Yun Ho Ju, Cho Hyun Hee
a Best Skilled Gynecology Hospital , Seoul , Korea.
b Department of Obstetrics and Gynecology, Seoul St. Mary's Hospital , Catholic University Medical College , Seoul , Korea.
J Obstet Gynaecol. 2018 Jul;38(5):663-667. doi: 10.1080/01443615.2017.1389866. Epub 2018 Feb 12.
This cross-sectional study analysed the characteristics of HSDD (hypoactive sexual desire disorder) in Korean women. Two hundred and seventeen women seen for sexual dysfunction were assessed using the Diagnostic and Statistical Manual of Mental Disorders, Fourth Edition, Revised (DMS IV-TR) and the Female Sexual Function Index (FSFI). A diagnosis of HSDD was more common in women in their 40 s (56%), who had previously undergone surgery for a feeling of 'wide vagina'. Both too much or too little sexual activity caused HSDD. Longer physical contact and sexual foreplay duration lessened the prevalence of HSDD. We concluded that special attention should be paid to women in their 40 s, particularly those with a history of vaginal surgery as they are at risk of HSDD. Potential treatment options should include couple counselling about the optimal frequency and duration of sexual activity, as well as treatment specific to the disorders identified by the FSFI. Impact statement What is already known on this subject: Many socio-medical factors affect the prevalence of HSDD (Hypoactive sexual desire disorder). Age, cultural factors, relationship status, education, religion, employment, mental distress, depression, medications, menopausal status, multiple psychiatric disorders and a variety of medical conditions impact on sexual function. What do the results of this study add: A history of wide vaginal surgery (perineoplasty, vaginal rogation rejuvenation, or anterior vaginal introitoplasty) affects the incidence of HSDD (and have not been evaluated before). Both too much or too little sexual activity were found to have caused HSDD. A longer physical contact and duration of sexual foreplay lessened the prevalence of HSDD. What are the implications of these findings for clinical practice and/or further research: We concluded that special attention should be paid to women in their 40 s; particularly those with a history of wide vaginal surgery, as they are at risk of HSDD. Potential treatment options should include couple counselling about the optimal frequency and duration of sexual activity, as well as treatment specific to the disorders identified by the FSFI.
这项横断面研究分析了韩国女性性欲减退障碍（HSDD）的特征。对217名因性功能障碍前来就诊的女性，使用《精神疾病诊断与统计手册》第四版修订版（DMS IV - TR）和女性性功能指数（FSFI）进行评估。HSDD诊断在40多岁的女性中更为常见（56%），这些女性之前曾因“阴道宽松感”接受过手术。性活动过多或过少都会导致HSDD。更长时间的身体接触和性前戏时长会降低HSDD的患病率。我们得出结论，应特别关注40多岁的女性，尤其是那些有阴道手术史的女性，因为她们有患HSDD的风险。潜在的治疗选择应包括针对性活动最佳频率和时长的夫妻咨询，以及针对FSFI所确定疾病的特定治疗。影响声明关于该主题已知的信息：许多社会医学因素会影响性欲减退障碍（HSDD）的患病率。年龄、文化因素、关系状况、教育程度、宗教信仰、就业情况、精神困扰、抑郁、药物、绝经状态、多种精神疾病以及各种医疗状况都会影响性功能。本研究结果补充了什么：阴道宽松手术史（会阴成形术、阴道年轻化手术或阴道前庭成形术）会影响HSDD的发病率（此前未被评估过）。性活动过多或过少都被发现会导致HSDD。更长时间的身体接触和性前戏时长会降低HSDD的患病率。这些发现对临床实践和/或进一步研究有何意义：我们得出结论，应特别关注40多岁的女性；尤其是那些有阴道宽松手术史的女性，因为她们有患HSDD的风险。潜在的治疗选择应包括针对性活动最佳频率和时长的夫妻咨询，以及针对FSFI所确定疾病的特定治疗。
