Sun Stephanie, Hamilton Felicia, Dieter Alexis A, Budd Serenity, Getaneh Feven
Department of Obstetrics and Gynecology, MedStar Washington Hospital Center, Washington, DC, USA.
MedStar Center for Biostatistics, Informatics, and Data Science, Washington, DC, USA.
Arch Gynecol Obstet. 2024 Dec;310(6):3289-3296. doi: 10.1007/s00404-024-07847-x. Epub 2024 Dec 1.
Postpartum women commonly experience sexual dysfunction; however, little is known regarding the effect of breastfeeding on sexual function and postpartum women's interest in treatment. We aimed to evaluate sexual function and genitourinary symptoms based on infant-feeding status and assess desire for treatment.
Cross-sectional observational study of women 5-6 months postpartum following singleton delivery was performed. Participants were grouped based on self-reported infant-feeding status: (1) primarily breastfeeding (BF) and (2) primarily formula feeding (FF). Female Sexual Function Index (FSFI) and Day-to-day Impact on Vaginal Aging (DIVA) questionnaires and interest in treatment were compared.
In total, 125 women were included with 61 (49%) breastfeeding and 64 (51%) formula feeding. Compared to FF women, BF women were less likely to identify as African American (47% vs 79%; SD 0.8) or have Medicaid (28% vs 66%; SD 0.9). No other large differences were noted. BF women had significantly lower FSFI score indicating poorer sexual function (20.8 (IQR 10, 24) BF vs 24.5 (IQR 19.5, 27.8) FF, p = 0.009). Both cohorts reported low bother from vaginal symptoms and low interest in treatment of symptoms with BF cohort reporting higher interest in use of vaginal lubricants (69% BF vs 30% FF, SD 0.8). Factors associated with lower FSFI score were BF, perineal laceration, use of progesterone long-acting reversible contraception, and single relationship status.
Both breastfeeding and formula feeding women experienced high rates of sexual dysfunction but low bother from vaginal symptoms and low interest in treatment. Further research is needed to explore these findings and assess postpartum sexual health.
产后女性常出现性功能障碍；然而，关于母乳喂养对性功能的影响以及产后女性对治疗的兴趣，我们所知甚少。我们旨在根据婴儿喂养状况评估性功能和泌尿生殖系统症状，并评估治疗意愿。
对单胎分娩后5 - 6个月的女性进行横断面观察研究。参与者根据自我报告的婴儿喂养状况分组：(1)主要母乳喂养（BF）和(2)主要配方奶喂养（FF）。比较女性性功能指数（FSFI）和阴道老化日常影响（DIVA）问卷以及治疗意愿。
共纳入125名女性，其中61名（49%）进行母乳喂养，64名（51%）进行配方奶喂养。与配方奶喂养的女性相比，母乳喂养的女性较少为非裔美国人（47%对79%；标准差0.8）或参加医疗补助计划（28%对66%；标准差0.9）。未发现其他大的差异。母乳喂养的女性FSFI得分显著更低，表明性功能较差（母乳喂养组为20.8（四分位间距10，24），配方奶喂养组为24.5（四分位间距19.5，27.8），p = 0.009）。两个队列均报告阴道症状困扰低且对症状治疗的兴趣低，母乳喂养队列报告对使用阴道润滑剂的兴趣更高（母乳喂养组为69%，配方奶喂养组为30%，标准差0.8）。与较低FSFI得分相关的因素有母乳喂养、会阴裂伤、使用长效可逆孕激素避孕以及单身关系状况。
母乳喂养和配方奶喂养的女性性功能障碍发生率均较高，但阴道症状困扰低且对治疗兴趣低。需要进一步研究来探讨这些发现并评估产后性健康。
