{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,19]],"date-time":"2026-09-19T01:15:43Z","timestamp":1789780543915,"version":"4.0.1"},"reference-count":28,"publisher":"Oxford University Press (OUP)","issue":"5","license":[{"start":{"date-parts":[[2015,5,1]],"date-time":"2015-05-01T00:00:00Z","timestamp":1430438400000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/academic.oup.com\/journals\/pages\/open_access\/funder_policies\/chorus\/standard_publication_model"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2015,5,1]]},"abstract":"<jats:title>Abstract<\/jats:title>\n               <jats:sec>\n                  <jats:title>Introduction<\/jats:title>\n                  <jats:p>Episiotomy remains commonly practiced in Thailand. There are limited data on its impacts on sexuality among Asian women during the first postdelivery year.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Aims<\/jats:title>\n                  <jats:p>The aim was to study dyspareunia and sexual function at 3\u201312 months after vaginal delivery in Thai primiparous women with episiotomy.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Methods<\/jats:title>\n                  <jats:p>A total of 190 participants were approached on Day 2 postpartum. Of these, 93 sexually active women were evaluated for dyspareunia and sexual function at 3 months by using 10-cm visual analog scale and the validated Thai version of Female Sexual Function Index (TFSFI). TFSFI\u2009&amp;lt;\u200926.5 was defined as having potential sexual dysfunction. At 6 and 12 months, sexual function was evaluated by telephone interview.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Main Outcome Measures<\/jats:title>\n                  <jats:p>The prevalence of dyspareunia at 3 months and the changes of TFSFI scores during the first postdelivery year were the main outcome measures.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Results<\/jats:title>\n                  <jats:p>The average age of the participants, over 90% of whom were high school finishers, was 24. Their partners were around 3 years older, and the median partnership duration was 3 years. At 3 months, 30.1% of participants reported dyspareunia. There was no association between dyspareunia and the following characteristics: pre-pregnancy dyspareunia, newborn's head circumference and birthweight and breast-feeding (P\u2009&amp;gt;\u20090.05 for all). Sexual dysfunction was demonstrated in 66.7% at 3 months, 31.0% at 6 months, and 14.9% at 12 months. From 3 to 12 months, the median TFSFI scores in all domains increased significantly. There was no difference of the scores in all domains at 3 and 12 months between women with and without dyspareunia at 3 months. However, at 6 months, those without dyspareunia had better scores in pain, orgasm, satisfaction, and total scores (P\u2009&amp;lt;\u20090.05 for all).<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Conclusion<\/jats:title>\n                  <jats:p>Dyspareunia at 3 months is common in Thai primiparous women with episiotomy. Those with dyspareunia have a slower resumption of normal sexual function.<\/jats:p>\n               <\/jats:sec>","DOI":"10.1111\/jsm.12860","type":"journal-article","created":{"date-parts":[[2015,3,10]],"date-time":"2015-03-10T08:07:20Z","timestamp":1425974840000},"page":"1275-1282","source":"Crossref","is-referenced-by-count":30,"title":["Dyspareunia and Sexual Dysfunction after Vaginal Delivery in Thai Primiparous Women with Episiotomy"],"prefix":"10.1093","volume":"12","author":[{"given":"Chenchit","family":"Chayachinda","sequence":"first","affiliation":[{"name":"Department of Obstetrics and Gynaecology , Bangkok, \u00a0 Thailand"},{"name":"Faculty of Medicine Siriraj Hospital , Bangkok, \u00a0 Thailand"},{"name":"Mahidol University , Bangkok, \u00a0 Thailand"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Vitaya","family":"Titapant","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynaecology , Bangkok, \u00a0 Thailand"},{"name":"Faculty of Medicine Siriraj Hospital , Bangkok, \u00a0 Thailand"},{"name":"Mahidol University , Bangkok, \u00a0 Thailand"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Anuree","family":"Ungkanungdecha","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynaecology , Bangkok, \u00a0 Thailand"},{"name":"Faculty of Medicine Siriraj Hospital , Bangkok, \u00a0 Thailand"},{"name":"Mahidol University , Bangkok, \u00a0 Thailand"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"286","published-online":{"date-parts":[[2015,5,1]]},"reference":[{"key":"2023012309084840000_bb0010","doi-asserted-by":"crossref","first-page":"179","DOI":"10.1023\/A:1018771906780","article-title":"Women's sexuality after childbirth: A pilot study","volume":"28","author":"Barrett","year":"1999","journal-title":"Arch Sex Behav"},{"key":"2023012309084840000_bb0015","doi-asserted-by":"crossref","first-page":"263","DOI":"10.1007\/s00192-005-1293-6","article-title":"Effects of pregnancy and childbirth on postpartum sexual function: A longitudinal prospective study","volume":"16","author":"Connolly","year":"2005","journal-title":"Int Urogynecol J Pelvic Floor Dysfunct"},{"key":"2023012309084840000_bb0020","doi-asserted-by":"crossref","first-page":"1","DOI":"10.1159\/000113464","article-title":"Sexuality after delivery with episiotomy: A long-term follow-up","volume":"66","author":"Ejegard","year":"2008","journal-title":"Gynecol Obstet Invest"},{"key":"2023012309084840000_bb0025","doi-asserted-by":"crossref","first-page":"856586","DOI":"10.5402\/2011\/856586","article-title":"Effect of pregnancy and childbirth on sexuality of women in Ibadan, Nigeria","volume":"2011","author":"Bello","year":"2011","journal-title":"ISRN Obstet Gynecol"},{"key":"2023012309084840000_bb0030","doi-asserted-by":"crossref","first-page":"881","DOI":"10.1067\/mob.2001.113855","article-title":"Postpartum sexual functioning and its relationship to perineal trauma: A retrospective cohort study of primiparous women","volume":"184","author":"Signorello","year":"2001","journal-title":"Am J Obstet Gynecol"},{"key":"2023012309084840000_bb0035","doi-asserted-by":"crossref","first-page":"1199","DOI":"10.1016\/j.ajog.2004.02.064","article-title":"Incidence, severity, and determinants of perineal pain after vaginal delivery: A prospective cohort study","volume":"191","author":"Macarthur","year":"2004","journal-title":"Am J Obstet Gynecol"},{"key":"2023012309084840000_bb0040","doi-asserted-by":"crossref","first-page":"42","DOI":"10.1016\/j.ejogrb.2005.04.008","article-title":"Rate of dyspareunia after delivery in primiparae according to mode of delivery","volume":"124","author":"Buhling","year":"2006","journal-title":"Eur J Obstet Gynecol Reprod Biol"},{"key":"2023012309084840000_bb0045","doi-asserted-by":"crossref","first-page":"152","DOI":"10.1016\/j.ejogrb.2007.06.005","article-title":"Evaluation of postpartum perineal pain and dyspareunia\u2014A prospective study","volume":"137","author":"Andrews","year":"2008","journal-title":"Eur J Obstet Gynecol Reprod Biol"},{"key":"2023012309084840000_bb0050","doi-asserted-by":"crossref","first-page":"455","DOI":"10.1111\/j.1552-6909.2008.00259.x","article-title":"Perineal trauma and postpartum perineal morbidity in Asian and non-Asian primiparous women giving birth in Australia","volume":"37","author":"Dahlen","year":"2008","journal-title":"J Obstet Gynecol Neonatal Nurs"},{"key":"2023012309084840000_bb0055","doi-asserted-by":"crossref","first-page":"12","DOI":"10.1186\/1472-6874-11-12","article-title":"Impact of episiotomy on pelvic floor disorders and their influence on women's wellness after the sixth month postpartum: A retrospective study","volume":"11","author":"Bertozzi","year":"2011","journal-title":"BMC Womens Health"},{"key":"2023012309084840000_bb0060","doi-asserted-by":"crossref","first-page":"912","DOI":"10.1007\/s10508-007-9287-8","article-title":"Evaluation of the female sexual function index in a population based sample from Finland","volume":"37","author":"Witting","year":"2008","journal-title":"Arch Sex Behav"},{"key":"2023012309084840000_bb0065","first-page":"265","article-title":"Attitudes and sexual function in Thai pregnant women","volume":"93","author":"Kerdarunsuksri","year":"2010","journal-title":"J Med Assoc Thai"},{"key":"2023012309084840000_bb0070","doi-asserted-by":"crossref","first-page":"146","DOI":"10.1111\/jsm.12347","article-title":"Evaluation of sexual functions of the pregnant women","volume":"11","author":"Tosun\u2002Guleroglu","year":"2013","journal-title":"J Sex Med"},{"key":"2023012309084840000_bb0075","doi-asserted-by":"crossref","first-page":"2859","DOI":"10.1111\/j.1743-6109.2011.02420.x","article-title":"Comparison of overall sexual function, sexual intercourse\/activity, sexual satisfaction, and sexual desire during the three trimesters of pregnancy and assessment of their determinants","volume":"8","author":"Chang","year":"2011","journal-title":"J Sex Med"},{"key":"2023012309084840000_bb0080","doi-asserted-by":"crossref","first-page":"2782","DOI":"10.1111\/j.1743-6109.2010.01893.x","article-title":"Female sexual function during pregnancy and after childbirth","volume":"7","author":"Serati","year":"2010","journal-title":"J Sex Med"},{"key":"2023012309084840000_bb0085","doi-asserted-by":"crossref","first-page":"223","DOI":"10.1054\/midw.2002.0313","article-title":"A randomised trial, conducted by midwives, of perineal repairs comparing a polyglycolic suture material and chromic catgut","volume":"18","author":"Upton","year":"2002","journal-title":"Midwifery"},{"key":"2023012309084840000_bb0090","first-page":"647","article-title":"Health-related self-report (HRSR) scale: The diagnostic screening test for depression in Thai population","volume":"80","author":"Kasantikul","year":"1997","journal-title":"J Med Assoc Thai"},{"key":"2023012309084840000_bb0095","doi-asserted-by":"crossref","first-page":"191","DOI":"10.1080\/009262300278597","article-title":"The Female Sexual Function Index (FSFI): A multidimensional self-report instrument for the assessment of female sexual function","volume":"26","author":"Rosen","year":"2000","journal-title":"J Sex Marital Ther"},{"key":"2023012309084840000_bb0100","doi-asserted-by":"crossref","first-page":"1","DOI":"10.1080\/00926230590475206","article-title":"The female sexual function index (FSFI): Cross-validation and development of clinical cutoff scores","volume":"31","author":"Wiegel","year":"2005","journal-title":"J Sex Marital Ther"},{"key":"2023012309084840000_bb0105","doi-asserted-by":"crossref","first-page":"1585","DOI":"10.1016\/j.ajog.2006.01.011","article-title":"Impact of chromic catgut versus polyglactin 910 versus fast-absorbing polyglactin 910 sutures for perineal repair: A randomized, controlled trial","volume":"194","author":"Leroux","year":"2006","journal-title":"Am J Obstet Gynecol"},{"key":"2023012309084840000_bb0110","first-page":"44","article-title":"Women's dyspareunia after childbirth: A case study in a hos pital in Acapulco, Mexico","volume":"23","author":"Solana-Arellano","year":"2008","journal-title":"Rev Panam Salud Publica"},{"key":"2023012309084840000_bb0115","doi-asserted-by":"crossref","first-page":"549","DOI":"10.1111\/j.1365-2702.2006.01593.x","article-title":"The prevalence of enduring postnatal perineal morbidity and its relationship to type of birth and birth risk factors","volume":"16","author":"Williams","year":"2007","journal-title":"J Clin Nurs"},{"key":"2023012309084840000_bb0120","doi-asserted-by":"crossref","first-page":"156","DOI":"10.1111\/j.1471-0528.1998.tb10045.x","article-title":"Maternal health after childbirth: Results of an Australian population based survey","volume":"105","author":"Brown","year":"1998","journal-title":"Br J Obstet Gynaecol"},{"key":"2023012309084840000_bb0125","first-page":"1744","article-title":"Sexual function during the postpartum period","volume":"90","author":"Woranitat","year":"2007","journal-title":"J Med Assoc Thai"},{"issue":"6","key":"2023012309084840000_bb0130","article-title":"Absorbable suture materials for primary repair of episiotomy and second degree tears","author":"Kettle","year":"2010","journal-title":"Cochrane Database Syst Rev"},{"key":"2023012309084840000_bb0135","doi-asserted-by":"crossref","first-page":"227","DOI":"10.1016\/S1526-9523(00)00020-9","article-title":"The experience of sexuality during breastfeeding among primiparous women","volume":"45","author":"Avery","year":"2000","journal-title":"J Midwifery Womens Health"},{"key":"2023012309084840000_bb0140","doi-asserted-by":"crossref","first-page":"1915","DOI":"10.1111\/j.1743-6109.2008.00884.x","article-title":"Effects of pregnancy on female sexual function and body image: A prospective study","volume":"5","author":"Pauls","year":"2008","journal-title":"J Sex Med"},{"key":"2023012309084840000_bb0145","doi-asserted-by":"crossref","first-page":"2330","DOI":"10.1111\/j.1743-6109.2012.02804.x","article-title":"Exploring women's postpartum sexuality: Social, psychological, relational, and birth-related contextual factors","volume":"9","author":"Hipp","year":"2012","journal-title":"J Sex Med"}],"container-title":["The Journal of Sexual Medicine"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S1743609515310055?httpAccept=text\/xml","content-type":"text\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S1743609515310055?httpAccept=text\/plain","content-type":"text\/plain","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/academic.oup.com\/jsm\/article-pdf\/12\/5\/1275\/48586598\/jsm_12_5_1275.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"syndication"},{"URL":"https:\/\/academic.oup.com\/jsm\/article-pdf\/12\/5\/1275\/48586598\/jsm_12_5_1275.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,2,9]],"date-time":"2023-02-09T14:42:29Z","timestamp":1675953749000},"score":1,"resource":{"primary":{"URL":"https:\/\/academic.oup.com\/jsm\/article\/12\/5\/1275\/6980201"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2015,5,1]]},"references-count":28,"journal-issue":{"issue":"5","published-online":{"date-parts":[[2015,5,1]]},"published-print":{"date-parts":[[2015,5,1]]}},"URL":"https:\/\/doi.org\/10.1111\/jsm.12860","relation":{},"ISSN":["1743-6109","1743-6095"],"issn-type":[{"value":"1743-6109","type":"electronic"},{"value":"1743-6095","type":"print"}],"subject":[],"published-other":{"date-parts":[[2015,5]]},"published":{"date-parts":[[2015,5,1]]}}}