激素和非激素子宫内器械对女性性功能的影响:系统性审查
Katherine Ogle1, Ariel B Handy2
1Steve Hicks School of Social Work, The University of Texas at Austin, Austin, TX, USA.
概括
levonorgestrel释放子宫内装置 (LNG-IUDs) 可以改善性疼痛,并对性欲产生中性到积极的影响. 铜 (Cu) 和LNG-IUD通常不会影响女性性功能的其他方面.
科学领域:
- 生殖健康 生殖健康
- 性医学性医学性医学性医学
- 避孕药是一种避孕药,用于避孕.
背景情况:
- 宫内避孕器 (IUD) 是一种常见的可逆避孕药.
- 了解它们对女性性功能的影响对于患者咨询至关重要.
- 铜 (Cu) 和levonorgestrel (LNG) 释放的IUD均被广泛使用.
研究的目的:
- 系统地审查和综合有关Cu-IUD和LNG-IUD对女性性功能影响的现有文献.
- 确定对性功能的各种领域的影响,包括欲望,兴奋,高潮,满足和疼痛.
主要方法:
- 使用Medline,PubMed和PsychINFO进行了系统的文献搜索.
- 包括英语语言的初级研究文章,测量女性IUD用户的性功能.
- 包括35项定量研究和2项定性研究,并使用STROBE声明进行定量评估.
主要成果:
- levonorgestrel-releasing IUD (LNG-IUD) 显示对性疼痛有积极的影响.
- 对于使用IUD的性欲,观察到积极至中性效应.
- 性功能的大多数其他领域 (兴奋,滑,高潮,满意度,整体功能) 通常不会受到 IUD 的影响.
结论:
- LNG-IUD可能对性疼痛有好处,需要进一步调查.
- 需要额外的随机对照试验 (RCT) 来确认具有最小偏差的效果.
- 进一步的研究是必不可少的,以充分了解和液化天然气IUD对女性性功能的益处和危害.
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