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首页> 外文期刊>The journal of sexual medicine >From 'Sex Toy' to Intrusive Imposition: A Qualitative Examination of Women's Experiences with Vaginal Dilator Use Following Treatment for Gynecological Cancer
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From 'Sex Toy' to Intrusive Imposition: A Qualitative Examination of Women's Experiences with Vaginal Dilator Use Following Treatment for Gynecological Cancer

机译：从“性玩具”到强加性行为：对妇科癌症治疗后使用阴道扩张器的妇女经验的定性检查

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Introduction. Regular use of vaginal dilators has been recommended as a prophylactic measure following radiation treatment for gynecological cancers in order to minimize vaginal stenosis and promote optimal healing of the vagina. Despite the well-established reluctance of women to adopt this practice, little is known about the difficulties and concerns associated with vaginal dilator use. Aim. To investigate women's experiences with the vaginal dilator and to understand the psychosocial factors that influence women's adoption of rehabilitative dilator use. Methods. This is an exploratory qualitative study using semi-structured interviews with a sample of 10 women with a history of gynecological cancer and who were prescribed a vaginal dilator. Interviews were analyzed using the grounded theory method and examined for recurrent themes. Main Outcome Measure. The main outcome measure was a semi-structured interview comprised of open-ended questions designed to elicit information concerning topic areas relevant to gynecological cancer, vaginal dilator use, and sexuality. Results. The analysis resulted in five main categories underlying the core category of "From 'Sex Toy' to Intrusive Imposition." These were: (i) embarrassing sex toy; (ii) reliving the invasion of treatment; (iii) aversive "hands-on" experience; (iv) not at the forefront of my recovery; and (v) minimizing the resistance. Conclusions. Rehabilitative vaginal dilator use is a complex, multifaceted, and personal phenomenon that carries deep psychological and emotional implications that make it intrusive. These findings may enhance the way in which vaginal dilators are introduced and help healthcare providers address better women's difficulties and concerns with the dilators. Ultimately, it may also lead to improved health maintenance and quality of life for women recovering from gynecological cancer.
机译：介绍。建议对妇科癌症进行放射治疗后，定期使用阴道扩张器作为预防措施，以最大程度地减少阴道狭窄并促进阴道的最佳愈合。尽管已经确定妇女不愿采用这种做法，但对使用阴道扩张器的困难和关注却知之甚少。目标。调查妇女使用阴道扩张器的经历，并了解影响妇女采用康复性扩张器使用的社会心理因素。方法。这是一项探索性定性研究，使用半结构化访谈对10名有妇科病史且被指定使用阴道扩张器的妇女进行抽样。使用扎根的理论方法对访谈进行分析，并检查主题是否重复。主要结果指标。主要结果指标是半开放式访谈，由开放式问题组成，旨在引发有关与妇科癌症，阴道扩张器使用和性行为相关的主题领域的信息。结果。分析得出五个主要类别，它们是“从“性玩具”到侵入式施加”这一核心类别的基础。这些是：（i）令人尴尬的性玩具; （ii）解除对治疗的入侵; （iii）厌恶的“动手实践”经验; （iv）不在我康复的最前线; （v）使阻力最小。结论。修复性阴道扩张器的使用是一种复杂的，多方面的个人现象，具有深远的心理和情感影响，使其具有侵入性。这些发现可能会增强阴道扩张器的引入方式，并帮助医疗保健提供者更好地解决女性在扩张器中的困难和担忧。最终，它还可以改善从妇科癌症中康复的妇女的健康状况和生活质量。

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