Hospital Universitario La Paz, Dept. of Obstetrics and Gynecology, Madrid, Spain.
Hospital Universitario Maternoinfantil de Canarias, Dept. of Obstetrics and Gynecology, Las Palmas de Gran Canaria, Spain.
Maturitas. 2018 Feb;108:31-36. doi: 10.1016/j.maturitas.2017.11.009. Epub 2017 Nov 11.
To determine whether actively addressing sexuality in a gynaecological consultation with menopausal patients improves the diagnosis of sexual problems.
A multi-centre analytical cross-sectional study was conducted at 12 Spanish hospitals. In gynaecological consultations the usual medical histories were taken, except that, initially, issues relating to sexuality were omitted, unless the patients raised them. Then, after 5min, gynaecologists offered the possibility of talking about sexuality and asked about possible sexual problems. Main outcome measures Observed prevalence of sexual problems.
A total of 256 postmenopausal women participated in the study. Of them, 12.1% reported a sexual problem during the first 5 minutes of the interview. The prevalence of patients with a sexual problem increased by 35.9% (from 12.1% to 48.0%) when they were asked about sexuality after 5min (p<0.0001). The main factors associated with having a sexual problem were genitourinary syndrome of menopause (GSM) and having a stable sexual partner.
Asking postmenopausal women about sexuality in gynaecological consultations is an important tool that increases the number of diagnoses of sexual problems. Gynaecologists should routinely ask about sexuality.
确定在与更年期女性的妇科咨询中主动探讨性问题是否能改善性问题的诊断。
这是一项在西班牙 12 家医院进行的多中心分析性横断面研究。在妇科咨询中，除了患者主动提出外，通常会采集与性相关的医学史，但最初会省略与性相关的问题。然后，在 5 分钟后，妇科医生会提供讨论性问题的可能性，并询问是否存在可能的性问题。主要观察指标：观察到的性问题发生率。
共有 256 名绝经后女性参与了这项研究。其中，12.1%的患者在访谈的前 5 分钟内报告了性问题。当在 5 分钟后询问性问题时，患有性问题的患者比例增加了 35.9%（从 12.1%增加到 48.0%）（p<0.0001）。与存在性问题相关的主要因素是泌尿生殖系统绝经综合征（GSM）和有稳定的性伴侣。
在妇科咨询中询问绝经后女性的性问题是一个重要工具，它可以增加性问题的诊断数量。妇科医生应常规询问性问题。
