Elmerstig Eva, Wijma Barbro, Berterö Carina
Division of Gender and Medicine, Department of Clinical and Experimental Medicine, Faculty of Health Sciences, Linköping University, Sweden.
J Adolesc Health. 2008 Oct;43(4):357-63. doi: 10.1016/j.jadohealth.2008.02.011. Epub 2008 May 19.
Many young women suffer from pain and discomfort during sexual intercourse, and an increasing number of them seek help for their problems. It seems that some young women continue to have sexual intercourse despite pain. However, their motives are unclear.
A total of 16 women, aged 14 to 20 years, with variable degrees of coital pain were selected at a youth center in a city in southeastern Sweden, to explore why they continued to have sexual intercourse despite pain. The women participated in audiotaped qualitative individual interviews, which were analyzed using the constant comparative method from grounded theory.
During the analysis we identified the core category striving to be affirmed in their image of an ideal woman and the categories resignation, sacrifice, and feeling guilt. The perceived ideal women had several distinct characteristics, such as willingness to have sexual intercourse, being perceptive of their partner's sexual needs, and being able to satisfy their partners. Having sexual intercourse per se was considered to be an affirmation of being a normal woman, irrespective of pain or discomfort.
These young women's focus on a constructed ideal explains why they continue to have sexual intercourse despite pain. Greater awareness of these beliefs among gynecologists, sexologists, and other healthcare professionals involved in the management of young women with coital pain would be beneficial.
许多年轻女性在性交过程中会遭受疼痛和不适，并且越来越多的人为此寻求帮助。似乎有些年轻女性尽管疼痛仍继续进行性交。然而，她们这样做的动机尚不清楚。
在瑞典东南部一个城市的青少年中心，选取了16名年龄在14至20岁之间、性交疼痛程度各异的女性，以探究她们为何在疼痛的情况下仍继续性交。这些女性参与了录音的定性个人访谈，并采用扎根理论中的持续比较法对访谈内容进行分析。
在分析过程中，我们确定了核心类别“努力在理想女性形象中得到认可”以及“顺从”“牺牲”和“感到内疚”等类别。她们所认为的理想女性有几个明显特征，比如愿意进行性交、能感知伴侣的性需求并能满足伴侣。进行性交本身就被视为成为正常女性的一种认可，而不论是否有疼痛或不适。
这些年轻女性对构建的理想形象的关注解释了她们为何在疼痛的情况下仍继续性交。妇科医生、性学家以及其他参与处理年轻女性性交疼痛问题的医疗保健专业人员，若能更清楚地了解这些观念将会有所助益。
