更年期性爱特性简述

Characteristics of sex activities in menopause

目的:探讨更年期怎样影响了性爱;对于更年期的性爱,不同的应对将对未来数十年的性爱有怎样的影响,怎样做才会有完满的更年期呢。方法:将妇女一生的性爱分为可生殖期、更年期、非生殖期3个不同阶段,并且将可生殖期性爱特性与更年期的改变进行比较、演绎。结果:动物的反射排卵比人类的周期排卵存在明显的生殖优势。作为一种代偿机制,人类以卵巢自主分泌与性相关的雄激素(T)与雌激素(E_2)来进行匹配,由T与性欲成正相关,在排卵期时,正好对应T的峰值,从而具备了"生殖提示"的功能,弥补了精子与卵子难以结合的劣势。同时,E_2的消长还为性爱提供了充足的润滑,使得"想做爱随时都能做"成为了可生殖期性爱的基本特性。更年期到来前,经历了30余年的代偿运行,"想做就能做"的认知,奠定了充分的"性爱自信"。特别是因更年前期促卵泡激素(FSH)增高,会产生短暂的过度润滑期,更加强化了"想做就能做"的认知。由于代偿机制并非渐近撤出,一旦卵泡停止生长,就会出现断崖式分泌停止,造成阴道干涩,从而引起性伴侣双方严重不适,并且极易造成性交疼痛,引起"性爱自信"危机。更年期性爱特性是:润滑的主要方式将由自主分泌向反射分泌转换,不少人会误认为机能老化,而放弃性生活。结论:应加强更年期性教育及治疗干预,防止更年期性功能随生殖功能同时消失。

Objectives： To investigate the effect of menopause on sex and how different response affects menopausal sex. Methods： Women＇s sex life was divided into the reproductive period,menopause and non- reproductive period to compare the characteristics of sex in reproductive and menopause period. Results： The reflex ovulation of animals had significant reproductive advantage than the ovulation cycle of human being. As a compensatory mechanism,the androgen（ T） and estrogen（ E_2） matched,i. e. libido was positively correlated with T and reached to peak in ovulation,which severed as a ＂ reproductive prompt＂ and made fertilization easier. Meanwhile,changes in E_2 provided sufficient lubrication for sex activities,enabling ＂all- time available sex＂a fundamental characteristic of sex in reproductive period. After over 30 years＇ practice,＂all- time available sex＂led to ＂ sexual self- confidence. ＂ The increase in follicle stimulating hormone（ FSH） at early menopause stage further strengthened such cognition by a short period of excessive lubrication. When the withdrawal of compensatory mechanisms came and follicles stopped growing,vaginal dryness occurred suddenly,which would cause severe discomfort between sexual partners and even pain during intercourse,i. e. ＂ sexual confidence＂ crisis. Therefore,sex in menopause period was charactered by the transform of self- lubricating secretion to reflex secretion. Many people mistakenly believed it was the aging of sex function and gave up sex. Conclusion： Sex education and intervention should be strengthened in menopause period,to avoid the disappearance of sexual function.