• 作者：J. Ló ; pez-Olmos ^{jlopezo@sego.es}
• 关键词：Infecciones vaginales ; Lesiones cervicales ; Sexualidad
• 刊名：Cl铆nica e Investigaci贸n en Ginecolog铆a y Obstetricia
• 出版年：2012
• 期刊代码：pca89_0210573X
• 类别：med
• 出版时间：May-June, 2012
• 卷：39
• 期：3
• 页码：90-101
• 文件大小：177 K

Objective

To study the characteristics of sexuality in a series of patients: 399聽with vaginal infections and 32 with cervical cell lesions, diagnosed by cervicovaginal cytology during a 1-year period.

Material and methods

We performed personal interviews to inquire about the presence or absence of sexual intercourse and the reasons, sexual desire, arousal, orgasm, dyspareunia, vaginal dryness, the frequency of coitus, contraceptive methods, anal coitus and simultaneous multiple sexual partners. The 399聽patients were compared with a control group of 252聽women without vaginal infections or cervical lesions.

Results

The group with infections and lesions were younger, with a mean age of 34聽years, and there were more nulligravidas (33.25%), p < 0.001. A total of 60.23%used no contraceptive method. The most commonly used methods were the pill in 14.31%and the condom in 12.23%. Seventy patients (16.27%) were not having intercourse due to lack of a sexual partner. The frequency of coitus was once a week in 20%.

The characteristics of sexuality were as follows: 45.15%had no sexual desire, 32.5%experienced no arousal, 21.94%had no orgasm, and 43.88%had dyspareunia. These percentages were higher than in the control group (p < 0.001). Anal intercourse was practiced by 15.83%and 2.5%had simultaneous multiple sexual partners.

The following significant differences were found according to infection types: absence of sexual desire was greater in bacterial vaginosis (p < 0.05), lack of arousal was greater in Gardnerella vaginalis (p < 0.01), and dyspareunia was greater in Candidas (p < 0.001), bacterial vaginosis (p < 0.001), in women with a history of human papilloma virus (HPV) (p < 0.01) and in Trichomonas vaginalis (p < 0.05). Anal intercourse was more frequent in women with HPV (p < 0.01) and those with cervical lesions (p < 0.05).

Conclusions

Women with vaginal infections and cervical cell lesions were younger, with fewer pregnancies despite low use of contraception, had low coital frequency and more dyspareunia. These women practiced anal coitus and more frequently had simultaneous multiple sexual partners.

Individuals are responsible for their sexuality and sexual health. Concern for sexually-transmitted diseases, HIV and cervical cancer should be universal.