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Article

Communication changes the effects of sexual pain on sexual frequency in the pregnancy to postpartum transition

ORCID Icon, ORCID Icon & ORCID Icon
Received 08 Jul 2020
Accepted 16 Sep 2020
Published online: 20 Oct 2020

Abstract

Purpose

To evaluate how sexual pain influences changes in sexual frequency from the pregnancy to postpartum transition, and to examine how couple’s sexual communication interacts with sexual pain during pregnancy.

Methods

We explored data following 159 mixed-sex couples across the transition from pregnancy to 6 months postpartum. Couples completed the Relationship Quality Interview and the Marital Satisfaction Inventory-Revised, which assessed their sexual communication, pain and other sexual problems during pregnancy, and frequency of intercourse at pregnancy and postpartum.

Results

Overall, couples reported a decline in sexual activity from pregnancy to postpartum. Women’s sexual pain during pregnancy influenced changes in sexual frequency only among couples who reported poorer communication about sex. Among couples reporting sexual pain and good communication, pain did not impact changes in sexual frequency (i.e. they experienced significant declines in sexual activity into the postpartum period, as expected). In contrast, among couples with poor communication, sexual frequency did not significantly decline.

Conclusion

Our findings suggest that sexual communication alters the effects of sexual pain on postpartum sexual activity. Future research should examine if sexual communication training during pregnancy improves postpartum sexual wellbeing.

Acknowledgements

The authors thank the families who participated in this research and the entire team of research assistants who contributed to various stages of the study. In particular, we thank Jennifer Blake and Kailee Groshans for project coordination, and Cody Meyer for coding the sexual pain data and contributions to the literature review.

Disclosure statement

The authors have no conflicts of interest to declare.

Additional information

Funding

This research was funded by several internal funding mechanisms awarded to Rebecca Brock and Tierney Lorenz from the UNL Department of Psychology, the Nebraska Tobacco Settlement Biomedical Research Development Fund, and the UNL Office of Research and Economic Development.

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