مجله زنان، مامایی و نازایی ایران

مجله زنان، مامایی و نازایی ایران

بررسی دیسپارونی و رابطه آن با تغییرات استروژنی و اختلال عملکرد جنسی زنان در نیمه دوم بارداری

نوع مقاله : اصیل پژوهشی

نویسندگان
دکتر الهه پوراکبران 1
بهنوش لشکری منش 2
مرتضی روستایی 3
آنیتا رمضانی 4
حمیده صمدی 5
1 دانشجوی پست دکتری روان‌تنی، مرکز تحقیقات روان‌پزشکی و علوم رفتاری، دانشگاه علوم پزشکی مشهد، مشهد، ایران.
2 کارشناس ارشد روان‌شناسی بالینی، واحد کرج، دانشگاه آزاد اسلامی، کرج، ایران.
3 کارشناس ارشد روان‌شناسی بالینی، مرکز تحقیقات روان‌پزشکی و علوم رفتاری، دانشگاه علوم پزشکی مشهد، مشهد، ایران.
4 کارشناس ارشد روان‌شناسی بالینی، دانشکده روان‌شناسی و علوم تربیت بدنی، واحد ارومیه، دانشگاه آزاد اسلامی، ارومیه، ایران.
5 دانشجوی دکتری روان‌شناسی، واحد بجنورد، دانشگاه آزاد اسلامی، بجنورد، ایران.
10.22038/ijogi.2021.18736
چکیده
مقدمه: دیسپارونی یا درد در حین مقاربت، از جمله مشکلاتی است که برخی زنان تجربه می­کنند و این مسأله به‌ویژه در دوران بارداری شدت می­یابد، لذا مطالعه حاضر با هدف بررسی دیسپارونی و رابطه آن با تغییرات استروژنی و اختلال عملکرد جنسی در زنان باردار انجام شد.
روش‌کار: این مطالعه توصیفی مقطعی در طی سال‌های 98-1397 بر روی 50 نفر از زنان باردار مراجعه کننده به مطب­های متخصصین زنان و زایمان و نیز روان‌شناسان بالینی شهر مشهد که با مشکل دیسپارونی مراجعه کرده بودند به‌عنوان گروه مورد و 50 نفر از زنان باردار عادی و غیرمبتلا به‌عنوان گروه شاهد انجام شد. زنان باردار در حد فاصل ماه‌های چهارم تا پنجم بارداری قرار داشتند. ابزار گردآوری داده‌ها شامل اطلاعات جمعیت‌شناختی، ابزار اندازه‌گیری مصاحبه بالینی ساختار یافته برای اختلالات محور I و II و DSM-IV، پرسشنامه استاندارد عملکرد جنسی FSFI و نیز اطلاعات مربوط به بیماری در چک‌لیست محقق‌ساخته بود. تجزیه و تحلیل داده­ها با استفاده از نرم‌افزار آماری SPSS (نسخه 16) و آزمون ضریب همبستگی پیرسون انجام شد. میزان p کمتر از 05/0 معنی‌دار در نظر گرفته شد.
یافته‌ها: میانگین نمره کل عملکرد جنسی در گروه بالینی 65/5±84/6 و نمره دیسپارونی (مقاربت دردناک) 22/4±46/5 بود که نمرات گروه مورد به مراتب بالاتر از گروه شاهد بود. همچنین میزان استروژن در زنان باردار مبتلا به دیسپارونی نسبت به زنان باردار بدون دیسپارونی کاهش یافته بود و در گروه مورد 04/12±68/21 و در گروه شاهد 12/18±21/36 بود که تفاوت معناداری به لحاظ تغییرات استروژنی در این دو گروه یافت شد (05/0p<).
نتیجه‌گیری: کمتر بودن سطح استروژن در ایجاد دیسپارونی مؤثر است. همچنین سابقه دیسپارونی با اختلال عملکرد جنسی مرتبط بود؛ به‌طوری‌که نمره کل عملکرد جنسی و استروژن در گروه بیمار کمتر از گروه عادی بود. آنچه شیوع دیسپارونی را بیشتر می‌کند، سابقه اختلال در عملکرد جنسی می­باشد. به‌طور کلی زنان در نمونه شاهد در عملکرد جنسی نمرات بهتر و در مقاربت دردناک، نمرات پایین‌تری گرفته و مشکل خاصی نداشتند.
 
کلیدواژه‌ها
استروژن
دیسپارونی
زنان باردار
عملکرد جنسی

عنوان مقاله English

Dyspareunia and its relationship with estrogenic changes and sexual dysfunction of women in the second half of pregnancy

نویسندگان English

Elahe Pourakbaran 1
Behnoosh Lashkarimanesh 2
Morteza Roustaei 3
Anita Ramezani 4
Hamideh Samadi 5
1 Post-doctoral student in Psychosomatic, Psychiatric and Behavioral Sciences Research Center, Mashhad University of Medical Sciences, Mashhad, Iran.
2 M.Sc. of Clinical Psychology, Karaj Branch, Islamic Azad University, Karaj, Iran.
3 M.Sc. of Clinical Psychology, Psychiatric and Behavioral Sciences Research Center, Mashhad University of Medical Sciences, Mashhad, Iran.
4 M.Sc. of Clinical Psychology, School of Psychology and Physical Education Sciences, Urmia Branch, Islamic Azad University, Urmia, Iran.
5 PhD Student in Psychology, Bojnourd Branch, Islamic Azad University, Bojnourd, Iran.
چکیده English

Introduction: Dyspareunia or pain during intercourse is one of the problems which some women experience. This problem becomes more severe during pregnancy. Therefore, this study was performed with aim to investigate dyspareunia and its relationship with estrogen changes and sexual dysfunction in pregnant women.
Methods: This descriptive cross-sectional study was performed in 2018-2019 on 50 pregnant women referring to obstetrics and gynecology clinics and also clinical psychologists in Mashhad who had dyspareunia as the case group and 50 normal and non-infected pregnant women as the control group. Also, pregnant women were at the interval between the fourth and fifth months of pregnancy. Data collection tool included demographic information, the structured clinical interview measurement tool for disorders I and II and DSM-IV, the standard Female Sexual Function Index sexual performance questionnaire, and disease-related information included in the researcher-made checklist. Data were analyzed using SPSS statistical software (version 16) and Pearson correlation coefficient test. P<0.05 was considered statistically significant.
Results: The results showed that the mean score of total sexual function in the clinical group was 6.84±5.65 and the score of dyspareunia was 5.46±4.22; the scores of the case group were much higher than the control group. Also, the level of estrogen in pregnant women with dyspareunia decreased compared to pregnant women without dyspareunia and was 21.68±12 12.04 in the case group and 36.21±18.12 in the control group that significant difference was found between the two groups in terms of estrogenic changes.
Conclusion: Low estrogen level is effective in causing dyspareunia. Also, the history of dyspareunia was associated with sexual dysfunction; so that the total score of sexual function and estrogen level was lower in the patient group than the normal group. What increases the prevalence of dyspareunia is a history of sexual dysfunction. In general, women in the control group had better score in sexual function and lower score in painful intercourse, and had no particular problem.

کلیدواژه‌ها English

Dyspareunia
Estrogen
Pregnant women
Sexual function
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مجله زنان، مامایی و نازایی ایران
دوره 24، شماره 6
شهریور 1400
صفحه 36-44