女性的性功能和痛苦和时间到怀孕在一个潜在的怀孕前队列队列
Julia C Bond1, Brenda Heaton2, Katharine O White3
1Department of Epidemiology, Boston University School of Public Health, Boston, MA.
American journal of obstetrics and gynecology
|October 7, 2024
概括
怀孕前的性困扰和痛苦的性交与更长的怀孕时间有关. 解决这些性健康问题可能会改善试图怀孕的女性怀孕的机会.
科学领域:
- 生殖健康 生殖健康
- 性医学性医学性医学性医学
- 流行病学 流行病学
背景情况:
- 情侣的生育成功受到性交频率和时间的影响.
- 有限的研究存在于怀孕前的性功能和怀孕的时间之间的联系.
研究的目的:
- 调查女性性功能障碍,性困扰和痛苦性交对怀孕时间的影响.
- 评估与受孕时间相关的女性性功能的特定领域.
主要方法:
- 对2500名未经生育治疗试图怀孕的妇女进行前性队列研究.
- 在怀孕尝试后6个月内使用验证的问卷 (女性性功能指数,女性性困扰量表) 评估性健康.
- 使用比例概率回归来确定生育率和调整的置信区间的统计分析.
主要成果:
- 女性性功能障碍 (按分数切断点定义) 与怀孕时间无关.
- 性困扰与生育能力下降18%有关 (调整后的生育率为0.82,95% CI为0.69-0.98).
- 频繁的疼痛性交与更长的怀孕时间有关 (调整后的生育率为0.81,95% CI为0.62-1.06).
- 在高潮和滑领域的功能下降与更长的受孕时间有关.
结论:
- 怀孕前的性困扰和频繁的痛苦性交与延迟怀孕有关.
- 临床评估性功能,包括个别领域,可以确定影响受孕的可修改因素.
- 这些发现凸显了在怀孕前咨询中解决性健康问题的重要性.
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