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Césarienne et troubles génitosexuels du post-partum

Cesarean and postpartum genito-sexual disorders

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Pelvi-périnéologie

Résumé

Objet

La prévalence et la prévention des troubles génitosexuels consécutifs à l’accouchement sont peu connues. Il serait logique de penser que la césarienne qui évite le traumatisme périnéal s’accompagne de moins de troubles de la fonction sexuelle.

Méthode

Nous avons réalisé une revue de la littérature sur le sujet.

Résultat

La prévalence de la dyspareunie en post-partum immédiat est estimée entre 20 et 50 %, la durée moyenne des symptômes est de quatre mois. La déchirure périnéale est un facteur de risque pour la dyspareunie du post-partum immédiat. Les troubles sexuels peuvent persister plus longtemps en cas de déchirure grave. À distance de l’accouchement, il n’existe pas de différence entre les femmes accouchées par césarienne et les femmes accouchées par les voies naturelles pour la prévalence de la dyspareunie dans un essai randomisé, les cohortes de femmes suivies après l’accouchement et les enquêtes transversales.

Conclusion

La césarienne ne semble pas apporter de protection contre les troubles génitosexuels.

Abstract

Subject

We had little information about prevalence and prevention of genito-sexual disorders resulting from childbirth. Cesarean delivery that avoids perineal trauma should less disturb sexual function.

Method

We conducted a literature review on the subject.

Result

The prevalence of dyspareunia in the immediate postpartum period is estimated between 20 and 50%, the average duration of symptoms is four months. Perineal tear is a risk factor for dyspareunia in the immediate postpartum period. Sexual dysfunction may persist longer in the event of serious perineal tear. At distance of delivery, there is no difference between women giving birth by caesarean section and women who give birth through the natural way for dyspareunia prevalence in a randomized trial, in cohorts of women followed after delivery and cross-sectional studies.

Conclusion

Cesarean section does not appear to provide protection against genito-sexual disorders.

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Authors and Affiliations

  1. Inserm U953, recherches épidémiologiques en santé périnatale et santé des femmes et des enfants, université Paris-VI, 4, place Jussieu, F-75005, Paris, France

    X. Fritel

  2. Service de gynécologie et obstétrique, CHFG, CHR La Réunion, F-97405, Saint-Denis cedex, France

    X. Fritel

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Correspondence to X. Fritel.

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Fritel, X. Césarienne et troubles génitosexuels du post-partum. Pelv Perineol 4, 207–212 (2009). https://doi.org/10.1007/s11608-009-0248-7

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  • DOI: https://doi.org/10.1007/s11608-009-0248-7

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