Pregnancy is more than merely a biological transformation in a woman’s body; rather, the conception of a fetus in a woman’s uterus is the most intimate, emotional, and personal period in her life during which her body undergoes major physiological, anatomical, and even behavioral changes [1]. The physiological impact of pregnancy also brings about changes in expectant mothers’ sexual and marital relationships [2,3,4] and sexual behaviors [35]. During pregnancy, the sexual desire and activity of pregnant women and their husbands may either increase, decrease or remain unchanged. As a result, pregnancy can either improve the marital relationship or cause it to break up [6]. Often, as pregnancy progresses, the woman’s pain increases and her sense of attractiveness, frequency and duration of intercourse, sexual desire, ability to reach orgasm, and sexual satisfaction decrease [7]. The reduction in the frequency of intercourse is often more significant in the third trimester of pregnancy [8]. The decline in sexual activity and the resultant failure to meet the husband’s sexual needs may lead some men to engage in other sexual behaviors during their spouse’s pregnancy, including extramarital sex [9,10,11]. A pregnant woman’s refusal to have sexual intercourse with her husband can lead to domestic violence or make an existing abusive relationship worse [91012]. Sexual violence includes non-consensual or unwanted sexual acts using physical force or subjugation to humiliation or violence during sexual intercourse [13]. The global prevalence of violence during pregnancy is reported as 3 to 31% [3]…Readmore