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Women body changes during pregnancy, birth and postpartum. These changes can influence self-image and have a negative impact on sexuality during postpartum. Nursing care is crucial at this time providing support, information, and helping to manange feelings and emotions. However, little is known about the topic in Spain. This study aims to describe the influence of body changes on sexuality in postpartum among women. Qualitative methods by means of descriptive phenomenology were used. Ten semi-structured interviews with primiparous women who had given birth during the last 12 months were conducted in Spain. Data were analyzed using the Colaizzi method. Four major themes were identified: Self-concept and self-esteem, Physical body, Relational Factors, and Healthcare Professionals. Women mus face a new role that changes their self-concept and creates a constant struggle of emotions. Body changes affect their sexuality, both physically and mentally. Women expressed that healthcare professionals hide the negative parts of birth in terms of resuming sex, considering it a taboo. Therefore, changes in body image have an important impact on postpartum sexuality, professional help is needed to prevent unforeseen experiences and to provide accompaniment when doubts appear.