月经疼痛与性功能之间的关联:内脏过敏对发展性疼痛的作用
Eva M Reina1, Kevin M Hellman2, Matthew J Kmiecik2
1Department of Obstetrics & Gynecology, Division of Gynecologic Pain and Minimally Invasive Surgery, NorthShore University HealthSystem/University of Chicago, Evanston, IL 60201, United States.
失恋症,或痛苦的性交,与年轻女性的月经疼痛和隐藏的膀过敏有关. 内脏过敏可能会导致性疼痛,即使没有明显的临床症状.
科学领域:
- 生殖健康 生殖健康
- 性医学性医学性医学性医学
- 疼痛研究 疼痛研究
背景情况:
- 失恋症是一种女性性功能障碍,涉及性交期间的疼痛,并可能源于妇科,泌尿病或心理社会因素.
- 了解月经疼痛,内脏过敏和性功能之间的相互作用对于识别生殖年龄女性的风险因素至关重要.
研究的目的:
- 调查月经疼痛和内脏过敏对性功能的影响.
- 确定导致健康生殖年龄妇女性疼痛的特定危险因素.
主要方法:
- 一项涉及生育年龄女性的前性队列研究,将经期疼痛的女性与无疼痛的对照进行比较.
- 使用了妇科和心理病史,验证的性功能问卷 (FSFI) 和定量感官测试.
- 相关的女性性功能指数 (FSFI) 疼痛得分与月经疼痛严重程度,膀敏感性,焦虑,抑郁,疼痛灾难化和阴道压力敏感性相关.
主要成果:
- 膀过敏症异常症组的FSFI总得分明显较低,表明性功能障碍 (p=0.008).
- 性功能障碍的特点是滑困难和性交期间/之后疼痛增加.
- 经过实验引起的膀疼痛是唯一与失足症严重程度相关的显著风险因素 (经校正的p<0.001),尽管身体检查结果并不显著.
结论:
- 患有经期不良和潜在内脏过敏的年轻女性存在性功能障碍和性功能障碍,通常没有明确的临床指标.
- 内脏过敏,特别是膀过敏,似乎是这种人群中失色症的关键机制驱动因素.
- 研究结果表明,在患有淋病和内脏敏感性高的人群中,性疼痛的非结构性基础.
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