In 2019, when we were visiting Mizan-Tepi University teaching hospital, for the sake of research work, a young woman came to the hospital where Comprehensive abortion care (CAC) is given. Mrs. Bertukan Woldie (fictitious name), 24 years old, the nulliparous woman was come to Mizan-Tepi University teaching hospital, complaining absence of menses for two consecutive months. She has had nausea but not vomiting, nausea becomes worsening during the morning just after she wakeup from her bed. She feels tired than usual since the last week, she has lost her appetite especially for types of foods that contain food odor. She noticed she has a frequency of urination but not urgency. She has no abdominal cramp, discomfort, or abdominal bloating. She has no chance of bowel habits. She was worrying if she is pregnant, which is unplanned, unwanted, and unsupported. She had regular monthly bleeding of 27 -30 days cycle since her 14 years of age up to two months ago without interruption. She had used to Depo-Provera for 1½ years for contraception. She received her last dose 9 months back. She had no side effects of contraception. On her personal and social history, she had married a man who was arrested 3 years back. She is a farmer. She has no habit like chewing khat and drinking alcohol. Two months back she met a man at the wedding ceremony to whom she had sex with him. She has no history of hospital admission for medical or surgical problems.Her physical examination revealed: On her general appearance she looks anxious. Her vital sign is stable. She has pink conjunctiva and white sclera. Non-abnormal diagnosis seen on her lymph nodes, chest, and CVS. On abdominal examination, her abdomen is flat and moves with respiration. No abnormal mass felt on palpation. On Bimanual pelvic examination, the cervix is positioned anterior and no cervical motion tenderness, no adnexal mass, and the fundus measured 8 -10 weeks size.Laboratory finding: Urine HCG test revealed a positive result.

Introduction:Postpartum sexual health gets very little attention compared to pregnancy and childbirth, even though most maternal deaths and disabilities occur during this time. Therefore, the study aimed to assess return of sexual activity within 6 weeks of childbirth among married women attending postpartum clinic of a teaching hospital in Ethiopia, 2021.MethodsThe hospital-based cross-sectional study design was implemented from September to October 2021. Eligible postpartum women were sampled by systematic random sampling technique. The data was entered into EPI-info and exported to SPSS version 24 for further analysis. All variables with a p-value < 0.05 in multivariable analyses were taken as associated factors with the return to sexual activity before 6 weeks of childbirth.ResultsA total of 421 postpartum women participated in the study. The prevalence of women who return to sexual activity 6 weeks after childbirth was 31.6%. The study revealed that monogamy (Adjusted Odds Ratio (AOR) = 4.4, 95% Confidence Interval (CI) (2.1, 9.4)), parity (AOR= 0.11, 95% CI (0.02–0.81)) and (AOR = 0.1, 95% CI (0.015–0.72)), postnatal care (AOR= 1.8, 95% CI (1.01–3)) and infants feeding status (AOR=2.3, 95% CI (1.3–4)) were significantly associated with return of sexual activity before 6 weeks of childbirth.ConclusionThe findings of this study suggested that, nearly one-third of postpartum women engaged to sexual activity within 6 weeks of childbirth. Return of sexual activity within 6 weeks of childbirth associated with monogamy type of marriage, parity, postnatal care, and child feeding status. Strengthening postpartum counseling regarding the appropriate time to resume sexual activity is crucial. Regular postpartum visits following deliveries should also be encouraged by health care providers.