Background
Dyspareunia is one of the most common postpartum sexual dysfunctions.
Objective
To estimate the prevalence of postpartum dyspareunia.
Search strategy
Web of Science, Scopus, PubMed, and Embase databases were searched to July 2019 using keywords including ‘perineal pain,’ ‘dyspareunia,’ and ‘sexual pain’.
Selection criteria
Observational studies on the prevalence of postpartum dyspareunia were included.
Data collection and analysis
Two authors independently reviewed articles and extracted data. Study heterogeneity was evaluated by I2 index; publication bias by Egger and Begg tests.
Main results
Twenty‐two studies enrolling 11 457 women were included. Based on meta‐analysis, the overall estimated prevalence of dyspareunia was 35% (95% confidence interval [CI], 29%–41%). The prevalence was 42% (95% CI, 26%–60%) at 2 months, 43% (95% CI, 36%–50%) at 2–6 months, and 22% (95% CI, 15%–29%) at 6–12 months postpartum. Begg test showed no significant bias in data related to the prevalence of postpartum dyspareunia (p = 0.466).
Conclusion
The prevalence of postpartum dyspareunia was 35% and decreased with increasing postpartum duration. Given the high prevalence and its impact on a woman's quality of life, special attention should be paid to this common complaint during the postpartum period.