Verit Fatma Ferda, Verit Ayhan, Billurcu Nazire
Department of Obstetrics and Gynecology, Harran University Faculty of Medicine, Arastirma ve Uygulama Hastanesi, TR-63100 Sanliurfa, Turkey.
Maturitas. 2009 Sep 20;64(1):38-42. doi: 10.1016/j.maturitas.2009.07.002. Epub 2009 Jul 24.
To investigate the low sexual function and its associated risk factors in pre- and postmenopausal women without clinically significant depression.
Cross-sectional study with 180 women aged between 19 and 60 years who admitted to our outpatient clinic. Sexual function was assessed by female sexual function index and clinically significant depression was measured by Beck depression inventory test.
The rate of low sexual function was 85.9% in postmenopausal (OR 2.9, 95% CI 1.8-4.8) and 47.7% in premenopausal women (OR 0.4, 95% CI 0.3-0.5) (p<0.0001). The postmenopausal group reported significantly lower desire, arousal, lubrication, orgasm, satisfaction and pain scores than controls (p<0.0001, for all of them). Low sexual function was positively correlated with age (r=0.37, p<0.0001), menopausal status (r=0.40, p<0.0001), gravidity (r=0.44, p<0.0001), parity (r=0.43, p<0.0001), abortion rates (r=0.27, p=0.001) and marriage period (r=0.40, p<0.0001). There were also significant negative correlations between low sexual function and education (r=-0.39, p<0.0001) and family income (r=-0.29, p<0.0001). However, multivariate regression analysis demonstrated that education, family income and menopausal status were the only independent variables for low sexual function after adjusted for age, gravidity, parity, abortion, marriage period and menopausal status.
Low sexual function was relatively high in postmenopausal women without clinically significant depression. Education, family income and menopausal status were the independent risk factors for low sexual function. Investigation of female sexuality was essential for these patients.
调查无临床显著抑郁的绝经前和绝经后女性的性功能低下及其相关危险因素。
对180名年龄在19至60岁之间、前来我院门诊就诊的女性进行横断面研究。通过女性性功能指数评估性功能，通过贝克抑郁量表测试测量临床显著抑郁。
绝经后女性性功能低下率为85.9%（比值比2.9，95%可信区间1.8 - 4.8），绝经前女性为47.7%（比值比0.4，95%可信区间0.3 - 0.5）（p<0.0001）。绝经后组报告的性欲、性唤起、润滑、性高潮、满意度和疼痛评分显著低于对照组（所有均p<0.0001）。性功能低下与年龄（r = 0.37，p<0.0001）、绝经状态（r = 0.40，p<0.0001）、妊娠次数（r = 0.44，p<0.0001）、产次（r = 0.43，p<0.0001）、流产率（r = 0.27，p = 0.001）和婚姻时长（r = 0.40，p<0.0001）呈正相关。性功能低下与教育程度（r = -0.39，p<0.0001）和家庭收入（r = -0.29，p<0.0001）也存在显著负相关。然而，多因素回归分析表明，在调整年龄、妊娠次数、产次、流产、婚姻时长和绝经状态后，教育程度、家庭收入和绝经状态是性功能低下的仅有的独立变量。
在无临床显著抑郁的绝经后女性中，性功能低下较为常见。教育程度、家庭收入和绝经状态是性功能低下的独立危险因素。对这些患者进行女性性征调查至关重要。
