{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,22]],"date-time":"2026-06-22T22:59:49Z","timestamp":1782169189144,"version":"3.54.5"},"reference-count":74,"publisher":"Oxford University Press (OUP)","issue":"1","license":[{"start":{"date-parts":[[2026,1,1]],"date-time":"2026-01-01T00:00:00Z","timestamp":1767225600000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/academic.oup.com\/pages\/standard-publication-reuse-rights"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2026,1,2]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Introduction<\/jats:title>\n                    <jats:p>Sexuality is integral to most women\u2019s quality of life. However, pregnancy and childbirth often lead to biological, psychological, and relational challenges that can impact sexual health and wellbeing. Research has documented declines in sexual activity, functioning, and satisfaction during the postpartum period, particularly among women who sustained severe perineal injuries during delivery. However, these issues remain scientifically and clinically underrecognized.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Objectives<\/jats:title>\n                    <jats:p>Approximately 90% of primiparous women experience perineal tearing during vaginal delivery, with 5% sustaining an obstetric anal sphincter injury (OASI). This scoping review aims to synthesize existing evidence on the relationship between OASI and postpartum sexual health, focusing on three key dimensions: (1) sexual activity, (2) sexual functioning, and (3) sexual satisfaction. Understanding the impact of OASI on female sexual health is essential for providing tailored postpartum care and support.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>A comprehensive literature search was conducted in PubMed, Embase, Scopus, CINAHL, Cochrane, and \u201cgray literature\u201d sources to identify relevant peer-reviewed studies. The selection process involved three stages: screening of titles and abstracts, full-text evaluation, and final inclusion based on predefined criteria. Original quantitative studies presenting statistical evidence on the impact of OASI on postpartum sexual health were eligible for inclusion.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Based on 33 articles, the scoping review revealed that women with OASI experienced delayed resumption of sexual intercourse compared to those with no or minor perineal tears. In addition, most studies reported that OASI increased the risk of dyspareunia, potentially persisting for years after childbirth. Several studies also observed a temporary or long-term decrease in desire, lubrication, orgasm ability, and overall sexual satisfaction. OASI was further associated with a heightened risk of long-lasting complications such as anal incontinence, which could contribute to or exacerbate sexual problems.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Women who sustain OASI during childbirth face an increased risk of postpartum sexual health issues. To mitigate these challenges, healthcare providers should encourage open discussions about sexual health and, when necessary, provide referrals to physiotherapy, couples therapy, or specialized sexological support.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1093\/sxmrev\/qeaf078","type":"journal-article","created":{"date-parts":[[2025,12,17]],"date-time":"2025-12-17T12:55:32Z","timestamp":1765976132000},"source":"Crossref","is-referenced-by-count":1,"title":["Female sexual health after obstetric anal sphincter injury: a scoping review"],"prefix":"10.1093","volume":"14","author":[{"ORCID":"https:\/\/orcid.org\/0009-0006-6470-3102","authenticated-orcid":false,"given":"Hevy Sadraddin","family":"Gibrael","sequence":"first","affiliation":[{"name":"Department of Gynecology, Fertility and Obstetrics, Copenhagen University Hospital Rigshospitalet , Copenhagen ,","place":["Denmark"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Signe","family":"Linhardt","sequence":"additional","affiliation":[{"name":"Department of Health & Rehabilitation (Midwifery), University College Absalon , Slagelse ,","place":["Denmark"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-0224-1425","authenticated-orcid":false,"given":"Hanna","family":"Jang\u00f6","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology, Herlev University Hospital , Herlev ,","place":["Denmark"]},{"name":"Department of Clinical Medicine, University of Copenhagen , Copenhagen ,","place":["Denmark"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0001-4144-4703","authenticated-orcid":false,"given":"Nana Ernst","family":"Toldam","sequence":"additional","affiliation":[{"name":"Danish School of Education, Department of Educational Anthropology and Educational Psychology, Aarhus University , Copenhagen ,","place":["Denmark"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sabine","family":"Dreier","sequence":"additional","affiliation":[{"name":"Aalborg University Library , Aalborg ,","place":["Denmark"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Louise","family":"Thomsen","sequence":"additional","affiliation":[{"name":"Aalborg University Library , Aalborg ,","place":["Denmark"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-0033-8517","authenticated-orcid":false,"given":"Annamaria","family":"Giraldi","sequence":"additional","affiliation":[{"name":"Department of Clinical Medicine, University of Copenhagen , Copenhagen ,","place":["Denmark"]},{"name":"Sexological Clinic, Mental Health Center Copenhagen, Copenhagen University Hospital , Copenhagen ,","place":["Denmark"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-0217-3637","authenticated-orcid":false,"given":"Christian","family":"Graugaard","sequence":"additional","affiliation":[{"name":"Center for Sexology Research, Department of Clinical Medicine, Aalborg University ,","place":["Denmark"]}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"286","published-online":{"date-parts":[[2026,1,15]]},"reference":[{"issue":"10","key":"2026011505382911100_ref1","doi-asserted-by":"publisher","first-page":"577","DOI":"10.1038\/nrurol.2017.117","article-title":"Sexuality as a health-promoting factor\u2014theoretical and clinical considerations","volume":"14","author":"Graugaard","year":"2017","journal-title":"Nat Rev Urol"},{"key":"2026011505382911100_ref2","first-page":"5","article-title":"Education and treatment in human sexuality: the training of health professionals. 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