Department of Psychology and Neuroscience, Dalhousie University, 1355 Oxford Street, P.O. Box 15000, Halifax, NS, B3H 4R2, Canada.
Département de Psychologie, Université de Montréal, Montreal, QC, Canada.
Arch Sex Behav. 2024 Jan;53(1):423-438. doi: 10.1007/s10508-023-02697-1. Epub 2023 Oct 9.
It is unclear whether sexual well-being, which is an important part of individual and relational health, may be at risk for declines after a pregnancy loss given the limits of prior work. Accordingly, in a cross-sectional study, we used structural equation modeling to (1) compare sexual well-being levels-satisfaction, desire, function, distress, and frequency-of both partners in couples who had experienced a pregnancy loss in the past four months (N = 103 couples) to their counterparts in a control sample of couples with no history of pregnancy loss (N = 120 couples), and (2) compare sexual well-being levels of each member of a couple to one another. We found that gestational individuals and their partners in the pregnancy loss sample were less sexually satisfied than their control counterparts but did not differ in sexual desire, problems with sexual function, nor sexual frequency. Surprisingly, we found that partners of gestational individuals had less sexual distress than their control counterparts. In the pregnancy loss sample, gestational individuals had lower levels of sexual desire post-loss than their partners but did not differ in sexual satisfaction, problems with sexual function, nor sexual distress. Our results provide evidence that a recent pregnancy loss is associated with lower sexual satisfaction and greater differences between partners in sexual desire, which may be useful information for clinicians working with couples post-loss. Practitioners can share these findings with couples who may find it reassuring that we did not find many aspects of sexual well-being to be related to pregnancy loss at about three months post-loss.
目前尚不清楚在怀孕后是否会有性幸福感下降的风险，因为之前的研究存在局限性。因此，在一项横断面研究中，我们使用结构方程模型来：（1）比较过去四个月内经历过妊娠丢失的夫妇（n=103 对）和没有妊娠丢失史的夫妇（n=120 对）中双方的性幸福感水平——满意度、欲望、功能、困扰和频率；（2）比较夫妇中每一位成员的性幸福感水平。我们发现，妊娠个体及其伴侣的性满意度低于对照组，但性欲望、性功能问题和性频率没有差异。令人惊讶的是，我们发现妊娠个体的伴侣的性困扰比对照组的要小。在妊娠丢失组中，妊娠个体在妊娠丢失后性欲望水平低于其伴侣，但在性满意度、性功能问题或性困扰方面没有差异。我们的研究结果表明，最近的妊娠丢失与性满意度降低以及伴侣之间的性欲望差异较大有关，这可能对丧失后与夫妇合作的临床医生有用。从业者可以与夫妇分享这些发现，这些发现可能会让他们感到安心，因为我们没有发现许多方面的性幸福感与妊娠丢失有关，大约在妊娠丢失后三个月。
