Kaya B, Usluogullari B, Yurttutan N, Sahan M H, Güralp O, Malik E
Department of Obstetrics and Gynecology, Near East University Faculty of Medicine, Lefkosa, TRNC, Mersin-10 Turkey.
Department of Obstetrics and Gynecology, Medical Park Hospital, Gaziantep, Turkey.
Eur J Obstet Gynecol Reprod Biol. 2017 Dec;219:124-128. doi: 10.1016/j.ejogrb.2017.10.029. Epub 2017 Oct 31.
To investigate whether internal iliac artery ligation (IIAL) for postpartum hemorrhage (PPH) affects the sexual life in the postpartum period or significantly reduces the clitoral artery blood flow.
The women who underwent IIAL due to PPH during cesarean section (CS) were compared with healthy postpartum women delivered by CS between October 2014 and February 2016 in the Gaziantep Women's Health and Maternity Hospital, Gaziantep, Turkey. Clitoral Doppler flow measurements and the Female Sexual Function Index questionnaire (FSFIQ) were performed in all women in the 3rd and 6th postpartum months. This study was registered at ClinicalTrials.gov with the identification number NCT02409602.
Mean age, gravidity and parity, body mass index (BMI), first sexual intercourse after childbirth, and education years were similar in both groups. There was no statistically significant difference in the measurements of RI, PI, PSV, EDV, and S/D between the study and control groups in the 3rd month. Lack of statistical significance was also noted between the study and control groups values in the 6th month, as well as between the 3rd and 6th month's values within both the study group and the control group. Additionally, there were no statistically significant differences in the total FSFI scores including sexual desire, sexual arousal, lubrication, orgasm, sexual satisfaction, and pain domain scores between the study and control groups in the 3rd month; between the study and control groups 6th months; whereas all scores were higher in the 6th month compared to the 3rd month within each group.
IIAL does not affect the blood flow of the dorsal clitoral artery between the 3rd and 6th months postpartum and between the women who underwent IIAL due to PPH and healthy postpartum women. The sexual function scores were significantly higher in the 6th month compared to the 3rd month in both groups.
探讨剖宫产术中髂内动脉结扎术（IIAL）治疗产后出血（PPH）是否会影响产后性生活或显著减少阴蒂动脉血流量。
将2014年10月至2016年2月在土耳其加济安泰普妇女健康与妇产医院因PPH在剖宫产（CS）时接受IIAL的妇女与通过CS分娩的健康产后妇女进行比较。在产后第3个月和第6个月对所有妇女进行阴蒂多普勒血流测量和女性性功能指数问卷（FSFIQ）调查。本研究已在ClinicalTrials.gov注册，识别号为NCT02409602。
两组的平均年龄、孕次和产次、体重指数（BMI）、产后首次性交时间和受教育年限相似。第3个月时，研究组和对照组之间的阻力指数（RI）、搏动指数（PI）、收缩期峰值流速（PSV）、舒张末期流速（EDV）和S/D测量值无统计学显著差异。第6个月时，研究组和对照组之间的值以及研究组和对照组内第3个月和第6个月的值之间也没有统计学显著差异。此外，第3个月时，研究组和对照组之间在包括性欲、性唤起、润滑、性高潮、性满意度和疼痛领域得分的FSFI总分上无统计学显著差异；第6个月时，研究组和对照组之间也无差异；而每组内第6个月的所有得分均高于第3个月。
IIAL在产后第3个月至第6个月期间，对于因PPH接受IIAL的妇女和健康产后妇女之间，不影响阴蒂背动脉的血流。两组中，第6个月时的性功能得分均显著高于第3个月。
