. Human sexual response. 1st ed. Boston: Little, Brown and company; 1976. 366 p.
    1. Nichols FH, Humenick SS. Childbirth education: practice, research and theory. 1st ed. US: Saunders Company; 2000. 731 p.
    1. Onah HE, Iloabachie GC, Obi SN, Ezugwu FO, Eze JN. Nigerian male sexual activity during pregnancy. Int J Gynecol Obstet. 2002; 76( 2): 219– 23.
    1. Serati M, Salvatore S, Siesto G, Cattoni E, Zanirato M, Khullar V, et al. Female sexual function during pregnancy and after childbirth. J Sex Med. 2010; 7( 8): 2782– 90.
    1. Regan PC, Lyle JL, Otto AL, Joshi A. Pregnancy and changes in female sexual desire: A review. Soc Behav Pers. 2003; 31( 6): 603– 11.
    1. Aslan G, Aslan D, Kızılyar A, Ispahi C, Esen A. A prospective analysis of sexual functions during pregnancy. Int J Impot Res. 2005; 17( 2): 154– 7.
    1. Malarewicz A, Szymkiewicz J, Rogala J. [Sexuality of pregnant women]. Ginekol Pol. 2006; 77( 9): 733– 9. Polish.
    1. Jawed-Wessel S, Herbenick D, Schick V, Fortenberry JD, Cattelona GA, Reece M. Development and validation of the maternal and partner sex during pregnancy scales. J Sex Marital Ther. 2016; 42( 8): 681– 701.
    1. Hassan ZR, Shafie K, Bashardoust N, Reihani M, Jaberi P. Study of the related factors in couples sexual relationship during pregnancy. J Qazvin Univ Med Sci. 2002; 5( 4): 62– 7.
    1. Yeniel AO, Petri E. Pregnancy, childbirth, and sexual function: perceptions and facts. Int Urogynecol J. 2014; 25( 1): 5– 14.
    1. Read J. Sexual problems associated with infertility, pregnancy, and ageing. BMJ. 2004; 329( 7465): 559– 61.
    1. Sossah L. Sexual behavior during pregnancy: a descriptive correlational study among pregnant women. Eur J Med Res. 2014; 2( 1): 16– 27.
    1. Babazadeh R, Mirzaii KM, Masomi Z. Changes in sexual desire and activity during pregnancy among women in Shahroud, Iran. Int J Gynecol Obstet. 2013; 120( 1): 82– 4.
    1. Fok WY, Chan LYS, Yuen PM. Sexual behavior and activity in Chinese pregnant women. Acta Obstet Gynecol Scand. 2005; 84( 10): 934– 8.
    1. de Pierrepont C, Polomeno V. [Role of the perinatal sexologist in the interdisciplinary perinatal health care team in Canada]. Gynecol Obstet Fertil. 2014; 42( 7–8): 507– 14. French.
    1. Senkumwong N, Chaovisitsaree S, Rugpao S, Chandrawongse W, Yanunto S. The changes of sexuality in Thai women during pregnancy. J Med Assoc Thai. 2006; 89 Suppl 4: S124– 9.
    1. Afshar M, Mohammad-Alizadeh-Charandabi S, Merghti-Khoei ES, Yavarikia P. The effect of sex education on the sexual function of women in the first half of pregnancy: a randomized controlled trial. J Caring Sci. 2012; 1( 4): 173– 81.
    1. Heidari M, Amin Shokravi F, Zayeri F, Azin SA, Merghati-Khoei E. Sexual life during pregnancy: effect of an educational intervention on the sexuality of Iranian couples: a quasiexperimental study. J Sex Marital Ther. 2017: 1– 11. [Epub ahead of print].
    1. Mohammadi Kh, Heydari M, Faghihzadeh S. The female sexual function index (FSFI): validation of the Iranian version. Payesh. 2008; 7( 3): 269– 78.
    1. Rosen C, Brown C, Heiman J, Leiblum S, Meston C, Shabsigh R. The Female Sexual Function Index (FSFI): a multidimensional self-report instrument for the assessment of female sexual function. J Sex Marital Ther. 2000; 26( 2): 191– 208.
    1. Rosen RC, Riley A, Wagner G, Osterloh IH, Kirkpatrick J, Mishra A. The international index of erectile function (IIEF): a multidimensional scale for assessment of erectile dysfunction. Urology. 1997; 49( 6): 822– 30.
    1. Pakpour AH, Zeidi IM, Yekaninejad MS, Burri A. Validation of a translated and culturally adapted Iranian version of the international index of erectile function. J Sex Marital Ther. 2014; 40( 6): 541– 51.
    1. Dupont WD, Plummer WD., Jr Power and sample size calculations for studies involving linear regression. Control Clin Trials. 1998; 19( 6): 589– 601.
    1. Mangeli M, Ramezani T, Mangeli S. The effect of educating about common changes in pregnancy priod and the way to cope with them on marital satisfaction of pregnant women. Iran J Med Educ. 2009; 8( 2): 305– 13.
    1. Bahadoran P, MohammadiMahdiabadzade M, Nasiri H, GholamiDehaghi A. The effect of face-to-face or group education during pregnancy on sexual function of couples in Isfahan. Iran J Nurs Midwifery Res. 2015; 20( 5): 582– 7.
    1. Wannakosit S, Phupong V. Sexual behavior in pregnancy: comparing between sexual education group and nonsexual education group. J Sex Med. 2010; 7( 10): 3434– 8.
    1. Moradi Z, Shafiabadi A, Sodani M. Effective communication training on marital satisfaction in mothers of elementary school students in the city of Khorramabad. Educ Res. 2008; 5: 114– 97.
    1. Polomeno V. Sex and pregnancy: A perinatal educator's guide. J Perinat Educ. 2000; 9( 4): 15– 27.
    1. Murtagh J. Female sexual function, dysfunction, and pregnancy: implications for practice. J Midwifery Womens Health. 2010; 55( 5): 438– 46.
    1. Corbacioglu A, Bakir VL, Akbayir O, Cilesiz Goksedef BP, Akca A. The role of pregnancy awareness on female sexual function in early gestation. J Sex Med. 2012; 9( 7): 1897– 903.
    1. Navidian A, Rigi SN, Soltani P. Effects of group sexual counseling on the traditional perceptions and attitudes of Iranian pregnant women. Int J Womens Health. 2016; 8: 203– 11.
    1. Liu HL, Hsu P, Chen KH. Sexual activity during pregnancy in Taiwan: a qualitative study. Sex Med. 2013; 1( 2): 54– 61.
    1. de Pierrepont C, Polomeno V, Bouchard L, Reissing E. [What do we know about perinatal sexuality? a scoping review on sexoperinatality-part 1]. J Gynecol Obstet Biol Reprod (Paris). 2016; 45( 8): 796– 808. French.

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