{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,6]],"date-time":"2026-10-06T01:37:17Z","timestamp":1791250637873,"version":"4.1.0"},"reference-count":36,"publisher":"SAGE Publications","issue":"1","license":[{"start":{"date-parts":[[2021,1,1]],"date-time":"2021-01-01T00:00:00Z","timestamp":1609459200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Breastfeeding Medicine"],"published-print":{"date-parts":[[2021,1,1]]},"abstract":"<jats:sec>\n                    <jats:title>Background:<\/jats:title>\n                    <jats:p>Although postpartum sexual problems are common, the impact of the infant feeding method on sexual life is still unclear. The aim of this study was to investigate the effects of different infant feeding methods and other influencing factors on female sexual life 3 months postpartum.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Materials and Methods:<\/jats:title>\n                    <jats:p>\n                      Three hundred women from three obstetrical institutes were enrolled in this cross-sectional study. An online questionnaire was administered 3 months postpartum. Women were categorized into three groups: exclusive breastfeeding (\n                      <jats:italic toggle=\"yes\">n<\/jats:italic>\n                      \u2009=\u2009180), mixed feeding (\n                      <jats:italic toggle=\"yes\">n<\/jats:italic>\n                      \u2009=\u200975), and formula-feeding (\n                      <jats:italic toggle=\"yes\">n<\/jats:italic>\n                      \u2009=\u200945) groups. The infant feeding method was assessed by self-constructed questions. Sexual dysfunctions were evaluated by the Hungarian version of the Female Sexual Function Index (FSFI).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>\n                      Of the women, 50.55% reported sexual dysfunction in the exclusive breastfeeding group, 42.66% in the mixed feeding group, and 31.11% in the formula-feeding group. Lack of sexual desire was the most prevalent dysfunction regardless of the infant feeding method. Significantly lower median scores were found in the exclusive breastfeeding group compared with the formula-feeding group for the total FSFI score (\n                      <jats:italic toggle=\"yes\">p<\/jats:italic>\n                      \u2009=\u20090.002), arousal (\n                      <jats:italic toggle=\"yes\">p<\/jats:italic>\n                      \u2009=\u20090.034), lubrication (\n                      <jats:italic toggle=\"yes\">p<\/jats:italic>\n                      \u2009=\u20090.020), orgasm (\n                      <jats:italic toggle=\"yes\">p<\/jats:italic>\n                      \u2009=\u20090.015), and pain (\n                      <jats:italic toggle=\"yes\">p<\/jats:italic>\n                      \u2009=\u20090.021) subgroups. Breastfeeding (\n                      <jats:italic toggle=\"yes\">p<\/jats:italic>\n                      \u2009=\u20090.032) and the quality of prepregnancy sexual life (\n                      <jats:italic toggle=\"yes\">p<\/jats:italic>\n                      \u2009&lt;\u20090.001) were significant factors, whereas prepregnancy dyspareunia, parity, age, income, and educational level did not predict women's postpartum sexual function.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions:<\/jats:title>\n                    <jats:p>Our findings indicate that exclusive breastfeeding women have an increased likelihood of sexual problems 3 months postpartum. Extensive and professional counseling is needed for couples about postpartum sexuality and influencing factors such as breastfeeding to maintain sexual health and promote long-term breastfeeding.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1089\/bfm.2020.0256","type":"journal-article","created":{"date-parts":[[2020,10,22]],"date-time":"2020-10-22T10:39:02Z","timestamp":1603363142000},"page":"93-99","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":16,"title":["The Association Between Infant Feeding Methods and Female Sexual Dysfunctions"],"prefix":"10.1177","volume":"16","author":[{"given":"Katalin","family":"Sz\u00f6ll\u0151si","sequence":"first","affiliation":[{"name":"Department of Family Care Methodology, Faculty of Health Sciences, Semmelweis University, Budapest, Hungary."},{"name":"School of PhD Studies, Semmelweis University, 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":"School of PhD Studies, Semmelweis University, Budapest, Hungary."},{"name":"Heim P\u00e1l Children's Hospital, Department of Pediatrics, Budapest, Hungary."}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2021,1,18]]},"reference":[{"key":"e_1_3_3_2_2","doi-asserted-by":"publisher","DOI":"10.1001\/jama.281.6.537"},{"key":"e_1_3_3_3_2","doi-asserted-by":"publisher","DOI":"10.1097\/AOG.0b013e3181898cdb"},{"key":"e_1_3_3_4_2","doi-asserted-by":"publisher","DOI":"10.1111\/j.1471-0528.2000.tb11689.x"},{"key":"e_1_3_3_5_2","doi-asserted-by":"publisher","DOI":"10.1067\/mob.2001.113855"},{"key":"e_1_3_3_6_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jmwh.2005.10.014"},{"key":"e_1_3_3_7_2","doi-asserted-by":"publisher","DOI":"10.1007\/s00192-005-1293-6"},{"key":"e_1_3_3_8_2","first-page":"123","article-title":"Management of postpartum loss of libido","volume":"18","author":"Hughes H","year":"2008","unstructured":"Hughes H. Management of postpartum loss of libido. J Fam Health Care, 2008; 18:123\u2013125.","journal-title":"J Fam Health Care"},{"key":"e_1_3_3_9_2","unstructured":"World Health Organization. Protecting promoting and supporting breastfeeding in facilities providing maternity and newborn services. 2017. Available at https:\/\/apps.who.int\/iris\/bitstream\/handle\/10665\/259386\/9789241550086-eng.pdf?sequence=1 (accessed August6 2020)."},{"key":"e_1_3_3_10_2","unstructured":"Kohorsz. Csecsem\u0151k t\u00e1pl\u00e1l\u00e1sa. 2018. 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