Prins M A, Woertman L, Kool M B, Geenen R
Department of Clinical and Health Psychology, Utrecht University, Utrecht, The Netherlands.
Clin Exp Rheumatol. 2006 Sep-Oct;24(5):555-61.
To examine sexual functioning at the specific phases of the sexual response cycle among women with fibromyalgia.
The Questionnaire for screening Sexual Dysfunctions - Short Form (QSD-SF) was filled out by 63 premenopausal, heterosexual women with fibromyalgia (age: 21-54 years) who were recruited at meetings of regional patient associations.
The women with fibromyalgia did not differ from healthy women of an age reference group with respect to functioning in the excitement and the orgasm phases, but reported more problems with sexual desire and satisfaction, more pain in their body, and insensitivity (but not pain) in their genitals before, during or after having sex. Mental distress, but not pain, was a significant predictor of virtually all aspects of sexual dysfunction.
Our study generates the hypothesis that the psychological but not the physiological aspect of the sexual response cycle is more disturbed than normal in fibromyalgia. This finding needs confirmation in a more representative population.
研究纤维肌痛女性在性反应周期特定阶段的性功能状况。
63名绝经前、异性恋的纤维肌痛女性（年龄21 - 54岁）在地区患者协会会议上被招募，她们填写了性功能障碍筛查问卷简表（QSD - SF）。
纤维肌痛女性在兴奋期和高潮期的功能与年龄匹配的健康女性无异，但报告有更多性欲和性满意度问题，身体疼痛更多，以及在性交前、中、后生殖器感觉迟钝（但无疼痛）。心理困扰而非疼痛是几乎所有性功能障碍方面的显著预测因素。
我们的研究提出了一个假设，即纤维肌痛患者性反应周期的心理而非生理方面比正常情况受到的干扰更大。这一发现需要在更具代表性的人群中得到证实。
