Sukan Meltem, Maner Fulya
Department II for Anxiety Disorders, Bakirköy State Teaching and Research Hospital of Psychiatry and Neurological Sciences, Bakirköy, Istanbul, Turkey.
J Sex Marital Ther. 2007 Jan-Feb;33(1):55-64. doi: 10.1080/00926230600998482.
Skin has an erogenic function, and skin lesions can have negative impact on sexual life and relationships with others. We compared fifty vitiligo patients and fifty chronic urticaria patients with fifty healthy controls to assess sexual functions; we used Arizona Sexual Experience Scale (ASEX; Mcgahuey, Gelenberg, Laukes, Moreno; & Delgado, 2000). Among females, sexual drive scores of the vitiligo and chronic urticaria groups were significantly lower than those of controls. Vitiligo and chronic urticaria groups experienced significantly more difficulties in sexual arousal and higher failure in attaining and maintaining the lubrication-swelling response of sexual excitement until the completion of sexual act than did controls. Females in the vitiligo and chronic urticaria patient groups had more difficulties in reaching orgasm than did healthy controls. Furthermore, satisfaction from orgasm of the patient groups was significantly less than controls. The total scores of the ASEX in female patient groups were significantly higher than those among controls. Satisfaction from orgasm in male patient group was less than controls. In males, other subitems of ASEX between the patient groups and controls were not significant. This study demonstrated that chronic skin diseases such as vitiligo and chronic urticaria have negative impacts on sexual life.
皮肤具有性唤起功能,皮肤病变会对性生活及与他人的关系产生负面影响。我们将50名白癜风患者、50名慢性荨麻疹患者与50名健康对照者进行比较,以评估性功能;我们使用了亚利桑那性体验量表(ASEX;Mcgahuey、Gelenberg、Laukes、Moreno和Delgado,2000年)。在女性中,白癜风组和慢性荨麻疹组的性欲得分显著低于对照组。与对照组相比,白癜风组和慢性荨麻疹组在性唤起方面遇到的困难明显更多,在性兴奋的润滑-肿胀反应达到并维持到性行为结束方面失败率更高。白癜风和慢性荨麻疹患者组的女性达到性高潮比健康对照组更困难。此外,患者组性高潮的满意度显著低于对照组。女性患者组ASEX的总分显著高于对照组。男性患者组性高潮的满意度低于对照组。在男性中,患者组和对照组之间ASEX的其他子项目差异不显著。这项研究表明,白癜风和慢性荨麻疹等慢性皮肤病会对性生活产生负面影响。