Steps H, Zinser H K
Fortschr Med. 1977 Mar 17;95(11):739-45.
In a prospective study the interrelations between the sexual history of young women and the results of cervix smears were investigated. The main interest was focused on females bearing a high risk of developing a carcinoma of the cervix due to their sexual behaviour. 569 volunteers up to the age of 25 underwent vaginal examination and subsequently ecto- and endocervical smears were performed. Information about the sexual life was obtained using a questionnaire. These data as well as the results of the smears were stored and analyzed by a computer. The results were compared with references in the literature. They reveal some new aspects of sexuality in young people. The median age of the menarche in this investigation was 12,7 years in correspondence with the literature. The age of the first coitus was found to be in the range reported by other authors. Another point of interest was the use of oral contraceptives in respect to possible epithelial changes of the cervix. Practising oral contraception, the relation between contraceptives of the combined type and the sequential type was 10:1. Most young females discontinue the use of oral contraceptives at least once a year usually for a period of 2 months. The majority of young women had coital experiences with only one partner. A tendency toward promiscuity was not discernible. Inspite of coital experience, a substantial number (15,1%) did not practice any kind of contraception. Besides the use of oral contraceptives (81%), temporary experience with physical (37,2%) and chemical methods (19,8%) were reported. Nearly half of the pregnancies stated in the questionnaires were interrupted. The incidence of contamination with trichomonas and candida was reduced in comparison with the literature. According to results reported by other authors, a higher frequency of positive smears was expected. Among 569 samples, only one smear Pap. III D was found in a 20 year old girl with inconspicious sexual history. Women under the age of 25 years belonging to the risk group should be included in routine check-up with cervical smears.
在一项前瞻性研究中，对年轻女性的性史与宫颈涂片检查结果之间的相互关系进行了调查。主要关注点是那些因性行为而患宫颈癌风险较高的女性。569名25岁以下的志愿者接受了阴道检查，随后进行了宫颈外涂片和宫颈内涂片检查。通过问卷调查获取了有关性生活的信息。这些数据以及涂片检查结果由计算机存储和分析。将结果与文献中的参考资料进行了比较。结果揭示了年轻人性行为的一些新情况。本次调查中月经初潮的中位年龄为12.7岁，与文献相符。首次性交的年龄与其他作者报道的范围一致。另一个有趣的点是口服避孕药与宫颈可能的上皮变化之间的关系。在使用口服避孕药的人群中，复方避孕药与序贯避孕药的使用比例为10:1。大多数年轻女性每年至少停用一次口服避孕药，通常为期2个月。大多数年轻女性只有一个性伴侣。未发现滥交倾向。尽管有性交经历，但仍有相当一部分人（15.1%）未采取任何避孕措施。除了使用口服避孕药（81%）外，还报告了临时采用物理方法（37.2%）和化学方法（19.8%）的情况。问卷中提到的怀孕情况近一半被终止。与文献相比，滴虫和念珠菌感染的发生率有所降低。根据其他作者报道的结果，预期涂片阳性的频率会更高。在569份样本中，仅在一名20岁、性史无异常的女孩中发现一份巴氏ⅢD级涂片。25岁以下属于高危组的女性应纳入宫颈涂片的常规检查。
