Tajik Maryam, Shahali Shadab, Shadjoo Khadijeh
Department of Reproductive Health and Midwifery, Faculty of Medical Sciences, Tarbiat Modares University, Tehran, Iran.
Reproductive Biotechnology Research Center, Avicenna Research Institute, ACECR, Tehran, Iran.
J Obstet Gynaecol. 2022 Nov;42(8):3706-3711. doi: 10.1080/01443615.2022.2158316. Epub 2022 Dec 21.
Endometriosis is one of the most common chronic diseases of women. This study aimed to investigate the effect of sensate focus technique and sexual position changing on sexual function of women who used medical treatment for endometriosis. This clinical trial study was performed on 80 women who used medical treatment for endometriosis. Women were randomly assigned to two groups: in the intervention group, 2 h of verbal educational session were held and at the end of the session, an instruction booklet about sensate focus technique was given to them, the control group received routine treatment. The sexual function and the dyspareunia of the participants were evaluated after 4 and 8 weeks. Eight weeks after the intervention, the mean total score of sexual function in the intervention group was significantly improved compared to before the intervention ( < 0.001). The mean score of sexual pain in the follow-up periods in the intervention group was significantly different compared to before the intervention and control groups ( < 0.001). The sensate focus technique and sexual position change simultaneously improve sexual function in women with endometriosis who used medication. Approval number from Iranian Registry of Clinical Trials: IRCT2200617047812N1 (Registration date: 2020-11-05).Impact Statement The role of endometriosis in the genesis of sexual dysfunction in women has been mentioned in several articles. Researches have shown that some sexual positions put less pressure on parts of the pelvis that contain endometrial tissue. The sensate focus technique can improve sexual dysfunction, including hypoactive sexual desire disorder (HSDD) and female sexual arousal disorder (FSAD), orgasm, dyspareunia, and vaginismus. Have a positive effect on sexual function and dyspareunia in women with endometriosis undergoing medical treatment and improve their sexual function. Medical staff recommended becoming familiar with these techniques to teach sensate focus and sexual position changing to women with endometriosis to improve their sexual function.
子宫内膜异位症是女性最常见的慢性疾病之一。本研究旨在探讨感官集中训练法和性交体位改变对接受药物治疗的子宫内膜异位症女性性功能的影响。本临床试验研究针对80名接受药物治疗的子宫内膜异位症女性开展。将女性随机分为两组:干预组进行2小时的口头教育课程,课程结束时,向她们发放一本关于感官集中训练法的指导手册,对照组接受常规治疗。在4周和8周后评估参与者的性功能和性交疼痛情况。干预8周后,干预组性功能总平均分相较于干预前显著改善(<0.001)。干预组随访期间的性交疼痛平均分与干预前及对照组相比有显著差异(<0.001)。感官集中训练法和性交体位改变可同时改善接受药物治疗的子宫内膜异位症女性的性功能。伊朗临床试验注册中心批准号:IRCT2200617047812N1(注册日期:2020年11月5日)。影响声明 多篇文章提及子宫内膜异位症在女性性功能障碍成因中的作用。研究表明某些性交体位对含有子宫内膜组织的骨盆部位施加的压力较小。感官集中训练法可改善性功能障碍,包括性欲减退障碍(HSDD)和女性性唤起障碍(FSAD)、性高潮、性交疼痛及阴道痉挛。对接受药物治疗的子宫内膜异位症女性的性功能和性交疼痛有积极影响,并改善其性功能。医务人员建议熟悉这些技巧,以便向子宫内膜异位症女性传授感官集中训练法和性交体位改变方法,从而改善她们的性功能。