在子宫内膜异位症中高潮的疼痛:潜在的病因因素和临床相关性
Avrilynn Ding1, Heather Noga2,3, Katrina N Bouchard1
1Department of Obstetrics and Gynecology, University of British Columbia, Vancouver V5H 3N1, Canada.
The journal of sexual medicine
|July 22, 2024
概括
在子宫内膜异位症患者的高潮期间的疼痛与盆地肌肉问题和中央敏感性有关. 解决这些问题可能会改善性健康,并减少患有子宫内膜异位症的人的骨盆疼痛.
科学领域:
- 生殖医学 生殖医学
- 疼痛管理 疼痛管理
- 妇科 妇科医生 妇科
背景情况:
- 性高潮期间的盆腔疼痛是子宫内膜异位症患者不太了解的症状.
- 子宫内膜异位症影响着数以百万计的女性,经常导致慢性疼痛并影响生活质量.
研究的目的:
- 为了确定在子宫内膜异位症中高潮诱导的骨盆疼痛的患病率.
- 探索这种疼痛与骨盆底肌痛,子宫柔软,腺髓炎和中枢神经系统敏感化等因素之间的关联.
主要方法:
- 对潜在子宫内膜异位症患者注册表的分析.
- 与有和没有高潮相关疼痛的患者之间的临床特征的比较.
- 使用经过验证的库存和成像,评估盆地肌痛,子宫柔软,腺髓炎和中央敏感性.
主要成果:
- 14%的子宫内膜异位症患者报告说,性高潮使疼痛恶化.
- 这种疼痛与骨盆底肌痛和更高的中央敏感度得分有显著的关联.
- 没有发现与子宫疼痛或腺菌症有显著的关联.
- 更差的性和心理健康结果也与高潮引起的疼痛有关.
结论:
- 在子宫内膜异位症中,性高潮相关的骨盆疼痛可能源于骨盆底肌痛和中心敏感化.
- 针对这些因素的干预措施可以缓解疼痛并改善性功能.
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