During the first trimester, a woman can expect which of the following changes in her sexual desire?
a. An increase, because of enlarging breasts
b. A decrease, because of nausea and fatigue
c. No change
d. An increase, because of increased levels of female hormones
ANS: B
Maternal physiologic changes such as breast enlargement, nausea, fatigue, abdominal changes, perineal enlargement, leukorrhea, pelvic vasocongestion, and orgasmic responses may affect sexuality and sexual expression. Libido may be depressed in the first trimester but often increases during the second and third trimesters. During pregnancy, the breasts may become enlarged and tender; this tends to interfere with coitus, decreasing the desire to engage in sexual activity.
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