Introduction: Sexual function is undoubtedly an important dimension of adult life. Due to all the conflicting results with regard to sexual function after the normal vaginal delivery (NVD) or the Cesarean Section (CS)...Introduction: Sexual function is undoubtedly an important dimension of adult life. Due to all the conflicting results with regard to sexual function after the normal vaginal delivery (NVD) or the Cesarean Section (CS), in the present study, we aimed to compare the sexual function in women pre-pregnancy and postpartum and also after the NVD and CS. Materials and Methods: In this cohort study, two groups of healthy women, with antenatal normal pregnancies, who underwent NVD (n = 90) and CS (n = 113), were prospectively studied. The sexual function of the participants was assessed through a Female Sexual Function Index (FSFI) questionnaire in two stages: once before pregnancy and then within 3 to 6 months after delivery, which lasted from June 2011 to September 2012. The data were analyzed by descriptive and inferential statistics. Data were analyzed using chi-square test, Mann-Whitney test, and T Test. Results: Based on the data gathered from 206 women who completed the FSFI questionnaire in two stages, the mean (±SD) self-reported timing of the resumption of sexual activity was 8.9 ± 1.3. There was no significant statistical difference found between the two groups by timing of the resumption of sexual activity in NVD and CS groups. There was also no statistically significant difference found in the overall sexual function scores between the two groups (NVD vs. CS). The average score for female sexual function in desire, arousal, orgasm, and satisfaction within 3 to 6 months after delivery was significantly lower than that of their pre-pregnancy period (p < 0.004). The mean coitus in postpartum period was 1.84 ± 1.20 per week. Conclusion: Based on the findings of this study, there was no significant relationship between the mode of delivery and changes in sexual function. Therefore, it can be claimed that CS is not preferred to NVD with regard to preserving normal sexual functioning.展开更多
产后性功能障碍(postpartum sexual dysfunction,PSD)是女性发病率较高的疾病,病因复杂,治疗方法多样,包括心理治疗、药物治疗、行为治疗、物理康复治疗和手术治疗等,目前PSD主要治疗措施仍是非手术治疗。盆底科医生应对产后女性恢复性...产后性功能障碍(postpartum sexual dysfunction,PSD)是女性发病率较高的疾病,病因复杂,治疗方法多样,包括心理治疗、药物治疗、行为治疗、物理康复治疗和手术治疗等,目前PSD主要治疗措施仍是非手术治疗。盆底科医生应对产后女性恢复性生活过程中遇到的问题给予专业指导;药物治疗可有效缓解阴道干燥和灼热感;电刺激和生物反馈均可减轻性交痛,且生物反馈比电刺激在提高性欲、增加阴道润滑度方面更有优势;磁刺激不仅能提升盆底肌力,对产后性交痛也有一定疗效;盆底肌筋膜痛手法治疗则需要与其他治疗方式联合应用;射频治疗多用于改善阴道松弛及干涩。综述PSD非手术治疗中的干预措施及其适应证并评价其治疗效果,为探寻PSD的最佳非手术治疗方法提供可靠临床依据。展开更多
文摘Introduction: Sexual function is undoubtedly an important dimension of adult life. Due to all the conflicting results with regard to sexual function after the normal vaginal delivery (NVD) or the Cesarean Section (CS), in the present study, we aimed to compare the sexual function in women pre-pregnancy and postpartum and also after the NVD and CS. Materials and Methods: In this cohort study, two groups of healthy women, with antenatal normal pregnancies, who underwent NVD (n = 90) and CS (n = 113), were prospectively studied. The sexual function of the participants was assessed through a Female Sexual Function Index (FSFI) questionnaire in two stages: once before pregnancy and then within 3 to 6 months after delivery, which lasted from June 2011 to September 2012. The data were analyzed by descriptive and inferential statistics. Data were analyzed using chi-square test, Mann-Whitney test, and T Test. Results: Based on the data gathered from 206 women who completed the FSFI questionnaire in two stages, the mean (±SD) self-reported timing of the resumption of sexual activity was 8.9 ± 1.3. There was no significant statistical difference found between the two groups by timing of the resumption of sexual activity in NVD and CS groups. There was also no statistically significant difference found in the overall sexual function scores between the two groups (NVD vs. CS). The average score for female sexual function in desire, arousal, orgasm, and satisfaction within 3 to 6 months after delivery was significantly lower than that of their pre-pregnancy period (p < 0.004). The mean coitus in postpartum period was 1.84 ± 1.20 per week. Conclusion: Based on the findings of this study, there was no significant relationship between the mode of delivery and changes in sexual function. Therefore, it can be claimed that CS is not preferred to NVD with regard to preserving normal sexual functioning.
文摘产后性功能障碍(postpartum sexual dysfunction,PSD)是女性发病率较高的疾病,病因复杂,治疗方法多样,包括心理治疗、药物治疗、行为治疗、物理康复治疗和手术治疗等,目前PSD主要治疗措施仍是非手术治疗。盆底科医生应对产后女性恢复性生活过程中遇到的问题给予专业指导;药物治疗可有效缓解阴道干燥和灼热感;电刺激和生物反馈均可减轻性交痛,且生物反馈比电刺激在提高性欲、增加阴道润滑度方面更有优势;磁刺激不仅能提升盆底肌力,对产后性交痛也有一定疗效;盆底肌筋膜痛手法治疗则需要与其他治疗方式联合应用;射频治疗多用于改善阴道松弛及干涩。综述PSD非手术治疗中的干预措施及其适应证并评价其治疗效果,为探寻PSD的最佳非手术治疗方法提供可靠临床依据。
