Ozkan Burak, Orhan Elcın, Aktas Neslıhan, Coskuner Enıs Rauf
Department of Urology, Faculty of Medicine, Acibadem Bakirkoy Hospital, Acibadem University, Halit Ziya Usakligil Cad. No: 1, 34140, Bakirkoy, Istanbul, Turkey.
Department of Psychology, Acibadem Bakirkoy Hospital, Istanbul, Turkey.
Int Urol Nephrol. 2016 Jan;48(1):31-6. doi: 10.1007/s11255-015-1142-6. Epub 2015 Oct 30.
To determine the effect of male infertility on the sexual functions and level of depression among Turkish women.
Fifty-six women with an infertile partner (exposed) and 48 women who conceived and gave birth without treatment (unexposed) were included in this study. The Female Sexual Function Index (FSFI) and Beck Depression Inventory (BDI) were used to determine sexual function and depression status. Statistical analyses were performed by independent samples t, Fischer's exact, and Mann-Whitney U tests.
There were no significant differences in terms of demographic characteristics between groups except that unexposed women had received education for longer period of time (11.6 vs. 7.1 years, p = 0.001). Mean FSFI scores were 19.1 ± 5.5 for the exposed and 20.0 ± 3.4 for the unexposed group. The scores of sexual desire domain (3.4 ± 1.2 vs. 2.7 ± 1.2, p < 0.05), sexual dysfunction in the axis of lubrication (3.6 ± 1.4 vs. 4.0 ± 0.2, p = 0.039), and pain (4.1 ± 1.9 vs. 5.4 ± 0.8, p = 0.001) were found to be significantly higher in women with an infertile partner. According to BDI scores, these women were feeling more depressed (9.7 ± 7.3 vs. 1.4 ± 2.8, p = 0.001) than the unexposed group.
Comparison of these groups indicated similar levels of sexual dysfunction. Nonetheless, we found that women with infertile partners experienced sexual problems related to lubrication and pain, even though they were in the initial stages of the treatment process for infertility. Exposed group had also higher level of depression than the unexposed group.
确定男性不育对土耳其女性性功能和抑郁水平的影响。
本研究纳入了56名伴侣为不育男性的女性（暴露组）和48名未经治疗自然受孕并分娩的女性（非暴露组）。采用女性性功能指数（FSFI）和贝克抑郁量表（BDI）来确定性功能和抑郁状态。采用独立样本t检验、费舍尔精确检验和曼-惠特尼U检验进行统计分析。
除非暴露组女性受教育时间更长（11.6年对7.1年，p = 0.001）外，两组在人口统计学特征方面无显著差异。暴露组的平均FSFI得分为19.1±5.5，非暴露组为20.0±3.4。发现伴侣为不育男性的女性在性欲领域得分（3.4±1.2对2.7±1.2，p < 0.05）、润滑轴性功能障碍得分（3.6±1.4对4.0±0.2，p = 0.039）和疼痛得分（4.1±1.9对5.4±0.8，p = 0.001）显著更高。根据BDI得分，这些女性比非暴露组更抑郁（9.7±7.3对1.4±2.8，p = 0.001）。
这些组的比较表明性功能障碍水平相似。尽管如此，我们发现伴侣为不育男性的女性，即使处于不育治疗过程的初始阶段，也存在与润滑和疼痛相关的性问题。暴露组的抑郁水平也高于非暴露组。
