Guess Marsha K, Connell Kathleen A, Chudnoff Scott, Adekoya Olusola, Richmond Cherrilyn, Nixon Kayla E, Freeman Katherine, Melman Arnold
From the *Departments of Obstetrics and Gynecology, Yale School of Medicine, New Haven, CT; †University of Colorado, Aurora, CO; ‡Montefiore Medical Center, Bronx, NY; and §Department of Urology, Albert Einstein College of Medicine, Bronx, NY.
Female Pelvic Med Reconstr Surg. 2017 Jul-Aug;23(4):256-262. doi: 10.1097/SPV.0000000000000357.
The aim of this study was to evaluate the effectiveness of a genital vibratory stimulation device in improving sexual function in women with arousal and orgasm disorders.
In this single-arm, prospective study, baseline and 1- and 3-month assessments were performed to evaluate women with sexual arousal and/or orgasmic disorders, who received therapy using a genital vibratory stimulation device. Sexual function, satisfaction, and distress were evaluated using the Female Sexual Function Index (FSFI), the Female Sexual Distress Scale, and the Female Intervention Efficacy Index questionnaires. Genital sensation was evaluated using quantitative sensory testing.
Seventy women, aged 19 to 64 years, were evaluated from October 2009 to August 2013. Forty-seven (67.1%) and 37 (52.9%) women completed 1- and 3-month follow-ups, respectively. The FSFI arousal and orgasm domain scores and total FSFI scores improved at 1 and 3 months (P < 0.001 for all outcomes). Mean (SD) total FSFI scores increased from 20.04 (4.65) (baseline) to 25.03 (5.21) (1 month) to 26.66 (5.42) (3 months; both Ps < 0.0001). Female Sexual Distress Scale scores reflected significantly decreased distress at 1 (P = 0.0006) and 3 (P < 0.0001) months compared with baseline and at 3 months compared with 1 month (P = 0.03). Neurological sensation was increased at all genital sites at 1 and 3 months (P < 0.0001 for all). After adjustment for age, there was a significant interaction between arousal domain scores and clitoral and right labial sensation. At 3 months, perceptions of increased vaginal lubrication, orgasm, and genital sensation were reported by 67.5%, 65.0%, and 82.5% of the participants. No major adverse events were noted.
Genital vibratory stimulation device use resulted in uniform improvements in sexual function, satisfaction, sexually related distress and genital sensation.
本研究旨在评估一种生殖器振动刺激装置对改善存在性唤起和性高潮障碍的女性性功能的有效性。
在这项单臂前瞻性研究中,对患有性唤起和/或性高潮障碍且接受生殖器振动刺激装置治疗的女性进行了基线评估以及1个月和3个月的评估。使用女性性功能指数(FSFI)、女性性困扰量表和女性干预疗效指数问卷对性功能、满意度和困扰程度进行评估。使用定量感觉测试评估生殖器感觉。
2009年10月至2013年8月期间对70名年龄在19至64岁的女性进行了评估。分别有47名(67.1%)和37名(52.9%)女性完成了1个月和3个月的随访。FSFI性唤起和性高潮领域得分以及FSFI总分在1个月和3个月时均有所改善(所有结果P<0.001)。FSFI总分平均值(标准差)从基线时的20.04(4.65)增加到1个月时的25.03(5.21),再到3个月时的26.66(5.42)(两个P值均<0.0001)。女性性困扰量表得分显示与基线相比,1个月时(P = 0.0006)和3个月时(P<0.0001)困扰程度显著降低,且3个月时与1个月时相比(P = 0.03)也显著降低。1个月和3个月时所有生殖器部位的神经感觉均增强(所有P<0.0001)。在对年龄进行调整后,性唤起领域得分与阴蒂及右侧阴唇感觉之间存在显著交互作用。3个月时,67.5%、65.0%和82.5%的参与者报告阴道润滑、性高潮和生殖器感觉增强。未观察到重大不良事件。
使用生殖器振动刺激装置可使性功能、满意度、性相关困扰和生殖器感觉得到一致改善。