关于子宫内膜异位症对性功能及夫妻关系影响的系统评价。
A systematic review on the effects of endometriosis on sexuality and couple's relationship.
作者信息
Norinho P, Martins M M, Ferreira H
机构信息
Centre for Psychology at University of Porto, Centro Materno-Infantil do Norte - Centro Hospitalar do Porto, Porto, Portugal.
Centre for Psychology at University of Porto, Faculty of Psychology and Education Science, University of Porto, Porto, Portugal.
出版信息
Facts Views Vis Obgyn. 2020 Oct 8;12(3):197-205.
BACKGROUND
Endometriosis is likely to affect sexuality and intimate relationships but the effect endometriosis has on partners remains overlooked and the existing studies show conflicting results. The effect of the disease and its treatment on the couple may be pronounced given the absence of an obvious cause or cure, the likelihood of chronic recurring symptoms, and the potential impact on both sex and fertility.
MATERIALS AND METHODS
We followed the PRISMA guidelines to conduct this systematic review, which involved a database search of published available research related to the effects of endometriosis treatment on sexual function, couple's relationship and on the partner published between 2000 and 2020.
RESULTS
The studies considered revealed that women with endometriosis report a significant effect of the disease on sexuality and relationship. Also, most of the published studies suggest that the impact on partners may be profound, affecting many life domains including sex, intimacy and the relationship in general.
CONCLUSIONS
Data suggests that male partners should not be overlooked in the treatment of endometriosis and that psychosocial support including sexual and couple therapy might be beneficial.
背景
子宫内膜异位症可能会影响性功能和亲密关系，但该病对伴侣的影响仍被忽视，现有研究结果相互矛盾。鉴于该病缺乏明显病因或治愈方法、慢性复发症状的可能性以及对性和生育能力的潜在影响，疾病及其治疗对伴侣双方的影响可能较为显著。
材料与方法
我们遵循PRISMA指南进行了这项系统评价，其中包括对2000年至2020年间发表的有关子宫内膜异位症治疗对性功能、伴侣关系及伴侣影响的现有研究进行数据库检索。
结果
纳入的研究表明，患有子宫内膜异位症的女性报告称该病对性功能和伴侣关系有显著影响。此外，大多数已发表的研究表明，对伴侣的影响可能很大，会影响包括性、亲密关系及总体关系在内的许多生活领域。
结论
数据表明，在子宫内膜异位症的治疗中不应忽视男性伴侣，包括性治疗和夫妻治疗在内的心理社会支持可能有益。
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