子宫内膜异位症对女性性功能的影响:更新的系统综述和元分析
Xiujuan Zhu1, Yanhui Wu1, Jing Jia1
1Department of Gynecology, the Third Affiliated Hospital of Beijing University of Traditional Chinese Medicine, Chaoyang District, Beijing, China.
Sexual medicine
|May 31, 2023
概括
子宫内膜异位症显著损害女性的性功能,导致性功能障碍的风险更高,性经验的所有领域的得分更低. 患者需要多学科的支持,包括从妇科医生,心理学家和性治疗师的咨询.
科学领域:
- 生殖医学 生殖医学
- 妇科 妇科 妇科 妇科
- 性健康 性的健康
背景情况:
- 子宫内膜异位症是一种慢性炎症性疾病,影响着大约10%的生育年龄女性.
- 它的特点是盆腔痕和粘附,可能会影响各种身体功能.
研究的目的:
- 综合目前关于子宫内膜异位症与女性患者性功能之间的关联的证据.
- 量化子宫内膜异位症对女性性健康的不同方面的影响.
主要方法:
- 在PubMed,EMBASE和Scopus数据库中对观察性研究进行系统的文献搜索.
- 使用随机效应模型进行分析,将效应大小报告为加权平均差异 (WMD) 或几率比率 (OR) 与95%置信区间 (CI).
- 使用女性性功能指数 (FSFI) 进行数据收集和分析.
主要成果:
- 包括13项横截面研究,其中大多数使用FSFI工具.
- 患有子宫内膜异位症的女性有更高的性功能障碍风险 (OR 1.71;95% CI,1.21-2.43).
- 子宫内膜异位症与显著较低的整体FSFI得分 (WMD,-3.40) 和所有6个领域相关,包括欲望,兴奋,滑,高潮,满意度和疼痛.
结论:
- 与没有子宫内膜异位症的女性患者相比,患有子宫内膜异位症的女性患者的性功能明显较差.
- 建议对患有子宫内膜异位症的患者提供综合护理,包括妇科医生,心理学家和性治疗师.
- 性咨询和支持性护理是管理子宫内膜异位相关性功能障碍的关键组成部分.
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