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Clitoral changes, sexuality, and body image during the menstrual cycle: A pilot study

机译:月经周期中的阴蒂变化,性行为和身体形象:一项初步研究

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Introduction.: A relationship between sexual function and all body image variables has been reported. However, there are no studies analyzing the relationship between menstrual cycle, body image, and sexuality. Aim.: To evaluate clitoral changes, sexual behavior, and perceived body image during the menstrual cycle. Methods.: Twenty-four women underwent ultrasonographic (US) clitoral measurements, color Doppler evaluation of the clitoral artery, and hormonal testing. In addition, they were administered the McCoy Female Sexuality Questionnaire (MFSQ), the Stunkard Figure Rating Scale (FRS), and the Beck's Depression Inventory questionnaire (BDI). Main Outcome Measures.: The main outcome measures were clitoral volume, clitoral artery pulsatility index (PI), the MFSQ, the FRS, and the BDI. Results.: The subjects had a mean age of 29.3±4.5 years and a mean body mass index (kg/m2=BMI) of 21.2±2.0. US and color Doppler assessments showed significant increase in clitoral body volume (P=0.039) and a decrease in the PI (P=0.027) of the clitoral artery during the periovulatory phase of the menstrual cycle. These changes were significantly and positively correlated with estradiol levels (P=0.009 and P=0.017, respectively). The two-factor Italian MFSQ for sexuality and partnership was similar in all the phases of the cycle. The number of intercourses/week slightly increased in the periovulatory phase. The mean BDI was normal in all women and did not change during the cycle. The FRS showed no difference in all examined parameters during the three phases of the menstrual cycle. Conclusions.: In young, lean, eumenorrheic Italian women, there is no significant change, during the menstrual cycle, in sexual function, body image perception, and symptoms of depression, as assessed by the two-factor Italian MFSQ for sexuality and partnership, the FRS, and the total BDI score. However, our results suggest that estrogens, influencing clitoral anatomic and vascular changes, may favor genital arousability.
机译:简介:性功能与所有身体图像变量之间的关系已有报道。但是,没有研究分析月经周期,身体形象和性之间的关系。目的:评估月经周期中的阴蒂变化,性行为和感知的身体形象。方法:二十四名妇女接受了超声(US)阴蒂测量,阴蒂彩色多普勒评估以及荷尔蒙检查。此外,他们还接受了麦考伊女性性行为问卷(MFSQ),斯坦卡德身材评定量表(FRS)和贝克抑郁量表(BDI)。主要结局指标:主要结局指标为阴蒂体积,阴蒂动脉搏动指数(PI),MFSQ,FRS和BDI。结果:受试者的平均年龄为29.3±4.5岁,平均体重指数(kg / m2 = BMI)为21.2±2.0。 US和彩色多普勒评估显示,在月经周期的排卵期,阴蒂体体积显着增加(P = 0.039),阴蒂动脉的PI降低(P = 0.027)。这些变化与雌二醇水平显着正相关(分别为P = 0.009和P = 0.017)。关于性与伙伴关系的两因素式意大利MFSQ在周期的所有阶段都是相似的。在排卵期,每周的性交次数略有增加。所有妇女的平均BDI均正常,并且在该周期中没有变化。在月经周期的三个阶段中,FRS的所有检查参数均无差异。结论:意大利年轻,瘦弱,漏尿的女性,经两因素意大利MFSQ评估的性与伴侣关系,在月经周期内,性功能,身体形象感知和抑郁症状没有显着变化, FRS以及BDI总得分。但是,我们的结果表明,影响阴蒂解剖和血管变化的雌激素可能有利于生殖器的可唤醒性。

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