Effects of Pregnancy on Women Sexualty

Öz

Pregnancy and labor (birth) are the most important periods in the lives of women. Hormonal, physical and psychiatric changes are effective on woman’s general health, mood, relationships and sexuality. Pregnancy, affecting women's lives is a very different process. Pregnancy usually occurs as a result of a sexual relationship but women's sexuality in this period is forgotten. Anatomical, physiological and psychological changes as results of pregnancy affect the sex life. These changes may alter a woman's sexual interest or desire. In addition, physical discomforts of pregnancy or fears of harming the baby can affect a couple's sexual relationships. Consultancy services must be provided about the sex life changes in the pregnancy and education materials about this issue must be developed and couples must be informed. The further researches are needed about how should the sex life be and which factors affects the sex life in the pregnancy. In order to determine these, related researches should be done by midwife/nurses and other medical professionals and according to the results of those researches reaching to the valid and reliable information must be provided

Anahtar Kelimeler

• Pregnancy,sexuality,health education

Kadın Cinselliği Üzerine Gebeliğin Etkileri

Öz

Kadın yaşamında gebelik ve doğum en önemli dönemlerdir. Hormonal uyarılar, fiziksel ve ruhsal değişiklikler kadının genel sağlığı, ilişkileri ve cinselliği üzerinde etkili olmaktadır. Gebelik, kadın yaşamını etkileyen çok farklı bir süreçtir. Gebelik genellikle bir cinsel ilişkinin sonucunda oluşmasına karşın, kadının cinselliği bu dönemde unutulmaktadır. Gebelik dönemindeki fizyolojik, anatomik ve psikolojik değişiklikler cinsel yaşamı etkilemektedir. Bu değişiklikler kadının cinsel ilgi ve isteğini değiştirebilmekte, ayrıca, gebelikte yaşanan fiziksel rahatsızlıklar ve bebeğe zarar verme korkusu çiftin cinsel ilişkisini etkileyebilmektedir. Gebelikte karşılaşılan cinsel değişimler hakkında danışmanlık hizmeti verilmeli ve bu konuda eğitim materyalleri hazırlanarak çiftler bilgilendirilmelidir. Gebelikte cinsel yaşamın nasıl olması gerektiği ve cinsel yaşamı nelerin etkilediği ile ilgili daha fazla araştırma gerekmektedir. Bunları belirlemeye yönelik hem ebe/hemşireler ve hem de diğer sağlık profesyonelleri tarafından konuyla ilgili araştırmalar yapılmalı, araştırmaların sonuçlarına göre doğru ve güvenilir bilgiye ulaşım sağlanmalıdır

Anahtar Kelimeler

• Gebelik,cinsellik,sağlık eğitimi

Kaynakça

1. 1- Henson HK. Breast cancer and sexuality. Sexuality and Disability 2002;20(4):261-75.
2. 2- World Health Organization (WHO). Department of Reproductive Health and Research. 2002. Defining sexual health. Report of a technical consultation on sexual health, 28-31 Geneva, http://www.who.int/ topics/ sexualhealth/en/; 2016 [accessed 10.03.16].
3. 3- Gülsün M, Ak M, Bozkurt A. Marriage and Sexuality in Psychiatric Sense. Current Approaches to Psychiatry 2009; 1(1):68-79.
4. 4- Naim M, Bhutto E. Sexuality during pregnancy in Pakistani women. J Pak Med Assoc 2000; 50: 33-8.
5. 5- Gökyıldız Ş, Beji NK. The effects of pregnancy on sexual life. J Sex Marital Therapy 2005; 31 (3): 201-15.
6. 6- Efe H, Bozkurt M, Sahin L, Mutlu MF, Api M, Çetin A. The effects of pregnancy on the sexual life of Turkish women. Proceed Obstet Gynecol 2014;4(1):1-11.
7. 7- Fok WY, Chan LY, Yuen PM. Sexual behavior and activity in Chinese pregnant women. Acta Obstet Gynecol Scandinavica 2005; 84 (10): 934-38.
8. 8- 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.

9. 9- Sobolewski A. Sexuality and Healthcare: A human dilemma. Morrissey M.V. ed. London: Mark Allen Publishing; 1998: 75-89.
10. 10- Bilen Sadi Z, Aksu H. Examination of Sexual Life of spouses during pregnancy and Influencing Factors. Adnan Menderes University, Institute of Health Sciences, Gynecology,Women's Health and Obstetrics .Hemşirelik , Yüksek Lisans Tezi, Aydın 2014.
11. 11- Koyun A. Assessment of Sexual Functions during Pregnancy, Acıbadem Üniv, Tıp Derg , 2012; 3(3):170-75
12. 12- Al Bustan MA, El Tomi NF, Faiwalla MF, Manav V. Maternal sexuality during pregnancy and after childbirth in Muslim Kuwaiti women. Arc Sexual Behavior 1995; 24 (2): 207-15.
13. 13- Haines CJ, Shan YO, Kuen CL, Leung DH, Chung TK, Chin R. Sexual behavior in pregnancy among Hong Kong Chinese women. J Psychosomatic Res 1996; 40 (3): 299-304.
14. 14- Oruç S, Esen A, Laçin S, Adıgüzel H, Uyar Y, Koyuncu F. Sexual behavior during pregnancy. Australian New Zealand J Obstet Gynaecol 1999; 39 (1): 48-50.
15. 15- Yılmaz CA, Eryılmaz HY. Validityreliability study for Index of Female sexual function (IFSF). Androl Bull, 2004; 18: 275-6.
16. 16- Güleç C, Köroğlu E. Psychiatry Fundamentals Book, Volume 2, 2nd Edition, Ankara,1998:605-10.
17. 17- Gürkan ÖC. How is sexuality affected during pregnancy? Androl Bull 2007;28: 80-5.
18. 18- Sobolewski A. Sexuality and Healthcare: A human dilemma. Morrissey MV. ed. Mark Allen Publishing 1998;75-89.
19. 19- Poroy A. Sexuality in Turkey. İstanbul: Alfa Basım Yayım Dağıtım Ltd. Şti. Publishing; 2005: 69-73.
20. 20- Pauleta JR, Pereira NM, Graça LM. Sexuality during pregnancy. J Sexual Med 2010; 7 (1 ): 136-142.
21. 21- Aslan G, Aslan D, Kızılyar A, İspahi Ç, Esen A. Prospective analysis of sexual functions during pregnancy. Int J Impotence Res 2005; 17 (2): 154-7.
22. 22- Nelson S. Women's Sexuality. In: Andrews G, Studd J, editors. Women's Sexual Health. Elsevier, 2005:3-13.
23. 23- Sharpe TH. Adult Sexuality. Family J2003; 11 (4): 420-6.
24. 24- Marcus SM, Flynn HA, Blow FC, Barry KL. Depressive symptoms among pregnant women screened in obstetrics settings. J Women’s Health 2003; 12 (4): 373-80.
25. 25- Alam A. Fundamentals of Obstetrics and Gynaecology. 8nd Ed. United Kingdom: Mosby Elsevier; 2006: 61
26. 26- Taşkın L. Birth and Women's Health Nursing. 13th Press Ankara: Akademisyen Tıp Kitabevi Özyurt Matbaacılık; 2016: 226-62.
27. 27- Aslan G. Sex life and sexual health in pregnant women. Androl Bull 2005; 23: 359-62.
28. 28- Jokinen K, Rautava P, Makinen J, Ojanlatva A, Sundell J, Helenius H. Experience of climacteric symptoms among 42–46 and 52–56-year-old women. Maturitas 2003; 46 (3): 199-205.
29. 29- Abdo CHN, Oliveira WM, Moreira ED,Fittipaldi JAS. Prevalence of sexual dysfunctions and correlated conditions in a sample of Brazilian women results of the Brazilian study on sexual behavior (BSSB). Int J Impotence Res 2004; 16(2): 160-6.
30. 30- Demirezen E. Sexual Life in Hypertensive Women. Androl Bull 2006; 26: 261-3.
31. 31- Cayan S, Akbay E, Bozlu M, Canpolat B, Acar D, Ulusoy E. The prevalance of female dysfunction and potential risk factors that may impair sexual function in Turkish women. Urol Int 2004; 72 (1): 52-7.
32. 32- Elnashar AM, El-Dien Ibrahim M, ElDesoky MM, Ali OM, EL-Sayd Mohamed Hassan M. Female sexual dysfunction in Lower Egypt. BJOG An Int J Obstet Gynaecol 2007; 114 (2): 201-6.
33. 33- Sidi H, Puteh SE, Abdullah N, Midin M. The prevalence of sexual dysfunction and potential risk factors that may impair sexual function in Malaysian women. J Sexual Med 2007; 4(2): 311-21.
34. 34- Fahami F, Beygi M, Zahraei RH, Arman S. Sexual dysfunction in menopausal women and the socioeconomic state. Iranian J Nurs Midwifery Res (IJNMR) 2007; 12 (2): 61-4.
35. 35- Aslan E, Beji NK, Güngör İ, Kadıoglu A, Dikencik BK. Prevalence and risk factors for low sexual function in women: a study of 1009 women in an outpatient clinic of a university hospital in İstanbul. J Sexual Med 2008; 5 (9): 2044-52.
36. 36- Kolotkin RL, Binks M, Crosby RD, Qstbye T, Gres RE, Adams TD. Obesity and sexual quality of life. North Am Assoc Study Obesity 2006; 14 (3): 472- 9.
37. 37- Assimakopoulos K, Panayiotopoulos S, Iconomou G, Karaivazoglou K, Matzaroglou C, Vagenas K et al. Assessing sexual function in obese women preparing for bariatric surgery. Obesity Surg 2006; 16 (8): 1087-91.
38. 38- Poroy A. Modern Birth and Pregnancy Handbook. Akpomed Tıbbi Hizmetler Ltd. Şti. Publications, Istanbul, 1996: 123-33.
39. 39- Hogan RM. Human Sexuality a Nursing Perspective. Appleton-Century-Crofts, Newyork,1980:469-84.
40. 40- Van Brummen HJ, Bruinse HW, van de Pol G, Heintz AP, van der Vaart CH. Which factors determine the sexual function 1 year after childbirth? BJOG: An Int J Obstet Gynaecol 2006; 113 (8): 914-8.
41. 41- Orji EO, Ogunlola IO, Fasubaa OB. Sexuality among pregnant women in South West Nigeria. J Obstet Gynecol 2002; 22 (2): 166-8.42- Ertem G, Sevil Ü. The Effect of Your Pregnancy on Sexuality Dirim Med J 2009; 85 (1): 40-7
42. 43- Le J, Briggs GG, McKeown A, Bustillo G. Urinary tract infections during pregnancy. Annals Pharmacotherapy 2004; 38 (10): 1692- 701.
43. 44- Yüksel N. Mental Illnesses. 3rd Press. Ankara: MN Medikal&Nobel Tıp Kitabevleri; 2006: 447-61.
44. 45- Reamy K, White SE, Daniel WC, Le Vine ES. Sexuality and Pregnancy. A prospective study. J Reprod Med, 1982; 27: 321-7.
45. 46- Nagrath A, Singh M. Sex during pregnancy. In: Nagrath A, Singh M, Seth S, editors. Progress in Obstetrics and Gynecology-3. 1nd Ed. India: Jaypee Brothers Medical Publishers (p) Ltd.2012:156-67.
46. 47- Kocatepe K. Situations where sexuality is objectionable in pregnancy, http://www.gebelik.org/dosyalar/cinsellik2.htm l./;2015 [accessed 22.08.15].
47. 48- Gökyıldız Ş, Beji NK. The effects of pregnancy on sexual life. Yüksek Lisans Tezi. Istanbul Üniv Sağlık Bil Enst, Istanbul, Turkey. 2001.