Okeahialam B N, Ogbonna C
Department of Medicine, Jos University Teaching Hospital, Jos, Nigeria.
West Afr J Med. 2010 Sep-Oct;29(5):344-8.
the effect of hypertension and its treatment on female sexual function is largely unexplored especially in Africa. However in practice, cases abound where consequent sexual dysfunction leads to poor or non-adherence with catastrophic results. Believing that like in males, hypertension and its treatment should affect female sexual function; we set out using a structured questionnaire to study the subject as it affects women.
to examine the relationship between hypertension and female sexual functions of arousal, lubrication and orgasm.
five hundred questionnaires were distributed to consenting Nigerian women after ethical clearance was obtained. Information sought included demographics, menstrual history, medical treatment and sexual function.
a total of 454 returned questionnaires were analysable. Out of this, 109(24%) admitted to being hypertensive, 89 of whom were on treatment. Hypertension was related to difficulty with sustaining sexual excitement (p=0.03), decreased sexual thoughts (p=0.003), poor rating of marriages (p=0.03), difficulty being excited by fantasies (p=0.0001), increased vaginal dryness in the preceding one year (p=0.02), reduced frequency of sexual contact in the last one year (p=0.04) and rejection of partner sexual advance (p=0.05). The proportion of women in regular sexual relationship was less among the hypertensive group (p=0.02). Use of drugs produced significant sexual unpleasantness (p=0.03).
hypertension and its treatment may produce female sexual dysfunction, and should be considered in managing the female hypertensive. By so doing, quality of life can be maintained; and compliance improved upon. The cumulative effect would be improvement in blood pressure control, with its attendant reduction in morbidity and mortality from hypertension.
高血压及其治疗对女性性功能的影响在很大程度上尚未得到充分研究，尤其是在非洲。然而在实际情况中，因性功能障碍导致依从性差或不依从并产生灾难性后果的案例屡见不鲜。鉴于我们认为与男性一样，高血压及其治疗会影响女性性功能，因此我们着手使用结构化问卷对这一影响女性的问题进行研究。
探讨高血压与女性性唤起、润滑和性高潮功能之间的关系。
在获得伦理批准后，向500名同意参与的尼日利亚女性发放问卷。所收集的信息包括人口统计学特征、月经史、治疗情况和性功能。
共454份回收问卷可用于分析。其中，109人（24%）承认患有高血压，其中89人正在接受治疗。高血压与维持性兴奋困难（p=0.03）、性想法减少（p=0.003）、婚姻满意度低（p=0.03）、难以因幻想而兴奋（p=0.0001）、前一年阴道干涩增加（p=0.02）、过去一年性接触频率降低（p=0.04）以及拒绝伴侣的性主动（p=0.05）有关。高血压组中处于规律性关系的女性比例较低（p=0.02）。药物使用会产生明显的性不适（p=0.03）。
高血压及其治疗可能导致女性性功能障碍，在管理女性高血压患者时应予以考虑。这样做可以维持生活质量，提高依从性。累积效应将是改善血压控制，随之降低高血压的发病率和死亡率。
