Kunkeri Shweta Patil, Sathyanarayana Rao T S, Andrade Chittaranjan
Department of Psychiatry, Bidar Regional Institute of Medical Sciences, Bidar, Karnataka, India.
Department of Psychiatry, JSS Medical College Hospital, JSS University, Mysore, Karnataka, India.
Indian J Psychiatry. 2017 Jan-Mar;59(1):63-68. doi: 10.4103/0019-5545.204433.
Sexual relationship is a basis for mental health and continuity of the healthy generation. There are very few studies on the female sexual functioning, especially in India. Sterilization being the most common contraceptive method, sexual functioning in women undergoing this surgical intervention has not been adequately explored. Available studies have found conflicting results; some have reported that sterilization has positive effects on sexual functioning since anxiety of getting pregnant is abolished. However, few Indian studies have reported a decline in sexual functioning following the sterilization procedure as women lack interest and perceive sexual function only for the purpose of procreation. The cultural differences and lack of sex education among Indian women are thought to be the reason for such a difference.
A total of sixty married women above 18 years, who were consulting Family Planning Association, Mysore, for the purpose of undergoing tubal sterilization, and who gave a written consent were interviewed twice; before the sterilization procedure and 6 months post-sterilization. These women were assessed for sexual functioning using female sexual function index and sexual functioning index.
The prevalence of sexual dysfunction in the study population was 36.7% before the tubal sterilization. This rate increased to 71.7% after the procedure which was statistically significant. The common disorders were orgasm, arousal, and desire. Pain disorder was least common. This dysfunction exists across all the ages, education level, occupation, and residence.
The study shows that whatever may be the attribution, tubal sterilization impairs the sexual functioning among women. A proper education and counseling need to be incorporated to prevent the problems.
性关系是心理健康和健康代际延续的基础。关于女性性功能的研究非常少，尤其是在印度。绝育是最常见的避孕方法，接受这种手术干预的女性的性功能尚未得到充分探索。现有研究结果相互矛盾；一些研究报告称，绝育对性功能有积极影响，因为怀孕焦虑消除了。然而，很少有印度研究报告称绝育手术后性功能下降，因为女性缺乏兴趣，并且认为性功能只是为了生育。印度女性的文化差异和缺乏性教育被认为是造成这种差异的原因。
共有60名18岁以上的已婚女性，她们因接受输卵管绝育手术而向迈索尔计划生育协会咨询，并签署了书面同意书，在绝育手术前和绝育手术后6个月接受了两次访谈。使用女性性功能指数和性功能指数对这些女性的性功能进行评估。
在输卵管绝育手术前，研究人群中性功能障碍的患病率为36.7%。手术后这一比例上升到71.7%，具有统计学意义。常见的障碍是性高潮、性唤起和性欲。疼痛障碍最不常见。这种功能障碍在所有年龄、教育水平、职业和居住地区都存在。
研究表明，无论原因是什么，输卵管绝育都会损害女性的性功能。需要纳入适当的教育和咨询以预防这些问题。
