Trimester to Trimester: Understanding Sexual Functions That Change During Pregnancy

Yıl 2023, Cilt: 4 Sayı: 3, 174 - 183, 11.01.2024

Eda Tokman , Zeynep Dilşah Karaçam Yılmaz

https://doi.org/10.59244/ktokusbd.1278906

Öz

Sexuality is influenced by many physiological, psychosocial, hormonal, and anatomical factors during pregnancy. These factors vary by trimester. The prevalence of sexual dysfunction during pregnancy varies from country to country and from society to society. This variation is due to social taboos related to sexuality during pregnancy. The literature shows that sexual dysfunction during pregnancy is observed differently in each trimester. In the first trimester, women may experience sexual dysfunction due to conditions such as nausea, vomiting, fatigue, and emotional changes. In the second trimester, changes in the woman's body can positively affect sexuality. However, in the third trimester, the increase in the size of the baby and fear of childbirth can lead to increased sexual dysfunction. Evaluating women's sexual functions during each trimester of pregnancy is crucial for maintaining sexual health. In addition, informing pregnant women about sexual dysfunction by midwives can help identify these dysfunctions. This review examines the impact of pregnancy on sexual function, sexual dysfunction that arises in each trimester, and midwifery care required to maintain sexuality during pregnancy in accordance with the literature.

Anahtar Kelimeler

Midwifery, Pregnancy, Sexuality, Sexual Dysfunciton

Trimesterden Trimestere: Gebelikte Değişen Cinsel İşlevleri Anlamak

Öz

Cinsellik, gebelik dönemi boyunca fizyolojik, psikososyal, hormonal ve anatomik birçok faktörden etkilenmektedir. Bu faktörler her trimestere göre farklılık göstermektedir. Gebelikte trimestere göre cinsel işlev bozukluklarının prevelansı ülkeden ülkeye, toplumdan topluma değişiklik göstermektedir. Bu değişikliğin gebelikte cinsellik ile ilgili toplumsal tabulardan kaynaklanmaktadır. Literatüre bakıldığında, gebelikte cinsel işlev bozukluklarının her trimesterde farklı olarak görüldüğü bulunmuştur. Birinci trimesterde, kadınlar bulantı-kusma, yorgunluk ve duygu-durum değişimleri gibi durumlardan etkilendikleri için cinsel işlev bozuklukları yaşayabilmektedir. İkinci trimesterde ise kadının bedeninde gelişen değişimler cinselliği olumlu yönde etkileyebilmektedir. Ancak üçüncü trimesterde, bebeğin büyümesi ve doğum korkusu nedeniyle cinsel işlev bozukluğunun arttığı görülmektedir. Ebelerin gebeliğin her trimesterinde kadınların cinsel işlevlerinin değerlendirilmesi cinsel sağlığın sürdürülmesi için oldukça önemlidir. Ayrıca gebe kadınların ebeler tarafından cinsel işlev bozuklukları hakkında bilgilendirilmesi, bu bozukluklarının tanımlanmasını yardımcı olacaktır. Bu derleme de, gebeliğin cinsel işlevler üzerindeki etkisi, trimesterlara göre ortaya çıkan cinsel işlev bozuklukları ve gebelikte cinselliğin sürdürülmesi için gereken ebelik bakımı literatür doğrultusunda gözden geçirilmiştir.

Anahtar Kelimeler

Gebelik, Cinsellik, Ebelik, Cinsel İşlev Bozuklukları

Kaynakça

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