Are obstetrics and gynecology residents sexually satisfied?

IF 2 3区医学 Q1 MEDICINE, GENERAL & INTERNAL

Sexual Medicine Pub Date : 2025-08-05 eCollection Date: 2025-08-01 DOI:10.1093/sexmed/qfaf026

Natasha Kamat, Sheryl Kingsberg, Erika Kelley

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引用次数: 0

Abstract

Background: There is a dearth of data on the impact of residency on resident sexual health. What exists utilizes the Female Sexual Function Index (FSFI) and the International Index of Erectile Function (IIEF), which primarily assess function and often refer to sexual activity as penetrative sexual intercourse. This presents a limited view on sexual activity and sexuality.

Aim: The objective of this study was to evaluate the effect of obstetrics and gynecology (OBGYN) residency on resident sexual satisfaction using the gender and relationship neutral New Sexual Satisfaction Scale (NSSS).

Methods: Between July 2022 and August 2023, 137 current US OBGYN residents were recruited and completed questionnaires at three timepoints (baseline, 6 months, and 12 months) assessing their demographic data, city and level of training, work hours, gender identity, sexual orientation, relationship status, and the NSSS.

Outcomes: We hypothesized that OBGYN residents in later years of residency would report lower sexual satisfaction than post graduate year one residents (PGY-1 s) and that sexual satisfaction would decrease later in OBGYN residency due to the cumulative effect of work stress.

Results: There was a significant increase in NSSS total scores from baseline (M = 67.5) to 12 month follow-up (M = 72.1) in all residents. However, when the sample was stratified by year of residency, postgraduate year one residents (PGY-1 s) had a decrease in their NSSS total and subscale scores over time as compared to postgraduate year two residents and above who had an overall increase in their NSSS total and subscale scores over time.

Clinical implications: This data presents evidence to support initiatives by OBGYN residency programs to support sexual health and resilience training and opens avenues for further research into sexual satisfaction in other medical subspecialities.

Strengths & limitations: Strengths include utilizing a validated, gender neutral survey. Limitations include small sample size and opt-in study design.

Conclusion: The increase in sexual satisfaction in later years of OBGYN residency may be due to increased resilience over the course of residency. However, the unique stress of the transition from medical school to residency may be highlighted in the decrease in sexual satisfaction scores over time demonstrated in the PGY-1 s.

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妇产科住院医师对性生活满意吗？

背景：居住对居民性健康影响的数据缺乏。现有的方法是使用女性性功能指数（FSFI）和国际勃起功能指数（IIEF），它们主要评估性功能，通常将性活动称为插入性行为。这是对性活动和性行为的一种有限的看法。目的：本研究采用性别与关系中性的新型性满意度量表（NSSS），探讨妇产科住院医师对住院医师性满意度的影响。方法：在2022年7月至2023年8月期间，招募了137名美国OBGYN现有居民，并在三个时间点（基线，6个月和12个月）完成问卷调查，评估他们的人口统计数据，城市和培训水平，工作时间，性别认同，性取向，关系状况和NSSS。结果：我们假设在后期实习的妇产科住院医师的性满意度低于研究生一年级实习医师（PGY-1 s），并且由于工作压力的累积效应，在后期实习的妇产科住院医师的性满意度会下降。结果：从基线（M = 67.5）到12个月随访（M = 72.1），所有住院患者的NSSS总分显著增加。然而，当样本按居住年份分层时，与研究生二年及以上的住院医师相比，研究生一年级住院医师（PGY-1 s）的NSSS总分数和子量表分数随时间的推移而下降，而研究生二年级及以上的住院医师的NSSS总分数和子量表分数随时间的推移而总体上升。临床意义：该数据为妇产科住院医师项目提供了支持性健康和恢复力培训的证据，并为进一步研究其他医学专科的性满意度开辟了道路。优势和局限性：优势包括使用有效的、性别中立的调查。局限性包括样本量小和选择性研究设计。结论：在妇产科住院治疗的后期，性满意度的提高可能是由于住院治疗过程中心理弹性的增强。然而，PGY-1所显示的性满意度分数随着时间的推移而下降，可能突出了从医学院过渡到住院医师的独特压力。

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

Sexual Medicine MEDICINE, GENERAL & INTERNAL-

CiteScore

5.40

自引率

0.00%

发文量

103

审稿时长

22 weeks

期刊介绍： Sexual Medicine is an official publication of the International Society for Sexual Medicine, and serves the field as the peer-reviewed, open access journal for rapid dissemination of multidisciplinary clinical and basic research in all areas of global sexual medicine, and particularly acts as a venue for topics of regional or sub-specialty interest. The journal is focused on issues in clinical medicine and epidemiology but also publishes basic science papers with particular relevance to specific populations. Sexual Medicine offers clinicians and researchers a rapid route to publication and the opportunity to publish in a broadly distributed and highly visible global forum. The journal publishes high quality articles from all over the world and actively seeks submissions from countries with expanding sexual medicine communities. Sexual Medicine relies on the same expert panel of editors and reviewers as The Journal of Sexual Medicine and Sexual Medicine Reviews.