Servicio de Obstetricia y Ginecología, Complejo Hospitalario Universitario de Pontevedra, Pontevedra, Spain.
Consulta de Ginecología Dr. Juan Luis Delgado, Murcia, Spain.
Menopause. 2018 Dec;25(12):1418-1423. doi: 10.1097/GME.0000000000001148.
Symptoms of genitourinary syndrome of menopause (GSM) are bothersome to middle-aged and older women, and affect their quality of life (QoL), sexuality, and daily activities. The objective of the study was to evaluate the impact of vaginal symptoms and GSM on the well-being, functioning, and QoL of postmenopausal women from Spain.
This study involved 423 postmenopausal women participating in the GENISSE study (a multicenter, cross-sectional, descriptive, observational study) who presented at least 1 vaginal symptom. All women completed the "day-to-day impact of vaginal aging" (DIVA) questionnaire. Analysis of total scores and subdomains of the questionnaire were performed in women diagnosed with GSM and those without the condition.
In these women, the highest mean scores on the DIVA questionnaire were found in the sexual functioning domain long version (mean 1.8; SD 1.0), followed by the sexual functioning domain short version (mean 1.7; SD 1.1), self-perception and body image (mean 1.4; SD 1.1), activities of daily living (mean 0.7; SD 0.8), and emotional well-being (mean 0.7; SD 0.8) scales. A total of 299 women (70.7%) had vaginal symptoms with a diagnosis of GSM, whereas 124 (29.3%) had no GSM diagnosis. Scores on the DIVA questionnaire were significantly higher in women with a diagnosis of GSM than in those without this condition.
Vaginal symptoms impact the well-being, functioning, and QoL of postmenopausal women, especially sexual function, self-perception, and body image. This impact is significantly higher in women with GSM. Identifying and treating patients affected by vaginal symptoms and GSM may be beneficial for improving their QoL.
绝经后女性生殖泌尿系统综合征（GSM）的症状困扰着中年和老年女性，影响其生活质量（QoL）、性生活和日常活动。本研究旨在评估阴道症状和 GSM 对来自西班牙的绝经后女性的幸福感、功能和 QoL 的影响。
本研究纳入了 423 名参加 GENISSE 研究（一项多中心、横断面、描述性、观察性研究）的绝经后妇女，这些妇女至少存在 1 种阴道症状。所有女性均完成了“阴道老化日常影响”（DIVA）问卷。对诊断为 GSM 和未诊断为 GSM 的女性进行问卷总分和各亚域评分的分析。
在这些女性中，DIVA 问卷的最高平均得分出现在阴道功能长版（平均 1.8；SD 1.0），其次是阴道功能短版（平均 1.7；SD 1.1）、自我认知和身体形象（平均 1.4；SD 1.1）、日常生活活动（平均 0.7；SD 0.8）和情绪健康（平均 0.7；SD 0.8）量表。共有 299 名女性（70.7%）有阴道症状，诊断为 GSM，而 124 名女性（29.3%）无 GSM 诊断。诊断为 GSM 的女性 DIVA 问卷评分显著高于无 GSM 诊断的女性。
阴道症状会影响绝经后女性的幸福感、功能和 QoL，尤其是性功能、自我认知和身体形象。在诊断为 GSM 的女性中，这种影响更为显著。识别和治疗受阴道症状和 GSM 影响的患者可能有助于提高其 QoL。
