Guida M, Troisi J, Saccone G, Sarno L, Caiazza M, Vivone I, Cinque C, Aquino C I
Department of Medicine, Surgery and Dentistry, Scuola Medica Salernitana, University of Salerno, Baronissi, Italy.
Department of Neuroscience, Reproductive Sciences and Dentistry, School of Medicine, University of Naples Federico II, Naples, Italy.
Eur J Contracept Reprod Health Care. 2019 Dec;24(6):430-437. doi: 10.1080/13625187.2019.1663500. Epub 2019 Sep 23.
The aims of the study were to understand how education relates to contraceptive choice and how sexual function can vary in relation to the use of a contraceptive method. We surveyed female medical students and women attending a family planning service (FPS) in Italy. Participants completed an online questionnaire which asked for information on sociodemographics, lifestyle, sexuality and contraceptive use and also included items of the Female Sexual Function Index (FSFI). The questionnaire was completed by 413 women (362 students and 51 women attending the FPS) between the ages of 18 and 30 years. FSFI scores revealed a lower risk of sexual dysfunction among women in the control group who did not use oral hormonal contraception. The differences in FSFI total scores between the two study groups, when subdivided by the primary contraceptive method used, was statistically significant ( < 0.005). Women using the vaginal ring had the lowest risk of sexual dysfunction, compared with all other women, and had a positive sexual function profile. In particular, the highest FSFI domain scores were lubrication, orgasm and satisfaction, also among the control group. Expensive contraception, such as long-acting reversible contraception, was not preferred by this young population, even though such methods are more contemporary and manageable. Compared with controls, students had lower compliance with contraception and a negative attitude towards voluntary termination of pregnancy. Despite their scientific knowledge, Italian female medical students were found to need sexual and contraceptive assistance. A woman's sexual function responds to her awareness of her body and varies in relation to how she is guided in her contraceptive choice. Contraceptive counselling is an excellent means to improve female sexuality.
该研究的目的是了解教育与避孕选择之间的关系，以及性功能如何因避孕方法的使用而有所不同。我们对意大利的女医学生和前往计划生育服务机构（FPS）的女性进行了调查。参与者完成了一份在线问卷，该问卷询问了社会人口统计学、生活方式、性行为和避孕使用情况的信息，还包括女性性功能指数（FSFI）的项目。413名年龄在18至30岁之间的女性（362名学生和51名前往FPS的女性）完成了问卷。FSFI评分显示，未使用口服激素避孕药的对照组女性性功能障碍风险较低。当按使用的主要避孕方法细分时，两个研究组之间FSFI总分的差异具有统计学意义（<0.005）。与所有其他女性相比，使用阴道环的女性性功能障碍风险最低，并且性功能状况良好。特别是，即使在对照组中，FSFI得分最高的领域也是润滑、性高潮和满意度。尽管长效可逆避孕等昂贵的避孕方法更现代且易于管理，但这一年轻人群并不青睐。与对照组相比，学生的避孕依从性较低，对自愿终止妊娠持消极态度。尽管意大利女医学生具备科学知识，但仍发现她们需要性和避孕方面的帮助。女性的性功能会对其身体意识做出反应，并因她在避孕选择中所接受的指导方式而有所不同。避孕咨询是改善女性性功能的绝佳方式。
