Aslan G, Aslan D, Kizilyar A, Ispahi C, Esen A
Department of Urology, Dokuz Eylul University School of Medicine, Inciralti, Izmir, Turkey.
Int J Impot Res. 2005 Mar-Apr;17(2):154-7. doi: 10.1038/sj.ijir.3901288.
The aim of the study was to evaluate the sexual functions during pregnancy using the Female Sexual Function Index (FSFI) questionnaire. Pregnancies were recorded in a prospective cohort study comprising 40 healthy pregnant women. Pregnant women who had a stable relationship with their partner were enrolled in the study when were first diagnosed to be pregnant. During their antenatal visits, subjects were asked to complete the FSFI questionnaire and other information about their sexual life in each trimester. Each FSFI domain score was calculated and mean scores in each domain were compared according to the trimesters of pregnancy. Data of 37 subjects for the first, 36 for the second and 34 for the third trimesters of pregnancy were eligible for the analysis. The mean age was 25.5+/-4.5 y; mean parity was 0.4+/-0.7 and mean gravity was 1.6+/-0.9. The frequency of intercourse attempts during the last 4 weeks was 8.6+/-3 before pregnancy, and 6.9+/-2.5, 5.4+/-2.6 and 2.5+/-1.4 in the first, second and third trimesters of pregnancy, respectively. In all domains of FSFI, significant decline in domain scores was determined during pregnancy. The comparison of satisfaction and pain domain scores between first and second trimesters showed significant differences. All of the domain scores significantly decreased in the third trimester of pregnancy. Our results showed that sexual functions are significantly decreased during pregnancy and worsen as the pregnancy progresses. Childbearing couples should be given information about the sexual problems and fluctuations in the patterns of sexuality during pregnancy.
本研究的目的是使用女性性功能指数（FSFI）问卷评估孕期的性功能。在一项前瞻性队列研究中记录了40名健康孕妇的妊娠情况。与伴侣关系稳定的孕妇在首次被诊断为怀孕时纳入研究。在产前检查期间，要求受试者在每个孕期完成FSFI问卷以及其他有关其性生活的信息。计算每个FSFI领域得分，并根据孕期各阶段比较每个领域的平均得分。妊娠第一、第二和第三个孕期分别有37名、36名和34名受试者的数据符合分析条件。平均年龄为25.5±4.5岁；平均产次为0.4±0.7，平均妊娠次数为1.6±0.9。怀孕前最后4周性交尝试频率为8.6±3次，妊娠第一、第二和第三个孕期分别为6.9±2.5次、5.4±2.6次和2.5±1.4次。在FSFI的所有领域中，孕期各领域得分均显著下降。第一和第二孕期满意度和疼痛领域得分的比较显示出显著差异。妊娠第三个孕期所有领域得分均显著下降。我们的结果表明，孕期性功能显著下降，并随着孕期进展而恶化。应向育龄夫妇提供有关孕期性问题和性行为模式波动的信息。
