中年女性的不孕症和性功能障碍史:有没有联系?
Mariam Saadedine1,2, Stephanie S Faubion1,2, Juliana M Kling2,3
1Division of General Internal Medicine, Mayo Clinic, Jacksonville, FL, 32224, United States.
The journal of sexual medicine
|August 3, 2023
概括
治疗不孕症的病史并没有显著增加中年妇女性功能障碍的风险. 这一发现与早期对生殖年龄妇女的研究形成鲜明对比,这表明晚年性健康的发展轨迹不同.
科学领域:
- 生殖健康 生殖健康
- 妇女健康 妇女健康
- 性医学性医学性医学性医学
背景情况:
- 不孕症与生殖年龄妇女的性功能障碍增加有关.
- 性功能障碍的风险随着不孕期的延长而升级.
研究的目的:
- 研究中年妇女的不孕症治疗史和性功能障碍之间的关联.
- 为了确定过去的不孕不育治疗是否会影响45-65岁女性的性健康.
主要方法:
- 对5912名年龄在45-65岁之间的性活跃女性进行了横截面研究.
- 通过自我报告评估不孕不育治疗史.
- 使用女性性功能指数 (FSFI) 和女性性窘迫度量-修订 (FSDS-R) 评分诊断的性功能障碍.
主要成果:
- 超过一半的女性 (55%) 经历了性功能障碍.
- 在先前的不孕症治疗和中年性功能障碍之间没有发现显著的关联 (OR1.11,P=0.17).
- 性功能障碍的患病率在有和没有不孕治疗史的女性之间是相似的.
结论:
- 与年轻女性不同,不孕不育治疗史似乎不能预测中年性功能障碍.
- 需要进一步的研究,以了解不孕症及其治疗对女性性健康的长期影响.
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