Pongsatha Saipin, Morakot Nuntana, Chaovisitsaree Somsak
Department of Obstetrics and Gynecology, Faculty of Medicine, Chiang Mai University, Chiang Mai, Thailand.
J Med Assoc Thai. 2012 Dec;95(12):1489-94.
To compare aspects of sexual function between perimenopausal and postmenopausal women.
One hundred forty women, 70 perimenopausal women and 70 postmenopausal patients in the menopause clinic were interviewed at a first visit regarding aspects of sexual function compared between now and during the previous one-year period. All data were compared between perimenopausal and postmenopausal women.
The following sexual function including sexual thoughts/fantasies, sexual desire, frequency of sexual intercourse, sexual excitement during sex, moisture in vagina during sex, amount of vaginal lubrication during sex, pain or discomfort during sex, vaginal stretching/flexibility during sex, intensity of orgasm during sex, sexual appeal in client's opinion, overall sexual satisfaction and sexually related anxiety were compared between groups.
The mean age (+/- SD) of perimenopausal and postmenopausal women were 49.4 (+/- 3.0) years and 52.2 (+/- 2.8) years respectively in which there was no significant difference. Most women in both groups had sexual intercourse one to four times per month. There was statistically significant difference between groups in the following aspects, sexual thoughts/fantasies, sexual desire, frequency of sexual intercourse, sexual excitement during sex, moisture in vagina during sex, amount of vaginal lubrication during sex. All items had a negative impact on sexual function but a higher impact was found in postmenopausal women. However sexually related anxiety was unchanged in both and no significant difference was detected.
Some sexual functions were significantly impaired in postmenopausal compared to perimenopausal women. However, the overall sexual satisfaction and sexually related anxiety were unchanged in postmenopausal women. So sexual problems are present but are not considered the most important problem among Thai women.
比较围绝经期和绝经后女性的性功能方面。
在更年期门诊对140名女性进行了研究，其中70名围绝经期女性和70名绝经后女性在首次就诊时就性功能方面进行了访谈，比较了现在与前一年期间的情况。对围绝经期和绝经后女性的所有数据进行了比较。
比较了两组之间以下性功能指标，包括性想法/幻想、性欲、性交频率、性交时的性兴奋、性交时阴道湿润度、性交时阴道润滑量、性交时的疼痛或不适、性交时阴道伸展性/柔韧性、性交时性高潮强度、患者认为的性吸引力、总体性满意度以及与性相关的焦虑。
围绝经期和绝经后女性的平均年龄（±标准差）分别为49.4（±3.0）岁和52.2（±2.8）岁，两者之间无显著差异。两组中的大多数女性每月性交1至4次。两组在以下方面存在统计学显著差异：性想法/幻想、性欲、性交频率、性交时的性兴奋、性交时阴道湿润度、性交时阴道润滑量。所有项目均对性功能有负面影响，但在绝经后女性中影响更大。然而，两组与性相关的焦虑均未改变，未检测到显著差异。
与围绝经期女性相比，绝经后女性的一些性功能明显受损。然而，绝经后女性的总体性满意度和与性相关的焦虑未改变。因此，性问题存在，但在泰国女性中不被认为是最重要的问题。
