• Michelly Nóbrega Monteiro, Maria Thereza Albuquerque Barbosa Cabral Micussi, Vitória Teixeira da Cruz, Maiara Costa de Oliveira, Kleyton Santos Medeiros, Ayane Cristine Alves Sarmento, and Ana Katherine Gonçalves.
• Universidade Federal do Rio do Grande do Norte, Health Sciences Postgraduate Program - Natal (RN), Brazil.
• Rev Assoc Med Bras (1992). 2021 Jun 1; 67 (6): 851-856.

ObjectiveTo evaluate the sexual function of women in the puerperal period after a postpartum pelvic floor musculature training program. We also sought to evaluate correlations between sexual dysfunction in the women and their delivery type and compare the frequency of sexual dysfunction and the quality of resumed sexual function following vaginal and cesarean deliveries.MethodsThis clinical study included an intervention, carried out between July and December 2019, in which data were collected about 28 rooming-in women at a Maternity School. Data were divided into vaginal delivery and cesarean delivery. Sexual function was evaluated by the Female Sexual Function Index and the International Consultation on Incontinence Questionnaire-Short Form to assess the Incontinence Urinary and qualifies urinary loss. The intervention consisted of a muscle training exercise program. ANOVA tests were used to establish differences between groups.ResultsThere was an improvement in all outcomes, but there was no time versus group interaction. Improvement in sexual function was observed (p<0.001), the impact of urinary incontinence on quality of life (p<0.001), and pressure of the muscles of pelvic floor muscles (p<0.001) over time. There was no time versus group interaction for sexual function (p=0.87), the impact of urinary incontinence on quality of life (p=0.88), and pressure of the pelvic floor muscles (p=0.66).ConclusionsPelvic floor muscle exercise programs seem to be a very promising strategy concerning improving sexual activity among puerperal patients.

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