The Effects of Hormonal and Non-Hormonal Intrauterine Devices on Female Sexual Function: A Systematic Review.

IF 2.2 4区医学 Q2 PSYCHOLOGY, CLINICAL

International Journal of Sexual Health Pub Date : 2023-01-11 eCollection Date: 2023-01-01 DOI:10.1080/19317611.2022.2155898

Katherine Ogle, Ariel B Handy

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引用次数: 0

Abstract

Objectives: The goal of this paper was to review and synthesize the extant literature exploring the impact, if any, of copper (Cu) and levonorgestrel (LNG) intrauterine devices on female sexual function.

Methods: To review the literature, Medline, PubMed, and PsychINFO, were searched for primary research articles that were available in English and measured female sexual function in Cu- and LNG-IUD users. 35 quantitative and 2 qualitative research papers met criteria for inclusion in this systematic review. The 35 quantitative articles were then rated based on the STROBE statement.

Results: The included articles indicated a positive impact of LNG-IUDs on sexual pain, and a positive-to-neutral effect of IUDs on sexual desire, however more research is warranted. This review also found IUDs to be generally non-impactful on other domains of sexual function, including arousal, lubrication, orgasm, satisfaction, and overall sexual function.

Conclusions: As this review highlights that LNG-IUDs may improve sexual pain, future research should explore this connection further. Additional RCTs should also be conducted to confirm effects on sexual function with little bias. A better understanding of the impact of both Cu- and LNG-IUDs is necessary to expand upon this field of research and uncover any other benefits or detriments from IUDs.

查看原文本刊更多论文

激素和非激素宫内节育器对女性性功能影响的系统评价

摘要目的本文的目的是回顾和综合现有文献，探讨铜（Cu）和左炔诺孕酮（LNG）宫内节育器对女性性功能的影响（如果有的话）。方法查阅文献Medline、PubMed和PsychINFO，检索英文版的主要研究文章，并测量Cu和LNG-IUD使用者的女性性功能。35篇定量和2篇定性研究论文符合纳入本系统综述的标准。然后根据STROBE声明对35篇定量文章进行评级。结果纳入的文章表明，液化天然气宫内节育器对性疼痛有积极影响，对性欲有积极到中性的影响，但需要更多的研究。这篇综述还发现，宫内节育器通常对性功能的其他领域没有影响，包括唤醒、润滑、性高潮、满意度和整体性功能。结论由于这篇综述强调液化天然气宫内节育器可以改善性疼痛，未来的研究应该进一步探索这种联系。还应进行额外的随机对照试验，以确认对性功能的影响，几乎没有偏见。有必要更好地了解铜和液化天然气宫内节育器的影响，以扩展这一研究领域，并揭示宫内节育器带来的任何其他好处或坏处。

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

International Journal of Sexual Health Multiple-

CiteScore

3.00

自引率

20.00%

发文量

期刊介绍： As the official journal of the World Association for Sexual Health, the International Journal of Sexual Health promotes sexual health as a state of physical, emotional, mental, and social well-being through a positive approach to sexuality and sexual rights. The journal publishes peer-reviewed scientific papers, editorials, and reviews, using quantitative and qualitative methods, descriptive and critical analysis, instrument development, surveys, and case studies to examine the essential elements of this broad concept. Leading experts from around the world present original work that covers a variety of disciplines, including sexology, biology, medicine, psychology, sociology, anthropology, history, and religion.