Sanders Jessica N, Gawron Lori M, Friedman Sonia
Department of Obstetrics and Gynecology, University of Utah School of Medicine, Salt Lake City, UT.
Department of Obstetrics and Gynecology, University of Utah School of Medicine, Salt Lake City, UT.
Am J Obstet Gynecol. 2016 Jul;215(1):58-62. doi: 10.1016/j.ajog.2016.01.188. Epub 2016 Feb 3.
Inflammatory bowel diseases (IBD), most commonly Crohn's disease and ulcerative colitis, have the highest incidence during the reproductive years. IBD and its treatments increase the risk of sexual dysfunction for both men and women with these diseases. Women with IBD often seek care from their gynecologist and may preferentially discuss sexual experiences with them over other providers. An understanding of IBD and its impact on sexual functioning and satisfaction will improve screening, evaluation, and management for these patients. Identifying interdisciplinary providers for referrals, such as pelvic floor physical therapists and health psychologists, is a key component to long-term improvements in sexual satisfaction for women with IBD.
炎症性肠病(IBD),最常见的是克罗恩病和溃疡性结肠炎,在生育年龄段发病率最高。IBD及其治疗方法会增加患这些疾病的男性和女性出现性功能障碍的风险。患有IBD的女性通常会向妇科医生寻求治疗,并且可能更倾向于与他们而非其他医疗服务提供者讨论性经历。了解IBD及其对性功能和性满意度的影响将改善对这些患者的筛查、评估和管理。确定跨学科的转诊医疗服务提供者,如盆底物理治疗师和健康心理学家,是长期提高患有IBD的女性性满意度的关键因素。