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A cross-sectional study was conducted to determine the prevalence of dyspareunia in women with vaginal delivery, to assess possible risk factors and the association with episiotomy. Women attended for vaginal delivery, between 2012 and 2017, were admitted in two high complexity clinics in Armenia (Colombia). The Female Sexual Function Index (IFFS-6) questionnaire was used to assess sexual function. The results report a prevalence of dyspareunia of 59.37%, prevalent in women undergoing episiotomy (OR: 68,17; IC95%: 60,57-79,15). Regarding the association of episiotomy with the presence of dyspareunia, a significant association was found with mid-lateral episiotomy (OR: 8,17; IC95%: 2,15-56,32), sphincter injury (OR: 7,32; IC95%: 4,86-12,75), and suture dehiscence (OR: 6,48; IC95%: 4,92-14,28). The following were observed as risk factors: history of endometriosis (OR: 11,6; IC95%: 9,15-17,52), chronic pelvic pain (OR: 3,56; IC95%: 2,21-6,32) and STIs (OR: 2,67; IC95%: 1,54-5,14), p = 0,003). It is concluded that the prevalence of dyspareunia in women with vaginal delivery, attended in Armenia, varies depending on the episiotomy performance. Both are associated with the complications of this and other backgrounds. [ABSTRACT FROM AUTHOR]