分析月经性交与子宫内膜异位病原体之间的关联:叙述性综述
Giulia Emily Cetera1,2, Maria Carmen Punzi3, Camilla Erminia Maria Merli1
1Gynecology Unit, Fondazione IRCCS Ca' Granda Ospedale Maggiore Policlinico, Milan, Italy.
Women's health (London, England)
|February 20, 2025
概括
在月经期间进行性活动 (月经性交) 与子宫内膜异位症有着争论的联系. 目前的证据不足以确认月经性交是否会增加子宫内膜异位症的风险.
科学领域:
- 妇科 妇科 妇科 妇科
- 生殖健康 生殖健康
- 流行病学 流行病学
背景情况:
- 月经性交的发生率差异很大 (4%-43%).
- 人们担心月经性交可能会促进逆向月经和性传播疾病,潜在的子宫内膜异位症因素.
- 没有临床指南建议在月经期间不进行性活动.
研究的目的:
- 分析有关月经性交和子宫内膜异位症患病率之间的相关现有证据.
- 评估月经性交在子宫内膜异位病原发生中的作用.
主要方法:
- 在2024年2月15日进行的PubMed数据库搜索.
- 包括原始的,全长的研究在英语.
- 分析了多项研究的相互矛盾结果.
主要成果:
- 一些研究表明月经性交时子宫内膜异位风险较高 (Filer和Wu;Mollazadeh等人. ) 的情况.
- 其他研究发现月经性交在子宫内膜异位症患者中较少发生或没有显著的关联 (Meaddough等人. ; 特雷洛尔等人. ) 的情况.
- 相互矛盾的发现凸显了数据中的不一致性.
结论:
- 目前的证据不足以确定月经性交和子宫内膜异位症之间的因果关系.
- 需要进一步的高质量研究来澄清这种关联.
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