Geiss I M, Umek W H, Dungl A, Sam C, Riss P, Hanzal E
Department of Obstetrics and Gynecology, LKH Mödling, Mödling, Austria.
Urology. 2003 Sep;62(3):514-8. doi: 10.1016/s0090-4295(03)00487-4.
To evaluate the prevalence of female sexual dysfunction (FSD) in an outpatient gynecologic and urogynecologic clinic using the current International Consensus Classification.
One hundred fifty-nine patients were asked to answer an anonymous survey about FSD. Patients in the gynecologic (group 1) and urogynecologic (group 2) clinics were compared.
The mean age in group 1 was 37.8 years (range 20 to 76) and in group 2 was 55.7 years (range 18 to 82). The prevalence of FSD was 50% in group 1 and 48% in group 2; 86% of group 1 and 66% of group 2 patients had been sexually active within the past 2 years. The differences found in FSD according to the consensus panel classification achieved no significance. Of the 159 patients, 96% were not embarrassed by filling out this questionnaire about their sexual function.
No statistically significant difference in FSD was found between the younger and older patients seeking help in a gynecologic or urogynecologic outpatient clinic. Because of the high incidence of FSD, we recommend integrating the inquiry about female sexual health concerns into routine gynecologic care. The simple survey based on the International Consensus Conference Classification of FSD gives reliable results, and this systematic framework facilitates methodologic examination.
使用当前国际共识分类法评估妇科和泌尿妇科门诊中女性性功能障碍（FSD）的患病率。
159名患者被要求回答一份关于FSD的匿名调查问卷。对妇科诊所（第1组）和泌尿妇科诊所（第2组）的患者进行比较。
第1组的平均年龄为37.8岁（范围20至76岁），第2组为55.7岁（范围18至82岁）。第1组FSD的患病率为50%，第2组为48%；第1组86%的患者和第2组66%的患者在过去2年内有性活动。根据共识小组分类法发现的FSD差异无统计学意义。在159名患者中，96%的患者填写这份关于其性功能的问卷时并不感到尴尬。
在妇科或泌尿妇科门诊寻求帮助的年轻和老年患者中，未发现FSD有统计学上的显著差异。由于FSD的高发病率，我们建议将对女性性健康问题的询问纳入常规妇科护理中。基于国际共识会议FSD分类法的简单调查能得出可靠结果，且这个系统框架便于进行方法学检查。
