Verit Fatma Ferda, Verit Ayhan, Yeni Ercan
Department of Obstetrics & Gynecology, Harran University Medical School, Arastirma ve Uygulama Hastanesi, Sanliurfa 63100, Turkey.
Arch Gynecol Obstet. 2006 Aug;274(5):297-302. doi: 10.1007/s00404-006-0178-3. Epub 2006 May 17.
The aims of the study were to determine the prevalence of sexual dysfunction, its subtypes and associated risk factors in women with chronic pelvic pain (CPP) as compared to a general female population. We evaluated 112 women (mean age 34.73 +/- 8.07; age range 18-50) complaining of CPP with a comprehensive history including female sexual function index (FSFI) and several general assessment questions (GAQs), a complete physical examination and routine laboratory tests. A group of 108 healthy women (mean age 33.28 +/- 7.95; age range 19-52) without CPP were enrolled as cross-sectional controls. According to the general population, the incidence of female sexual dysfunction (FSD) was 67.8% in women with CPP and 32.2% in women without CPP (P < 0.0001). Among 112 CPP patients, 78 (69.6%) of them had FSD and 34 (30.4%) patients did not have FSD in the study (P < 0.0001). In that 78 patients, 42 patients (53.8%) had hypoactive sexual desire disorder, 26 patients (33.3%) had sexual arousal disorder, 17 patients (21.7%) had orgasmic disorder and finally 58 patients (74.3%) had sexual pain disorder. The FSFI scores in both groups were as follows: (patients vs. controls; median value; P value, respectively): desire: 3.31 versus 3.98 (P < 0.0001); arousal: 3.58 versus 4.35 (P < 0.0001); lubrication: 4.20 versus 4.88 (P < 0.0001); orgasm: 3.70 versus 4.48 (P < 0.0001); sexual satisfaction: 3.80 versus 4.64 (P < 0.0001); sexual pain: 2.75 versus 4.98 (P < 0.0001) and total FSFI score: 21.35 versus 27.29 (P < 0.0001). The prevalence of FSD was higher in women with CPP than in a general healthy population not complaining of CPP. Investigation of female sexuality was essential for these patients.
本研究的目的是确定慢性盆腔疼痛（CPP）女性与普通女性人群相比性功能障碍的患病率、其亚型及相关危险因素。我们评估了112名主诉慢性盆腔疼痛的女性（平均年龄34.73±8.07岁；年龄范围18 - 50岁），采用全面的病史采集，包括女性性功能指数（FSFI）和几个一般评估问题（GAQs），进行了完整的体格检查和常规实验室检查。选取108名无慢性盆腔疼痛的健康女性（平均年龄33.28±7.95岁；年龄范围19 - 52岁）作为横断面对照。根据普通人群数据，慢性盆腔疼痛女性中女性性功能障碍（FSD）的发生率为67.8%，无慢性盆腔疼痛女性中为32.2%（P < 0.0001）。在112名慢性盆腔疼痛患者中，78名（69.6%）有性功能障碍，34名（30.4%）患者无性功能障碍（P < 0.0001）。在这78名患者中，42名（53.8%）有性欲减退障碍，26名（33.3%）有性唤起障碍，17名（21.7%）有性高潮障碍，最后58名（74.3%）有性交疼痛障碍。两组的FSFI评分如下：（患者组与对照组；中位数；P值，分别为）：性欲：3.31对3.98（P < 0.0001）；性唤起：3.58对4.35（P < 0.0001）；润滑：4.20对4.88（P < 0.0001）；性高潮：3.70对4.48（P < 0.0001）；性满意度：3.80对4.64（P < 0.0001）；性交疼痛：2.75对4.98（P < 0.0001）；FSFI总分：21.35对27.29（P < 0.0001）。慢性盆腔疼痛女性中女性性功能障碍的患病率高于无慢性盆腔疼痛的普通健康人群。对这些患者进行女性性功能调查至关重要。
