Introduction: Sex after perinatal loss is a sensitive and often overlooked topic. Perinatal loss represents a dual tragedy for parents, namely the physical loss of the child and future dreams and expectations, which can cause deep emotional distress. Depression, anxiety and post-traumatic stress disorder are common consequences that can affect the intimacy and sexual relationship between partners. It is therefore extremley important that couples have the opportunity for an open converstaion and therapeutic support. Purpose: The aim of this thesis is to explore the impact of pregnancy loss on women's sexuality. Specifically, it seeks to understand the connection between the grieving process and changes in sexual behavior. Methods: The theoretical part of the study was conducted using discriptive research approach. Literature was reviewed from databases such as DiKUL, PubMed, Medline, CINAHL, ScienceDirect and ResearchGate. In the empirical part, a quantitative research method was employed through an online survey. The questionnaire was designed using the web application 1KA. The target population comprised women who had experienced perinatal loss. Participation in the survey was voluntary and anonymous. The questionnaire consisted of 20 questions and was distributed via social media platforms (Facebook and Instagram). The collected data were analyzed using SPSS statistical software. We also obtained the consent of the Ethics Committee of the Faculty of Health Sciences in Ljubljana. Results: 267 respondents took part in the survey. Most respondents (38,4 %) were aged between 28 and 32 years. The majority of respondents (33.2 %) completed secondary education. In 196 respondents (73.1 %), the adverse pregnancy outcome occurred before 22 weeks of pregnancy. Most respondents (87,7 %) rated the experience as traumatic, with 192 respondents (71.6 %) reporting that the experience had strengthened their partner relationship. 107 (39.3 %) respondents experienced changes in their sexual relationship, the majority (52.6 %) reported a decreased desire for intercourse and 140 respondents (52.2 %) reported a decreased ability to become sexually aroused. 64 respondents (23.9 %) reported vaginal pain during intercourse. Discussion and Conclusion: Perinatal loss affected our respondents in terms of decreased sexual desire, difficulties with arousal and orgasm, and physical (vaginal) pain. The findings indicate the need for psychological support and a holistic approach in managing women who have experienced perinatal loss.
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