Sexual Desire and Hormonal Contraception.
Sexual Desire and Hormonal Contraception.
复制标题
性欲和荷尔蒙避孕。
DOI：
10.1097/aog.0000000000001286
复制
发表时间：
2016-03
影响因子：
7.2
通讯作者：
Peipert JF
中科院分区：
文献类型：
--
作者：
Boozalis A;Tutlam NT;Chrisman Robbins C;Peipert JF
To examine the effect of hormonal contraception on sexual desire. We performed a cross-sectional analysis of 1,938 of the 9,256 participants enrolled in the Contraceptive CHOICE Project. This subset included participants enrolled between April and September 2011 who completed a baseline and six-month telephone survey. Multivariable logistic regression was used to assess the association between contraceptive method and report of lacking interest in sex, controlling for potential confounding variables. More than one in five participants (23.9%) reported lacking interest in sex at 6 months after initiating a new contraceptive method. Of 262 copper IUD users (referent group), 18.3% reported lacking interest in sex. Our primary outcome was more prevalent in women who are young (<18 years: adjusted odds ratio (ORadj)=2.04), black (ORadj=1.78), and married or living with a partner (ORadj=1.82). Compared to copper IUD users, participants using depot medroxyprogesterone (ORadj=2.61, 95% confidence interval (CI)=1.47-4.61), the vaginal ring (ORadj=2.53, 95% CI=1.37-4.69), and the implant (ORadj=1.60, 95% CI=1.03-2.49) more commonly reported lack of interest in sex. We found no association between use of the hormonal IUD, oral contraceptive pill, and patch and lack of interest in sex. CHOICE participants using depot medroxyprogesterone acetate, the contraceptive ring, and implant were more likely to report a lack of interest in sex compared to copper IUD users. Future research should confirm these findings and their possible physiological basis. Clinicians should be reassured that most women do not experience reduced sex drive with the use of most contraceptive methods.
