Available evidence is observational, heterogeneous and frequently lacks baseline sexual function assessment, substantially limiting causal inference. Quantitative findings should therefore be interpreted as exploratory. High-quality, baseline-controlled prospective studies using standardised outcome measures are needed. In the interim, proactive enquiry during the postnatal follow-up of OASI patients represents a low-risk, patient-centred approach to addressing under-reported sexual health concerns.
Elsaid et al. (Fri,) studied this question.