Department of Biomechanics, Medicine and Rehabilitation of the Locomotor System, Ribeirão Preto School of Medicine, University of São Paulo, São Paulo, Brazil.
J Sex Med. 2013 May;10(5):1350-4. doi: 10.1111/jsm.12106. Epub 2013 Feb 27.
Female sexual dysfunction is a frequent problem that may be caused by several factors, such as pregnancy and diabetes, and that can affect the woman's quality of life.
The aim of this study was to assess the sexual function of pregnant women with gestational diabetes.
This is a cross-sectional clinical study involving 88 women, among which 33 were pregnant with gestational diabetes mellitus (GDM) and 55 were with low-risk pregnancy (LRP).
Sexual function was assessed using the Female Sexual Function Index (FSFI), a self-applicable questionnaire validated in Portuguese. All the pregnant women answered the questionnaire between the 20th and 25th week of gestation. Data were submitted to descriptive analysis by using the SAS version 9.2 procedure PROC MEANS (SAS Institute Inc., Cary, NC, USA), whereas Student's t-test was applied by using the procedure PROC TTEST (SAS Institute Inc.) at a significance level of ≤5% for all analyses.
The percentage of women presenting sexual dysfunction in each group was the following: 66.7% in Group GDM and 38.9% in the Group LRP, with significant difference between the groups (P = 0.03). However, no significant differences were found between the groups regarding sexual desire, excitement, lubrication, and pain. On the total score of FSFI, Group GDM had a score ≤26.55 (P = 0.03).
Diabetic pregnant women were found to have a higher incidence of sexual dysfunction as their scores were lower for all FSFI domains compared with LRP females.
女性性功能障碍是一种常见问题，可能由多种因素引起，如妊娠和糖尿病，并会影响女性的生活质量。
本研究旨在评估患有妊娠期糖尿病的孕妇的性功能。
这是一项横断面临床研究，共纳入 88 名女性，其中 33 名患有妊娠期糖尿病（GDM），55 名患有低风险妊娠（LRP）。
使用女性性功能指数（FSFI）评估性功能，这是一种经过验证的葡萄牙语自我适用问卷。所有孕妇均在妊娠 20-25 周时回答问卷。使用 SAS 版本 9.2 过程 PROC MEANS（SAS Institute Inc.，Cary，NC，USA）进行描述性分析，使用 PROC TTEST（SAS Institute Inc.）在所有分析中应用 Student's t 检验，置信水平为≤5%。
每组出现性功能障碍的女性百分比如下：GDM 组为 66.7%，LRP 组为 38.9%，两组之间存在显著差异（P=0.03）。然而，两组之间在性欲、兴奋、润滑和疼痛方面没有发现显著差异。在 FSFI 的总分上，GDM 组的得分≤26.55（P=0.03）。
与 LRP 女性相比，糖尿病孕妇的所有 FSFI 领域的评分均较低，因此性功能障碍的发生率更高。
