GEBELİĞİN KADIN CİNSEL FONKSİYONU ÜZERİNE ETKİLERİ

Yıl 2022, Cilt: 7 Sayı: 2, 47 - 56, 17.08.2022

Ayten Şentürk Erenel , Sıdıka Pelit Aksu , Gülten Koç

https://doi.org/10.52881/gsbdergi.988131

Cited By: 1

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

Öz

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.

Anahtar Kelimeler

Pregnancy, pregnant women, sexuality, sexual behavior, sexual function

Kaynakça

• Atallah S, Johnson-Agbakwu C, Rosenbaum T, Abdo C, Byers ES, Graham C, et al. Ethical and sociocultural aspects of sexual function and dysfunction in both sexes. J. Sex. Med 2016;13(4):591-606. https://doi.org/10.1016/j.jsxm.2016.01.021
• Lou WJ, et al. Prevalence and Factors Associated with Female Sexual Dysfunction in Beijing, China. Chin. Med. J 2017;130(12):1389–1394. https://doi.org/10.4103/0366-6999.207466
• Steiner AJ, IsHak WW. Evaluation and Treatment of Sexual Disorders Due to Medical Conditions. In The Textbook of Clinical Sexual Medicine. Cham: Springer; 2017. p. 327-46.
• McCool-Myers M, Theurich M, Zuelke A, Knuettel H, Apfelbacher C. Predictors of female sexual dysfunction: a systematic review and qualitative analysis through gender inequality paradigms. BMC womens health 2018;18(1): 108.https://doi.org/10.1186/s12905-018-0602-4
• Pascoal PM, Rosa PJ, Silva EPD, Nobre PJ. Sexual beliefs and sexual functioning: The mediating role of cognitive distraction. Int. J. Sex. Health 2018;30(1):60-71. https://doi.org/10.1080/19317611.2018.1424064
• Saotome TT, Yonezawa K, Suganuma N. Sexual dysfunction and satisfaction in Japanese couples during pregnancy and postpartum. Sex. Med 2018;6(4):348-355. https://doi.org/10.1016/j.esxm.2018.08.003
• Jain N, Mehra R, Goel P, Chavan BS. Sexual Health of Postmenopausal Women in North India. J midlife health 2019;10(2):70–74. https://doi.org/10.4103/jmh.JMH_38_18
• Afrakoti NB, Shahhosseini Z. Bio-Psycho-Social factors affecting women's sexual function during pregnancy: A Narrative review. Glob J Health Sci 2016;8(10):55246.
• Küçükdurmaz F, Efe E, Malkoç, Ö, Kolus E, Amasyalı AS, Resim S. Prevalence and correlates of female sexual dysfunction among Turkish pregnant women. Turk J Urol 2016;42(3):178–183. https://doi.org/10.5152/tud.2016.49207
• Babazadeh R, Mirzaii K, Masomi Z. Changes in sexual desire and activity during pregnancy among women in Shahroud, Iran. Int. J. Gynecol. Obstet 2013;120:82–84. https://doi.org/10.1016/j.ijgo.2012.07.021
• Senturk Erenel A, Eroglu K, Vural G, Dilbaz B. A pilot study: In what ways do women in turkey experience a change in their sexuality during pregnancy? Sex Disabil 2011;29:207-216.
• Ribeiro MC, de Tubino Scanavino M, do Amaral MLS, de Moraes Horta AL, Torloni MR. Beliefs about sexual activity during pregnancy: a systematic review of the literature. J Sex Marital Ther 2017;43(8),:822-832. https://doi.org/10.1080/0092623X.2017.1305031
• Jamali S, Mosalanejad L. Sexual dysfnction in Iranian pregnant women. IRAN J REPROD MED 2013;11(6):479.
• Aribi L, Ben AH, Masmoudi R, Chaabane K, Guermazi M, Amami O. Female sexuality during pregnancy and postpartum: a study of 80 Tunisian women. La Tunisie medicale 2012;90(12):873-877.
• Yanikkerem E, Goker A, Ustgorul S, Karakus A. Evaluation of sexual functions and marital adjustment of pregnant women in Turkey. Int J İmpot Res 2016:28(5):176-183. https://doi.org/10.1038/ijir.2016.26
• Bilen Sadi Z, Aksu H. The Sexual Life of Partners in Pregnancy and Examine Of Affecting Factors. Journal of Anatolia Nursing and Health Sciences 2016;19:128-138.
• Isajeva J, Šilkūnas M, Drąsutienė GS, Bartkevičienė, D. Features of the sexual life during pregnancy. Acta Medıcan Lıtuanıca 2012;19(2):67–74. DOI: https://doi.org/10.6001/actamedica.v19i2.2312
• Gałazka I, Drosdzol-Cop A, Naworska B, Czajkowska M, Skrzypulec-Plinta V. Changes in the sexual function during pregnancy. J Sex Med 2015;12:445-454. https://doi.org/10.1111/jsm.12747
• Gökyildiz S, Beji NK. The effects of pregnancy on sexual life. J Sex Marital Ther 2005;31:201–215. DOI: 10.1080/00926230590513410
• Corbacioglu Esmer A, Akca A, Akbayir O, Cilesiz Goksedef BP, Bakir VL. Female sexual function and associated factors during pregnancy. J. Obstet. Gynaecol. Res 2013;39(6):1165–1172. doi: 10.1111/jog.12048
• Pauleta JR, Pereira NM, Graca LM. Sexuality during pregnancy. J Sex Med 2010;7:136-142 https://doi.org/10.1111/j.1743-6109.2009.01538.x
• Staruch M, Kucharczyk A, Zawadzka K, Wielgos M, Szymusik I. Sexual activity during pregnancy. Neuro Endocrinol. Lett 2016;3(1):101–106.
• Makara-Studzińska M, Plewik I, Kryś1 KM. Sexual activity of women in different trimesters of pregnancy. EJMT 2015;2(7):1-9.
• Chang SR, Chen KH, Lin HH, Yu HJ. Comparison of overall sexual function, sexual intercourse/activity, sexual satisfaction, and sexual desire during the three trimesters of pregnancy and assessment of their determinants. J Sex Med 2011;8:2859–2867. https://doi.org/10.1111/j.1743-6109.2011.02420.x
• Hanafy S, Srour NE, Mostafa T. Female sexual dysfunction across the three pregnancy trimesters: an Egyptian study. Sexual Health 2014;11(3):240-243. https://doi.org/10.1071/SH13153
• Senkumwong N, Chaovisitsaree S, Rugpao S, Chandrawongse W, Yanunto S. The Changes of Sexuality in Thai Women during Pregnancy. J Med Assoc Thai 2006;89:124-129.