Küçükdurmaz Faruk, Efe Erkan, Malkoç Önder, Kolus Eyüp, Amasyalı Akın Soner, Resim Sefa
Department of Urology, Kahramanmaraş Sütçü İmam University School of Medicine, Kahramanmaraş, Turkey.
Department of Urology, Adnan Menderes University School of Medicine, Aydın, Turkey.
Turk J Urol. 2016 Sep;42(3):178-83. doi: 10.5152/tud.2016.49207.
The aim of the present study was to determine the prevalence and associated factors of female sexual dysfunction together with the concerns of women about sexuality during pregnancy.
A total of 207 healthy, sexually active pregnant women were enrolled in the study. Demographic data of all participants were noted and sexual functions were evaluated by Female Sexual Function Index (FSFI). Each FSFI domain score was calculated and mean scores were noted. Concerns of women about sexuality were also investigated.
Mean age of participant women was 27.0±5.9 (range 15-44) years. Prevalence of sexual dysfunction was found to be 87% in study population. Mean FSFI score was 18.6±1.21. The rate of sexual dysfunction was higher in the first (87%) and third (92.6%) trimesters when compared to the second (80.6%) trimester (p=0.243). Among demographic variables, education levels of partners and preconceptional sexual dysfunction were found to be significantly related to FSD. The most common concerns of women about sexual relationship have been reported as the fear of having pain (35%), risk of abortion (21.3%) and religious factors (10%).
Prevalence of sexual dysfunction is relatively high among pregnant women. Educational levels and preconceptional sexual functions were found to have an impact on this high rate. Accurate counseling of partners about sexuality during pregnancy may help to reduce misbeliefs, concerns and, thereby, decrease this high rate of female sexual dysfunction.
本研究的目的是确定女性性功能障碍的患病率及相关因素,以及孕期女性对性方面的担忧。
共纳入207名健康、有性生活的孕妇。记录所有参与者的人口统计学数据,并通过女性性功能指数(FSFI)评估性功能。计算每个FSFI领域得分并记录平均得分。还调查了女性对性方面的担忧。
参与研究的女性平均年龄为27.0±5.9(范围15 - 44)岁。研究人群中性功能障碍的患病率为87%。FSFI平均得分为18.6±1.21。与孕中期(80.6%)相比,孕早期(87%)和孕晚期(92.6%)性功能障碍的发生率更高(p = 0.243)。在人口统计学变量中,伴侣的教育水平和孕前性功能障碍与女性性功能障碍显著相关。女性对性关系最常见的担忧报告为害怕疼痛(35%)、流产风险(21.3%)和宗教因素(10%)。
孕妇中性功能障碍的患病率相对较高。发现教育水平和孕前性功能对此高患病率有影响。对伴侣进行孕期性方面的准确咨询可能有助于减少误解和担忧,从而降低这种高女性性功能障碍发生率。