School of Nursing, College of Medicine, National Taiwan University, Taipei, Taiwan.
J Sex Med. 2011 Oct;8(10):2859-67. doi: 10.1111/j.1743-6109.2011.02420.x. Epub 2011 Aug 3.
Pregnancy affects women's sexual function. However, few reports have addressed this phenomenon.
To examine overall sexual function and three dimensions of the Taiwan version of the Female Sexual Function Index and to assess their determinants during the three trimesters of pregnancy.
Cross-sectional investigation of 663 pregnant women using the International Consultation on Incontinence Questionnaire-Urinary Incontinence Short Form, the Body Image Scale for Pregnant Women, and demographics questions.
Urinary incontinence, body image, obstetrical history, demographics, and other factors potentially influencing overall sexual function, intercourse/activity, satisfaction, and desire during pregnancy.
Mean scores for overall sexual function, intercourse/activity, and satisfaction differed significantly among the three trimesters (P = or <0.02), whereas mean scores for sexual desire did not. Mean scores for overall sexual function and intercourse were significantly lower during the third trimester than during the first trimester (P < 0.001) or second trimester (P < 0.001). Mean score for satisfaction was significantly higher during the third trimester than during the first trimester (P = 0.01). Significant effects included the following: (i) the discomfort and infertility experiences on overall sexual function and on intercourse, the interaction between body image and artificial abortion on satisfaction, spontaneous abortion on desire during the first trimester; (ii) the full-time work and infertility experiences on overall sexual function and on intercourse, the interactions between body image and medical condition on desire during the second trimester; and (iii) the interaction between gestational age and HoLou ethnicity on overall sexual function, the interaction between body image and discomfort on overall sexual function and on intercourse, the interactions between body image and infertility experiences and gravidity on satisfaction, urinary incontinence on desire during the third trimester.
Results demonstrated that biopsychosocial and cultural factors affected Female Sexual Function Index (FSFIT) scores throughout pregnancy.
怀孕会影响女性的性功能。然而，很少有报道涉及这一现象。
检验台湾版女性性功能指数的整体性功能和三个维度，并评估其在妊娠的三个阶段的决定因素。
使用国际尿失禁咨询问卷-尿失禁简短表、孕妇身体形象量表和人口统计学问题对 663 名孕妇进行横断面调查。
尿失禁、身体形象、产科史、人口统计学和其他潜在影响妊娠期间整体性功能、性交/活动、满意度和欲望的因素。
整体性功能、性交/活动和满意度的平均得分在三个孕期（P = 或 <0.02）之间存在显著差异，而性欲望的平均得分则没有。在第三个孕期，整体性功能和性交的平均得分明显低于第一个孕期（P < 0.001）或第二个孕期（P < 0.001）。第三个孕期的满意度平均得分明显高于第一个孕期（P = 0.01）。显著影响因素包括：（i）不适和不孕经历对整体性功能和性交的影响，身体形象和人工流产对满意度的交互作用，自然流产对第一个孕期欲望的影响；（ii）全职工作和不孕经历对整体性功能和性交的影响，身体形象和医疗状况对第二个孕期欲望的交互作用；（iii）妊娠年龄和霍洛族群对整体性功能的交互作用，身体形象和不适对整体性功能和性交的交互作用，身体形象和不孕经历和妊娠次数对满意度的交互作用，尿失禁对第三个孕期欲望的影响。
结果表明，生物心理社会和文化因素影响整个孕期女性性功能指数（FSFIT）评分。
