Approach to lubricant use for sexual activity.

IF 2.4 4区 医学 Q1 MEDICINE, GENERAL & INTERNAL
Ryleigh Vanderschee, Sanja Kostov
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引用次数: 0

Abstract

Objective: To present health care providers with an inclusive, evidence-based framework to identify patients who may benefit from lubricant use during sexual activity, and assist patients in selecting a lubricant tailored to their specific needs.

Sources of information: A MEDLINE, PubMed, Google Scholar, and Google search was performed for white and grey literature published from 2003 to 2024. Interdisciplinary experts in sexual health also conducted an iterative review.

Main message: Lubricant use during sexual activity has numerous benefits, minimal harms, and can play a role in managing many common sexual health concerns encountered in primary care. However, counselling on lubricant use can be challenging due to a lack of accessible, evidence-based clinical tools. Consequently, clinicians are often hesitant to discuss lubricant use and can only offer anecdotal advice. Lubricant use is especially beneficial for patients using condoms or experiencing dryness, pain (eg, dyspareunia), or dysfunction during sex. There are 3 main types of lubricants available: oil-, silicone-, and water-based products. For patients who use condoms or who experience recurrent vaginal infections or irritation, silicone- or water-based lubricants are recommended, which are free of harmful ingredients and are within recommended osmolality and pH ranges.

Conclusion: Lubricant use during sexual activity can enhance sexual well-being across diverse patient populations. This review summarizes evidence and provides practical tools to help clinicians integrate counselling on lubricant use into routine sexual health discussions.

性活动中润滑剂的使用方法。
目的:向卫生保健提供者提供一个包容性的、基于证据的框架,以确定可能从性活动中使用润滑剂中受益的患者,并帮助患者选择适合其特定需求的润滑剂。信息来源:对2003年至2024年发表的白色和灰色文献进行MEDLINE、PubMed、谷歌Scholar和谷歌检索。性健康方面的跨学科专家也进行了反复审查。主要信息:在性活动中使用润滑剂有许多好处,危害最小,并且可以在管理初级保健中遇到的许多常见性健康问题方面发挥作用。然而,由于缺乏可获得的循证临床工具,关于润滑剂使用的咨询可能具有挑战性。因此,临床医生往往不愿讨论润滑剂的使用,只能提供轶事建议。使用润滑剂对使用避孕套或经历性交干燥、疼痛(如性交困难)或性功能障碍的患者尤其有益。有3种主要类型的润滑剂可用:油基,硅基和水基产品。对于使用避孕套或阴道反复感染或刺激的患者,建议使用不含有害成分且在推荐渗透压和pH值范围内的硅树脂或水基润滑剂。结论:在性活动中使用润滑剂可以提高不同患者群体的性幸福感。本综述总结了证据,并提供实用工具,以帮助临床医生将润滑剂使用咨询纳入常规性健康讨论。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
Canadian Family Physician
Canadian Family Physician 医学-医学:内科
CiteScore
2.30
自引率
9.70%
发文量
262
审稿时长
4-8 weeks
期刊介绍: Mission: Canadian Family Physician (CFP), a peer-reviewed medical journal, is the official publication of the College of Family Physicians of Canada. Our mission is to ensure that practitioners, researchers, educators and policy makers are informed on current issues and in touch with the latest thinking in the discipline of family medicine; to serve family physicians in all types of practice in every part of Canada in both official languages; to advance the continuing development of family medicine as a discipline; and to contribute to the ongoing improvement of patient care.
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