Summary
Pregnancy loss can be detrimental to couples’ psychological and relational well-being and there is some evidence of negative impacts to sexual satisfaction. However, studies have not tested how pregnancy loss affects all aspects of sexual well-being—sexual satisfaction, distress, function, desire, and frequency—using dyadic data and comparing to a no-loss control group. Accordingly, we compared sexual well-being among couples who experienced a pregnancy loss in the last four months (N = 51) and couples who had never experienced a pregnancy loss (N = 128) using multilevel structural equation modeling. As hypothesized, couples with a recent pregnancy loss reported lower sexual satisfaction compared to couples in the community sample, but not lower sexual function, desire, frequency, or higher distress. Couples may benefit from knowing that pregnancy loss seemingly disrupts couples’ sexual satisfaction, potentially because pregnancy loss creates mental associations between loss, grief, and sex, which may especially impact sexual satisfaction.
Objectives
- To gain a holistic picture of how pregnancy loss affects couples’ sexual relationships
- To take a dyadic approach to investigating sexual relationships following pregnancy loss
- To inform practitioners which aspects of sexual well-being are most at risk because of pregnancy loss
Subject Codes: sexuality, relationships, wellness
Population Codes: couples/coupled, romantic partners, emerging/young adulthood
Method and Approach Codes: multilevel modeling, dyadic analysis, theory [identify specific theory below]