外阴阴道专科门诊中性功能障碍的高患病率。

High Prevalence of Sexual Dysfunction in a Vulvovaginal Specialty Clinic.

作者信息

Gordon Dina, Gardella Carolyn, Eschenbach David, Mitchell Caroline M

机构信息

1Department of Obstetrics and Gynecology, University of Washington, Seattle, WA, and 2Vincent Center for Reproductive Biology, Massachusetts General Hospital, Boston, MA.

出版信息

J Low Genit Tract Dis. 2016 Jan;20(1):80-4. doi: 10.1097/LGT.0000000000000085.

DOI:10.1097/LGT.0000000000000085

PMID:25259664

原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC4374027/

Abstract

OBJECTIVE

Our study evaluated the presence and predictors of sexual dysfunction in a vulvovaginal specialty clinic population.

MATERIALS AND METHODS

Women who presented to a vulvovaginal specialty clinic were eligible to enroll. The participants completed a questionnaire, including Female Sexual Function Index to assess sexual dysfunction and Patient Health Questionnaire (PHQ)-9 depression screen, and underwent a standardized physical examination, with vaginal swabs collected for wet mount and culture. Logistic regression assessed the relationship between sexual dysfunction and clinical diagnosis.

RESULTS

We enrolled 161 women, aged 18 to 80 years (median, 36 years), presenting with vulvovaginal complaints. Median symptom duration was 24 months; 131 women (81%) reported chronic symptoms (≥12 months). By PHQ-9, 28 women (17%) met depression criteria. In the month before assessment, 86 women (53%) experienced sexual dysfunction. Women had a primary diagnosis of vaginitis (n = 46 [29%]), vestibulodynia/vulvitis (n = 70 [43%]), lichen planus or lichen sclerosus (n = 24 [15%]). Controlling for age, we found that sexual dysfunction did not correlate with chronic symptoms (incidence rate ratio [IRR], 0.86; 95% confidence interval [CI], 0.50-1.48), depression (IRR, 1.24; 95% CI, 0.59-2.58), or presence of any of the 3 main diagnoses (IRR, 1.16; 95% CI, 0.47-2.88).

DISCUSSION

Sexual dysfunction is present in more than half of women presenting to a vulvovaginitis referral clinic, more than twice the rate in the wider population.

摘要

目的

我们的研究评估了外阴阴道专科门诊人群中性功能障碍的存在情况及其预测因素。

材料与方法

到外阴阴道专科门诊就诊的女性有资格参与研究。参与者完成一份问卷，包括用于评估性功能障碍的女性性功能指数和患者健康问卷（PHQ）-9抑郁筛查，并接受标准化体格检查，同时采集阴道拭子进行湿片检查和培养。逻辑回归分析评估性功能障碍与临床诊断之间的关系。

结果

我们招募了161名年龄在18至80岁（中位数为36岁）、有外阴阴道相关症状的女性。症状持续时间的中位数为24个月；131名女性（81%）报告有慢性症状（≥12个月）。根据PHQ-9，28名女性（17%）符合抑郁标准。在评估前的一个月内，86名女性（53%）经历了性功能障碍。女性的主要诊断为阴道炎（n = 46 [29%]）、前庭疼痛/外阴炎（n = 70 [43%]）、扁平苔藓或硬化性苔藓（n = 24 [15%]）。在控制年龄因素后，我们发现性功能障碍与慢性症状（发病率比[IRR]，0.86；95%置信区间[CI]，0.50 - 1.48）、抑郁（IRR，1.24；95% CI，0.59 - 2.58）或三种主要诊断中的任何一种（IRR，1.16；95% CI，0.47 - 2.88）均无相关性。