GEBELİĞİN KADIN CİNSEL FONKSİYONU ÜZERİNE ETKİLERİ

Öz

Amaç: Çalışmada gebeliğin kadın cinsel fonksiyonuna etkisinin belirlenmesi amaçlanmıştır. Yöntem: Çalışma tanımlayıcı olarak yapılmıştır. Veriler araştırmacılar tarafından toplanmıştır. Araştırmanın uygulaması Türkiye’de bir üniversite hastanesinin gebe polikliniğinde gerçekleştirilmiştir. Örneklem, power analizine göre içleme kriterlerine uyan 179 kadından oluşturulmuştur. Araştırmanın uygulamasına başlamadan önce etik kurul izni ve uygulamanın yapılacağı kurumdan yazılı izin alınmıştır. Bulgular: Çalışmamızda gebelerin yaklaşık yarısının cinsel sağlık konusunda bilgi sahibi olduğu belirlenmiştir ve bilgi sahibi olan kadınlar bilgiyi en çok sağlık personelinden (%60,2) almıştır. Gebelerin %58.7’si gebeliklerinin cinsel yaşamlarının olumsuz etkilendiğini, etkileyen faktörler arasında ilk üç sırada düşük yapma korkusunun (%59.1), beden imajında değişimin (%36.2) ve hormonal değişimin (%30.5) olduğu belirlenmiştir. Cinsel istek düzeyi, cinsel ilişki sıklığı, memnuniyet, ağrı, uyarılma düzeyi, orgazm ve kayganlaşma gibi alanların gebelik öncesi döneme göre olumsuz etkilendiği ve gebelik ilerledikçe genellikle olumsuzluğun arttığı belirlenmiştir (P<0,05). Sonuç: Kadınların önemli bir kısmının, sağlığın önemli belirleyicilerinden biri olan cinsel sağlık bilgisine sahip olmadığı; sağlık personelinin diğer kaynaklara yakın bir oranda önemli bir bilgi kaynağı olduğu; cinselliğin tüm alt boyutlarının gebelik sırasında gebelik öncesi döneme göre olumsuz etkilendiği; ve gebelik ilerledikçe olumsuzluğun arttığı saptanmıştır.

Anahtar Kelimeler

• Gebelik
• gebe kadınlar
• cinsellik
• cinsel davranış
• cinsel fonksiyon

EFFECTS OF PREGNANCY ON FEMALE SEXUAL FUNCTION

Abstract

Background/Aim: This study aimed to determine the effects of pregnancy on female sexual function. Material and Methods: This study was conducted in a descriptive manner. Data were collected through form developed by the researchers. The study was carried out in the prenatal polyclinic of a university hospital in Turkey. The sampling involved 179 women matching the study criteria according to power analysis. At the outset, ethics committee approval, written consent of the related institution and participating women were obtained. Results: It was determined that nearly half of the pregnant women had information about sex and that they received this information mostly from healthcare personnel (60.2%). A majority (58.7%) of the pregnant women stated that their pregnancies affected their sex life and that the first three factors influencing them were fear of miscarriage (59.1%), change in body image (36.2%), and hormonal change (30.5%). It was found that sexual desire level, the frequency of sexual intercourse, satisfaction, pain, stimulation level, orgasm, and vaginal lubrication were negatively affected compared to the period before pregnancy, and that the adverse conditions increased as the pregnancy progressed (p<0.05). Conclusion: It was found that: a significant proportion of women did not have knowledge of sexual health, which is one of the important determinants of health; healthcare personnel were a significant source of information with a close rate to that of other sources; all sub-dimensions of sexuality were adversely affected during pregnancy in comparison to the pre-gestational period; and adverse conditions increased as the pregnancy progressed.

Keywords

• Pregnancy
• pregnant women
• sexuality
• sexual behavior
• sexual function

Kaynakça

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