Skrzypulec Violetta, Drosdzol Agnieszka
Woman's Health Chair, Medical University of Silesia, Katowice, Medyków, Poland.
Coll Antropol. 2008 Dec;32(4):1059-68.
The advantages ensuing from the high contraceptive efficacy, positive effect on the parameters of the menstrual cycle as well as other values of the levonorgestrel-releasing intrauterine system may play an important role in women's sexual life. The aim of the study was to evaluate the effect of the levonorgestrel-releasing intrauterine system on the quality of life and sexual functioning of women. The research encompassed 200 women aged between 30 and 45. 52 women using the levonorgestrel-releasing intrauterine system were qualified to the study as the research group (Mirena Group). The control groups consisted of 48 women using a different type of intrauterine device (Control Group I--Other IUD) and 50 women using no contraception (Control Group II). A specific questionnaire with a general part concerning socio-demographic conditions, a part dealing with contraception and Polish version of self-evaluation inventories: Short Form-36 Health Survey, Female Sexual Function Index and Mell-Krat Scale was used as a research tool. Quality of life parameters for women using the Mirena system were higher than for the control groups, especially in the aspect of general health, energy/fatigue and emotional well-being. A significant beneficial effect of the levonorgestrel-releasing intrauterine system on sexual functioning (sexual desire and arousal) was also revealed in the study. Sexual dysfunctions were diagnosed in 20.8% of Other IUD, 34.7% of Control Group II and 9.6% of Mirena Group. Levonorgestrel-releasing intrauterine system increases female quality of life and sexual functioning parameters.
左炔诺孕酮宫内节育系统具有高避孕效果，对月经周期参数及其他指标有积极作用，这些优势可能在女性性生活中发挥重要作用。本研究旨在评估左炔诺孕酮宫内节育系统对女性生活质量和性功能的影响。研究涵盖了200名年龄在30至45岁之间的女性。52名使用左炔诺孕酮宫内节育系统的女性被纳入研究作为研究组（曼月乐组）。对照组包括48名使用不同类型宫内节育器的女性（对照组I——其他宫内节育器）和50名未采取避孕措施的女性（对照组II）。使用一份特定问卷作为研究工具，问卷包括关于社会人口学状况的一般部分、涉及避孕的部分以及波兰语版的自我评估量表：简短健康调查问卷、女性性功能指数和梅尔-克拉特量表。使用曼月乐系统的女性的生活质量参数高于对照组，尤其是在总体健康、精力/疲劳和情绪幸福感方面。研究还揭示了左炔诺孕酮宫内节育系统对性功能（性欲和性唤起）有显著的有益作用。在其他宫内节育器组中，20.8%的女性被诊断为性功能障碍；在对照组II中，这一比例为34.7%；而在曼月乐组中为9.6%。左炔诺孕酮宫内节育系统提高了女性的生活质量和性功能参数。
