Jarząbek-Bielecka Grażyna, Wilczak Maciej, Potasińska-Sobkowska Anna, Pisarska-Krawczyk Magdalena, Mizgier Małgorzata, Andrzejak Karolina, Kędzia Witold, Sajdak Stefan
Chair of Adolescence Gynaecology and Sexuology, Clinic of Gynaecology, Faculty of Perinatology and Gynaecology, Poznan University of Medical Sciences, Poznan, Poland.
Department of of Mother's and Child's Health, Poznan University of Medical Sciences, Poznan, Poland ; Higher Vocational State School of President Stanisław Wojciechowski in Kalisz, Kalisz, Poland.
Prz Menopauzalny. 2015 Jun;14(2):97-104. doi: 10.5114/pm.2015.52151. Epub 2015 Jun 22.
The research was conducted among patients of the Department of Perinatology and Gynaecology of the Poznań University of Medical Sciences. Its aim was to investigate the influence of overweight and obesity on female sexuality during the perimenopausal period. Preliminary results of the research are presented in the thesis, which was as a matter of fact intended as a preliminary report. The examination of sexual functions of the patients was performed with the use of the Female Sexual Function Index (FSFI) form.
Sixty-one women during the perimenopausal period filled out the survey, with the average age of these women being 51 years. Forty-two of the examined women had an appropriate body mass index (BMI), i.e. between 18.5 and 25, while for 19 of the women, the BMI was above normal. For statistical analysis and in order to assess the differences between the two above-mentioned groups of patients, the nonparametric Mann-Whitney test was applied. A statistically significant value was assumed at p < 0.05. The results of the conducted research indicated no such difference between the women with differing BMI for the specific domains of the FSFI test.
The results obtained show that research in the area needs to be continued.
All the hitherto existing scientific studies also seem to indicate that the influence of overweight and obesity on female sexuality during the perimenopause has not yet been unambiguously proven. Beyond any doubt, however, sexual disorders appear in women at this time of life and the factors which determine them can vary greatly. Given the character of the situation, women ought to be supported both by a team of specialists representing different branches of medicine as well as by their relatives. The whole situation also calls for more research of the important subject matter.
该研究在波兹南医科大学围产医学与妇科的患者中进行。其目的是调查超重和肥胖对围绝经期女性性功能的影响。该研究的初步结果在一篇论文中有所呈现，实际上这篇论文原本打算作为初步报告。患者的性功能检查采用女性性功能指数（FSFI）表格进行。
61名围绝经期女性填写了调查问卷，这些女性的平均年龄为51岁。其中42名受检女性的体重指数（BMI）正常，即介于18.5至25之间，而另外19名女性的BMI高于正常水平。为进行统计分析并评估上述两组患者之间的差异，采用了非参数曼-惠特尼检验。当p < 0.05时被认为具有统计学显著意义。所开展研究的结果表明，在FSFI测试的特定领域，BMI不同的女性之间不存在此类差异。
所获结果表明该领域的研究需要继续进行。
迄今为止所有现有的科学研究似乎也都表明，超重和肥胖对围绝经期女性性功能的影响尚未得到明确证实。然而，毫无疑问的是，在这个年龄段的女性确实会出现性功能障碍，而且决定这些障碍的因素可能有很大差异。鉴于这种情况的特点，女性应该得到来自不同医学分支的专家团队以及其亲属的支持。整个情况也需要对这个重要课题进行更多研究。
