en مامایی Midwifery پروتکل مطالعه Study protocol <strong>Background and Objective:</strong> Sexual desire discrepancy (SDD) occurs when partners have differing sexual desires or preferences, potentially exacerbating conflict and emotional distance in relationships. Thus, considering the high prevalence of sexual desire disorder and sexual satisfaction in postpartum couples in society, this study protocol was prepared in order to determine the effect of midwife-led integrative couple counseling on SDD in couples after delivery.<br> <strong>Materials & Methods:</strong> This study outlines a protocol for a randomized clinical trial in which 32 couples diagnosed with SDD will be recruited for a five-session (over six weeks) intervention conducted online via video conferencing. Participants will be randomly assigned to control and intervention groups. The intervention group receiving five 60-minute integrative counseling sessions, while the control group will receive routine care. Data will be collected using a demographic information form, the halbert index of sexual desire (HISD), the depression anxiety stress scales-21 (DASS-21), and the index of sexual satisfaction (ISS). Treatment effectiveness will be evaluated post-intervention, 4 weeks and three months later. Data will be analyzed using repeated measures ANOVA or mixed models with SPSS software, version 22.<br> <strong>Conclusion</strong>: Since couple-based approaches and counseling are more effective than individual interventions, it seems that integrative couple counseling is effective in the treatment of SDD. Midwife-led couple counseling has had positive effects on sexual satisfaction and desire in different populations, so we hope that midwife-led integrative couple counseling will be precious for the treatment of the postpartum SDD and future research.<br> &nbsp; Sexual desire discrepancy, integrated counseling, couple therapy, sexual satisfaction, postpartum, sexual dysfunction 277 286 http://cpr.mazums.ac.ir/browse.php?a_code=A-10-264-1&slc_lang=en&sid=1 Fatemeh Tousheh Khanisog343@gmail.com 10031947532846002570 10031947532846002570 Yes Student Research Committee, Mazandaran University of Medical Sciences, Sari, Iran. Armin Firoozi arminfiroozi@gmail.com 10031947532846002571 10031947532846002571 No Department of psychology, Roudehen Branch, Islamic Azad University, Roudehen, Iran. Keshvar Samadaee Gelehkolaee k-samadaee@alumnus.tums.ac.ir 10031947532846002572 10031947532846002572 No Department of Reproductive Health and Midwifery, Sexual and Reproductive Health Research Center, Faculty of Nursing and Midwifery, Mazandaran University of Medical Sciences, Sari, Iran. Roya Nikbakht roya.nikbakht2011@gmail.com 10031947532846002573 10031947532846002573 No Department of Biostatistics and Epidemiology, Faculty of Health, Mazandaran University of Medical Sciences, Sari, Iran. Soghra Khani 10031947532846002574 10031947532846002574 No Department of Reproductive Health and Midwifery, Sexual and Reproductive Health Research Center, Faculty of Nursing and Midwifery, Mazandaran University of Medical Sciences, Sari, Iran.