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Sexual Behavior, Function and Satisfaction in Headache Associated with Sexual Activity: A Systematic Review of Literature

机译:性能与性活动相关的性行为,功能和满足:文学系统综述

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Introduction: Headache associated with sexual activity (HSA) is the painful event of head and neck precipitated only by sexual activity. The negative impact of sexuality is expected to be more severe in HSA patients and their partners than other headache disorder. In addition, social and cultural taboo may conceal sexual problem or hinder seeking counseling for sexual perplexity. A sufficient scientific evidence is therefore needed to clarify the misunderstanding and schedule appropriate education in clinical practice. Methods: A systematic review of literature was completed to elucidate the sexual behavior, function and satisfaction in HSA patients and their partners. Results: A total of 97 publications are eligible after careful screening. However, most of the studies focus on the etiopathogenesis or treatment. Sexual change was mentioned in 23 publications. Orgasmic headache is the most frequent type of HSA. The HSA occurs more frequent in dyadic than extradyadic sexual activity. Intercourse is the leading sexual act for HSA occurrence, following by masturbation. A few patients suffer HSA under specific sexual position, like kneeling, and trigger, such as cannabis. Pain can be rapidly ceased in half of patients when sexual activity was halted. Sexual function and sexual satisfaction may decrease in HSA patient and partner but improve after pain reversal. Conclusions: A shortage of sexuality data of HSA is documented in literature but that still clarifies the extradyadic and masturbatory effect on HSA occurrence. Nevertheless, HSA disturbs sexual function and satisfaction in patients and their partners. The pathogenesis of pain includes two components, the hypersympathetic status and exertional action. Therefore, physician can schedule their education and counseling for HSA according to these findings. Further investigation for sexual function and satisfaction is warranted.
机译:介绍:与性活动(HSA)相关的头痛是只有性活动沉淀的头部和颈部的痛苦事件。预计HSA患者及其合作伙伴的负面影响预计将更严重,而不是其他头痛障碍。此外,社会和文化禁忌可能隐瞒性问题或妨碍寻求咨询性困惑。因此需要充分的科学证据来澄清临床实践中的误解和安排适当的教育。方法:完成对文学的系统审查,以阐明HSA患者及其合作伙伴的性行为,功能和满足。结果:仔细筛选后共有97个出版物符合条件。然而,大多数研究重点关注精神病生殖或治疗。 23个出版物提到了性变化。性高潮是最常见的HSA类型。 HSA在二级频繁发生在二级的性活动中。性交是HSA发生的领先性行为,继手淫之后。少数患者在特定的性位置下遭受HSA,如下跪地,触发,如大麻。在停止性活动停止时,疼痛可以在一半的患者中迅速停止。 HSA患者和伴侣的性功能和性满意度可能降低,但疼痛逆转后改善。结论:文献中记录了HSA的性行为数据的短缺,但仍然阐明了对HSA发生的外结论和手淫影响。然而,HSA在患者及其合作伙伴中扰乱了性功能和满足感。疼痛的发病机制包括两种组分,过度影响状态和举行的行动。因此,根据这些调查结果,医生可以安排他们的教育和咨询HSA。有必要进一步调查性功能和满足。

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