Department of Gynaecology and Obstetrics, Lausanne University Hospital (CHUV), Lausanne, Switzerland.
Research Centre for Health Psychology, University of Lausanne, Lausanne, Switzerland.
Eur J Contracept Reprod Health Care. 2022 Jun;27(3):184-188. doi: 10.1080/13625187.2021.2012759. Epub 2022 Feb 1.
Although the stressful psychological impact on women of an abnormal Pap smear is well documented, little research has been undertaken on its sexual impact. Our objective was to assess the impact of an abnormal Pap smear on the sexual function of affected women.
A prospective study compared the sexual function of 48 women with an abnormal Pap smear (case group) with that of 48 women with a normal Pap smear (control group). Sexual function was assessed using the Female Sexual Function Index and the Hospital Anxiety Depression Scale. The questionnaires were mailed to the participants.
Surprisingly, the risk of sexual dysfunction was comparable between women with and without an abnormal Pap smear (odds ratio [OR] 0.7; = 0.4). The OR remained statistically non-significant after adjustment for risk factors. Multivariable analysis showed that only older age at first intercourse, depression and anxiety were identified as factors significantly associated with sexual dysfunction.
Contrary to our clinical experience, female sexual function is not impaired by an abnormal Pap smear. Further research is needed to better understand how sexuality in women with abnormal Pap smears may be affected.
尽管异常巴氏涂片对女性造成的心理压力影响已得到充分证实，但对其对性行为的影响的研究甚少。我们的目的是评估异常巴氏涂片对受影响女性性功能的影响。
前瞻性研究比较了 48 名异常巴氏涂片女性（病例组）和 48 名巴氏涂片正常女性（对照组）的性功能。使用女性性功能指数和医院焦虑抑郁量表评估性功能。将问卷邮寄给参与者。
令人惊讶的是，异常巴氏涂片与无异常巴氏涂片的女性性功能障碍风险相当（比值比 [OR] 0.7；95%置信区间 [CI] 0.4-1.1）。调整了危险因素后，OR 仍然没有统计学意义。多变量分析显示，只有初次性交年龄较大、抑郁和焦虑被确定为与性功能障碍显著相关的因素。
与我们的临床经验相反，异常巴氏涂片并不会损害女性的性功能。需要进一步研究以更好地了解异常巴氏涂片女性的性行为可能受到怎样的影响。
