Abduljabbar H S O, Alkasih M A, Khayat S W, Qotbi R M, Alkhatieb M T, Abduljabbar A H
Clin Exp Obstet Gynecol. 2016;43(4):526-528.
The aim was to assess sexual performance by screening Saudi women before and after the age of 40 years.
A cross-sectional study (March-May 2013), conducted at King Abdulaziz University Hospital (KAUH), with two groups of women under 40 years of age and aged 40 or more years, were randomly selected from OPD. Ethical committee approved the study. After verbal consent, one-paper self-administered questionnaire was distributed, and filled in anonymously and privately. Questionnaire included demographic data, the six-item version of female sexual function index (FSFI) to assess desire, lubricants, orgasm, satisfaction, and pain. If score was 19 or less, it meant that women needed further investigations (full assessment using FSFI- 19).
Out of 194, 49.5% (96) were over 40 years of age and 50.5% (98) were under 40 years of age. Answering the six questions regarding sexual dysfunction in- dicated that women > 40 years had sexual dysfunction more than women <40 (statistically significant). A scored of less than 19 was found to be statistically significant in women > 40 years. Post-menopausal women, diabetics, women with urogynecological symptoms and/or psychological disorder required further evaluation.
Using the six-item version of FSFI and calculating a score less than 19 for screening, women aged more than 40 years, reduction in estrogen, diabetes, urogynecological symptoms, and psychological disorder were all found to be important factors affecting female sexual dysfunction.
旨在通过对40岁前后的沙特女性进行筛查来评估性功能。
2013年3月至5月在阿卜杜勒阿齐兹国王大学医院（KAUH）开展了一项横断面研究，从门诊随机选取两组女性，一组年龄在40岁以下，另一组年龄在40岁及以上。伦理委员会批准了该研究。在获得口头同意后，发放了一份单页自填式问卷，由参与者匿名且私下填写。问卷包括人口统计学数据、用于评估性欲、润滑、性高潮、满意度和疼痛的六项版女性性功能指数（FSFI）。如果得分在19分及以下，则意味着女性需要进一步检查（使用FSFI-19进行全面评估）。
在194名参与者中，49.5%（96名）年龄在40岁以上，50.5%（98名）年龄在40岁以下。对关于性功能障碍的六个问题的回答表明，40岁以上的女性比40岁以下的女性性功能障碍更多（具有统计学意义）。发现40岁以上的女性得分低于19分具有统计学意义。绝经后女性、糖尿病患者、有泌尿妇科症状和/或心理障碍的女性需要进一步评估。
使用六项版FSFI并将得分低于19分作为筛查标准，发现40岁以上的女性、雌激素减少、糖尿病、泌尿妇科症状和心理障碍都是影响女性性功能障碍的重要因素。
