Shain R N, Miller W B, Holden A E, Rosenthal M
Department of Obstetrics and Gynecology, University of Texas Health Science Center, San Antonio 78284.
Am J Obstet Gynecol. 1991 Mar;164(3):763-71. doi: 10.1016/0002-9378(91)90511-o.
To determine if female or male sterilization affects long-term female marital sexuality, we prospectively compared baseline data and 5 consecutive years of follow-up data from 152 tubal sterilization women, 106 vasectomy wives, and 83 women not planning sterilization. By follow-up year 5, no group of women expressed any change in satisfaction with their own sexual response; however, all groups showed a significant decrease across time in satisfaction with their sexual relationship, in coital desire, and in coital frequency. There were no group differences in overall net changes or in rates of change over the 5-year period. However, two short-term group differences were noted: a decrease in coital desire among women not planning sterilization between baseline and follow-up year 4, compared with increases for both sterilization groups, and an increase in coital frequency at the first follow-up year only in the tubal sterilization group. These data indicate that there are no detrimental effects and some short-term benefits of both sterilization procedures on female marital sexuality.
为了确定女性绝育或男性绝育是否会影响女性长期的婚姻性生活，我们前瞻性地比较了152名接受输卵管绝育术的女性、106名输精管切除术男性的妻子以及83名未计划绝育的女性的基线数据和连续5年的随访数据。到随访第5年时，没有一组女性表示对自身性反应的满意度有任何变化；然而，所有组随着时间推移在对性关系的满意度、性交欲望和性交频率方面均出现显著下降。在5年期间，各组在总体净变化或变化率方面没有差异。然而，注意到两个短期的组间差异：与两个绝育组的增加相比，未计划绝育的女性在基线至随访第4年期间性交欲望下降，且仅在输卵管绝育组中，首次随访年的性交频率增加。这些数据表明，两种绝育手术对女性婚姻性生活均无有害影响，且有一些短期益处。
