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评估新型冠状病毒2感染对女性性功能、催产素和催乳素水平的影响:一项前瞻性队列研究。

Assessment of the Impact of SARS-CoV-2 Infection on the Sexual Function of Women, Levels of Oxytocin and Prolactin: A Prospective Cohort Study.

作者信息

Żak Klaudia, Starek Ernest, Korga-Plewko Agnieszka, Rasoul-Pelińska Karolina, Abramiuk Monika, Michalczuk Mariola, Rajtak Alicja, Kotarski Jan, Frankowska Karolina, Bis Liliana, Ostrowska-Leśko Marta, Bobiński Marcin

机构信息

Department of Medical Chemistry, Medical University of Lublin, 20-059 Lublin, Poland.

I Chair and Department of Oncologic Gynecology and Gynecology, Medical University of Lublin, 20-081 Lublin, Poland.

出版信息

J Clin Med. 2024 Apr 12;13(8):2230. doi: 10.3390/jcm13082230.

Abstract

(1) : There is a lack of direct evidence on whether SARS-CoV-2 affects women's sexual function through a biological-organic mechanism. Existing studies on the topic are few and have produced contradictory results. This study aims to explore the possible relationship between sex hormones and sexual function in patients who have been infected with SARS-CoV-2. Moreover, we aimed to determine whether these changes are related to the clinical course of COVID-19 and whether they are temporary or long-lasting. (2) : A study was conducted on 104 women, including 64 women infected with COVID-19 and a control group of 40 healthy women, between January 2021 and August 2022. Blood samples were collected to measure prolactin and oxytocin levels, and a clinical assessment was performed 3 and 6 months later. Sexual function self-assessment was captured based on the FSFI scale. (3) : Our study found that patients with severe COVID-19 had better sexual satisfaction scores one month after recovery but no discernible difference after six months. High levels of serum prolactin were observed in patients with active COVID-19 but became similar to a control group after one month and remained stable over time. Higher prolactin levels were significantly associated with increased arousal and hydration. Individuals with severe COVID-19 had notably low levels of plasma oxytocin, but there was no correlation between oxytocin levels and sexual satisfaction. (4) : The gynecologic symptoms, as well as disturbances in oxytocin and prolactin levels, might be observed in a short time after infection. However, SARS-CoV-2 infection has no lasting effect on sexual function, oxytocin, and prolactin levels among women.

摘要

(1):关于严重急性呼吸综合征冠状病毒2(SARS-CoV-2)是否通过生物-有机机制影响女性性功能,缺乏直接证据。关于该主题的现有研究很少,且结果相互矛盾。本研究旨在探讨感染SARS-CoV-2的患者性激素与性功能之间的可能关系。此外,我们旨在确定这些变化是否与冠状病毒病(COVID-19)的临床病程相关,以及它们是暂时的还是持久的。(2):2021年1月至2022年8月期间,对104名女性进行了一项研究,其中包括64名感染COVID-19的女性和40名健康女性组成的对照组。采集血样以测量催乳素和催产素水平,并在3个月和6个月后进行临床评估。基于女性性功能指数(FSFI)量表进行性功能自我评估。(3):我们的研究发现,重症COVID-19患者康复后1个月的性满意度得分较好,但6个月后无明显差异。活动性COVID-19患者血清催乳素水平较高,但1个月后与对照组相似,且随时间保持稳定。较高的催乳素水平与性唤起增加和阴道湿润显著相关。重症COVID-19患者的血浆催产素水平明显较低,但催产素水平与性满意度之间无相关性。(4):感染后短时间内可能会观察到妇科症状以及催产素和催乳素水平的紊乱。然而,SARS-CoV-2感染对女性的性功能、催产素和催乳素水平没有持久影响。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5809/11051359/acc58e1a0f21/jcm-13-02230-g001.jpg

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本文引用的文献

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