Department of Obstetrics and Gynecology, Istanbul Kanuni Sultan Suleyman Research and Teaching Hospital, Istanbul, Turkey.
J Sex Med. 2012 Jul;9(7):1897-903. doi: 10.1111/j.1743-6109.2012.02740.x. Epub 2012 Apr 23.
Female sexual function is negatively influenced by pregnancy due to the physical and emotional changes. Although the most significant effect is seen in the third trimester of pregnancy, a considerable decrease in the frequency of intercourse and sexual desire in the first trimester has also been shown.
To investigate the factors that affect sexuality in early pregnancy and the impact of awareness of pregnancy on female sexual function in the first trimester of pregnancy using two self-reported questionnaires.
In this cross-sectional study, 130 healthy, married pregnant women who were admitted to the gynecology clinic between the 4th and 10th week of gestation were asked to complete a self-administered questionnaire and the female sexual function index (FSFI).
The factors associated with FSFI score and monthly sexual activity frequency in the first trimester, as well as the differences in sexual activity frequency and FSFI scores between the women who were previously aware of their pregnancy and those who were yet unaware of their pregnancy.
Women who were unaware of their pregnancy had significantly higher coitus frequency in comparison with the aware group (P = 0.002). Total FSFI score was 21.99 ± 8.13 in the aware group and 24.66 ± 3.76 in the unaware group (P = 0.02). None of the obstetric and sociodemographic variables had an influence on desire and pain scores. Arousal, lubrication, and satisfaction scores were adversely affected by awareness of pregnancy. Orgasm scores were influenced negatively by awareness and positively by love marriage; however, in multivariate linear regression analysis none of these were defined as independent factor for orgasm scores. Overall FSFI scores and monthly frequency of sexual activity were only affected by awareness.
The results of this study suggest that in early gestation, awareness of pregnancy is associated with lower female sexual function. Furthermore, obstetric and sociodemographic factors seem to be ineffective on sexual function in early pregnancy.
女性的性功能会受到怀孕的负面影响，这是由于身体和情绪的变化。尽管怀孕的第三个 trimester 影响最大，但在第一个 trimester 中，性交频率和性欲也会显著下降。
使用两份自我报告问卷，调查影响早孕女性性生活的因素，以及怀孕意识对早孕女性性功能的影响。
在这项横断面研究中，我们邀请了 130 名健康的已婚孕妇，她们在妊娠 4 周到 10 周时在妇产科诊所就诊，要求她们填写一份自我管理问卷和女性性功能指数（FSFI）。
与 FSFI 评分和第一个 trimester 每月性行为频率相关的因素，以及已经意识到怀孕和尚未意识到怀孕的女性之间性行为频率和 FSFI 评分的差异。
与已经意识到怀孕的女性相比，尚未意识到怀孕的女性性行为频率显著更高（P = 0.002）。已经意识到怀孕的女性的总 FSFI 评分为 21.99 ± 8.13，尚未意识到怀孕的女性的总 FSFI 评分为 24.66 ± 3.76（P = 0.02）。没有任何产科和社会人口统计学变量对欲望和疼痛评分有影响。性唤起、润滑和满意度评分受到怀孕意识的不利影响。性高潮评分受到怀孕意识的负面影响和爱情婚姻的正面影响；然而，在多元线性回归分析中，这些因素都没有被定义为性高潮评分的独立因素。总体 FSFI 评分和每月性行为频率仅受到怀孕意识的影响。
本研究结果表明，在早孕期间，怀孕意识与女性性功能下降有关。此外，产科和社会人口统计学因素似乎对早孕女性的性功能没有影响。
