尽管许多研究已经检查了性交过程中疼痛的相关性,很少有研究研究为什么女性尽管有痛苦却发生性行为,以及为什么她们避免告诉伴侣。
我们研究的目的是检查女性关于痛苦性行为的报告,包括疼痛的位置,他们是否告诉了他们的搭档,与不透露疼痛相关的因素,以及他们不披露的理由。
我们使用了2018年全国性健康和行为调查的数据,对2,007名年龄在14至49岁之间的人进行了基于概率的在线调查。我们将我们的样本限于在过去一年中报告过痛苦的性经历的成年女性(n=382;23.2%)。定量分析的主要结果是女性是否告诉伴侣她们在性生活中经历了疼痛。通过逻辑回归研究了与社会身份和性健康的关联。那些没有告诉伴侣痛苦的性行为的人被问到为什么;他们的账户被编码和定性分析。
女人被问到,“这种性经历对你身体上的痛苦有多大?”那些报告疼痛的人被问到,“你有没有告诉你的伴侣你在做爱时很痛苦?”如果适用,“你为什么不告诉你的伴侣你在做爱过程中疼痛?”
在那些报告性交过程中疼痛的人中,大多数人表示“有点痛苦”(81.6%),发生在阴道入口处(31.5%),阴道内(34.4%),或在子宫颈或周围(17.4%)。总的来说,51.0%(n=193/382)告诉他们的伴侣他们的疼痛。调整年龄和欲望,报告很少或没有事件级别的性快感的女性没有将痛苦的性行为告诉伴侣的几率高出近3倍(调整后的优势比=3.24;95%CI,1.43~7.37).正常化痛苦的性爱,认为疼痛无关紧要,优先考虑伴侣的享受,性别互动压力是女性叙事的主要主题。
提供者应该询问痛苦的性行为,如果女人尽管疼痛仍继续性交,以及她对此的看法,作为评估任何性和社会压力的一种手段。
优势包括在具有全国代表性的调查研究中使用社会理论来研究环境因素如何影响性健康,但是经验在很大程度上仅限于异性恋互动。
许多女性不与伴侣讨论痛苦的性行为,在这个群体中,缺乏快乐的可能性更大,性别规范和文化脚本对于理解原因至关重要。卡特A,福特合资企业,LuetkeM,etal.“满足他的需要,“不是我的”:在美国具有全国代表性的女性样本中,不谈论痛苦的性行为和缺乏快乐的联想的原因。JSexMed2019;16:1953-1965。
Although much research has examined correlates of pain during sex, far less research has examined why women have sex despite having pain and why they avoid telling their partner.
The purpose of our study was to examine women\'s reports of painful sex, including location of pain, whether they told their partner, factors associated with not disclosing their pain, and their reasons for not disclosing.
We used data from the 2018 National Survey of Sexual Health and Behavior, a probability-based online survey of 2,007 individuals ages 14 to 49 years. We limited our sample to adult women who reported a sexual experience that was painful in the past year (n = 382; 23.2%). The primary outcome in quantitative analyses was whether women told their partner they experienced pain during sex. Associations with social identities and sexual health were explored via logistic regression. Those who did not tell their partner about painful sex were asked why; their accounts were coded and analyzed qualitatively.
Women were asked, \"To what extent was this sexual experience physically painful for you?\" Those who reported any pain were asked, \"Did you tell your partner that you were in pain during sex?\" and, if applicable, \"Why didn\'t you tell your partner that you were in pain during sex?\"
Of those reporting pain during sex, most said it was \"a little painful\" (81.6%) and occurred at the vaginal entrance (31.5%), inside the vagina (34.4%), or at or around the cervix (17.4%). Overall, 51.0% (n = 193/382) told their partner about their pain. Adjusting for age and wantedness, women who reported little or no event-level sexual pleasure had nearly 3-fold greater odds of not telling a partner about painful sex (adjusted odds ratio = 3.24; 95% CI, 1.43-7.37). Normalizing painful sex, considering pain to be inconsequential, prioritizing the partner\'s enjoyment, and gendered interactional pressures were the predominant themes in women\'s narratives.
Providers should ask about painful sex, if the woman continues intercourse despite pain, and how she feels about this as a means of assessing any sexual and social pressures.
Strengths include the use of social theory in nationally representative survey research to examine how contextual factors influence sexual health, but experiences were largely limited to heterosexual interactions.
Many women do not discuss painful sex with their partners, lack of pleasure is significantly more likely among this group, and gender norms and cultural scripts are critical to understanding why. Carter A, Ford JV, Luetke M, et al. \"Fulfilling His Needs, Not Mine\": Reasons for Not Talking About Painful Sex and Associations with Lack of Pleasure in a Nationally Representative Sample of Women in the United States. J Sex Med 2019; 16:1953-1965.