预防性乳房切除术对性福利的影响:系统性审查
Ludovica Scotto1, Silvia Francesca Maria Pizzoli2,3, Chiara Marzorati1
1Applied Research Division for Cognitive and Psychological Science, IEO European Institute of Oncology IRCCS, Via Ripamonti 435, 20141, Milan, Italy.
Sexual medicine reviews
|January 8, 2024
概括
降低风险的乳腺切除术 (RRM) 显著影响女性的性福利,影响满足感,身体形象和人际关系. 这些性健康影响需要在治疗决策时仔细考虑.
科学领域:
- 在瘤学瘤学.
- 性医学性医学性医学性医学
- 心理社会瘤学
背景情况:
- 对促进健康和预防疾病的认识日益增长,导致女性考虑预防性乳房切除术.
- 降低风险的乳房切除术 (RRM) 越来越常见,但显著影响生活质量和性健康.
研究的目的:
- 系统地审查降低风险的乳房切除术 (RRM) 对患有乳腺癌的女性性行为的影响.
主要方法:
- 根据柯克伦协作指南和PRISMA声明进行系统审查.
- 搜索了PubMed,Ovid Medline和Embase数据库从创立到2022年12月的时间.
- 包括22篇英语文章,使用与性和预防性/降低风险的乳房切除相关的关键词.
主要成果:
- 所有包括的研究都发现RRM后显著的性功能障碍.
- 常见的问题包括性满意度下降,身体形象改变,吸引力下降和女性气质丧失.
- 女性报告说,她们与伴侣的关系发生了变化.
结论:
- 降低风险的乳腺切除术对人体形象产生了深刻的影响,这反过来又影响了性功能和整体生活质量.
- 在选择治疗方案时,必须仔细考虑RRM的心理社会和性影响.
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