Sexual pleasure

  • 文章类型: Journal Article
    阐明与女性性快感相关的心理社会和行为因素。
    使用关键术语“女性性快感”和“女性性快感”并遵循PRISMA指南,在EBSCO和WebofScience数据库上进行了搜索。
    确定了76篇文章,提到性行为,个别因素,人际关系因素,社会因素,以及增强性快感的方法。
    年龄,性体验,唤醒能力,身体自尊,性自主权,性自信似乎有利于女性的性快感,而性别遵从和性别权力失衡似乎在妥协。关于非西方和非异性恋妇女的其他研究仍然需要。
    UNASSIGNED: To clarify the psychosocial and behavioral factors related to women\'s sexual pleasure.
    UNASSIGNED: A search was conducted on EBSCO and Web of Science databases using the key terms \"female sexual pleasure\" and \"women sexual pleasure\" and following PRISMA guidelines.
    UNASSIGNED: 76 articles were identified, referring to sexual practices, individual factors, interpersonal factors, societal factors, and ways of enhancing sexual pleasure.
    UNASSIGNED: Age, sexual experience, arousability, body-esteem, sexual autonomy, and sexual assertiveness seem to benefit women\'s sexual pleasure, while sexual compliance and a gender power imbalance seem to compromise it. Additional research regarding non-western and non-heterosexual women is still required.
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  • 文章类型: Journal Article
    背景:关于男性包皮环切术(MC)是否会影响性功能的争论很活跃,阴茎感觉,或者性快感。
    目的:进行系统评价,检查MC对这些参数的影响。
    方法:符合PRISMA标准的PubMed搜索,EMBASE,Cochrane图书馆,谷歌学者被表演了,“包皮环切术”与适当的搜索条件一起使用。苏格兰大学间指南网络系统对符合入选标准的文章进行了质量评级。
    方法:按质量评定的证据。
    结果:搜索确定了46种包含原始数据的出版物,以及4个系统评价(2个有荟萃分析),加上29个对各种研究的批评和15个作者的回复,共包括94种出版物。随机临床试验中高质量和中等质量调查数据得出的结论总体上是一致的,系统评价和荟萃分析,生理研究,大型纵向研究,和不同人群的队列研究。这些研究发现MC对性功能没有或有最小的不良影响,感觉,或快乐,有一些改进。生理和组织学研究的共识是,龟头和轴的下侧,不是包皮,参与介导性感感觉的神经通路。与更高质量的证据相比,支持MC对功能的不利影响的数据,感觉,或者快乐被发现是低质量的,正如对这些研究的批评所解释的那样。
    结论:最高质量文献的共识是MC具有最小或没有副作用,在一些研究中,它对性功能有好处,感觉,满意,和快乐的男性割礼新生儿或成年。MorrisBJ,KriegerJN.男性包皮环切术对性功能影响的对比证据,感觉,和快乐:系统回顾。性医学2020;8:577-598。
    BACKGROUND: Active debate concerns whether male circumcision (MC) affects sexual function, penile sensation, or sexual pleasure.
    OBJECTIVE: To perform a systematic review examining the effect of MC on these parameters.
    METHODS: PRISMA-compliant searches of PubMed, EMBASE, the Cochrane Library, and Google Scholar were performed, with \"circumcision\" used together with appropriate search terms. Articles meeting the inclusion criteria were rated for quality by the Scottish Intercollegiate Guidelines Network system.
    METHODS: Evidence rated by quality.
    RESULTS: Searches identified 46 publications containing original data, as well as 4 systematic reviews (2 with meta-analyses), plus 29 critiques of various studies and 15 author replies, which together comprised a total of 94 publications. There was overall consistency in conclusions arising from high- and moderate-quality survey data in randomized clinical trials, systematic reviews and meta-analyses, physiological studies, large longitudinal studies, and cohort studies in diverse populations. Those studies found MC has no or minimal adverse effect on sexual function, sensation, or pleasure, with some finding improvements. A consensus from physiological and histological studies was that the glans and underside of the shaft, not the foreskin, are involved in neurological pathways mediating erogenous sensation. In contrast to the higher quality evidence, data supporting adverse effects of MC on function, sensation, or pleasure were found to be of low quality, as explained in critiques of those studies.
    CONCLUSIONS: The consensus of the highest quality literature is that MC has minimal or no adverse effect, and in some studies, it has benefits on sexual functions, sensation, satisfaction, and pleasure for males circumcised neonatally or in adulthood. Morris BJ, Krieger JN. The Contrasting Evidence Concerning the Effect of Male Circumcision on Sexual Function, Sensation, and Pleasure: A Systematic Review. Sex Med 2020;8:577-598.
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  • 文章类型: Journal Article
    Contraception is essential to preventing unintended pregnancy. While contraceptive use has increased significantly over the past decade, discontinuation and gaps in use remain common. Although women cite side effects as the reason for discontinuing or stopping methods, little is known about the specific ways in which contraception affects women\'s sexual experiences. This systematic scoping review aimed to understand how contraceptive-induced side effects relating to women\'s sexual experiences have been measured, classified, and explored in the literature, specifically in low- and middle-income countries (LMICs). Studies were eligible for inclusion if they were peer-reviewed, English-language articles published between 2003 and 2018 that examined women\'s sexual experiences related to their use of modern contraception, including sexual satisfaction, arousal, sexual dysfunction, discomfort, vaginal dryness, sexual frequency, and relationship or partner dynamics. Study populations were restricted to women of reproductive age in LMICs. Twenty-two studies were deemed eligible for inclusion, comprising a range of methods and geographies. Emergent sexual experience themes included: menstrual issues impacting sexual experience; libido; lubrication; sexual pleasure; dyspareunia; and female sexual function. Results highlight the variability in measures used, lack of a women-centred perspective, and void in research outside of high-income countries to study the influence of contraception on women\'s sexual experiences. Very few studies focused on women\'s sexual experiences as the primary outcome or predictor. Providers should adopt woman-centred contraceptive counselling that considers women\'s relationships. Further research is needed to disentangle the nuanced effects of contraception on women\'s sex lives, contraceptive decision-making, and method continuation.
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