Managing Pregnancy and Delivery in Women with Sexual Pain Disorders

Talli Y. Rosenbaum, MSc, Anna Padoa, MD



Abstract: Vaginismus and dyspareunia most commonly affect women in their childbearing years, yet sexual function and not childbirth, has been the focus of most research

Aim: To discuss pregnancy and birth outcomes in women with sexual pain disorders (SPD), and address practical concerns of patients and practitioners regarding management during pregnancy, pelvic examination, labor, and delivery (L&D)

Methods: Review of the relevant literature and recommendations based on clinical expertise of the authors

Results: A review of SPD, conception, and birth outcomes is provided as well as clinical recommendations for prenatal, labor and delivery management of women with SPD

Conclusions: Practitioners involved in obstetrical care should be knowledgeable about SPD and provide appropriate modifications and interventions