Skip to content
2000
Volume 20, Issue 3
  • ISSN: 1574-8871
  • E-ISSN: 1876-1038

Abstract

Introduction

Sexual health is an essential part of women's lives at different ages. Pregnancy, childbirth, and breastfeeding can affect women's sexual function by inducing biological, psychological, and social changes. Due to the prevalence of sexual dysfunction in lactating women and the effects of reflexology therapies on it, this study was conducted to investigate the effect of foot reflexology on the sexual function of lactating women.

Materials and Methods

This randomized clinical trial was conducted in selected health centers of Isfahan in 2022 on 64 lactating women (32 women in each group of intervention and control). The samples were selected using the convenience sampling method and were randomly divided into two groups with a random number table. Each participant in the intervention group received 10 sessions of foot reflexology, and each session lasted for 50 minutes (25 minutes for each foot) and was held every three days. The Female Sexual Function Index (FSFI) questionnaire was completed before the intervention and four weeks after the end of it. The control group received routine care and completed the questionnaire before the intervention and 9 weeks later. Data were analyzed using SPSS version 20 and independent/paired t-tests.

Results

Data analysis showed that the subjects of the two groups were homogeneous in demographic and fertility characteristics at the beginning of the study. The total mean score of sexual function in the intervention group was 20.36 ± 4.16 before the intervention and 28.05 ± 2.89 after the intervention. In the control group, this score was 20.51 ± 3.75 before the intervention and 20.54 ± 3.71 nine weeks after it. A comparison of the total mean score of sexual function and dimensions showed a significant difference between the two groups four weeks after the intervention ( <0.001). In the intervention group, significant changes were observed in the total mean score of sexual function and its dimensions four weeks after the intervention compared to before the intervention. However, in the control group, there were no significant changes in this score and its dimensions nine weeks later compared to before the intervention.

Conclusion

Based on the results of this study, lactating women in the two groups did not have a desirable sexual function before the intervention. However, foot reflexology in the present study could effectively improve the sexual function of women in the reflexology group. Therefore, it is recommended to employ foot reflexology therapy in health centers to help lactating women restore their sexual function.

Clinical Trial Registration Number

IRCT20210814052180N1.

Loading

Article metrics loading...

/content/journals/rrct/10.2174/0115748871345481250128073509
2025-08-01
2025-12-19
Loading full text...

Full text loading...

References

  1. GutzeitO. LevyG. LowensteinL. Postpartum female sexual function: Risk factors for postpartum sexual dysfunction.Sex. Med.20208181310.1016/j.esxm.2019.10.00531837965
    [Google Scholar]
  2. PeckS.A. The importance of the sexual health history in the primary care setting.J. Obstet. Gynecol. Neonatal Nurs.200130326927410.1111/j.1552‑6909.2001.tb01544.x11383949
    [Google Scholar]
  3. Mohammed AbdelhakmE. SaidA. ElsayedD. Effect of PLISSIT model sexual counseling program on sexual quality of life for postpartum women.Am. J. Nurs. Sci.201872637210.11648/j.ajns.20180702.14
    [Google Scholar]
  4. BanaeiM. AlidostF. GhasemiE. DashtiS. A comparison of sexual function in primiparous and multiparous women.J. Obstet. Gynaecol.202040341141810.1080/01443615.2019.164019131537138
    [Google Scholar]
  5. PaulsR.N. OcchinoJ.A. DryfhoutV.L. Effects of pregnancy on female sexual function and body image: A prospective study.J. Sex. Med.2008581915192210.1111/j.1743‑6109.2008.00884.x18547388
    [Google Scholar]
  6. ChangS.R. ChenK.H. LinH.H. ChaoY.M.Y. LaiY.H. Comparison of the effects of episiotomy and no episiotomy on pain, urinary incontinence, and sexual function 3 months postpartum: A prospective follow-up study.Int. J. Nurs. Stud.201148440941810.1016/j.ijnurstu.2010.07.01720800840
    [Google Scholar]
  7. BrubakerL. HandaV.L. BradleyC.S. ConnollyA. MoalliP. BrownM.B. WeberA. Pelvic Floor Disorders Network Sexual function 6 months after first delivery.Obstet. Gynecol.200811151040104410.1097/AOG.0b013e318169cdee18448733
    [Google Scholar]
  8. BarrettG. PendryE. PeacockJ. VictorC. ThakarR. ManyondaI. Women’s sexual health after childbirth.BJOG2000107218619510.1111/j.1471‑0528.2000.tb11689.x10688502
    [Google Scholar]
  9. WallwienerS. MüllerM. DosterA. KuonR.J. PlewniokK. FellerS. WallwienerM. ReckC. MatthiesL.M. WallwienerC. Sexual activity and sexual dysfunction of women in the perinatal period: A longitudinal study.Arch. Gynecol. Obstet.2017295487388310.1007/s00404‑017‑4305‑028251311
    [Google Scholar]
  10. RådestadI. OlssonA. NissenE. RubertssonC. Tears in the vagina, perineum, sphincter ani, and rectum and first sexual intercourse after childbirth: A nationwide follow-up.Birth20083529810610.1111/j.1523‑536X.2008.00222.x18507580
    [Google Scholar]
  11. RowlandM. FoxcroftL. HopmanW.M. PatelR. Breastfeeding and sexuality immediately post partum.Can. Fam. Physician200551101366136716926969
    [Google Scholar]
  12. Tork ZahraniS. BanaeiM. OzgoliG. AzadM. Investigation of the postpartum female sexual dysfunction in breastfeeding women referring to healthcare centers of Bandar Abbas.Majallah-i Zanan, Mamai va Nazai-i Iran20161935112
    [Google Scholar]
  13. Ahmad ShirvaniM. Bagheri NesamiM. Sexual dysfunction and related factors among breast feeding women.Majallah-i Zanan, Mamai va Nazai-i Iran20111453844
    [Google Scholar]
  14. DavisS.R. van der MoorenM.J. van LunsenR.H.W. LopesP. RibotJ. ReesM. MoufaregeA. RodenbergC. BuchA. PurdieD.W. Efficacy and safety of a testosterone patch for the treatment of hypoactive sexual desire disorder in surgically menopausal women.Menopause200613338739610.1097/01.gme.0000179049.08371.c716735935
    [Google Scholar]
  15. DolatianM.I HasanpourA. MontazeriSh. HeshmatR. Alavi MajdH. The effect of reflexology on pain intensity and duration of labor on primiparas.Iran. Red Crescent Med. J.201113747547922737514
    [Google Scholar]
  16. MossC. The Desktop Guide to Complementary and Alternative Medicine: An Evidence-based Approach.J. R. Soc. Med.2001941265065110.1177/014107680109401218
    [Google Scholar]
  17. ErnstE. Is reflexology an effective intervention? A systematic review of randomised controlled trials.Med. J. Aust.2009191526326610.5694/j.1326‑5377.2009.tb02780.x19740047
    [Google Scholar]
  18. TiranD. ChummunH. The physiological basis of reflexology and its use as a potential diagnostic tool.Complement. Ther. Clin. Pract.2005111586410.1016/j.ctnm.2004.07.00715984227
    [Google Scholar]
  19. JangS.H. KimK.H. Effects of self-foot reflexology on stress, fatigue and blood circulation in premenopausal middle-aged women.J. Korean Acad. Nurs.200939566267210.4040/jkan.2009.39.5.66219901496
    [Google Scholar]
  20. ErnstE. PosadzkiP. LeeM.S. Reflexology: An update of a systematic review of randomised clinical trials.Maturitas201168211612010.1016/j.maturitas.2010.10.01121111551
    [Google Scholar]
  21. AsltoghiriM. GhodsiZ. The effects of Reflexology on sleep disorder in menopausal women.Procedia Soc. Behav. Sci.20123124224610.1016/j.sbspro.2011.12.049
    [Google Scholar]
  22. LevyI. AttiasS. Stern LaveeT. AvneriO. CohenG. BalachsanS. SagiS. SchiffE. The effectiveness of foot reflexology in reducing anxiety and duration of labor in primiparas: An open-label randomized controlled trial.Complement. Ther. Clin. Pract.20203810108510.1016/j.ctcp.2019.10108532056811
    [Google Scholar]
  23. MousaviF. GolmakaniN. BahramiH. ShakeriM.T. The effect of reflexology on the severity of pain due to breast engorgement in lactating mothers.Iranian J of Obs Gyn and Infert202022114955
    [Google Scholar]
  24. GhaffariF. GhaznainT.P. ShamsaliniaA. Effect of sole reflex on pregnant women’s constipation severity.Iranian J of Obs Gyn and Infert200810227
    [Google Scholar]
  25. M. MS TorabiM.S. SalavatiM. Ghahri SarabiA.R. Effect of foot reflexology massage and benson relaxation techniques on anxiety and physiological indexes of patients undergoing coronary heart angiography.Avicenna J of Nursing and Midwifery Care.20122016373
    [Google Scholar]
  26. BastaniF. Rouhi Rahim BeglooE. HaghaniH. Effect of foot reflexology on anxiety of mothers of high risk neonates undergone cesarean section: A non randomized controlled trial.Journal of Hayat.20152128194
    [Google Scholar]
  27. FieldT. Hernandez-ReifM. DiegoM. SchanbergS. KuhnC. Cortisol decreases and serotonin and dopamine increase following massage therapy.Int. J. Neurosci.2005115101397141310.1080/0020745059095645916162447
    [Google Scholar]
  28. BarghamadiS. AlimoardiZ. OlesonT. BahramiN. The effect of ear acupressure (auriculotherapy) on sexual function of lactating women: Protocol of a randomized sham controlled trial.Trials202021172910.1186/s13063‑020‑04663‑x32819441
    [Google Scholar]
  29. FFd SousaF.F.D VenturaP.L. BahramiN. Effect of auriculotherapy on pain and sexual function of primary dysmenorrhea female patients.BrJP. São Paulo20203212713010.5935/2595‑0118.20200033
    [Google Scholar]
  30. GhorbaniF. ParafkandB. HeydariE. AlmardaniS. Haghighi MaherV. The comparison between sexual satisfaction and psychological well-being among married women and applicants for divorce.Rooyesh-e-Ravanshenasi Journal2019872938
    [Google Scholar]
  31. MahdizadeganI. BarekatE. AghaeiA. A survey and Comparison of sexual function in the normal couples and the couples on the threshold of divorce in Isfahan.Knowledge & Research in Applied Psychology.201617631624
    [Google Scholar]
  32. A IsmailS. E Abdel-AzimN. A SalehM. A MohamedA. H YosefA. M AbbasA. A new grading system for female sexual dysfunction based on the female sexual function index in Egyptian women: A cross-sectional study.Afr. Health Sci.202121283584110.4314/ahs.v21i2.4434795742
    [Google Scholar]
  33. FakhriA. PakpourA.H. BurriA. MorshediH. ZeidiI.M. The female sexual function index: Translation and validation of an Iranian version.J. Sex. Med.20129251452310.1111/j.1743‑6109.2011.02553.x22146084
    [Google Scholar]
  34. MatthiesL.M. WallwienerM. SohnC. ReckC. MüllerM. WallwienerS. The influence of partnership quality and breastfeeding on postpartum female sexual function.Arch. Gynecol. Obstet.20192991697710.1007/s00404‑018‑4925‑z30327862
    [Google Scholar]
  35. ZeidabadinejadS. Mangolian ShahrbabakiP. DehghanM. Effect of foot reflexology on sexual function of patients under hemodialysis: A randomized parallel controlled clinical trial.Evid. Based Complement. Alternat. Med.2021202111110.1155/2021/855354934721645
    [Google Scholar]
  36. Rashidi Ahmad AbadiM. ValianiM. KabirK. KhalajiniaZ. YazdkhastiM. The effectiveness of auriculotherapy on women’s sexual function: A randomized controlled trial.Iran. J. Psychiatry202217326527510.18502/ijps.v17i3.972636474700
    [Google Scholar]
  37. GökbulutN. BalZ. UçarT. The effect of foot massage applied to Turkish women living in rural areas on sexual distress and sexual self-confidence: A randomized controlled study.Complement. Med. Res.2023301111810.1159/00052634736219998
    [Google Scholar]
  38. KalaniL. KheirandishV. Beigom Bigdeli ShamlooM. ZanganehM. ValianiM. MojabF. Comparing the effect of geranium aromatherapy and foot reflexology on fatigue and daily activities of patients undergoing hemodialysis: A randomized controlled trial.Trends Med Sci.202224e136136
    [Google Scholar]
  39. NazariF. ShahrezaM.S. ShaygannejadV. ValianiM. Comparing the effects of reflexology and relaxation on fatigue in women with multiple sclerosis.Iran. J. Nurs. Midwifery Res.201520220020425878696
    [Google Scholar]
  40. ValianiM. BabaeiE. HeshmatR. ZareZ. Comparing the effects of reflexology methods and Ibuprofen administration on dysmenorrhea in female students of Isfahan University of Medical Sciences.Iran. J. Nurs. Midwifery Res.201015Suppl. 137137822069413
    [Google Scholar]
  41. MesbahiA. Mohammad-Alizadeh-CharandabiS. GhorbaniZ. MirghafourvandM. The effect of intra-vaginal oxytocin on sexual function in breastfeeding mothers: A randomized triple-blind placebo-controlled trial.BMC Pregnancy Childbirth20222216210.1186/s12884‑022‑04384‑w35065634
    [Google Scholar]
  42. TalakoubS. MohammadpourA. ValianiM. SadeghniaA. Investigating the effect of reflexology on the breast milk volume of preterm infants’ mothers.Iran. J. Nurs. Midwifery Res.201823537137510.4103/ijnmr.IJNMR_175_1630186342
    [Google Scholar]
  43. BaljonK. RomliM.H. IsmailA.H. KhuanL. ChewB.H. Effectiveness of Breathing Exercises, Foot Reflexology and Massage (BRM) on maternal and newborn outcomes among primigravidae in Saudi Arabia: A randomized controlled trial.Int. J. Womens Health20221427929510.2147/IJWH.S34797135241937
    [Google Scholar]
  44. ValianiM. ShiranE. KianpourM. HasanpourM. Reviewing the effect of reflexology on the pain and certain features and outcomes of the labor on the primiparous women.Iran. J. Nurs. Midwifery Res.201015Suppl. 130231022069404
    [Google Scholar]
/content/journals/rrct/10.2174/0115748871345481250128073509
Loading
/content/journals/rrct/10.2174/0115748871345481250128073509
Loading

Data & Media loading...

This is a required field
Please enter a valid email address
Approval was a Success
Invalid data
An Error Occurred
Approval was partially successful, following selected items could not be processed due to error
Please enter a valid_number test