Callens Nina, Bronselaer Guy, De Sutter Petra, De Cuypere Griet, T'Sjoen Guy, Hoebeke Piet, Cools Martine
Department of Pediatrics, Division of Pediatric Endocrinology, University Hospital Ghent and Ghent University, De Pintelaan 185, 9000 Ghent, Belgium.
Department of Urology, University Hospital Ghent and Ghent University, De Pintelaan 185, 9000 Ghent, Belgium.
Sex Health. 2016 Feb;13(1):63-72. doi: 10.1071/SH15160.
Background Research has highlighted the complex association between female sexual dysfunction (FSD) and distress regarding sexual activity, with decreased physical pleasure being an important mediator. The current study aims to elucidate the association between pleasurable and painful genital sensitivity and FSD, and to further investigate whether FSD may be distressing because it prevents the experience of sexual pleasure, induces pain or both.
Sexually active women (n=256; median, 22 years; range, 18-49 years) completed web-based questionnaires, including the Self-Assessment of Genital Anatomy and Sexual Function, the Female Sexual Function Index and the Female Sexual Distress Scale.
Women reported their clitoris to be more sensitive than their vagina in terms of having more pleasurable responses (P<0.001), but not more painful responses (P=0.49). In women with FSD (n=36), impaired self-perceived genital sensation was found: they reported significantly less sexual pleasure and orgasm intensity, and more orgasm effort and discomfort within the clitoral and vaginal area than women without FSD (n=220) (P-value<0.05). The odds of having FSD were significantly greater in women with perceived increased discomfort in the vaginal area during stimulation (odds ratio=5.59, P=0.009, 95% confidence interval: 1.53-20.39), but not in the clitoral area.
The data provide evidence of the relevance of self-perceived genital sensitivity to sexual pleasure and overall sexual experience. Enhancing the pleasurableness of genital sensations, especially during partnered sex, could decrease the likelihood of experiencing pain and concomitant FSD.
背景研究强调了女性性功能障碍（FSD）与性活动困扰之间的复杂关联，其中身体愉悦感降低是一个重要的中介因素。本研究旨在阐明愉悦和疼痛性生殖器敏感性与FSD之间的关联，并进一步探究FSD是否令人苦恼，因为它会阻止性愉悦体验、引发疼痛或两者皆有。
性活跃女性（n = 256；中位数22岁；范围18 - 49岁）完成了基于网络的问卷调查，包括生殖器解剖和性功能自我评估、女性性功能指数以及女性性困扰量表。
女性报告称，就产生更多愉悦反应而言，她们的阴蒂比阴道更敏感（P < 0.001），但在产生更多疼痛反应方面并非如此（P = 0.49）。在患有FSD的女性（n = 36）中，发现自我感知的生殖器感觉受损：与未患FSD的女性（n = 220）相比，她们报告的性愉悦和性高潮强度明显更低，阴蒂和阴道区域的性高潮努力和不适感更强（P值< 0.05）。在刺激过程中阴道区域感觉不适增加的女性患FSD的几率显著更高（优势比 = 5.59，P = 0.009，95%置信区间：1.53 - 20.39），但在阴蒂区域并非如此。
数据提供了证据，证明自我感知的生殖器敏感性与性愉悦和总体性体验相关。增强生殖器感觉的愉悦性，尤其是在有伴侣的性行为中，可以降低经历疼痛和伴随的FSD的可能性。
