有经前症状的女性的性满足。

Sexual satisfaction in females with premenstrual symptoms.

机构信息

Department of Women' Disease Control and Prevention, The Medical University of Silesia, Katowice, Poland.

出版信息

J Sex Med. 2010 Nov;7(11):3589-97. doi: 10.1111/j.1743-6109.2010.01927.x.

DOI:10.1111/j.1743-6109.2010.01927.x

PMID:20646188

Abstract

INTRODUCTION

The impact of premenstrual symptoms, such as the premenstrual syndrome (PMS) and the premenstrual dysphoric disorder (PMDD), on sexual satisfaction, sexual distress, and sexual behaviors has not yet been established.

AIMS

To assess the correlates and risk factors of sexual satisfaction and to evaluate sexual behaviors among Polish women with premenstrual symptoms.

METHODS

2,500 females, aged 18 to 45 years, from the Upper Silesian region of Poland were eligible for the questionnaire-based, prospective population study. All the inclusion criteria were met by 1,540 women who constituted the final study group. The participants were further divided into two subgroups: PMS+ (749 females) and PMS- (791 healthy subjects). Two additional subgroups were created: PMDD+ encompassing 32 subjects diagnosed with PMDD, and PMDD- comprising 32 healthy women, matched to the PMDD+ females for age, marital status, education level, employment status, place of living, and body mass index. A multiple logistic regression analysis was performed to evaluate the influence of PMS on sexual satisfaction and adjust for potential confounders.

MAIN OUTCOME MEASURE

To evaluate risk factors for sexual dissatisfaction in a population of Polish females of reproductive age, diagnosed with PMS and PMDD.

RESULTS

Women from the PMS+ group were less sexually satisfied than PMS- (77.73% vs. 88.66%, P=0.001) and reported more sexual distress (28.65% vs. 15.24%, P=0.001). There were no significant differences in sexual satisfaction between PMDD- and PMDD+. Sexual satisfaction correlated positively with a higher frequency of sexual intercourses and a higher level of education. The presence of PMS correlated negatively with sexual satisfaction, even after adjusting for potential confounders in the multivariate logistic regression model (odds ratio=0.48; confidence interval: 0.26-0.89; P=0.02).

CONCLUSIONS

The presence of PMS is a risk factor for sexual dissatisfaction in Polish women of reproductive age.

摘要

简介

经前期症状（例如经前期综合征（PMS）和经前期烦躁障碍（PMDD））对性满意度、性困扰和性行为的影响尚未确定。

目的

评估性满意度的相关因素和危险因素，并评估波兰有经前期症状的女性的性行为。

方法

2500 名年龄在 18 至 45 岁之间的女性符合基于问卷的前瞻性人群研究的条件。所有纳入标准均符合条件的 1540 名女性构成了最终的研究组。参与者进一步分为两组：PMS+（749 名女性）和 PMS-（791 名健康受试者）。另外创建了两个亚组：PMDD+纳入 32 名被诊断为 PMDD 的女性，PMDD-包括 32 名健康女性，与 PMDD+女性在年龄、婚姻状况、教育程度、就业状况、居住地和体重指数方面相匹配。进行多因素逻辑回归分析，以评估 PMS 对性满意度的影响，并调整潜在的混杂因素。

主要观察结果

评估波兰育龄女性人群中患有 PMS 和 PMDD 的女性发生性不满的危险因素。

结果

与 PMS-（77.73% vs. 88.66%，P=0.001）相比，PMS+组的女性性满意度较低，并且报告性困扰更多（28.65% vs. 15.24%，P=0.001）。PMDD-和 PMDD+之间的性满意度无显着差异。性满意度与性频率较高和教育程度较高呈正相关。即使在多变量逻辑回归模型中调整潜在混杂因素后，存在 PMS 也与性满意度呈负相关（比值比=0.48；置信区间：0.26-0.89；P=0.02）。