Bayar Ulku, Basaran Mustafa, Atasoy Nuray, Kokturk Furuzan, Arikan Ilker Inan, Barut Aykut, Harma Muge, Harma Mehmet
J Pak Med Assoc. 2014 Feb;64(2):138-45.
To evaluate the diagnostic and the predictive value of Arizona Sexual Experience Scale among primary infertile couples regarding sexual dysfunction.
The cross-sectional and prospective pre, post study comprising primary infertile patients was carried out at Bulent Ecevit University Hospital, Zonguldak, Turkey. Fifty consecutive primary infertile couples not treated previously were investigated between 2003 and 2007 for the presence of sexual dysfunction by a psychiatrist. Arizona Sexual Experience Scale scoring was self-administered to determine sexual dysfunction among couples before treatment and also 3 months after the initiation of the treatment.
Pretreatment mean values of the index parametres in both women and men were significantly increased after treatment. Statistically significant positive correlation was observed between pre- and post-treatment total scores in both women (r = 0.83; p < .001) and men (r = 0.92; p < .001). Receiver operating characteristic curve analyses revealed optimum cut-offs of pre- and post-treatment scores in women were were > 14 (Sensitivity: 57%; Specificity: 90%) and > 13 (Sensitivity: 83%; Specificity: 93%), respectively. Pre- and post-treatment scores in men were > 10 (Sensitivity: 65%; Specificity: 61%), > 11 (Sensitivity: 83%; Specificity: 62%), respectively. Binary logistic regression analyses revealed women's pre-treatment and post-treatment scores as a significant factor for prediction of sexual dysfunction independent of sociodemographic factors (p = 0.001 and p = 0.001, respectively).
Evaluation and treatment of infertility is an important risk factor for sexual dyfunction. Pre- and posttreatment Arizona Sexual Experience Scale score could be used as a screening test for sexual dysfunction and might be used to decide pre/post-treatment consultation of couples with a specialist.
评估亚利桑那性体验量表对原发性不孕夫妇性功能障碍的诊断及预测价值。
在土耳其宗古尔达克的比伦特·埃杰维特大学医院，对原发性不孕患者进行了一项横断面及前瞻性的治疗前后研究。2003年至2007年期间，由一名精神科医生对50对未经治疗的连续原发性不孕夫妇进行性功能障碍调查。采用亚利桑那性体验量表进行自我评分，以确定夫妇在治疗前及治疗开始3个月后的性功能障碍情况。
治疗后，女性和男性指标参数的治疗前平均值均显著升高。女性（r = 0.83；p <.001）和男性（r = 0.92；p <.001）治疗前和治疗后的总分之间均观察到具有统计学意义的正相关。受试者工作特征曲线分析显示，女性治疗前和治疗后分数的最佳截断值分别为> 14（敏感性：57%；特异性：90%）和> 13（敏感性：83%；特异性：93%）。男性治疗前和治疗后分数分别为> 10（敏感性：65%；特异性：61%）、> 11（敏感性：83%；特异性：62%）。二元逻辑回归分析显示，女性治疗前和治疗后分数是预测性功能障碍的重要因素，独立于社会人口统计学因素（分别为p = 0.001和p = 0.001）。
不孕的评估和治疗是性功能障碍的一个重要危险因素。治疗前和治疗后的亚利桑那性体验量表分数可作为性功能障碍的筛查测试，并可用于决定夫妇是否需要在治疗前/后咨询专科医生。
