FRINK Linked Data Fragments server

Matches in SemOpenAlex for { <https://semopenalex.org/work/W4238098082> ?p ?o ?g. }

• W4238098082 abstract "Sexual Function the First Year Postpartum: A Mini-CommentaryRachel Pope MD, MPHUrology Insitute, Division of Female Sexual HealthUniversity Hospitals, Cleveland Medical Center11100 Euclid Avenue, Cleveland, OH 44106Rachel.pope@uhhospitals.orgRunning Title: Postpartum Sexual FunctionIn the first year postpartum, women tend to be burdened by physical exhaustion due to interrupted and lack of sleep, breastfeeding and the potential challenges therein, and chemically-induced anxiety and depression. Literature in the field of behavioral health has long-since described the high prevalence of postpartum mental health disturbances of 20% of all women, and the impact of mental health on quality of life documented world-wide (O’Hara MW et al. Perinatal mental illness: definition, description and aetiology. Best Pract Res Clin Obstet Gynaecol. 2014 Jan;28(1):3-12). Sexual dysfunction, however, is a lesser-known challenge and one that is notably under-reported and addressed in the medical literature, likely due to other dominating discomforts and an overall stigmatization of female sexual health. Furthermore, scheduled visits with medical providers rarely extend beyond six weeks postpartum and most women have not resumed sexual activity at this time.Sexual function is an important aspect of quality of life. There is straight-forward treatment for dysfunction and dyspareunia that may be caused by hypo-oestrogenized tissues and pelvic floor injuries. Cattani et al. highlight the experiences of women around the world through a comprehensive systematic review. It is not surprising then, that obstetric anal sphincter injuries (OASIS), episiotomies, and instrumental vaginal birth are all associated with sexual dysfunction and/or dyspareunia. While anal sphincter injuries affect approximately 6% of women (Jha S et al. Risk factors for recurrent obstetric anal sphincter injury (rOASI): a systematic review and meta-analysis. Int Urogynecol J. 2016 Jun;27(6):849-57.) and episiotomies continue to be on the decline, the paper by Cattani et al does show less dyspareunia among women who deliver by cesarean compared to spontaneous vaginal birth. One might assume this is related to the pelvic floor injuries. However, mode of delivery is not associated with overall sexual dysfunction. Strikingly, OASIS was associated with an odds ratio of 3 (1.28-7.03) for sexual dysfunction and 1.92 (1.47-2.52) for dyspareunia. While these injuries are not easily preventable, these data inform and strengthen the need for specialized clinics, follow-up care and increased attention to individuals who have sustained them (Madsen A, Hickman L, and Propst K. Recognition and Management of Pelvic Floor Disorders in Pregnancy and the Postpartum Period, Obstetrics and Gynecology Clinics of North America. 2021. 48; (3):571-584). For example, if an individual with a third or fourth degree laceration is identified as having increased risk for pain and dysfunction sexually, she should be counseled on this as to empower her to seek care should the concern arise. Lubricants, vaginal estrogens and DHEA can all be appropriately prescribed even if breastfeeding and could greatly improve her experience (Donders GGG, et al. Pharmacotherapy for the treatment of vaginal atrophy. Expert Opin Pharmacother. 2019 May;20(7):821-835.). Furthermore, this information underscores the need for women who have sustained a higher order laceration to present for pelvic floor physical therapy and rehabilitate as a preventive and therapeutic measure. Specialized clinics can help patients navigate this.Vaginal dryness from lactation is extremely common. This review only identified one study on vaginal dryness and sexual concerns. This does not indicate that vaginal dryness is not a problem, but rather that more research is indicated. Another unexplored variable is urinary incontinence. A large proportion of women experience urinary incontinence in the first year postpartum. It would be worth exploring the connection between UI and sexual dysfunction.Therefore, while this review represents progress in understanding the mechanism of sexual dysfunction and dyspareunia the first year postpartum, there is still more to be learned in the form of empiric evidence, especially regarding vaginal dryness and urinary incontinence." @default.
• W4238098082 created "2022-05-12" @default.
• W4238098082 creator A5090732346 @default.
• W4238098082 date "2021-09-25" @default.
• W4238098082 modified "2023-09-27" @default.
• W4238098082 title "Sexual Function the First Year Postpartum: A Mini-Commentary" @default.
• W4238098082 doi "https://doi.org/10.22541/au.163255332.23620355/v1" @default.
• W4238098082 hasPublicationYear "2021" @default.
• W4238098082 type Work @default.
• W4238098082 citedByCount "0" @default.
• W4238098082 crossrefType "posted-content" @default.
• W4238098082 hasAuthorship W4238098082A5090732346 @default.
• W4238098082 hasBestOaLocation W42380980821 @default.
• W4238098082 hasConcept C118552586 @default.
• W4238098082 hasConcept C121752807 @default.
• W4238098082 hasConcept C126322002 @default.
• W4238098082 hasConcept C131872663 @default.
• W4238098082 hasConcept C134362201 @default.
• W4238098082 hasConcept C139719470 @default.
• W4238098082 hasConcept C141071460 @default.
• W4238098082 hasConcept C159110408 @default.
• W4238098082 hasConcept C162324750 @default.
• W4238098082 hasConcept C187212893 @default.
• W4238098082 hasConcept C2775871022 @default.
• W4238098082 hasConcept C2776283161 @default.
• W4238098082 hasConcept C2776710140 @default.
• W4238098082 hasConcept C2776867660 @default.
• W4238098082 hasConcept C2778093883 @default.
• W4238098082 hasConcept C2779234561 @default.
• W4238098082 hasConcept C2779703513 @default.
• W4238098082 hasConcept C2779951463 @default.
• W4238098082 hasConcept C2780262536 @default.
• W4238098082 hasConcept C2908647359 @default.
• W4238098082 hasConcept C2993285706 @default.
• W4238098082 hasConcept C3018745865 @default.
• W4238098082 hasConcept C54355233 @default.
• W4238098082 hasConcept C558461103 @default.
• W4238098082 hasConcept C71924100 @default.
• W4238098082 hasConcept C86803240 @default.
• W4238098082 hasConcept C99454951 @default.
• W4238098082 hasConceptScore W4238098082C118552586 @default.
• W4238098082 hasConceptScore W4238098082C121752807 @default.
• W4238098082 hasConceptScore W4238098082C126322002 @default.
• W4238098082 hasConceptScore W4238098082C131872663 @default.
• W4238098082 hasConceptScore W4238098082C134362201 @default.
• W4238098082 hasConceptScore W4238098082C139719470 @default.
• W4238098082 hasConceptScore W4238098082C141071460 @default.
• W4238098082 hasConceptScore W4238098082C159110408 @default.
• W4238098082 hasConceptScore W4238098082C162324750 @default.
• W4238098082 hasConceptScore W4238098082C187212893 @default.
• W4238098082 hasConceptScore W4238098082C2775871022 @default.
• W4238098082 hasConceptScore W4238098082C2776283161 @default.
• W4238098082 hasConceptScore W4238098082C2776710140 @default.
• W4238098082 hasConceptScore W4238098082C2776867660 @default.
• W4238098082 hasConceptScore W4238098082C2778093883 @default.
• W4238098082 hasConceptScore W4238098082C2779234561 @default.
• W4238098082 hasConceptScore W4238098082C2779703513 @default.
• W4238098082 hasConceptScore W4238098082C2779951463 @default.
• W4238098082 hasConceptScore W4238098082C2780262536 @default.
• W4238098082 hasConceptScore W4238098082C2908647359 @default.
• W4238098082 hasConceptScore W4238098082C2993285706 @default.
• W4238098082 hasConceptScore W4238098082C3018745865 @default.
• W4238098082 hasConceptScore W4238098082C54355233 @default.
• W4238098082 hasConceptScore W4238098082C558461103 @default.
• W4238098082 hasConceptScore W4238098082C71924100 @default.
• W4238098082 hasConceptScore W4238098082C86803240 @default.
• W4238098082 hasConceptScore W4238098082C99454951 @default.
• W4238098082 hasLocation W42380980821 @default.
• W4238098082 hasOpenAccess W4238098082 @default.
• W4238098082 hasPrimaryLocation W42380980821 @default.
• W4238098082 hasRelatedWork W1490527499 @default.
• W4238098082 hasRelatedWork W1624989485 @default.
• W4238098082 hasRelatedWork W1802525553 @default.
• W4238098082 hasRelatedWork W2109941176 @default.
• W4238098082 hasRelatedWork W2144317104 @default.
• W4238098082 hasRelatedWork W2890927842 @default.
• W4238098082 hasRelatedWork W2969304013 @default.
• W4238098082 hasRelatedWork W2996067834 @default.
• W4238098082 hasRelatedWork W3042974133 @default.
• W4238098082 hasRelatedWork W4229336165 @default.
• W4238098082 isParatext "false" @default.
• W4238098082 isRetracted "false" @default.
• W4238098082 workType "article" @default.