By Sakiera Malone, LCSW, LICDC, PMH-C

A Multitude of Factors Can Affect Postpartum Sexual Dysfunction

Postpartum sexual dysfunction is a topic that many new moms may find themselves grappling with, and it’s important to remember that you’re not alone in this experience. After the whirlwind of childbirth, a multitude of factors can contribute to changes in your sexual health. Hormonal fluctuations, emotional shifts, and physical changes all play significant roles. Exhaustion, fatigue, and sleep deprivation can leave you feeling not quite like yourself, making intimacy feel like an afterthought. Add to that the physical recovery from childbirth — with vaginal trauma and changes in your body — and it’s no wonder that many women report a dip in sexual desire and satisfaction.

Postpartum Sexual Dysfunction is Normal But Treatable

It’s completely normal to experience these feelings postpartum, and understanding the potential causes can be empowering. The hormonal changes that accompany childbirth can lead to decreased libido, while the physical toll on your body may weaken your pelvic floor muscles, further complicating matters. These adjustments take time, both for your body to heal and for your emotional well-being to stabilize. It’s a journey, and one that many new moms navigate, often feeling uncertain or isolated in their experiences.

Postpartum Sexual Dysfunction Can Affect Relationships

Postpartum sexual dysfunction can also have a significant effect on the relationship between partners. After the arrival of a baby, many couples find themselves navigating a new set of challenges, and intimacy often takes a backseat. It’s not uncommon for one partner to feel frustrated or confused, while the other might be grappling with their own insecurities or discomfort. This disconnect can lead to misunderstandings, resentment, or even feelings of inadequacy. Communication becomes crucial, but amidst the exhaustion of new parenthood, it can be challenging to find the right words. Partners may hesitate to express their feelings, fearing they will hurt each other or, worse, complicate an already stressful situation. However, fostering open and honest dialogues about desires, fears, and physical changes can be the first step toward rebuilding intimacy.

Effective Treatment is Available

Fortunately, there are effective treatment options available. Seeking support from a variety of health and behavioral providers can be a game-changer. Connecting with your primary care provider can ensure you’re on the right track physically, while a pelvic floor therapist can help address any lingering physical issues that may be affecting your sexual health. Additionally, speaking with a psychotherapist can provide valuable guidance in navigating the emotional landscape of postpartum life. Remember, reaching out for help is a sign of strength, not weakness, and taking these steps can lead you back to a fulfilling and joyful intimate life. You’re embarking on a new chapter, and with the right support, it can be a beautifully enriching one.

References

Banaei, M., Azizi, M., Moridi, A. et al. Sexual dysfunction and related factors in pregnancy and postpartum: a systematic review and meta-analysis protocol. Syst Rev 8, 161 (2019). https://doi.org/10.1186/s13643-019-1079-4

Gutzeit, O., Levy, G., & Lowenstein, L. (2020). Postpartum Female Sexual Function: Risk Factors for Postpartum Sexual Dysfunction. Sexual medicine, 8(1), 8–13. https://doi.org/10.1016/j.esxm.2019.10.005 

O’Malley, D., Higgins, A., & Smith, V. (2021). Exploring the complexities of postpartum sexual health. Current Sexual Health Reports, 13(4), 128–135. https://doi.org/10.1007/s11930-021-00315-6 

Rezaei, N., Behboodi Moghadam, Z., Tahmasebi, A., Taheri, S., & Namazi, M. (2024). Women`s sexual function during the postpartum period: A systematic review on measurement tools. Medicine, 103(30), e38975. https://doi.org/10.1097/MD.0000000000038975  

About the Author

Sakiera Malone

Sakiera Malone is a licensed clinical social worker from Ohio who is certified in perinatal mental health (PMH-C) through Postpartum Support International. She’s currently completing the Sexual Health training program at the University of Michigan to become an AASECT-certified sex therapist. Sakiera is the owner of Comfort Corner Therapy and Consultation. She enjoys providing psychotherapy to expecting moms, individuals, and couples. She’s a behavioral health research nerd and enjoys traveling and learning about different cultures, particularly through food.

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