(023) An Online Survey Study Investigating the Contribution of the Cervix to the Female Sexual Response and Patient-Reported Barriers to Sexual Counselling
Notice bibliographique
Résumé
Abstract Introduction The female sexual response is multifactorial and involves several anatomical locations which contribute to pleasurable sensations. Recently, the cervix has been discussed in terms of its role in the FSR, though there are still discrepancies regarding its contribution to these responses. Our pilot study showed that women are unfamiliar with the location of their cervix anatomically, but indicate feeling pleasure from deep penetration, and in the anatomical region of the cervix. If women experience pleasurable sensation from the cervix, then perhaps procedures that impact the cervix may impair overall pleasurable sexual responses in some women. In addition, there is some literature that describes barriers to sexual counselling for women, though these have not been thoroughly studied in the context of the FSR. Therefore, validation of the preliminary pilot data is needed, including confirmation of the importance of the cervix, in addition to defining barriers to sexual counselling. Objectives The objectives of this study were to determine whether women find cervical stimulation pleasurable and if it contributes to their sexual responses. This study also aimed to determine whether a medical history of gynecologic procedures is associated with negative impacts on sexual function, and what barriers women face when discussing sexual problems with their health care providers (HCPs). Methods A self-report survey was distributed via an online platform to over 500 participants. 308 responses were analyzed. IBM SPSS Statistics Version 26 was used for statistical analysis with CI (95%) and p-value (p≤ 0.05). Qualitative analysis was performed using Nvivo12. Results This study found that many women find cervical stimulation pleasurable, and that it is important to their overall sexual response. The responses also indicated that a subset of participants who underwent gynecologic procedures that impacted the cervix showed significant increases in levels of discomfort or pain during cervical stimulation (P<0.001) and difficulty becoming lubricated (p=0.016). Qualitative analysis of participants narrative responses when asking them to describe the location(s) of their sexual responses indicated that participants were better able to describe the location(s) using labelled diagrams rather than in words. Accordingly, a quarter of the participants indicated that they do not feel effective at communicating about their sexual sensations, nor do they feel capable of describing these sensations using words. Participants noted several barriers to sexual counselling with almost half of the participants indicating they feel uncomfortable talking to male physicians about their sexual responses, and that they feel stigma surrounding sexual sensations. Conclusions This study indicates that the cervix plays an important role in the FSR, and that procedures that impact the cervix may result in decreased sexual functioning. The results from this study also suggest that women have difficulty communicating their sexual responses using words and feel unable to discuss the concerns regarding their sexual responses with HCPs. Future studies should develop effective resources for physicians to communicate complex topics about sexual functioning to patients. They should also aim to investigate the experiences of women who experience FSD after procedures impacting the cervix, studies for which are ongoing. Disclosure No.
Récupéré en direct depuis OpenAlex et désinversé. Les résumés ne sont pas conservés dans cette base de données : les index inversés représentent 8,6 Go des 9,3 Go de texte de la base, et le serveur dispose de 13 Go libres.
Comment cette classification a été obtenuedéplier
Prédiction machine sur la base complète
Imitation des enseignantsNi prévalence calibrée, ni vérité terrain. Validation humaine à venir. Le volet Gemma est une étiquette directe du modèle pour chaque travail de la base, lue sur la notice réduite au titre. Le volet Codex est un classifieur appris des 10 348 étiquettes directes de Codex et calibré sur les taux pondérés de l'échantillon; les champs sans appui suffisant ne portent aucun appel Codex. Le mode candidate est l'union des deux volets; le consensus est leur intersection. Ces sorties portent le statut machine_predicted_unvalidated et ne sont pas des étiquettes humaines.
Scores du classifieur distillé par catégorie (deux têtes)
| Catégorie | Codex | Gemma |
|---|---|---|
| Métarecherche | 0,003 | 0,008 |
| Méta-épidémiologie (sens strict) | 0,000 | 0,000 |
| Méta-épidémiologie (sens large) | 0,000 | 0,000 |
| Bibliométrie | 0,001 | 0,001 |
| Études des sciences et des technologies | 0,001 | 0,000 |
| Communication savante | 0,001 | 0,001 |
| Science ouverte | 0,000 | 0,001 |
| Intégrité de la recherche | 0,000 | 0,001 |
| Charge utile insuffisante (le modèle a refusé de juger) | 0,007 | 0,001 |
Scores machine (provisoires)
Les deux têtes enseignantes du modèle étudiant, lues sur ce travail. Un score ordonne la base pour la relecture; il n'affirme jamais une catégorie, et le statut de validation accompagne chaque rangée tel quel.
Scores de référence d'un modèle non mature (critères de maturité non atteints, 7 itérations). Un score ordonne; il n'affirme jamais une catégorie.
score_only:v0-immature-baseline · tel quel depuis la passe de notation : score_only signifie que le nombre peut ordonner les travaux, et qu'aucune étiquette de catégorie n'en découleClassification
machine, non validéePrédiction automatique; un appel candidat d’une seule source (Gemma direct ou Codex distillé), pas un consensus.
Le détail, modèle par modèle et score par score, se trouve en fin de page sous « Comment cette classification a été obtenue ».