Daescu Ana-Maria Cristina, Navolan Dan-Bogdan, Dehelean Liana, Frandes Mirela, Gaitoane Alexandru-Ioan, Daescu Andrei, Daniluc Razvan-Ionut, Stoian Dana
Doctoral School Department, Victor Babes University of Medicine and Pharmacy, 300041 Timisoara, Romania.
Department of Internal Medicine II, Victor Babes University of Medicine and Pharmacy, 300041 Timisoara, Romania.
Healthcare (Basel). 2023 Jul 3;11(13):1914. doi: 10.3390/healthcare11131914.
The aim of this study is to analyze the evolution of sexual function throughout pregnancy and highlight the predicting factors of sexual dysfunction in pregnant women. Our study included 144 participants, aged 16 to 45. Patients were evaluated three times during pregnancy by filling out the Female Sexual Function Index (FSFI) and the Body Exposure in Sexual Activities Questionnaire (BESAQ). At the time of the last evaluation, we asked patients to also fill out Beck's Depression Inventory (BDI-II) and a questionnaire regarding their psychological status and relationship satisfaction. We observed that the FSFI lubrication, satisfaction, and pain domains and the FSFI total score significantly decreased from the 1st to the 3rd evaluation. We observed that an increase in BDI score and the presence of abortion in the patient's history increase the risk of developing female sexual dysfunction (FSD). Higher BMIs were found to be a protective factor against FSD, as was being unmarried. The relationship satisfaction score was found to be an independent predictor of FSD. These findings support previous studies that indicate that pregnancy and postpartum sexuality are multifaceted phenomena and that psycho-social factors have a greater impact on sexuality than biological factors.
本研究旨在分析整个孕期性功能的演变，并强调孕妇性功能障碍的预测因素。我们的研究纳入了144名年龄在16至45岁之间的参与者。在孕期，患者通过填写女性性功能指数（FSFI）和性活动中的身体暴露问卷（BESAQ）接受了三次评估。在最后一次评估时，我们还要求患者填写贝克抑郁量表（BDI-II）以及一份关于其心理状态和关系满意度的问卷。我们观察到，从第一次评估到第三次评估，FSFI的润滑、满意度和疼痛领域以及FSFI总分显著下降。我们观察到，BDI得分的增加以及患者病史中有流产情况会增加发生女性性功能障碍（FSD）的风险。较高的体重指数被发现是预防FSD的一个保护因素，未婚也是如此。关系满意度得分被发现是FSD的一个独立预测因素。这些发现支持了先前的研究，这些研究表明，怀孕和产后性行为是多方面的现象，并且心理社会因素对性行为的影响大于生物因素。
