Department of Urology, University of California, Davis, Sacramento, CA 95817, USA.
Int J Impot Res. 2013 Mar-Apr;25(2):74-9. doi: 10.1038/ijir.2012.34. Epub 2012 Sep 13.
We analyzed associations of dissatisfaction with sexual life and desire for change in female medical students. Students enrolled in medical schools in North America between February and July 2008 were invited to participate in an internet-based survey of sexual function. The principle outcome measure was a single item question on sexual life satisfaction and desire for change. Women who reported dissatisfaction and desire for change were classified as 'sexually bothered'. The survey also assessed ethnodemographic factors, student status, sexual history and depressive symptoms. Respondents completed the Female Sexual Function Index (FSFI) and the Index of Sexual Life. Descriptive statistics, analysis of variance and multivariable logistic regression were utilized to analyze responses. There were 661 non-virgin female subjects with data adequate for analysis. Whereas 281 (43%) of these met criteria for high risk of female sexual dysfunction (HRFSD) based on FSFI scoring, just 173 (26%) reported sexual bother. Among women with HRFSD, 126 (45%) reported sexual bother; in women without HRFSD, 362 (95%) were not sexually bothered. Interference in sexual life from tiredness and stress were associated with sexual bother. Progressively better scores on the FSFI desire, orgasm and satisfaction domains were significantly associated with lower odds of sexual bother. Few women in this cohort with FSFI score >26.55 reported sexual bother. Women with FSFI <26.55 had greater odds of sexual bother but this criterion alone was not pathognomonic for sexual concerns. Issues of sexual desire and orgasm appear to have a more important role than lubrication, arousal and sexual pain issues in this population.
我们分析了对性生活不满和对改变的渴望与女医学生之间的关联。2008 年 2 月至 7 月期间，邀请在北美的医学院校就读的学生参与一项基于互联网的性功能调查。主要的评估指标是对性生活满意度和改变欲望的单一问题。报告对性生活不满和有改变欲望的女性被归类为“性生活困扰”。该调查还评估了种族人口因素、学生身份、性史和抑郁症状。受访者完成了女性性功能指数（FSFI）和性生活指数的评估。利用描述性统计、方差分析和多变量逻辑回归来分析反应。共有 661 名非处女女性有足够数据进行分析。其中 281 名（43%）根据 FSFI 评分符合女性性功能障碍高危标准（HRFSD），只有 173 名（26%）报告了性生活困扰。在 HRFSD 女性中，126 名（45%）报告了性生活困扰；在没有 HRFSD 的女性中，362 名（95%）没有性生活困扰。疲劳和压力对性生活的干扰与性生活困扰有关。FSFI 欲望、高潮和满意度领域的评分逐渐提高与性生活困扰的可能性降低显著相关。在这个 FSFI 评分>26.55 的队列中，很少有女性报告性生活困扰。FSFI<26.55 的女性有更大的性生活困扰的可能性，但单凭这一标准并不能确定存在性问题。在该人群中，性欲和性高潮问题似乎比润滑、唤起和性疼痛问题更重要。
