Sargin Mehmet Akif, Yassa Murat, Taymur Bilge Dogan, Taymur Bulent, Akca Gizem, Tug Niyazi
Department of Obstetrics and Gynecology, Fatih Sultan Mehmet Training and Research Hospital, Istanbul, Turkey.
Department of Psychiatry, Erenkoy Mental Health Training and Research Hospital, Istanbul, Turkey.
J Coll Physicians Surg Pak. 2017 Apr;27(4):203-208.
To compare the status of female sexual dysfunction (FSD) between women with a history of previous gestational diabetes mellitus (GDM) and those with follow-up of a healthy pregnancy, using the female sexual function index (FSFI) questionnaire.
Cross-sectional study.
Department of Obstetrics and Gynecology, Fatih Sultan Mehmet Training and Research Hospital, Istanbul, Turkey, from September to December 2015.
Healthy sexually active adult parous females were included. Participants were asked to complete the validated Turkish versions of the FSFI and Hospital Anxiety and Depression Scale (HADS) questionnaires. Student's t-test was used for two-group comparisons of normally distributed variables and quantitative data. Mann-Whitney U-test was used for two-group comparisons of non-normally distributed variables. Pearson's chi-squared test, the Fisher-FreemanHalton test, Fisher's exact test, and Yates' continuity correction test were used for comparison of qualitative data.
The mean FSFI scores of the 179 participants was 23.50 ±3.94. FSFI scores and scores of desire, arousal, lubrication, orgasm, satisfaction, and pain were not statistically significantly different (p>0.05), according to a history of GDM and types of FSD (none, mild, severe). HADS scores and anxiety and depression types did not statistically significantly differ according to the history of GDM (p>0.05).
An association could not be found in FSFI scores between participants with both the history of previous GDM and with healthy pregnancy; subclinical sexual dysfunction may be observed in the late postpartum period among women with a history of previous GDM. This may adversely affect their sexual health.
使用女性性功能指数（FSFI）问卷，比较既往有妊娠期糖尿病（GDM）病史的女性与健康妊娠随访女性的女性性功能障碍（FSD）状况。
横断面研究。
2015年9月至12月，土耳其伊斯坦布尔法提赫苏丹穆罕默德培训与研究医院妇产科。
纳入健康、有性活动的成年经产妇。参与者被要求完成经过验证的土耳其语版FSFI和医院焦虑抑郁量表（HADS）问卷。对于正态分布变量和定量数据的两组比较，使用学生t检验。对于非正态分布变量的两组比较，使用曼-惠特尼U检验。对于定性数据的比较，使用Pearson卡方检验、Fisher-FreemanHalton检验、Fisher精确检验和Yates连续性校正检验。
179名参与者的FSFI平均得分为23.50±3.94。根据GDM病史和FSD类型（无、轻度、重度），FSFI得分以及性欲、性唤起、润滑、性高潮、满意度和疼痛得分在统计学上无显著差异（p>0.05）。根据GDM病史，HADS得分以及焦虑和抑郁类型在统计学上无显著差异（p>0.05）。
既往有GDM病史的参与者与健康妊娠参与者的FSFI得分之间未发现关联；既往有GDM病史的女性在产后晚期可能存在亚临床性功能障碍。这可能对她们的性健康产生不利影响。
