匈牙利产后女性性功能障碍:一项横断面研究

K. Szöllősi, L. Szabó
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引用次数: 0

摘要

尽管人们普遍认为产后性功能障碍的发生率很高,但在匈牙利并没有得到很好的调查。本研究的目的是评估产后3个月女性的性功能,并探讨一些可能影响性功能的预测因素。我们使用在线问卷设计了一项横断面研究,并招募了253名参与者。风险因素如婴儿喂养方式和尿失禁被评估与性功能障碍的潜在关系。采用女性性功能指数(FSFI)评价性功能。根据FSFI总分,48.79%的参与者报告有性功能障碍(M = 25.16, SD = 7.00)。婴儿喂养方式与性功能障碍有显著相关(P = 0.003)。与混合或配方奶喂养的母亲相比,纯母乳喂养的母亲性功能障碍更为常见。尿失禁女性的FSFI总分显著低于无尿失禁女性(P = 0.006),在性唤起(P = 0.033)、润滑(P = 0.022)、满意度(P = 0.006)和疼痛(P = 0.032)方面均低于无尿失禁女性。患有尿失禁的女性更有可能出现性问题,尤其是性交困难的风险更高,性兴趣和湿气的水平更低。纯母乳喂养对性功能有负面影响。
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Postpartum female sexual dysfunctions in Hungary: A cross-sectional study
Although the prevalence of sexual dysfunction after delivery is generally considered high, this has not been well examined in Hungary. The aim of our study was to evaluate female sexual function at 3-months postpartum and to investigate some of the possible predictor factors which might influence it.We designed a cross-sectional study using online questionnaires and recruited 253 participants. Risk factors such as infant-feeding method and urinary incontinence were assessed for a potential relationship with sexual dysfunction. The Female Sexual Function Index (FSFI) was used to assess sexual function. We wrote our own questions about potential predictors.48.79% of participants reported sexual dysfunction according to total FSFI score (M = 25.16, SD = 7.00). A significant relationship was found between infant-feeding method and sexual dysfunction (P = 0.003). Sexual dysfunction was more common in exclusive-breastfeeding mothers than in mixed or formula-feeding mothers. Women with urinary incontinence had significantly lower total FSFI scores (P = 0.006), and in the arousal (P = 0.033), lubrication (P = 0.022), satisfaction (P = 0.006) and pain (P = 0.032) domains compared to women with no incontinence problem.Women suffering from urinary incontinence are more likely to have sexual problems, especially a higher risk of dyspareunia and a lower level of sexual interest and wetness. Exclusive breastfeeding has a negative effect on sexual function.
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34 weeks
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