الفهرس 
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Abstract
Sexual problems are widespread and related to both health status and psychosocial factors and may affect the relationship between the couple. If sexual difficulties cause distress this is a “dysfunction” in opposition to normal response to difficult circumstances like sexual context or cultural factors. Prevalence rates of FSD in clinical populations are estimated to vary between 40% and 50%.
Pregnancy and childbirth represents a central event in a woman’s reproductive life that have impact on female sexual function across all of its domains especially the physical and psychosocial ones. Crossing to the parental stage is considered to be an emotional crisis at a sensitive period in which the women are extremely vulnerable. It has been reported that the incidence of PPFSD in the first3 months after delivery 71% falling to 56% during the 4th -6th months, and reduced to 34% at the 6th month.
Dyspareunia as it is the most common type of PPFSD. Dyspareunia following childbirth can be physical or psychological, a combination of both or physiological problems. Vaginismus is usually associated with dyspareunia when it happens during puerperium. Factors affecting PPFSD include type of delivery, social factors, marital satisfaction, mood, fatigue and physical changes due to childbirth and breastfeeding
Our study aimed at detecting the prevalence of female sexual dysfunction in both normal labour and cesarean section in order to improve female sexual quality of life and function. The present included100 females aged between 25-35 years and at least 2 months postpartum. Females were asked to fill a structured questionnaire form followed by SQoL-F and FSFI questionnaires.
The results of our study revealed that the percentage of FSD before delivery was 37.8% in NL versus 23.6% in C/S while after delivery it was 48.9% in NL versus 36.4% in C/S.
This study also pointed out that there was no significant difference in the mean scores of females’ answers of SQoL-F items between NL and C/S groups for the 1st labour except for feeling free to talk about sexual issues and trying to avoid sexual activity with the partner. This may be attributed to the traditions that always accuses woman if she feels any need to talk about her sexual problems and so she prefers to avoid sexual activity as well as level of education that was higher in C/S than in NVD female group.
Our research also showed that there was no significant difference in standardized score of SQoL-F between NL and C/S females’ groups. The most important significant factor for prediction of SQoL-F score was external assistance in house work. Other factors like age, education, work, work hours, organic diseases, life style, mode of delivery, circumcision and genital tract infection were not predictable.
Desire domain showed significant difference between pre and post 1st labour mean scores of FSFI for both NL and C/S while orgasm, satisfaction and pain domains showed no significant difference. Arousal and lubrication domains showed significant difference between pre and post 1st labour mean scores of FSFI in NL while they showed no significant difference in C/S.
There was significant difference in mean score of FSFI before and after C/S, while no difference was observed in NL i.e., NL mode of delivery has minimal impact on sexual function on contrary to C/S that has negative impact on sexual functionAlthough the mean total score of FSFI both before and after C/S was beyond cut off point (FSD ≤ 26) but the mean total score of FSFI before C/S was more than that of after C/S with significant difference.
Postpartum sexual counseling should be a part of antenatal follow-up Therefore, greater awareness among health care professional of potential sexual problems and the reasons underlying these difficulties is expected to reduce morbidity and raise the postpartum quality of life.