Office of Population Research, Princeton University, Princeton, NJ, USA.
J Sex Med. 2014 Feb;11(2):462-70. doi: 10.1111/jsm.12409. Epub 2013 Nov 29.
Almost half of all pregnancies in the United States are unintentional, unplanned, or mistimed. Most unplanned pregnancies result from inconsistent, incorrect, or nonuse of a contraceptive method. Diminished sexual function and pleasure may be a barrier to using hormonal contraception.
This study explores sexual function and behaviors of women in relation to the use of hormonal vs. nonhormonal methods of contraception.
Data were collected as part of an online health and sexuality study of women.
Main outcomes variables assess frequencies in two domains: (i) sexual function (proportion of sexual events with experiences of pain or discomfort, arousal, contentment and satisfaction, pleasure and enjoyment, lubrication difficulty, and orgasm) and (ii) sexual behavior (number of times engaged in sexual activity, proportion of sexual events initiated by the woman, and proportion of sexual events for which a lubricant was used). Sociodemographic variables and contraceptive use were used as sample descriptors and correlates. The recall period was the past 4 weeks.
The sample included 1,101 women with approximately half (n = 535) using a hormonal contraceptive method exclusively or a combination of a hormonal and nonhormonal method, and about half (n = 566) using a nonhormonal method of contraception exclusively. Hierarchical regression analyses were conducted to examine the relation of hormonal contraceptive use to each of the dependent variables. Women using a hormonal contraceptive method experienced less frequent sexual activity, arousal, pleasure, and orgasm and more difficulty with lubrication even when controlling for sociodemographic variables.
This study adds to the literature on the potential negative sexual side effects experienced by many women using hormonal contraception. Prospective research with diverse women is needed to enhance the understanding of potential negative sexual side effects of hormonal contraceptives, their prevalence, and possible mechanisms. Clinical and counseling implications are discussed.
美国将近一半的妊娠是意外、计划外或时机不当的。大多数意外怀孕是由于避孕方法使用不一致、不正确或不使用造成的。性功能和性快感下降可能是使用激素避孕的障碍。
本研究探讨了女性的性功能和性行为与使用激素和非激素避孕方法的关系。
数据是作为一项关于女性健康和性行为的在线研究的一部分收集的。
主要观察指标评估两个领域的频率：（i）性功能（经历疼痛或不适、唤起、满足和满意、愉悦和享受、润滑困难和性高潮的性事件比例）和（ii）性行为（参与性活动的次数、女性发起性事件的比例以及使用润滑剂的性事件的比例）。社会人口统计学变量和避孕方法的使用作为样本描述符和相关性进行了评估。回忆期为过去 4 周。
该样本包括 1101 名女性，其中约有一半（n=535）仅使用激素避孕药或激素和非激素联合避孕方法，约有一半（n=566）仅使用非激素避孕方法。进行了分层回归分析，以检查激素避孕药的使用与每个因变量的关系。即使控制了社会人口统计学变量，使用激素避孕药的女性的性行为、唤起、愉悦和性高潮的频率较低，润滑困难的频率较高。
本研究增加了关于许多使用激素避孕药的女性经历潜在负面性副作用的文献。需要对不同的女性进行前瞻性研究，以增强对激素避孕药潜在负面性副作用、其普遍性和可能机制的理解。讨论了临床和咨询的影响。
