The Silent Wound of Birth: The Effects of Genital Self-Image on Postpartum Sexual Function and Dyspareunia in Primiparous Women with Episiotomy – A Path Analysis Study

Problem: The present study sets out the hypothesis that there is a link between genital self-image in women who have undergone an episiotomy and postpartum sexual function and dyspareunia. However, more research is needed to understand the nature and effects of these associations. Background: The effects of genital self-image on an individual's body perception and sexual functioning is a crucial factor in the study of human sexuality. The occurrence of episiotomy during the postpartum period can result in a range of physical recovery challenges and psychosocial effects. Aim: The present study set out to ascertain the effect of genital self-image on postpartum sexual function and dyspareunia in primiparous women who have undergone an episiotomy. Methods: The present study was conducted as a cross-sectional investigation. It was conducted between February and August 2023 in the postpartum ward of a public hospital located in eastern ………..The study included 309 women who had a healthy vaginal delivery and resumed vaginal sexual activity within 6 to 8 weeks postpartum. Results: The study established a correlation between genital self-image and postpartum sexual function and dyspareunia in primiparous women who underwent an episiotomy (p < 0.05). However, the results of the path analysis indicated that genital self-image did not have a direct significant effect on postpartum sexual function and dyspareunia (p > 0.05). Discussion: The results indicate that there is an absence of a robust direct correlation between genital self-image and postpartum sexual function, as well as dyspareunia, in primiparous women who have undergone an episiotomy. However, it is crucial to acknowledge that sexual function and dyspareunia are influenced by numerous factors. This underscores the necessity for a multidimensional approach in research endeavours pertaining to this subject. Conclusion: The path analysis's findings showed that genital selfimage has little influence on dyspareunia and sexual function. It is recommended that holistic and biopsychosocial strategies be created to promote women's sexual health and wellbeing during the postpartum phase.