Ferrero Simone, Abbamonte Luiza Helena, Giordano Margherita, Parisi Mauro, Ragni Nicola, Remorgida Valentino
Department of Obstetrics and Gynecology, San Martino Hospital and University of Genoa, Genoa, Italy.
Fertil Steril. 2006 Nov;86(5):1504-10. doi: 10.1016/j.fertnstert.2006.04.025.
To determine the prevalence of deep dyspareunia (DD) and characteristics of sexual life in women with uterine myomas.
Cross-sectional survey.
University hospital.
PATIENT(S): Three hundred seven sexually active premenopausal women who underwent surgery because of uterine myomas (group M, n = 132), uterine myomas and ovarian cysts (group MC, n = 84), ovarian cysts (group C, n = 67), and tubal sterilization (group S, n = 24). Exclusion criteria were as follows: endometriosis, pelvic inflammatory disease, interstitial cystitis, and preoperative treatment with GnRH analogues.
INTERVENTION(S): Before surgery, patients underwent transvaginal ultrasound; number and characteristics of myomas were recorded.
MAIN OUTCOME MEASURE(S): The presence and intensity of DD were determined. Patients completed a sexual-function questionnaire.
RESULT(S): Patients included in the four groups had similar DD prevalence and DD intensity. No significant difference was observed in DD prevalence and pain intensity according to the number, position, and size of myomas. Deep dyspareunia intensity was higher in women with fundal and anterior myomas than in those with other myoma positions. No significant difference was observed in sexual function among the four study groups.
CONCLUSION(S): Women with uterine myomas do not have increased prevalence or severity of DD; their sexual function is not impaired.
确定子宫肌瘤女性中深部性交痛（DD）的患病率及性生活特征。
横断面调查。
大学医院。
307名因子宫肌瘤接受手术的性活跃绝经前女性（肌瘤组，n = 132）、子宫肌瘤合并卵巢囊肿患者（肌瘤合并囊肿组，n = 84）、卵巢囊肿患者（囊肿组，n = 67）及输卵管绝育术患者（绝育组，n = 24）。排除标准如下：子宫内膜异位症、盆腔炎、间质性膀胱炎及术前使用GnRH类似物治疗。
手术前，患者接受经阴道超声检查；记录肌瘤的数量及特征。
确定DD的存在及强度。患者完成性功能问卷。
四组患者的DD患病率及DD强度相似。根据肌瘤的数量、位置及大小，DD患病率及疼痛强度未观察到显著差异。宫底部和前壁肌瘤女性的深部性交痛强度高于其他肌瘤位置的女性。四个研究组的性功能未观察到显著差异。
子宫肌瘤女性的DD患病率及严重程度未增加；其性功能未受损。
