Connolly Annamarie, Thorp John, Pahel Laurie
Division of Urogynecology/Reconstructive Pelvic Surgery, Department of Obstetrics and Gynecology, University of North Carolina School of Medicine, Chapel Hill, 27599-7570, USA.
Int Urogynecol J Pelvic Floor Dysfunct. 2005 Jul-Aug;16(4):263-7. doi: 10.1007/s00192-005-1293-6. Epub 2005 Apr 19.
This study was conducted to evaluate the effects of pregnancy and childbirth on postpartum sexual function. Nulliparous, English-literate women were enrolled who had presented to the UNC Hospital's obstetrical practice; these women were 18 years of age and older and at 30-40 weeks' gestation. Questionnaires were completed regarding sexual function prior to pregnancy, at enrollment, and at 2, 6, 12, and 24 weeks postpartum. Demographic and delivery data were abstracted from the departmental perinatal database. One hundred and fifty women were enrolled. At 6, 12, and 24 weeks postpartum, 57, 82, and 90% of the women had resumed intercourse. At similar postpartum timepoints, approximately 30 and 17% of women reported dyspareunia; less than 5% described the pain as major. At these times, 39, 60, and 61% of women reported orgasm. Orgasmic function was described as similar to that prior to pregnancy or improved by 71, 77, and 83%. Delivery mode and episiotomy were not associated with intercourse resumption or anorgasmia; dyspareunia was only associated with breast-feeding at 12 weeks (RR = 3.36, 95% CI = 1.77-6.37). Most women resumed painless intercourse by 6 weeks and experienced orgasm by 12 weeks postpartum. Function was described as similar to or improved over that prior to pregnancy.
本研究旨在评估妊娠和分娩对产后性功能的影响。招募了未生育、有读写能力且曾到北卡罗来纳大学医院产科就诊的女性；这些女性年龄在18岁及以上，妊娠30 - 40周。在怀孕前、入组时、产后2周、6周、12周和24周完成了关于性功能的问卷调查。人口统计学和分娩数据从部门围产期数据库中提取。共招募了150名女性。产后6周、12周和24周时，分别有57%、82%和90%的女性恢复了性交。在类似的产后时间点，约30%和17%的女性报告有性交困难；不到5%的女性称疼痛严重。此时，分别有39%、60%和61%的女性报告有性高潮。性高潮功能被描述为与怀孕前相似或有所改善，改善比例分别为71%、77%和83%。分娩方式和会阴切开术与性交恢复或性高潮缺失无关；性交困难仅与产后12周时的母乳喂养有关（相对危险度 = 3.36，95%可信区间 = 1.77 - 6.37）。大多数女性在产后6周恢复无痛性交，12周时体验到性高潮。性功能被描述为与怀孕前相似或有所改善。
