Many patients suffer from decreased libido or inability to have sex before liver transplant. But patients regain their ability to have sex after surgery. It is recommended to refrain from sexual activity for the first six to eight weeks after transplantation.

The most important thing is being at risk of sexually transmitted infections due to transplant drug consumption. In order to have safe sexual activity, you must:

• Have only one sexual partner.
• Wash your genitals before and after sexual activity.
• Use a condom in general, especially in the first six months after transplantation.
• Avoid sexual contact with your partner who has discharge or sores in the genital area.
• Avoid anal sex.
• If you have hepatitis B, your partner should be checked for the virus and if not, should get a hepatitis B vaccine.
• Sexual transmission of hepatitis C is rare, but it can occur, so the sexual partner of a person with hepatitis C should be checked for the virus. If the infected person’s spouse is not infected with the virus, although the risk of getting hepatitis C through sexual contact is low, it is recommended to use condom.
• It is recommended that women over the age of eighteen who have had a transplant surgery, undergo an annual gynecological examination.
• Women between the ages of eighteen and thirty-nine should have a breast test every three years. It is recommended to do this test annually whom are at the age of over forty.
• Women’s menstruation, which stopped before the transplant, usually returns within a few months, at most at the end of the first year.
• If you are worried about your libido and returning your sexual ability, consult your physician.
• Women are advised not to become pregnant for two years after the transplant. Pregnancy in the first two years, especially the first year after transplantation, is dangerous for both mother and child. So use a proper prevention method. The best prevention is to use a condom. The use of birth control pills may be associated with complications such as high blood pressure, gastrointestinal and cardiovascular problems, so it is not recommended. In some women, prednisolone prevents menstruation, but ovulation occurs, so even if you don’t menstruate, you’re likely to get pregnant.
• IUDs are not recommended due to the possibility of infection.
• Women should use special gels if they have vaginal dryness, which is a complication of prednisolone.