Cruz Emanuela Fonseca, Nina Vinícius José da Silva, Figuerêdo Eduardo Durans
Universidade Ceuma - Campus Renascença, São Luiz, MA, Brazil.
Universidade Federal do Maranhão, São Luiz, MA, Brazil.
Rev Bras Ginecol Obstet. 2017 Feb;39(2):66-71. doi: 10.1055/s-0037-1598603. Epub 2017 Mar 3.
To investigate the association between the intensity of climacteric symptoms and sexual dysfunction in women aged 40 to 65 years. Observational, analytic, cross-sectional study conducted with 63 women aged 40 to 65 treated at the gynecology outpatient clinic of a public hospital in northeastern Brazil. A questionnaire was used to collect identification data, clinical information, gynecological-obstetric data, lifestyle traits and information on chronic diseases. Climacteric symptoms and sexual function were evaluated by means of the Blatt-Kupperman index and the Female Sexual Function Index (FSFI) respectively. The association between the two indices was investigated using the chi-squared test; the difference in mean scores on the FSFI as a function of menopausal status was evaluated by Student's -test. The significance level was set to < 0.05. The mean value of the Blatt-Kupperman index was 26.42 (standard deviation [SD]: 4.52); 36.51% of the women exhibited severe symptoms. The mean score on the FSFI was 21.84 (SD: 4.11). More than half of the analyzed women (58.73%) exhibited sexual dysfunction (FSFI ≤ 26.5). Regarding the association between the Blatt-Kupperman index and the FSFI, the greater the intensity of the climacteric symptoms (Blatt-Kupperman), the higher the frequency of sexual dysfunction (FSFI). Sexual dysfunction was exhibited by 100% of the participants with severe climacteric symptoms, 70.59% of those with moderate symptoms, and only 9.09% with mild symptoms (< 0.001). The application of the Blatt-Kupperman index and of the FSFI allowed the detection of an association between the severity of climacteric symptoms and the prevalence of sexual dysfunction.
探讨40至65岁女性更年期症状强度与性功能障碍之间的关联。在巴西东北部一家公立医院的妇科门诊，对63名40至65岁接受治疗的女性进行了观察性、分析性横断面研究。使用问卷收集识别数据、临床信息、妇产科数据、生活方式特征以及慢性病信息。分别通过布拉特-库珀曼指数和女性性功能指数（FSFI）评估更年期症状和性功能。使用卡方检验研究两个指数之间的关联；通过学生t检验评估FSFI平均得分随绝经状态的差异。显著性水平设定为<0.05。布拉特-库珀曼指数的平均值为26.42（标准差[SD]：4.52）；36.51%的女性表现出严重症状。FSFI的平均得分为21.84（SD：4.11）。超过一半（58.73%）的分析女性表现出性功能障碍（FSFI≤26.5）。关于布拉特-库珀曼指数与FSFI之间的关联，更年期症状（布拉特-库珀曼指数）强度越大，性功能障碍（FSFI）的发生率越高。100%有严重更年期症状的参与者、70.59%有中度症状的参与者以及仅有9.09%有轻度症状的参与者表现出性功能障碍（<0.001）。应用布拉特-库珀曼指数和FSFI能够检测到更年期症状严重程度与性功能障碍患病率之间的关联。
