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首页> 外文期刊>The journal of sexual medicine >Sexual Functioning in Women Using Levonorgestrel-Releasing Intrauterine Systems as Compared to Copper Intrauterine Devices
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Sexual Functioning in Women Using Levonorgestrel-Releasing Intrauterine Systems as Compared to Copper Intrauterine Devices

机译：与铜宫内节育器相比，使用左炔诺孕酮释放宫内节育器的女性的性功能

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Introduction. There has been little research published on the impact of intrauterine contraceptive (IUC) methods on sexual functioning. Aims. This study aimed: (i) to assess different aspects of sexual functioning, including the prevalence of sexual dysfunction in women using a levonorgestrel intrauterine system (LNG-IUS); (ii) to compare this prevalence with that among copper-releasing intrauterine device (Cu-IUD) users; and (iii) to identify the relationship between psychological variables and sexual functioning in women using one of the aforementioned IUCs. Methods. In a multicenter cross-sectional study, 845 women with an IUC were invited to fill out a questionnaire. The latter was returned by 402 (48%) of them: 353 women were LNG-IUS users (88%) and 49 were Cu-IUD users (12%). The questions asked pertained to depression, well-being, marital relation quality, and sexual functioning. Main Outcome Measures. Sexual functioning was measured with the Short Sexual Functioning Scale. Results. One-third of LNG-IUS users (33%) reported a sexual dysfunction. Of those, 20% reported an increased sexual desire, 25% a decreased sexual desire, 5% arousal problems, and 8% orgasm problems. Women using a LNG-IUS did not differ significantly in distribution, type, or prevalence (32.9% vs. 36.7%) of sexual dysfunction, nor in depressive symptoms (Beck Depression Inventory score; 4.7 vs. 3.9; P=0.33), general well-being (WHO-5 well-being scale score; 16.8 vs. 17.7; P=0.170), or partner relationship quality (Dyadic Adjustment Scale score; 107 vs. 108; P=0.74) compared to Cu-IUD users. Overall, the perceived influence of IUCs on sexual functioning was in the lower range and did not differentiate LNG-IUS greatly from Cu-IUD-users. Conclusion. Women using a LNG-IUS do not differ from those wearing a Cu-IUD with regard to psychological and sexual functioning. The perceived impact of IUD use on sexuality should not be overestimated.
机译：介绍。关于宫内避孕（IUC）方法对性功能的影响的研究很少。目的这项研究的目的是：（i）使用左炔诺孕酮子宫内系统（LNG-IUS）评估性功能的不同方面，包括女性性功能障碍的患病率; （ii）将这种患病率与释放铜的宫内节育器（Cu-IUD）使用者的患病率进行比较; （iii）使用上述IUC之一确定女性心理变量与性功能之间的关系。方法。在一项多中心的横断面研究中，邀请了845名患有IUC的妇女填写问卷。后者返回了402人（占48％）：353名LNG-IUS使用者（88％）和49名Cu-IUD使用者（12％）。提出的问题涉及抑郁，幸福感，婚姻关系质量和性功能。主要观察指标。性功能用短性功能量表测量。结果。三分之一的LNG-IUS用户（33％）报告有性功能障碍。其中，有20％的人报告说性欲增加，有25％的人性欲下降，有5％的唤醒问题和8％的性高潮问题。一般而言，使用LNG-IUS的女性在性功能障碍的分布，类型或患病率（32.9％对36.7％）和抑郁症状（贝克抑郁量表评分; 4.7对3.9; P = 0.33）方面无显着差异。与Cu-IUD用户相比，其幸福感（WHO-5幸福感量表评分; 16.8对17.7; P = 0.170）或伴侣关系质量（二元调整量表评分; 107对108; P = 0.74）。总体而言，宫内节育器对性功能的感知影响在较低范围内，并未将LNG-IUS与Cu-IUD使用者区分开来。结论。使用LNG-IUS的女性在心理和性功能上与使用Cu-IUD的女性没有区别。宫内节育器使用对性行为的感知影响不应被高估。

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