产后和哺乳期相关的生殖尿路症状:系统性审查
Sara Perelmuter1, Cameron Stokes, Meghana Chapalamadugu
1Weill Cornell Medical College, New York, and the University at Buffalo Jacobs School of Medicine and Biomedical Sciences, Buffalo, New York; the Texas College of Osteopathic Medicine, University of North Texas Health Science Center, Fort Worth, Texas; the University of Miami Miller School of Medicine, Miami, and the Center for Vulvovaginal Disorders Florida, Obstetrics and Gynecology, Tampa, Florida; Fundacao Tecnico Educacional Souza Marques, Rio de Janeiro, Brazil; the Michael G. DeGroote School of Medicine, Hamilton, Ontario, Canada; the Hackensack Meridian School of Medicine, Clifton, New Jersey; the David Geffen School of Medicine, University of California, Los Angeles, Los Angeles, California; the Loyola University Chicago Stritch School of Medicine and the University of Illinois at Chicago College of Medicine, Chicago, Illinois; the Department of Urology, Indiana University, Indianapolis, Indiana; the Sackler School of Medicine/Tel Aviv University, Tel Aviv, Israel; the Burrell College of Osteopathic Medicine, Las Cruces, New Mexico; and the Department of Urology, Georgetown University, Washington, DC.
哺乳期显著影响尿生殖系统的健康,导致大多数产后个体的阴道缩和干燥. 性功能障碍也非常普遍,影响了大量的母乳养妇女.
科学领域:
- 生殖健康 生殖健康
- 妇科 妇科医生 妇科
- 产后护理 产后护理
背景情况:
- 哺乳期诱导的激素缺乏会导致泌尿生殖系统症状.
- 了解这些症状的患病率对于产后护理至关重要.
研究的目的:
- 系统地审查生殖尿路哺乳期综合征 (GSL) 的患病率.
- 评估相关症状,包括阴道干燥,缩,尿道问题,失足症和产后哺乳期的性功能障碍.
主要方法:
- 按照PRISMA指南进行系统审查.
- 进行全面的数据库搜索 (PubMed,Scopus等). 在2024年4月之前.
- 包括对出生时被认为是女性的产后个体的研究,不包括接受激素治疗或有激素障碍的个体.
主要成果:
- 阴道缩的发生率:63.9%;阴道干燥:53.6%.
- 产后3个月,6个月和12个月的发病率分别为60.0%,39.7%和28.5%.
- 性功能障碍的综合流行率:73.5%;平均FSFI得分:21.5 (表明性功能障碍).
结论:
- 由于荷尔蒙缺乏,哺乳期显著影响尿生殖系统的健康.
- 阴道缩,干燥和性功能障碍在哺乳期分娩后的个体中非常普遍.
- 这些发现强调了对GL的认识和管理策略的需要.
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