{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,23]],"date-time":"2026-09-23T06:23:56Z","timestamp":1790144636225,"version":"4.0.1"},"reference-count":25,"publisher":"Wiley","issue":"2","license":[{"start":{"date-parts":[[2021,9,16]],"date-time":"2021-09-16T00:00:00Z","timestamp":1631750400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["obgyn.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Intl J Gynecology &amp; Obste"],"published-print":{"date-parts":[[2022,5]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>To assess the connection of postpartum sexual dysfunction with mode of delivery, amenorrhea, depressive symptoms, and relationship satisfaction.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>For a prospective longitudinal study, we invited 729 Hungarian obstetrics patients to complete questionnaires at 3\u00a0months (T1), 6\u00a0months (T2), and 12\u00a0months (T3) postpartum. We sent them the Female Sexual Function Index (FSFI), the Edinburgh Postnatal Depression Scale (EDPS), the Relationship Assessment Scale (RAS), and a self\u2010constructed questionnaire for body mass index (BMI; calculated as weight in kilograms divided by the square of height in meters) and other data. Of the 389 who responded at T1, we selected 293 who met our criteria for age, obstetrical history, relationship history, completeness of response, and sexual activity. At T2 and T3, we selected 214 and 95. We analyzed their data by multivariate logit regression.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      The rates of sexual dysfunction were 44.70% (T1), 40.18% (T2), and 23.15% (T3). Mode of delivery was not a risk factor. Amenorrhea was a risk factor at T1 (\n                      <jats:italic>P<\/jats:italic>\n                      \u00a0=\u00a00.012) and T2 (\n                      <jats:italic>P<\/jats:italic>\n                      \u00a0=\u00a00.001). Obesity was a protective factor at T1 (\n                      <jats:italic>P<\/jats:italic>\n                      \u00a0=\u00a00.021). The higher the EPDS score (T1:\n                      <jats:italic>P<\/jats:italic>\n                      \u00a0&lt;\u00a00.001; T2:\n                      <jats:italic>P<\/jats:italic>\n                      \u00a0=\u00a00.035; T3:\n                      <jats:italic>P<\/jats:italic>\n                      \u00a0=\u00a00.043), and the lower the RAS score (T1:\n                      <jats:italic>P<\/jats:italic>\n                      \u00a0=\u00a00.016; T2:\n                      <jats:italic>P<\/jats:italic>\n                      \u00a0=\u00a00.010; T3:\n                      <jats:italic>P<\/jats:italic>\n                      \u00a0=\u00a00.032), the greater was the risk of dysfunction.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Level of relationship satisfaction, severity of depressive symptoms, amenorrhea, and BMI are connected with sexual dysfunction within a year postpartum.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1002\/ijgo.13892","type":"journal-article","created":{"date-parts":[[2021,8,21]],"date-time":"2021-08-21T15:23:31Z","timestamp":1629559411000},"page":"303-312","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":22,"title":["Risk factors for sexual dysfunction during the first year postpartum: A prospective study"],"prefix":"10.1002","volume":"157","author":[{"given":"Katalin","family":"Sz\u00f6ll\u0151si","sequence":"first","affiliation":[{"name":"School of PhD Studies Semmelweis University Budapest Hungary"},{"name":"Department of Family Care Methodology Faculty of Health Sciences Semmelweis University Budapest Hungary"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kinga","family":"Komka","sequence":"additional","affiliation":[{"name":"Department of Chemical and Environmental Process Engineering Faculty of Chemical Technology and Biotechnology Budapest University of Technology and Economics Budapest Hungary"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"L\u00e1szl\u00f3","family":"Szab\u00f3","sequence":"additional","affiliation":[{"name":"Department of Family Care Methodology Faculty of Health Sciences Semmelweis University Budapest Hungary"},{"name":"Heim P\u00e1l Children\u2019s Hospital Budapest Hungary"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2021,9,16]]},"reference":[{"key":"e_1_2_7_2_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00404-018-4925-z"},{"key":"e_1_2_7_3_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00404-017-4305-0"},{"key":"e_1_2_7_4_1","doi-asserted-by":"publisher","DOI":"10.1097\/AOG.0000000000001590"},{"key":"e_1_2_7_5_1","first-page":"1","article-title":"Prevalence of postpartum dyspareunia: a systematic review and meta\u2010analysis","volume":"00","author":"Banaei M","year":"2020","journal-title":"Int J Gynaecol Obstet"},{"key":"e_1_2_7_6_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12884-018-1838-6"},{"key":"e_1_2_7_7_1","doi-asserted-by":"publisher","DOI":"10.1080\/13625187.2017.1315938"},{"key":"e_1_2_7_8_1","doi-asserted-by":"publisher","DOI":"10.1111\/jsm.12901"},{"key":"e_1_2_7_9_1","doi-asserted-by":"publisher","DOI":"10.1111\/1471-0528.13331"},{"key":"e_1_2_7_10_1","unstructured":"NEAK: the number of deliveries and the rate of cesarean section.2019. 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