Tajik Parisa, Shahali Shadab, Padmehr Roya
Department of Reproductive Health and Midwifery, Faculty of Medical Sciences, Tarbiat Modares University, Tehran, Iran.
Reproductive Biotechnology Research Center, Avicenna Research Institute, ACECR, Tehran, Iran.
Int J Reprod Biomed. 2023 Jul 24;21(6):509-520. doi: 10.18502/ijrm.v21i6.13638. eCollection 2023 Jun.
Endometriosis is a disease that affects women throughout their sexual life. Sexual health is, therefore, a major concern for these women.
This study aimed to assess the effects of the sensate focus technique and position changing on the sexual function of women with deep-infiltrating endometriosis 3-6 months after surgery.
This clinical trial study was performed on 80 women with deep endometriosis, aged 18-45 yr, who were referred to the endometriosis clinic of Avicenna fertility center, Tehran, Iran for follow-up after surgery from January to September 2021. They were divided randomly into 2 groups. In the intervention group, 2-hr virtual training sessions were held and the control group only completed the questionnaires without any intervention. Sexual function was evaluated after 4 and 8 wk.
8 wk after the intervention, the mean score of sexual function in the intervention group was significantly improved (p 0.001). The mean total score of sexual function in the pre-intervention period reached from 24.16 to 28.31 in 4 wk after the intervention and 29.85, 8 wk after the intervention. The mean score of sexual pain during the follow-up periods was significantly improved in the intervention group (p 0.001).
Sensate focus technique and sexual position changing improved sexual function in women with deep endometriosis after surgery.
子宫内膜异位症是一种影响女性整个性生活阶段的疾病。因此，性健康是这些女性的主要关注点。
本研究旨在评估感觉集中训练法和体位改变对深部浸润型子宫内膜异位症女性术后3 - 6个月性功能的影响。
本临床试验研究对80例年龄在18 - 45岁的深部子宫内膜异位症女性进行，她们于2021年1月至9月前往伊朗德黑兰阿维森纳生育中心的子宫内膜异位症诊所进行术后随访。她们被随机分为两组。干预组进行了2小时的虚拟培训课程，对照组仅完成问卷，未接受任何干预。在4周和8周后对性功能进行评估。
干预8周后，干预组性功能平均得分显著提高（p < 0.001）。干预前性功能总平均分在干预后4周从24.16提高到28.31，干预后8周提高到29.85。随访期间干预组性疼痛平均得分显著改善（p < 0.001）。
感觉集中训练法和性交体位改变改善了深部子宫内膜异位症女性术后的性功能。
