Pauls Rachel N, Segal Jeffrey L, Silva W Andre, Kleeman Steven D, Karram Mickey M
Division of Urogynecology and Reconstructive Pelvic Surgery, Good Samaritan Hospital, 375 Dixmyth Avenue, Cincinnati, OH 45220, USA.
Int Urogynecol J Pelvic Floor Dysfunct. 2006 Nov;17(6):576-80. doi: 10.1007/s00192-006-0070-5. Epub 2006 Jun 8.
The purpose of this study was to evaluate sexual function in women referred to a urogynecology practice. All new patients were mailed an optional female sexual function index (FSFI) in conjunction with their history forms; other sexual function information was obtained during the physician interview. Over 6 months, four hundred fifty new patients were enrolled. Of these, 243 (54%) were not sexually active. Reasons listed for sexual inactivity included partner problems/no partner (32%), low desire (14%), prolapse (10%), and pain (10%). There were several differences between sexually active and non-sexually active participants; however, after a multivariate analysis, only age, marital status, and stage/grade 1-2 of prolapse remained significant. One hundred nine sexually active patients completed the FSFI; the majority was sexually active two to four times per month. Female sexual dysfunction was noted in 70 (64%) patients. Lowest scores were noted for the domain of desire, followed by arousal, orgasm, lubrication, satisfaction, and pain. Reduced frequency of intercourse was the only factor significantly associated with dysfunction. Ninety-four percent were not embarrassed by the survey. Overall, sexual inactivity is common in patients presenting for urogynecologic care. Those that are sexually active report low rates of sexual activity and high rates of sexual dysfunction. Most sexually active patients will accept a sexual function questionnaire as part of their routine assessment.
本研究的目的是评估因泌尿妇科问题前来就诊的女性的性功能。所有新患者在收到病史表格的同时，还收到一份可选择填写的女性性功能指数（FSFI）；其他性功能信息则在医生问诊时获取。在6个月的时间里，共招募了450名新患者。其中，243名（54%）没有性活动。列出的无性活动原因包括伴侣问题/没有伴侣（32%）、性欲低下（14%）、子宫脱垂（10%）和疼痛（10%）。性活跃和性不活跃参与者之间存在一些差异；然而，经过多变量分析后，只有年龄、婚姻状况以及子宫脱垂的1-2期/分级仍然具有显著性。109名性活跃患者完成了FSFI；大多数人每月有两到四次性活动。70名（64%）患者存在女性性功能障碍。欲望领域的得分最低，其次是性唤起、性高潮、润滑、满意度和疼痛。性交频率降低是与性功能障碍显著相关的唯一因素。94%的患者对该调查并不感到尴尬。总体而言，在因泌尿妇科问题就诊的患者中，无性活动情况很常见。那些有性活动的患者报告称性活动频率较低且性功能障碍发生率较高。大多数有性活动的患者会接受将性功能问卷作为其常规评估的一部分。
