Institute of Psychology, Department of Clinical Psychology and Psychotherapy, Alps-Adria University Klagenfurt, Austria.
Eur J Obstet Gynecol Reprod Biol. 2013 Jul;169(2):392-6. doi: 10.1016/j.ejogrb.2013.04.001. Epub 2013 May 1.
The aim of the current study was to evaluate the prevalence and the impact of sexual dysfunction, sexual distress and interpersonal relationships in patients with endometriosis.
A questionnaire-based multicentre cohort study was conducted in eight tertiary referral centres in Austria and Germany. One hundred and twenty-five patients with histologically proven endometriosis and dyspareunia were included. The Female Sexual Function Index and the Female Sexual Distress Scale were used to screen women's sexuality. Additionally, we evaluated psychological parameters and pain intensity during/after sexual intercourse via a self-administered questionnaire.
Female sexual distress and sexual dysfunction were observed in 97/125 and 40/125 patients. Statistically significant correlations were found between sexual dysfunction and pain intensity during/after sexual intercourse (p<0.01/p<0.01), a lower number of episodes of sexual intercourse per month (p<0.01), greater feelings of guilt towards the partner (p<0.01) and fewer feelings of femininity (p<0.01). Thirty-eight out of 125 women agreed that the primary motivation for sexual intercourse was to conceive and nearly half of women (46%) included stated that satisfying the partner acted as primary motivation for sexual contact.
Overall, our findings demonstrate that dyspareunia as a common complaint in patients with endometriosis causes a severe impairment of sexual function, relationship and psychological wellbeing.
本研究旨在评估子宫内膜异位症患者性功能障碍、性困扰和人际关系的发生率和影响。
在奥地利和德国的 8 个三级转诊中心进行了一项基于问卷调查的多中心队列研究。纳入了 125 名经组织学证实患有子宫内膜异位症和性交疼痛的患者。采用女性性功能指数和女性性困扰量表筛查女性的性功能。此外，我们还通过自我管理问卷评估了心理参数和性交时/性交后的疼痛强度。
125 名患者中，97 名存在女性性困扰，40 名存在性功能障碍。性功能障碍与性交时/性交后的疼痛强度之间存在显著相关性（p<0.01/p<0.01），每月性交次数减少（p<0.01），对伴侣的内疚感增加（p<0.01），女性特质感减少（p<0.01）。125 名女性中有 38 名表示性交的主要动机是怀孕，近一半的女性（46%）表示满足伴侣是进行性接触的主要动机。
总的来说，我们的研究结果表明，子宫内膜异位症患者常见的性交疼痛会严重损害性功能、人际关系和心理健康。
