ABSTRACT 

Background: The postpartum period is marked by significant physiological, psychological, and social changes that can impact a woman's sexual and reproductive health (SRH). Despite its importance, SRH concerns are often overlooked in routine postnatal care, especially in developing countries. Objectives: To assess the sexual and reproductive health status of postpartum women and to identify common concerns, contraceptive practices, and associated psychosocial factors affecting SRH. Methods: A cross-sectional observational study was conducted over one year at the Department of Obstetrics and Gynecology, involving 100 postpartum women. Data were collected using a pre-validated, semi-structured questionnaire covering sociodemographic profile, obstetric history, sexual health, contraceptive use, and psychological well-being. Descriptive and inferential statistical analyses were performed using SPSS version 25.0. A p-value <0.05 was considered statistically significant. Results: Dyspareunia was reported by 38%, reduced libido by 45%, and lack of sexual satisfaction by 52% of women. Contraceptive use was reported in 64%, with barrier methods being the most commonly used. Psychological factors such as fatigue (67%), sleep disturbance (48%), and self-reported depressive symptoms (22%) were prevalent. Vaginal delivery was significantly associated with dyspareunia (p=0.023), while reduced libido showed significant association with postpartum depression and sleep disturbances (p<0.05). Conclusion: Sexual and reproductive health issues are prevalent in the postpartum period but remain under-discussed and under-addressed. Incorporating comprehensive sexual and reproductive health (SRH) counseling into routine postnatal care is essential to improve overall maternal well-being.