更强壮的盆底肌肉能改善性功能吗？
Can stronger pelvic muscle floor improve sexual function?
作者信息
Lowenstein Lior, Gruenwald Ilan, Gartman Irena, Vardi Yoram
机构信息
Department of Obstetrics and Gynecology, Rambam Medical Center, Haifa, Israel.
出版信息
Int Urogynecol J. 2010 May;21(5):553-6. doi: 10.1007/s00192-009-1077-5. Epub 2010 Jan 20.
INTRODUCTION AND HYPOTHESIS
This study aims to evaluate the association between pelvic floor muscle (PFM) strength and sexual functioning.
METHODS
Retrospective chart review of consecutive all women who were referred with a primary complaint of sexual dysfunction. Women underwent standardized clinical evaluation including pelvic muscle strength which was ranked from 0 (weak) to 2 (strong). The duration of pelvic muscle contraction was also recorded in seconds. Sexual function was evaluated by using a validated questionnaire, the Female Sexual Function Index (FSFI).
RESULTS
One hundred seventy-six women with a mean age of 37 +/- 11 years were included. Women with strong or moderate PFM scored significantly higher on the FSFI orgasmic and arousal domains than women with weak PFM (5.4 +/- 0.8 vs. 2.8 +/- 0.8, and 3.9 +/- 0.5 vs. 1.7 +/- 0.24, respectively; P < 0.001). The duration of PFM contraction was correlated with FSFI orgasmic domain and sexual arousal (r = 0.26, P < 0.001; r = 0.32, P < 0.0001, respectively).
CONCLUSIONS
Our findings suggest that both the orgasm and arousal function are related to better PFM function.
引言与假设
本研究旨在评估盆底肌肉（PFM）力量与性功能之间的关联。
方法
对所有因性功能障碍为主诉前来就诊的连续女性患者进行回顾性病历审查。女性患者接受标准化临床评估，包括将盆底肌肉力量从0（弱）到2（强）进行分级。盆底肌肉收缩的持续时间也以秒为单位记录。性功能通过一份经过验证的问卷——女性性功能指数（FSFI）进行评估。
结果
纳入了176名平均年龄为37±11岁的女性。盆底肌肉力量强或中等的女性在FSFI的性高潮和性唤起领域的得分显著高于盆底肌肉力量弱的女性（分别为5.4±0.8对2.8±0.8，以及3.9±0.5对1.7±0.24；P<0.001）。盆底肌肉收缩的持续时间与FSFI的性高潮领域和性唤起相关（分别为r = 0.26，P<0.001；r = 0.32，P<0.0001）。
结论
我们的研究结果表明，性高潮和性唤起功能均与更好的盆底肌肉功能相关。
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