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Objective To assess the relationship between method of childbirth delivery and sexual function in primiparous women. Methods Cross-sectional, descriptive study focusing on primiparous women who gave birth in our department, between January 1 and June 30, 2019. Two questionnaires were used 3 months after childbirth: one to specify the characteristics of the postpartum period and a second FSFI questionnaire to assess sexual function. Results Our population of 116 women had a mean age of 27.24 years. Among the women, 63 had given birth vaginally. The memory of childbirth was more positive for women who gave birth vaginally, compared to cesarean section. A total of 93.1% resumed sexual activity by 3 months postpartum. The average time taken to resume sexual activity was 7.03 weeks. The major disorders reported during the postpartum period were as follows: desire disorders (28.6%), arousal disorder (13.8%), vaginal lubrication problems (29.5%), orgasm (25.8%), dyspareunia (38.7%), and decreased sexual satisfaction and dyspareunia after instrumental delivery by forceps. Damage to the perineum has a negative impact on sexual function to a significant degree. Conclusion Our study underlines the negative impact of instrumental delivery and damage to the perineum (episiotomy or tearing) on female sexuality.