[更年期症状对中年女性性功能的影响]

[Influence of menopausal symptoms on sexual function in middle-aged women].

作者信息

Cabral Patrícia Uchôa Leitão, Canário Ana Carla Gomes, Spyrides Maria Helena Constantino, Uchôa Severina Alice da Costa, Eleutério José, Amaral Rose Luce Gomes, Gonçalves Ana Katherine da Silveira

机构信息

Programa de Pós-graduação em Ciências da Saúde, Universidade Federal do Rio Grande do Norte, Natal, RN, Brasil.

出版信息

Rev Bras Ginecol Obstet. 2012 Jul;34(7):329-34. doi: 10.1590/s0100-72032012000700007.

DOI:10.1590/s0100-72032012000700007

PMID:22948506

Abstract

PURPOSE

To evaluate the influence of climacteric symptoms on the sexual function in middle-aged women.

METHODS

A cross-sectional population study was conducted on a sample of 370 middle-aged women, aged 40 to 65 years-old, cared for at the Basic Health Units in Natal, in the state of Rio Grande do Norte, Brazil. We used a questionnaire containing questions on sociodemographic, clinical, and behavioral characteristics. Sexual function was evaluated by the Female Sexual Function Index (FSFI), while the menopause symptoms by the Menopause Rating Scale (MRS).

RESULTS

In the studied group, 67% of the women reported risk for sexual dysfunction (FSFI≤26.5). All FSFI domains (desire, arousal, lubrication, orgasm, satisfaction, and pain) were lower in women with risk for sexual dysfunction (p<0.001). The arousal, orgasm, and pain domains were most likely to contribute to lower FSFI scores. All somatovegetative, urogenital, and psychological MRS symptoms were more elevated in women with risk for sexual dysfunction, being significant for all comparisons (p<0.001). Logistic regression analysis revealed that the likelihood of women with risks of sexual dysfunction to present hot flushes, depression, sexual problems, and vaginal dryness was, respectively, 2.1 (95%CI 1.2 - 3.5); 2.4 (95%CI 1.5 - 4.1); 2.3 (95%CI 1.4 - 3.8), and 2.2 (95%CI 1.3 - 3.6) times higher, respectively, compared to those without any risk.

CONCLUSION

Climacteric symptoms seem to influence the sexual function in middle-aged women.

摘要

目的

评估更年期症状对中年女性性功能的影响。

方法

对巴西北里奥格兰德州纳塔尔市基层卫生单位护理的370名40至65岁的中年女性样本进行了横断面人群研究。我们使用了一份包含社会人口学、临床和行为特征问题的问卷。性功能通过女性性功能指数（FSFI）进行评估，而更年期症状则通过更年期评定量表（MRS）进行评估。

结果

在研究组中，67%的女性报告有性功能障碍风险（FSFI≤26.5）。性功能障碍风险女性的所有FSFI领域（欲望、唤起、润滑、性高潮、满意度和疼痛）均较低（p<0.001）。唤起、性高潮和疼痛领域最有可能导致FSFI得分较低。所有躯体植物神经、泌尿生殖和心理MRS症状在有性功能障碍风险的女性中更为严重，所有比较均具有显著性（p<0.001）。逻辑回归分析显示，有性功能障碍风险的女性出现潮热、抑郁、性问题和阴道干燥的可能性分别比无任何风险的女性高2.1倍（95%CI 1.2 - 3.5）；2.4倍（95%CI 1.5 - 4.1）；2.3倍（95%CI 1.4 - 3.8）和2.2倍（95%CI 1.3 - 3.6）。