تأثیر بی‌اختیاری ادراری بر رضایت‌مندی زنان یائسه از فعالیت جنسی: یک مرور نظام‌مند

نوع مقاله : مروری

نویسندگان

1 استادیار گروه زنان و مامایی، دانشکده پزشکی، دانشگاه علوم پزشکی مازندران، ساری، ایران.

2 استاد گروه زنان و مامایی، مرکز تحقیقات سلامت جنسی و تولیدمثل، دانشگاه علوم پزشکی مازندران، ساری، ایران.

3 پزشک عمومی، کمیته تحقیقات دانشجویی، دانشکده پزشکی، دانشگاه علوم پزشکی مازندران، ساری، ایران.

10.22038/ijogi.2024.79103.6050

چکیده

مقدمه: بی‌اختیاری ادرار (UI) یک مشکل گسترده در سلامت عمومی است که عموماً زنان بالغ را تحت تأثیر قرار می‌دهد. مطالعه حاضر با هدف بررسی تأثیر بی‌اختیاری ادرار بر رضایت‌مندی از فعالیت جنسی در زنان یائسه انجام شد.
روش‌کار: مطالعه حاضر با استفاده از روش مرور سیستماتیک و بر اساس چک‌لیست PRISMA انجام شد. جستجوی گسترده‌ای در پایگاه‌های اطلاعاتی داخلی و خارجی مختلف با استفاده از واژه‌های کلیدی استاندارد شامل واژه‌های MESH و معادل فارسی آنها انجام گرفت. کلیدواژه‌ها شامل Urinary Incontinence، Urge،Urinary Incontinence، Stress، Orgasm، Sexual Arousal، Sexual function،sexual satisfaction،menopause  و Post menopause و معادل فارسی آنها بودند. تمام مطالعات توصیفی- مقطعی مرتبط برای این تحقیق انتخاب شدند.
یافته­ ها: از مجموع 754 مطالعه، 12 مقاله که شامل 4132 زن یائسه بودند، وارد تحقیق شدند. مطالعات عمدتاً توصیفی- مقطعی بوده و تنها یک مطالعه به نوع کارآزمایی بالینی اختصاص داشت. میانگین سنی افراد 73/4±48/56 سال بود. مطالعات به سه نوع بی‌اختیاری استرسی، فوری و ترکیبی پرداخته‌اند. همه مطالعات تأکید داشتند که زنان یائسه با بی‌اختیاری ادرار، عملکرد جنسی و رضایت کمتری دارند. برخی مطالعات نشان دادند نوع بی‌اختیاری ادرار می‌تواند بر عملکرد و رضایت جنسی تأثیر بیشتری بگذارد. سه مطالعه بی‌اختیاری استرسی را کاهنده میل جنسی عنوان کردند، در حالی که چهار مطالعه بی‌اختیاری ترکیبی را با بیشترین تأثیر بر اختلال عملکرد جنسی مرتبط دانستند. یک مطالعه نشان داد تنها بی‌اختیاری استرسی ارتباط معناداری با عملکرد جنسی دارد.
نتیجه­ گیری: بیشترین نوع بی‌اختیاری به‌ترتیب فوری، استرسی و ترکیبی است. بیشتر مقالات (4 مورد) نشان دادند که بی‌اختیاری ترکیبی، تأثیر بیشتری بر اختلال عملکرد جنسی دارد. . با این حال، در یک مطالعه بین بی‌اختیاری ترکیبی و اختلال عملکرد جنسی ارتباطی وجود نداشت. پیشنهاد می‌شود تحقیقات بیشتری در این زمینه انجام شود.

کلیدواژه‌ها

موضوعات

عنوان مقاله [English]

The impact of urinary incontinence on sexual satisfaction in postmenopausal women: A systematic review

نویسندگان [English]

  • Saloumeh Peivandi 1
  • Sepideh Peivandi 2
  • Ali Habibi 3
1 Assistant Professor, Department of Obstetrics and Gynecology, Faculty of Medicine, Mazandaran University of Medical Sciences, Sari, Iran.
2 Professor, Department of Obstetrics & Gynecology, Sexual and Reproductive Health Research Center, Mazandaran University of Medical Sciences, Sari, Iran.
3 General Physician, Student Research Committee, Faculty of Medicine, Mazandaran University of Medical Sciences, Sari, Iran.
چکیده [English]

Introduction: Urinary incontinence (UI) is a widespread public health issue predominantly affecting adult women. This study was conducted with aim to investigate the impact of urinary incontinence on sexual satisfaction in postmenopausal women.
Methods: This systematic review study was conducted based on the PRISMA checklist. A comprehensive search was carried out in various national and international databases using standard keywords, including MESH terms and their Persian equivalents. The keywords included Urinary Incontinence, Urge, Incontinence, Stress Incontinence, Orgasm, Sexual Arousal, Sexual Function, Sexual Satisfaction, Menopause, and Postmenopause. All relevant descriptive-cross-sectional studies were selected for this research.
Results: Out of a total of 754 studies, 12 articles involving 4132 postmenopausal women were included in the investigation. The studies were predominantly descriptive-cross-sectional, with only one study classified as a clinical trial. The mean age of the participants was 56.48 ± 4.73 years. The studies examined three types of urinary incontinence: stress, urge, and mixed incontinence. All studies emphasized that postmenopausal women with urinary incontinence experienced lower sexual function and satisfaction. Some studies indicated that the type of urinary incontinence could have a greater impact on sexual function and satisfaction. Three studies stated that stress incontinence reduced sexual desire, while four studies linked mixed incontinence to the most significant impact on sexual dysfunction. One study found that only stress incontinence had a significant relationship with sexual function.
Conclusion: The most prevalent types of incontinence were urge, stress, and mixed incontinence, respectively. Most articles (four studies) indicated that mixed incontinence has a more significant effect on sexual dysfunction. However, one study found no correlation between mixed incontinence and sexual dysfunction. Further research in this area is recommended.

کلیدواژه‌ها [English]

  • Orgasm
  • Sexual satisfaction
  • Systematic review
  • Urinary incontinence

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مجله زنان، مامایی و نازایی ایران
دوره 27، شماره 11
بهمن 1403
صفحه 62-73

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