Managing Pregnancy and Delivery in Women with Sexual Pain Disorders (CME)


Talli Y. Rosenbaum, MSc, Department of Physical and Sexual Therapy, Inner Stability, Ltd., Hatziporen 10 bet, Bet Shemesh 99591, Israel. Tel: 972 2 999 2936; Fax: 972 2 999 2935; E-mail:


Introduction.  Vaginismus and dyspareunia most commonly affect women in their childbearing years, yet sexual function, and not childbirth, has been the focus of most research.

Aim.  The aim of this study is to discuss pregnancy and birth outcomes in women with sexual pain disorders (SPDs) and address practical concerns of patients and practitioners regarding management during pregnancy, pelvic examination, labor, and delivery.

Methods.  Review of the relevant literature and recommendations based on clinical expertise of the authors.

Results.  A review of SPD, conception, and birth outcomes is provided as well as clinical recommendations for prenatal, labor, and delivery management of women with SPD.

Conclusions.  Practitioners involved in obstetrical care should be knowledgeable about SPD and provide appropriate modifications and interventions. Rosenbaum TY and Padoa A. Managing pregnancy and delivery in women with sexual pain disorders. J Sex Med 2012;9:1726–1735.