Bialek Katarzyna, Szwabowicz Karol, Swiercz Grzegorz
Institute of Medical Sciences, Faculty of Medicine and Health Sciences, Jan Kochanowski University, Kielce, Poland.
Clinic of Obstetrics and Gynaecology, Provincial Combined Hospital, Kielce, Poland.
Ginekol Pol. 2022;93(10):811-819. doi: 10.5603/GP.a2022.0089.
Pregnancy loss is associated with distress which can have a significant emotional impact on women and their spouses including a lower sexual quality of life and sexual dysfunction. The present study aimed to assess sexual quality of life and sexual function in women after fetal death.
A total of 110 women with a history of pregnancy loss hospitalized in the Clinic of Obstetrics and Gynecology were included. In order to evaluate the sexual quality of life and sexual functions the standardized questionnaires - the Sexual Quality of Life (SQoL-F) and Female Sexual Function Index (FSFI), respectively were used.
Women declared a lower sexual quality of life. Most of them (52.73%) were at a risk of sexual dysfunction in the areas of desire (4.15 ± 1.21) and orgasm (3.82 ± 1.48). The older the age and length of the relationship was (p = 0.002; r = -0.298) the worse the sexual quality of life (p < 0.001) and sexual function were (p < 0.05). The sexual quality of life (p < 0.001) and sexual function in the area of desire (p = 0.001), arousal (p = 0.001) and orgasm (p < 0.001) were significantly better in the women who have experienced one pregnancy loss than in those with more than one pregnancy loss. Sexual function was better in women who did not plan to have a pregnancy. The week in which the pregnancy was lost and the fact of having other children have not been statistically significant.
The sexual quality of life and female sexual function in women after an experience of fetal death were less satisfying.
妊娠丢失与痛苦相关，这会对女性及其配偶产生重大情感影响，包括较低的性生活质量和性功能障碍。本研究旨在评估胎儿死亡后女性的性生活质量和性功能。
纳入了110名在妇产科诊所住院且有妊娠丢失史的女性。为了评估性生活质量和性功能，分别使用了标准化问卷——性生活质量问卷（SQoL-F）和女性性功能指数（FSFI）。
女性表示性生活质量较低。她们中的大多数（52.73%）在性欲（4.15±1.21）和性高潮（3.82±1.48）方面存在性功能障碍风险。年龄越大、关系持续时间越长（p = 0.002；r = -0.298），性生活质量（p < 0.001）和性功能（p < 0.05）就越差。经历过一次妊娠丢失的女性在性生活质量（p < 0.001）以及性欲（p = 0.001）、性唤起（p = 0.001）和性高潮（p < 0.001）方面的性功能明显优于经历过不止一次妊娠丢失的女性。未计划怀孕的女性性功能更好。妊娠丢失的孕周以及是否有其他孩子这一事实无统计学意义。
经历胎儿死亡后女性的性生活质量和女性性功能不太令人满意。
