title: Sexuality, partner relations and contraceptive practice after termination of pregnancy.
abstract: The aim of this study was to determine the impact of termination of pregnancy (TOP) on women's sexual well-being, the couple and contraceptive practice. In a prospective qualitative and quantitative study, 103 women undergoing induced abortion by vacuum aspiration were interviewed before the abortion and 6 months later. The interview was performed by means of a questionnaire including open and closed questions, and two psychological tests (Locke-Wallace and Horowitz). After TOP, the majority of women did not report changes in their sexual behavior and satisfaction. Eighteen per cent of women reported a decrease in sexual desire and 17% reported orgasmic disorders. About one-third of women described psychosomatic symptoms, but a minority were traumatized by the event. Ninety-eight per cent of the women were informed about, and had practiced, contraception in the past; 69% had actually used some kind of contraception during the menstrual cycle that had resulted in pregnancy (31% had had unprotected intercourse). Six months later, 83% practiced contraception, and only 17% did not. Fourteen out of 84 couples separated after TOP (one in six). Six months after TOP, the large majority of women interviewed seemed able to cope with TOP. A minority presented some persisting sexual dysfunction and/or some psychosomatic symptoms.
authors.affiliation: Department of Obstetrics and Gynecology, Geneva University Hospital, Switzerland.
authors.forename: F
authors.initials: F
authors.lastname: Bianchi-Demicheli
authors.forename: E
authors.initials: E
authors.lastname: Perrin
authors.forename: F
authors.initials: F
authors.lastname: Lüdicke
authors.forename: P G
authors.initials: PG
authors.lastname: Bianchi
authors.forename: D
authors.initials: D
authors.lastname: Fert
authors.forename: F
authors.initials: F
authors.lastname: Bonvallat
authors.forename: D
authors.initials: D
authors.lastname: Chatton
authors.forename: A
authors.initials: A
authors.lastname: Campana
mesh_terms: D000028:Abortion, Induced / Q000009:adverse effects / Q000523:psychology*; D003268:Contraception Behavior / Q000523:psychology*; D005260:Female; D006801:Humans; D011247:Pregnancy; D012735:Sexual Dysfunction, Physiological / Q000209:etiology* / Q000523:psychology; D012747:Sexual Partners / Q000523:psychology*; D019529:Sexuality / Q000523:psychology*; D013315:Stress, Psychological / Q000209:etiology*