盆腔器官脱垂、生殖器身体意象与性健康之间的关系。
The relationship between pelvic organ prolapse, genital body image, and sexual health.
机构信息
Western Michigan University School of Nursing, University of Michigan Pelvic Floor Research Group, Kalamazoo, Michigan 49008-5345, USA.
出版信息
Neurourol Urodyn. 2012 Sep;31(7):1145-8. doi: 10.1002/nau.22205. Epub 2012 Mar 30.
AIMS
Pelvic organ prolapse involves physical changes to the genitals, potentially distressing to women. We hypothesized poorer genital body image in prolapsed women versus controls and that genital body image would correlate with sexual health.
METHODS
Seventy-four sexually active women, 13 with prolapse, 24 with surgically corrected prolapse, 37 without prolapse, completed the Genital Self Image Scale (GSIS-20), Body Esteem Scale (BES), and Female Sexual Function Index (FSFI).
RESULTS
In prolapsed women median GSIS-20 scores were 28/40, women with surgically corrected prolapse 32/40 and never prolapsed 34/40 (χ(2) = 9.6, P < 0.01). Post hoc analysis showed significant differences between prolapsed and never prolapsed groups (P < 0.05). After adjusting for BES, GSIS-20 correlated with overall FSFI (r = 0.384, P < 0.01), and its subscales of desire (r = 0.34, P < 0.05) and satisfaction (r = 0.41, P < 0.01).
CONCLUSIONS
Women with prolapse are at risk for poorer genital body image and reduced sexual health.
目的
盆腔器官脱垂涉及生殖器的物理变化，可能会给女性带来困扰。我们假设脱垂女性的生殖器身体意象比对照组差，并且生殖器身体意象与性健康相关。
方法
74 名有性生活的女性参与了研究，其中 13 名患有脱垂，24 名患有手术矫正的脱垂，37 名没有脱垂。参与者完成了生殖器自我形象量表（GSIS-20）、身体自尊量表（BES）和女性性功能指数（FSFI）。
结果
在脱垂女性中，GSIS-20 的中位数评分为 28/40，手术矫正脱垂的女性为 32/40，从未脱垂的女性为 34/40（χ²=9.6，P<0.01）。事后分析显示脱垂组和从未脱垂组之间存在显著差异（P<0.05）。在调整 BES 后，GSIS-20 与整体 FSFI 相关（r=0.384，P<0.01），与欲望（r=0.34，P<0.05）和满意度（r=0.41，P<0.01）的子量表相关。
结论
患有脱垂的女性存在生殖器身体意象较差和性健康降低的风险。
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