Pregnancy and delivery usually affect the general women's quality of life. Some studies have reported that sexual health may be affected by the mode of delivery. More than 70% of pregnant women prefer C-section due to several reasons point out the fear of pain and complications of vaginal delivery as the most common reasons.

Aim of the work: To explore the relationship between quality of life and the possible sexual dysfunction after normal vaginal in comparison to cesarean section deliveries.

Inclusion Criteria:

• Primiparas women who had been delivered by either vaginal or cesarean section about 6-12months.
• All included women should be officially married

Exclusion Criteria:

• Women with history of sexual dysfunction
• Women with history of any pelvic surgery apart from Cesarean.
• history of anti-depressive drug therapy.
• history of genital prolapse
• history of Diabetes mellitus
• loss of any family member or unfaveorouble neonatal outcome or childdeath
• Divorce experience
• family problems and cases who were not interested in participation

primiparous women 6-12 months after deliveries either vaginal or cesarean section