对伴侣患有勃起功能障碍的女性性功能的评估:男性性功能障碍的治疗是否能改善女性伴侣的性功能?

The assessment of sexual functions in women with male partners complaining of erectile dysfunction: does treatment of male sexual dysfunction improve female partner's sexual functions?

作者信息

Cayan Selahittin, Bozlu Murat, Canpolat Bülent, Akbay Erdem

机构信息

Department of Urology, University of Mersin School of Medicine, Mersin, Turkey.

出版信息

J Sex Marital Ther. 2004 Oct-Dec;30(5):333-41. doi: 10.1080/00926230490465091.

Abstract

The aims of this prospective study were to compare sexual functioning between women with male partners who have erectile dysfunction (ED) and women without partners with ED and also to investigate the effect of the treatment of male ED on female partner's sexual function. The study included 87 women and their male partners. We divided the women into two groups: 38 women with male partners complaining of ED (ED group) and 49 women with male partners who have no ED (control group). Of the men with ED, 30 were treated with penile prosthesis implantation (n = 17) or oral sildenafil citrate (n = 13). We evaluated all the men with the International Index of Erectile Function (IIEF; Rosen, Cappelleri, Smith, Lipsky, & Pena, 1999), physical examination, and color penile Doppler ultrasound. We evaluated female sexual function with the Female Sexual Function Index (FSFI; Rosen et al., 2000) to assess sexual desire, arousal, lubrication, orgasm, satisfaction, and pain. We compared female sexual function scores between the women of the male partners with and without ED and also compared before both groups and after the treatment of male partners in the ED group. Additionally, we compare the scores according to the type of treatment given to the male partners. Sexual arousal (p = 0.009), lubrication (p = 0.001), orgasm (p = 0.006), satisfaction (p = 0.000), pain (p = 0.039), and total score (p = 0.003) were highly significantly lower in the ED group than in the control group, although sexual desire did not differ between the two groups (p = 0.515). We investigated the effect of male ED on female sexual functions and found no statistically significant differences in the presence of organic type impotence, older age, and lower erection scores on the IIEF (p = 0.53, p = 0.15, and p = 0.1, respectively). After the treatment of male ED, we observed significant improvement in sexual arousal (p = 0.001), lubrication (p = 0.002), orgasm (p = 0.000), satisfaction (p = 0.000), and pain (p = 0.002) in the women. These findings suggest that female sexual function is affected by male erection status and may improve after the treatment of male sexual dysfunction.

摘要

这项前瞻性研究的目的是比较有勃起功能障碍(ED)男性伴侣的女性与没有ED伴侣的女性之间的性功能,并研究男性ED治疗对女性伴侣性功能的影响。该研究纳入了87名女性及其男性伴侣。我们将女性分为两组:38名女性的男性伴侣主诉有ED(ED组)和49名女性的男性伴侣没有ED(对照组)。在患有ED的男性中,30名接受了阴茎假体植入治疗(n = 17)或口服枸橼酸西地那非治疗(n = 13)。我们使用国际勃起功能指数(IIEF;Rosen、Cappelleri、Smith、Lipsky和Pena,1999)、体格检查和阴茎彩色多普勒超声对所有男性进行评估。我们使用女性性功能指数(FSFI;Rosen等人,2000)评估女性性功能,以评估性欲、性唤起、润滑、性高潮、满意度和疼痛。我们比较了有和没有ED男性伴侣的女性之间的女性性功能评分,还比较了ED组男性伴侣治疗前后两组女性的性功能评分。此外,我们根据给予男性伴侣的治疗类型比较了评分。ED组的性唤起(p = 0.009)、润滑(p = 0.001)、性高潮(p = 0.006)、满意度(p = 0.000)、疼痛(p = 0.039)和总分(p = 0.003)均显著低于对照组,尽管两组之间的性欲没有差异(p = 0.515)。我们研究了男性ED对女性性功能的影响,发现在存在器质性阳痿、年龄较大和IIEF勃起评分较低的情况下,没有统计学上的显著差异(分别为p = 0.53、p = 0.15和p = 0.1)。男性ED治疗后,我们观察到女性的性唤起(p = 0.001)、润滑(p = 0.002)、性高潮(p = 0.000)、满意度(p = 0.000)和疼痛(p = 0.002)有显著改善。这些发现表明,女性性功能受男性勃起状态的影响,男性性功能障碍治疗后可能会改善。

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