个体及其伴侣的性功能及其决定因素与不明原因的不孕不育
F Dreischor1, E Dancet2, E T M Laan3
1Department of Obstetrics and Gynaecology, Centre for Reproductive Medicine, Amsterdam UMC Location AMC, University of Amsterdam, Amsterdam, The Netherlands.
Human reproduction (Oxford, England)
|January 13, 2026
概括
至少四分之一患有不明原因不孕症的夫妇面临性功能障碍风险. 诸如年龄,不孕症持续时间和幸福感等因素会影响性功能,需要临床意识和干预以改善受孕率.
科学领域:
- 生殖医学 生殖医学
- 性健康 性的健康
- 在不孕症中心理健康
背景情况:
- 无法解释的不孕症会影响夫妇自然怀孕的能力,并与性功能受损有关,阻碍受孕.
- 性功能,其危险因素和伴侣的相互依赖性在无法解释的不孕症中仍未得到充分研究.
- 识别性功能下降的危险因素可以及时诊断,预防和治疗,从而有可能提高自然受孕率.
研究的目的:
- 为了确定新诊断出不明原因的不孕不育的夫妇中性功能障碍的患病率.
- 为了确定这些夫妇的性功能决定因素.
主要方法:
- 一项横截面调查作为一个随机对照试验 (RCT) 的基线评估,涉及700对异性恋夫妇.
- 参与者是荷兰夫妇 (18-38岁的女性),被诊断患有无法解释的不孕症,能够发生性交.
- 使用女性性功能指数和国际勃起功能指数评估性功能,其中包括人口统计,生活方式,幸福感 (HADS,RDAS) 和诊断因素,并通过双向和线性回归分析诊断因素.
主要成果:
- 24.3%的女性和7.3%的男性分别面临女性性功能障碍和勃起功能障碍的风险.
- 更高的女性和男性的性欲和满意度与增加的性交频率有关.
- 较低的女性性功能与更高的年龄,焦虑,抑郁,关系困扰和更高的精子运动率有关;较低的男性性功能与焦虑,抑郁,关系困扰,伴侣的年龄和更长的不孕症持续时间有关.
结论:
- 至少四分之一患有不明原因不孕症的夫妇有性功能障碍的风险.
- 诸如年龄,不孕不育的持续时间,精子质量和个人/关系幸福感等因素显著影响性功能.
- 临床医生应该评估性健康,考虑风险因素,并提供咨询或治疗,以提高这些夫妇的受孕率.
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