Department of Obstetrics, São Paulo Federal University, São Paulo, Brazil.
J Sex Med. 2012 Mar;9(3):786-92. doi: 10.1111/j.1743-6109.2011.02577.x. Epub 2011 Dec 21.
The number of women with gestational diabetes mellitus (GDM) is growing worldwide in parallel with the obesity epidemic. The diagnosis of GDM leads to substantial modifications in the daily routine of these women, and these adjustments could potentially affect their sexual function. There are no previous studies on the sexual function of patients with GDM.
The aim of this study was to investigate the sexual function of patients with GDM in comparison with healthy pregnant women at the same gestational age.
Brazilian women in the third trimester of pregnancy with and without GDM were invited to participate in this cross-sectional study while waiting for their antenatal care visits at a single public tertiary teaching institution between March and December 2010. The Brazilian version of the Female Sexual Function Index (FSFI) questionnaire was used to assess sexual function.
Desire, arousal, lubrication, orgasm, sexual satisfaction, and pain during and after coitus in the last 4 weeks, measured according to a standardized and validated questionnaire.
A total of 87 participants were enrolled (43 healthy women and 44 with GDM). There were no significant differences in the sociodemographic characteristics of both groups. The total FSFI scores of GDM patients was 21.0±9.59 compared with 22.3±9.17 for healthy women (P=0.523). Difficulty in desire was the most common sexual dysfunction symptom in both groups, being reported by 42% and 50% of GDM and healthy women, respectively (P=0.585).
The sexual function of Brazilian patients with GDM does not differ significantly from that of healthy pregnant women at the same gestational age.
随着肥胖症的流行，全世界患有妊娠糖尿病（GDM）的女性人数正在增加。GDM 的诊断导致这些女性的日常生活发生重大改变，这些调整可能会影响她们的性功能。目前尚无关于 GDM 患者性功能的研究。
本研究旨在比较患有 GDM 的患者与同期妊娠的健康孕妇的性功能。
2010 年 3 月至 12 月期间，在巴西一家公立三级教学机构等待产前检查时，邀请患有和不患有 GDM 的处于妊娠晚期的巴西女性参加这项横断面研究。使用巴西版女性性功能指数（FSFI）问卷评估性功能。
根据标准化和验证后的问卷评估最近 4 周内性交期间和之后的性欲、唤起、润滑、性高潮、性满足和疼痛。
共纳入 87 名参与者（43 名健康女性和 44 名患有 GDM 的女性）。两组的社会人口统计学特征无显著差异。GDM 患者的 FSFI 总评分（21.0±9.59）与健康女性的评分（22.3±9.17）相比无显著差异（P=0.523）。性欲困难是两组中最常见的性功能障碍症状，分别有 42%和 50%的 GDM 和健康女性报告（P=0.585）。
巴西患有 GDM 的患者的性功能与同期妊娠的健康孕妇无显著差异。
