产科关节损伤和女性性功能障碍:一个系统的审查
Dora Jericevic Schwartz1, Isabella Cervantes2, A U Amanda Nwaba
1From the NYU Langone Health, New York, NY.
Urogynecology (Philadelphia, Pa.)
|October 29, 2024
概括
产后关节损伤 (OASI) 显著影响女性的性功能,许多妇女经历产后疼痛和功能障碍. 早期干预可能对改善OASI后的性健康结果至关重要.
科学领域:
- 生殖医学 生殖医学
- 妇女健康 妇女健康
- 胃肠道外科手术的结果
背景情况:
- 产科关节损伤 (OASI) 是分娩的严重并发症.
- 女性性功能障碍 (FSD) 是OASI后的一个常见但未经研究的结果.
- 这一系统性审查是首次关注OASI患者的FSD.
研究的目的:
- 系统地审查和描述产科关节损伤 (OASI) 后女性性功能障碍 (FSD) 的流行和性质.
- 通过使用验证的问卷来分析报告的性功能障碍和整体性功能率.
主要方法:
- 在2024年1月至4月期间进行了全面的文献搜索.
- 包括报告了OASI患者FSD结果的研究,包括失足症的发病率或性功能问卷数据.
- 涉及1907名OASI患者的14项研究符合纳入标准.
主要成果:
- 在分娩后的第一年,失眠症影响了27% - 35%的妇女.
- 在产后3个月内,只有40%-57%的人恢复了性活动.
- 女性性功能指数 (FSFI) 在47%-81%的OASI患者中表明FSD,欲望和兴奋领域显示缓慢改善.
结论:
- 有很大比例的女性经历了失恋症,在OASI后的3个月内没有恢复性交.
- FSD,特别是关于欲望和兴奋,在大多数OASI患者中仍然存在.
- 目前的证据表明,物理治疗可能不会在这个人群中显著改善FSD.
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