Problems in the male partner after childbirth may have a significant influence on the quality of the couple’s sexual relationship. These problems may be caused by many different factors, some of which will not be fully conscious. A study of the doctor/ patient relationship may provide a clue to the problem. Sometimes the couple are unable to express their feelings openly because of anger or fear of hurting each other. For the family planning doctor the problems may be expressed as difficulties with contraception, or the disturbed sexual relationship may make contraceptive decisions difficult. Where problems in the male partner are acknowledged or suspected, an offer to see him or the couple together can be helpful.

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