Table 4.

Theme, Subthemes and Verbalizations.

Theme	Subthemes	Verbatims
Sexual health impact	Pain on penetration	“Sometimes I have pain during penetration with certain positions.” “I feel pain, I have a contracture. I’m afraid of penetration.” “I have pain and difficulty lubricating.” “I feel pain, scared of penetration. It bothers me even when my partner brings up the subject. No sexual appetite, even displeasure.” “I have not had penetrative sexual activity due to lack of interest and also for fear of pain.”
	Lack of sexual desire	“Lack of sexual desire. Dryness, burning, pain. Lack of lubrication and pleasure. Low desire and finishing. Lack of interest in the relationship. We hardly have any sex.” “Air enters my vagina when I walk, it is uncomfortable. I cannot use a menstrual cup because it drops out, in some sexual positions I don’t feel anything and I feel very open. All this affects the sexual quality with my partner.”
	Fear of coital incontinence	“Because of the fear of urine leaking, pain, and anal sex, I do not like it. It makes me want to pee.” “During sex, urine leaks and I have to take a break. I feel embarrassed.” “I’m terrified that I might poop or pee while we’re at it. I almost always tell my partner no because of that fear. I get tense, it hurts, but there are times when I have to accept, even if I don’t have a good time.” “It affects my sexual activity and therefore my emotional state, I feel ashamed in the relationship with my partner, I feel bad about my body. All because of urine loss...”
	Effects on arousal orgasm	“I have difficulty lubricating and having an orgasm.” “I have less arousal and less pleasure during orgasm.” “There are positions in penetration that bother me a bit in the uterus, and I have less sensitivity than before being a mother. It is difficult for me to reach orgasm with penetration, I only have orgasms with clitoral stimulation.”