Otunctemur Alper, Dursun Murat, Ozbek Emin, Sahin Suleyman, Besiroglu Huseyin, Koklu Ismail, Polat Emre Can, Erkoc Mustafa, Danis Eyyup, Bozkurt Muammer
a Okmeydani Training and Research Hospital , Department of Urology , Istanbul , Turkey.
J Sex Marital Ther. 2015;41(4):440-9. doi: 10.1080/0092623X.2014.918068. Epub 2014 Jun 13.
Female sexual dysfunction is a prevalent and multidimensional disorder related to many biological, psychological, and social determinants. The authors assessed the effect of one of the many factors affect sexual function-metabolic syndrome-on female sexual function. They equally divided 400 women participants among 4 groups: (a) premenopausal with metabolic syndrome, (b) premenopausal without metabolic syndrome, (c) postmenopausal with metabolic syndrome, and (d) postmenopausal without metabolic syndrome. The authors used the Female Sexual Function Index to assess women's sexual function. Female sexual dysfunction was found more often in both pre- and postmenopausal women with metabolic syndrome (p =.001). Overall Female Sexual Function Index score and satisfaction, pain, and desire domain scores independently of the menopause status showed statistically significant differences across women with metabolic syndrome in comparison with participants with no metabolic syndrome (p <.05). The authors also evaluated the associations among 5 components of metabolic syndrome and Female Sexual Function Index scores. Higher fasting glucose levels were significantly associated with the Female Sexual Function Index score (p <.05). This study shows that sexual dysfunction is more prevalent in pre- and postmenopausal women with the metabolic syndrome.
女性性功能障碍是一种普遍存在的多维度疾病，与许多生物、心理和社会决定因素相关。作者评估了影响性功能的众多因素之一——代谢综合征——对女性性功能的影响。他们将400名女性参与者平均分为4组：(a) 患有代谢综合征的绝经前女性，(b) 没有代谢综合征的绝经前女性，(c) 患有代谢综合征的绝经后女性，以及(d) 没有代谢综合征的绝经后女性。作者使用女性性功能指数来评估女性的性功能。在患有代谢综合征的绝经前和绝经后女性中，女性性功能障碍更为常见（p = 0.001）。总体女性性功能指数得分以及满意度、疼痛和欲望领域得分，无论绝经状态如何，与没有代谢综合征的参与者相比，患有代谢综合征的女性在统计学上均存在显著差异（p < 0.05）。作者还评估了代谢综合征的5个组成部分与女性性功能指数得分之间的关联。较高的空腹血糖水平与女性性功能指数得分显著相关（p < 0.05）。这项研究表明，性功能障碍在患有代谢综合征的绝经前和绝经后女性中更为普遍。
