Women with schizophrenia experience low rates of sexual satisfaction and high rates of sexual dysfunction. They are at high risk for adverse sexual health outcomes including unplanned pregnancies, induced abortions, and human immunodeficiency virus (HIV), and face higher rates of sexual violence and various forms of intimate partner violence. This review explores the complex and intersecting biopsychosocial risk factors that explain these outcomes among women with schizophrenia, including factors related to the illness itself, antipsychotic medications, medical and psychiatric comorbidities, stigma, childhood trauma, and social determinants of health including poverty and housing instability. Sexual health interventions designed to help women with schizophrenia achieve pleasurable and safe sexual experiences, free of coercion, discrimination and violence are few and far between, suggesting opportunities for future development in this area.

中文翻译：

---

精神分裂症女性的性健康：综述


患有精神分裂症的女性性满意度低，性功能障碍率高。她们面临着不良性健康结果的高风险，包括意外怀孕、人工流产和人类免疫缺陷病毒（HIV），并且面临更高的性暴力和各种形式的亲密伴侣暴力。本综述探讨了复杂且交叉的生物心理社会风险因素，这些因素解释了女性精神分裂症患者的这些结果，包括与疾病本身、抗精神病药物、医疗和精神合并症、耻辱、童年创伤以及健康的社会决定因素（包括贫困和住房不稳定）相关的因素。旨在帮助精神分裂症妇女获得愉快和安全的性体验、免受胁迫、歧视和暴力的性健康干预措施很少，这表明该领域未来的发展机会。