Roos Anne-Marie, Sultan Abdul H, Thakar Ranee
Department of Obstetrics and Gynecology, Croydon (Mayday) University Hospital, 530 London Road, Croydon, Surrey CR77YE, UK.
Int Urogynecol J. 2012 Feb;23(2):145-52. doi: 10.1007/s00192-011-1516-y. Epub 2011 Jul 28.
This study aims to assess the prevalence of sexual problems in general gynecology and urogynecology clinics using a simple screening tool and to compare the prevalence between patients presenting with gynecology or urogynecology complaints.
Patients attending (uro)gynecology clinics completed three screening questions for sexual problems to be assessed. A fourth question was later introduced to address sexual problems which bother them. Student's t-test, chi-square test, and logistic regression were used.
Of 1,194 women, 37% had a sexual complaint. Seventeen percent volunteered this information as part of their main complaint, while the remaining only admitted it on questioning. The last 290 questionnaires included the question on "bother." Of these, 37% had a sexual complaint and only 45% found them bothersome. Multivariate analysis showed that urogynecology complaints were significantly associated with sexual complaints.
As most women only volunteer symptoms when asked directly, clinicians should be vigilant in identifying sexual problems but always establish the question of bother to avoid over-diagnosis.
本研究旨在使用一种简单的筛查工具评估普通妇科和泌尿妇科门诊中性功能问题的患病率，并比较有妇科或泌尿妇科主诉的患者之间的患病率。
到（泌尿）妇科门诊就诊的患者完成了三个用于评估性功能问题的筛查问题。后来又引入了第四个问题，以解决困扰她们的性功能问题。采用了学生 t 检验、卡方检验和逻辑回归分析。
在 1194 名女性中，37% 有性功能方面的主诉。17% 的患者主动提及此信息作为其主要主诉的一部分，而其余患者仅在被询问时才承认。最后 290 份问卷包含了关于“困扰”的问题。其中，37% 有性功能方面的主诉，只有 45% 的人认为这些问题困扰到了自己。多因素分析表明，泌尿妇科方面的主诉与性功能方面的主诉显著相关。
由于大多数女性只有在被直接询问时才会主动说出症状，临床医生在识别性功能问题时应保持警惕，但始终要询问是否困扰，以避免过度诊断。
