Granero-Molina José, Jiménez-Lasserrotte María Del Mar, Dobarrio-Sanz Iria, Correa-Casado Matías, Ramos-Rodríguez Carmen, Romero-Alcalá Patricia
Nursing, Physiotheraphy and Medicine Department, University of Almería, 04120 Almería, Spain.
Faculty of Health Sciences, Universidad Autónoma de Chile, Santiago 7500000, Chile.
Healthcare (Basel). 2023 Oct 19;11(20):2762. doi: 10.3390/healthcare11202762.
Fibromyalgia syndrome (FMS) is a nonarticular rheumatic syndrome which presents as chronic musculoskeletal pain, stiffness and body aches. FMS affects approximately 2.5% of the population, mostly women. FMS causes physical and psychological problems and reduces quality of life. The objective of this study is to identify qualitative evidence about experiences of women diagnosed with FMS about their sexuality.
Metasynthesis of qualitative studies. The search included articles published between 2000 and June 2023 on the PubMed, WOS, CINAHL, SCOPUS, and SCIELO databases.
450 articles were found through the initial search, of which, only nine fulfilled the criteria and were included in the thematic synthesis. From this analysis, three main themes emerged: (1) "I want to, but I can't": FMS causes a shift in feminine sexuality. (2) Resetting sex life and intimacy. (3) Taking charge of a "new sexuality."
Women with FMS suffer from limitations of their sexuality that affect their partner. Pain, stiffness and a loss of desire make sexual encounters difficult. Becoming aware of this and striving not to lose their sexuality is key to coping with this problem. Women and their sexual partners can change roles and encourage communication, games, foreplay or touching. The use of lubricants, physical exercise and complementary therapies, along with social, professional and partner support, are key to coping with FMS.
纤维肌痛综合征（FMS）是一种非关节性风湿综合征，表现为慢性肌肉骨骼疼痛、僵硬和全身酸痛。FMS影响约2.5%的人口，其中大多数为女性。FMS会导致身体和心理问题，并降低生活质量。本研究的目的是确定关于被诊断为FMS的女性性经历的定性证据。
对定性研究进行综合分析。检索了2000年至2023年6月期间在PubMed、WOS、CINAHL、SCOPUS和SCIELO数据库上发表的文章。
通过初步检索发现了450篇文章，其中只有9篇符合标准并被纳入主题综合分析。通过该分析，出现了三个主要主题：（1）“我想，但我不能”：FMS导致女性性行为发生转变。（2）重新调整性生活和亲密关系。（3）掌控“新的性行为”。
患有FMS的女性在性行为方面存在限制，这会影响到她们的伴侣。疼痛、僵硬和性欲丧失使性接触变得困难。意识到这一点并努力不丧失性能力是应对这一问题的关键。女性及其性伴侣可以改变角色，并鼓励沟通、游戏、前戏或触摸。使用润滑剂、体育锻炼和辅助疗法，以及社会、职业和伴侣的支持，是应对FMS的关键。
