Boesen Hans Christian, Rørbye Christina, Nørgaard Mogens, Nilas Lisbeth
Department of Obstetrics and Gynecology, University of Copenhagen, Denmark.
Acta Obstet Gynecol Scand. 2004 Dec;83(12):1189-92. doi: 10.1111/j.0001-6349.2004.00494.x.
The aim of the study was to describe sexual symptoms and resumption of sexual activity during the first 8 weeks after unrestricted first-trimester termination of pregnancy (TOP).
Questionnaires 2 and 8 weeks after legal first-trimester abortion in 1327 women.
The 8-week questionnaire was returned by 941 (71%). Overall, 51.0% of the women recommenced coitus within 2 weeks after TOP. This figure was significantly higher among women aged 18-24 years (60.6%) than among women in higher age groups (41.7-47.8%). At 8 weeks follow-up coitus was reported by 86.9%, ranging from 65.8% of women not in a steady relationship to 93.7% of women in a relationship (p < 0.001), and age-related differences were insignificant. Long duration of vaginal bleeding, medical abortion and need for reevacuation of the uterus diminished the resumption frequency at 2 weeks follow-up, but 8 weeks after termination postabortion complications did not affect resumption. At 8 weeks follow-up 15.3% reported diminished sexual desire and 6.0% reported diminished orgasm ability comparing to prepregnancy level. Of the sexually active women 6.2% did not use sufficient contraception 8 weeks after termination.
Coitus is recommenced shortly after termination of pregnancy but not always with sufficient contraception. Legal abortion is associated with few adverse effects on sexual function.
本研究旨在描述在妊娠早期无限制终止妊娠（TOP）后的前8周内的性症状及性活动恢复情况。
对1327名妇女在合法的妊娠早期流产后2周和8周进行问卷调查。
941名（71%）妇女返回了8周时的问卷。总体而言，51.0%的妇女在TOP后2周内重新开始性交。18 - 24岁的妇女中这一比例（60.6%）显著高于年龄较大的妇女组（41.7 - 47.8%）。在8周随访时，报告有性交的占86.9%，范围从不处于稳定关系的妇女中的65.8%到处于恋爱关系的妇女中的93.7%（p < 0.001），且年龄相关差异不显著。阴道出血时间长、药物流产以及子宫需要再次排空降低了2周随访时的恢复频率，但在终止妊娠8周后流产后并发症并未影响恢复情况。在8周随访时，与妊娠前水平相比，15.3%的妇女报告性欲减退，6.0%的妇女报告性高潮能力减退。在有性活动的妇女中，6.2%在终止妊娠8周后未采取充分的避孕措施。
妊娠终止后不久即重新开始性交，但并非总是采取了充分的避孕措施。合法流产对性功能的不良影响较少。
