在·维勒布兰德病中,性行为和出血
Calvin B van Kwawegen1, Hester Pastoor2, Jeroen Eikenboom3
1Department of Hematology, Erasmus Medical Center, University Medical Center, Rotterdam, the Netherlands.
Research and practice in thrombosis and haemostasis
|April 14, 2025
概括
·威尔布兰德病 (VWD) 显著影响女性的性健康,导致限制和出血,特别是在绝经前因严重月经出血 (HMB) 而导致绝经前的个体. 医疗保健提供者必须讨论性健康问题,并管理HMB以获得更好的VWD患者护理.
科学领域:
- 血液学 血液学 血液学
- 生殖健康 生殖健康
- 生活质量研究 生命质量研究
背景情况:
- 性欲是生活质量的组成部分,然而,诸如·维勒布兰德病 (VWD) 这样的慢性疾病可能会对其产生负面影响.
- 遗传性出血障碍VWD的特点是粘膜出血,包括严重的月经出血 (HMB),但其对性行为的影响仍未研究.
研究的目的:
- 调查和量化VWD患者经历的性限制和症状.
- 区分这些影响在男性和女性之间,以及在绝经前妇女和非月经妇女之间.
主要方法:
- 进行了一项全国性的,多中心的,前性队列研究 (荷兰的Willebrand-前性).
- 成年VWD患者填写了关于性行为和与健康有关的生活质量 (SF-36) 的问卷.
- 数据包括血液测试和国际血栓与血液静止学会出血评估工具.
主要成果:
- 9.8%的女性报告性限制,而男性为3.5% (P < .01).
- 33.1%的女性报告在性活动期间出血;绝经前妇女显示较高的限制 (15.5%) 与HMB相关.
- 对于82.9%的患者来说,在例行诊所访问中没有讨论性.
结论:
- 与男性和普通人群相比,患有VWD的女性面临更多的性限制和性交后出血.
- 严重的月经出血 (HMB) 是影响VWD的绝经前妇女的一个关键因素.
- 对VWD患者的常规医疗保健应包括讨论性健康和HMB的管理.
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