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要知道，某些“好习惯”也可能对怀孕不利

发布日期：2024-07-01 09:52:57编辑：秩名


女儿的一位朋友，有次上家里来玩。两个大女孩聊着聊着就说到了私房话题，在厨房准备做饭的我，听见这个女孩跟女儿说：“我现在这样挺好，也一直没有避孕，也没有刻意怀孕，有了就要，没有就等几年。反正我们还年轻，家里也没催。” 
 
女儿羡慕地说：“没避孕也可以，啧啧！你不会有啥毛病吧？”
 
“怎么会？我们结婚之后就做孕前检查了，不想避孕，麻烦，有了就生，没有不强求，顺其自然吧。”
 
“那为什么没有怀孕？要么你问问我妈妈，别真有什么问题。”
 
“怎么会？我们正常着呢，可能和我们可以避开排卵期有关吧，反正没想要，等要之前再来麻烦余阿姨。”然后女孩的声音小了，但我出于好奇，还是听到了她说的内容，“老同志可认真了，万一咨询完了她盯着我咋办？余阿姨盯着我没事，要是我父母、公婆听到当真了，再盯上我，那可就惨了，我还没玩够呢。”
 
女儿鬼鬼祟祟地看我一眼，我假装在择菜，她也小声附和：“就是，就是，要不是我妈妈盯着，我也不会要这么早的。让我绚烂多彩的青春就这么废了。”
 
然后两个女孩发出一阵笑声。 
 
我不禁莞尔，年轻真好，随她们吧，反正还有时间。想当初，我们那辈人，都是稀里糊涂结婚，稀里糊涂有了孩子，二人世界的时间少到可以忽略不计，现在回想起来，果真有点遗憾。
 
一年后，女孩子很慎重地与丈夫来找我，说打算做一个孕前检查，并决定开始要宝宝。
 
女孩与我约完门诊后，就扔下丈夫去跟我女儿说私房话了。
 
俩女孩一阵挤眉弄眼后，女孩开始抱怨：“你看看，你们都生了，家里老人果真开始催了。得！那就生吧，反正迟早的事，躲也躲不过去。”
 
女儿笑嘻嘻地说：“生吧，生吧，生完有生完的乐趣，你试试就知道了，那粉嘟嘟、软绵绵的小胳膊往你脖子上一圈，你的心都酥了。”
 
女孩子们在一起总有说不完的话题，我很欣慰，无论她们如何长不大，她们总能自觉地回到正常的生活轨道，承担自己所应有的责任与义务。
 
这个女孩子和丈夫的身体非常好，很适合要孩子，我对他们进行了简单的孕前注意事项告知后，就让他们回去了。
 
我本以为很快就能传来喜讯，可谁知半年多后，女孩子再次来找我，与之前青春洋溢的她不同，她变得焦躁不安，还有些颓废。当时我的心里一紧，以为出了什么意外，但又不能直接询问，正在我纠结该如何开口时，女孩子首先开了口：“余阿姨，做人咋这么难呢，做女人更难啊！”
 
原来，女孩做完孕前检查后，就开始备孕，然而与之前一样，找排卵期的方法使用了若干，也没有动静，于是，原本对生孩子的事情抱有顺其自然心态的小夫妻就不那么淡定了。越紧张，越在意，就越不淡定，最后决定来找我。
 
我并没有建议他们再做检查，因为女孩的心绪现在很不平静，与她做做沟通，等她能正确看待怀孕这件事本身就不是百发百中的事之后，再进行门诊诊断或许更好。
 
与之前的备孕要点更倾向于自身健康调节不同，这次我很仔细地告诉他们提高受孕概率的一些方法，包括性生活方面。
 
整个谈话过程女孩都比较沉闷，突然，她激动起来：“等等，余阿姨，您再给我说说精液池的事情。” 
 
我忽然有些明白问题出在哪里了。出于中国人的传统意识，一般在备孕咨询时，我很少会谈到性生活方面的注意事项，因为这个话题太过私密，作为重点拿出来说似乎有些不知该如何开口，只有遇到真正有问题的患者时，才会详细说明。
 
我认真地告诉女孩子：“在性生活时，应尽量形成精液池，并在事后平躺卧床休息1个小时后再下地活动。”
 
“这样啊！”女孩懊恼地拍着头，“可是您之前不是说，在同房后应尽量排点尿吗？”
 
啊！我想起来了，这个谈话出现在女孩新婚蜜月之初。她新婚不到一周，就因急性尿路感染而找过我，当时我给她的建议是，性生活后，女性应尽量排点尿，再进行清洗。 
 
据统计，已婚女性尿路感染的发病率是同龄未婚女性的两倍以上。在有尿路刺激症状的女性中，40%与性生活有关。可见，性生活在女性尿路感染者的发病中扮演着重要角色。这主要因为女性特殊的生殖器结构而造成的。女性的尿道较男性短且宽，细菌易于进入。而且，女性的尿道口与阴道和肛门邻近，无论是阴道还是肛门周围，都有大量细菌，阴道的分泌物也是一种较好的培养基，使细菌更容易繁殖。许多女性在性交期间或性交后立即会有排尿的强烈要求，出现尿急、排尿困难、尿频等症状，如蜜月型膀胱炎，即为典型的例子。
 
这个女孩就是典型的蜜月病，所以我才有此建议，性生活后马上排尿能让尿发挥其冲洗尿道的作用，并对外阴进行清洗，减少细菌的滋生。没想到，她一直坚持至今。事实上，这在正常的夫妻生活中是个很好的习惯，有利于降低尿路感染的概率。但若想要怀孕，则就非常不适合了。
 
因为性生活后马上排尿，会让精液迅速流出，而剩余在阴道中的精子会非常少，在“长途跋涉”的过程中，它们往往会“全军覆没”。
 
另一方面，因为立式体位及坐式体位能很好地刺激女性阴蒂，会更容易让女性达到高潮，更利于夫妻间的性和谐。所以很多年轻夫妻都比较喜欢采用这些体位。这个女孩恰恰也是这些体位的爱好者。上章我们已经说过，这些体位有利于性和谐，却很不利于受孕，由于性行为时女性的生殖器官下垂，阴道口开放，性行为终止后绝大多数精液伴随着阴茎的抽出而溢出体外，此时怀孕概率是极低的。那么，采取本来就不能形成精液池的体位，再加上事后的排尿习惯，使得精子大量排出女孩体外，两件在平时看起来非常健康的性生活习惯，却成了这个女孩不孕的罪魁祸首。
 
经过我详细地解释后，女孩茫然地问我：“体位的事情我一定要改，但排尿的习惯改了我怕再次引起尿路感染，上次折腾怕了。”
 
说到这个问题，我想很多女性都有这样的担忧。事实上，即使没有在性生活后排尿及清洗习惯的女性，有时候在性生活后也会有尿意。这是因为女性的阴道与尿道比较近，而阴道、阴蒂受刺激时，可能尿道和膀胱同样受刺激，从而产生尿意。
 
不过，这也是可以避免的。除了在性生活前排尿之外，在有条件的情况下，夫妻双方性生活前应进行沐浴或对会阴部进行清洗。丈夫的外生殖器的清洗有时常被忽视，而阴茎包皮下的尿垢中含有大量的细菌，这往往是妻子尿路感染及阴道炎的直接原因。
 
在性生活结束后，女性应平躺静卧一小时，最好在臀部垫一个枕头，抬高臀部，尽量让宫颈浸泡在精液中，给精子留足够的时间和机会，好奔赴与卵子的约会。
 
一小时后，再进行排尿、清洗，清洗时不宜使用香皂等碱性洗涤用品。平时，备孕期的女性应多喝水，以增加排尿次数，防止尿路感染。而平时擦拭阴部时，应选择干净、安全的卫生纸，并从前往后擦拭，以免将肛门周围细菌带入尿道口。而月经期更易滋生细菌，应注意阴部的清洁，选用安全、放心的卫生巾，并养成勤换的习惯，更换卫生巾的频率最好不要超过6小时，否则容易引发泌尿系统感染，进而影响您的造人大计。
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