Associazione Ostetrici Ginecologi Ospedalieri Italiani, Perugia, Italy.
Climacteric. 2010 Oct;13(5):447-56. doi: 10.3109/13697130903491026.
To analyze the sexuality of Italian menopausal women.
Cross-sectional study.
Menopausal women consecutively observed during the study period in menopause clinics.
Women were interviewed about their current and premenopausal sexual activity: sexual intercourse frequency and self-rated sexual desire, capacity for orgasm and sexual satisfaction were recorded. Women were defined as having poor sexual functioning if they had one or less sexual intercourses per week or answered 'absent/poor' to the questions about the sexual domains.
Oral hormone therapy (HT) use (odds ratio (OR) 0.43 for desire, 0.54 for orgasm and 0.56 for overall sexual satisfaction, all p < 0.001) and transdermal HT (OR 0.38, 0.53 and 0.53, respectively, all p < 0.001) were significantly associated with lower risk of poor sexual functioning. Higher physical and mental component scores (PCS and MCS, range 0-100) of the Short Form-12 are inversely related to poor sexual functioning (OR by point 0.96, 0.95, 0.95 for PCS and 0.96, 0.96 and 0.95, for MCS, respectively, all p < 0.001). Pain during and symptoms after sexual intercourse were significantly related to desire (OR 1.96 and 1.78, respectively), orgasm (OR 2.22 and 2.06, respectively) and sexual satisfaction (OR 2.02 and 1.79, respectively). The partner's health problems were associated with low sexual intercourse frequency (OR 4.18, p < 0.001) and absent/poor overall satisfaction (OR 2.61, p < 0.001).
This study shows that, in menopausal Italian women attending menopause clinics, sexual function is associated with the quality of sexual life in reproductive age, partner's health status, current quality of life, HT and occurrence of pain during and symptoms after sexual intercourse.
分析意大利绝经后女性的性生活状况。
横断面研究。
在绝经诊所就诊的连续观察到的绝经后女性。
对女性进行当前和绝经前性生活的访谈：记录性交频率和自我评估的性欲、性高潮能力和性满意度。如果女性每周进行一次或更少的性交或对性领域的问题回答“不存在/较差”，则定义为存在较差的性功能。
口服激素治疗（HT）的使用（性欲的比值比（OR）为 0.43，性高潮的 OR 为 0.54，总体性满意度的 OR 为 0.56，均 p < 0.001）和经皮 HT（OR 分别为 0.38、0.53 和 0.53，均 p < 0.001）与较低的性功能障碍风险显著相关。健康调查简表 12 项的身体和精神分量表评分（PCS 和 MCS，范围 0-100）较低与较差的性功能障碍呈负相关（每增加一个点的 OR 为 0.96、0.95、0.95，用于 PCS，OR 为 0.96、0.96 和 0.95，用于 MCS，均 p < 0.001）。性交过程中和性交后疼痛与性欲（OR 分别为 1.96 和 1.78）、性高潮（OR 分别为 2.22 和 2.06）和性满意度（OR 分别为 2.02 和 1.79）显著相关。伴侣的健康问题与较低的性交频率（OR 为 4.18，p < 0.001）和较差的总体满意度（OR 为 2.61，p < 0.001）相关。
本研究表明，在参加绝经诊所的意大利绝经后女性中，性功能与生殖年龄的性生活质量、伴侣的健康状况、当前生活质量、HT 和性交过程中和性交后出现的疼痛相关。
