After birth, especially breastfeeding women may experience decreased sexual desire. The milk hormone prolactin, which is secreted in high amounts during breastfeeding, also has a reducing effect on libido. During this period, estrogen and androgen hormones that are normally released from the ovaries and play a role in sexuality are suppressed due to the high prolactin effect. After the breastfeeding period, the level of prolactin hormone decreases to normal levels, the pressure on the ovaries and ovulation suppression and the release of important hormones from sexuality is lifted. Libido increases to normal levels.
It is true that breastfeeding gives birth control due to the pressure on ovulation. However, this is certainly not a reliable method of protection. Many mothers become pregnant at the time they think they are protected for their next baby. Therefore, a reliable contraceptive method should be chosen especially after the sixth month following the birth in which the intensity and frequency of breastfeeding decreases. Our suggestion is to apply this method from the 6th week after birth. The three methods with 99% protection are the intrauterine device (spiral), birth control pills and birth control needles given every 3 months.
According to a study published in the Journal of Sexual Medicine in 2007, 90% of mothers who have given birth have a sexual concern. One of them is when sexuality can be resumed. Sexuality can be started after the 6th week following birth. At first, a dryness may be seen in the vagina than before. This is due to reduced estrogen hormone. Lubricating gels may be used to facilitate the relationship. In this study, one of the problems that arise after birth is that the man has more sexual desire than the woman. In this sense, the male should be understanding and understanding women's physiology. The mother's dissatisfaction with her own body image was also found to be an important factor affecting sexuality. This can be solved by a serious exercise program and a strict diet followed by breastfeeding after the 6th week after birth.
In a study published in the British medical journal BJOG in 2006, the most important factor determining the amount of sexual activity one year after birth was found to be the amount of sexual activity at the beginning of pregnancy. In other words, women who have continued to have sexuality since the beginning of pregnancy, live sexuality 1 year after birth, women whose frequency has decreased since the beginning of pregnancy, are the group with the most problems after birth. There are no medical restrictions on sexuality except in special cases during pregnancy. The women we have temporarily restricted are those who experience vaginal bleeding during pregnancy and those who experience uterine contractions that lead to preterm labor.
A study in Sweden, published in the Journal of Sexual Research in 2005, examines the sexuality of couples 6 months after birth. According to this, the most common sexual activity was 1 or 2 months. The main reason for this is that couples and especially women show that they are yorgun too tired for sexual activity.. Sexual activity is expected to return to normal as the baby's care needs decrease and sleep becomes regular.
Another factor that affects postpartum sexuality is the presence of advanced rupture or incision in the vaginal area during normal delivery. According to a German study published in 2006, painful sexual intercourse after childbirth due to such trauma also adversely affects sexuality. The incidence of painful sexual intercourse in the 6th month after birth was 3-4% in normal and vaginal tear, and in cesarean section, and 11-14% in advanced vaginal tear or incision. Therefore, it is necessary not to force the normal birth to cause advanced tears and to share this information with the prenatal mothers in those who have large babies compared to the mother.
Women's Health Specialist from Anadolu Health Center Op.Dr. Contact İbrahim directly