Department of Obstetrics and Gynecology, Seoul National University Hospital, Seoul, Korea.
Department of Family Medicine, Seoul National University College of Medicine, Seoul, Korea.
Yonsei Med J. 2019 Aug;60(8):791-795. doi: 10.3349/ymj.2019.60.8.791.
To determine the relationship between uterine leiomyoma and female sexual dysfunction (FSD) among premenopausal and postmenopausal women.
The study population consisted of consecutive women who underwent gynecologic screening tests, including transvaginal ultrasound, and completed the questionnaires on FSD. A total of 841 women were included from January 2010 to December 2011. FSD was defined as Female Sexual Function Index (FSFI) ≤26.55. The relationship between uterine leiomyoma and FSD were compared according to menopausal status.
In premenopausal group (n=564), there were no differences in the frequency of FSD (55.0% vs. 58.8%, =0.387) and total FSFI score. However, in postmenopausal group (n=277), women with uterine leiomyoma had a lower frequency of FSD than those without uterine leiomyoma (71.3% vs. 86.4%, =0.003). This relationship between uterine leiomyoma and lower frequency of FSD in postmenopausal women remained significant after adjusting for confounding variables.
The relationship between uterine leiomyoma and FSD is different depending on the menopausal status.
确定子宫肌瘤与绝经前和绝经后女性性功能障碍（FSD）之间的关系。
研究人群为 2010 年 1 月至 2011 年 12 月连续接受妇科筛查检查（包括经阴道超声检查）并完成 FSD 问卷的女性。共纳入 841 名女性。FSD 定义为女性性功能指数（FSFI）≤26.55。根据绝经状态比较子宫肌瘤与 FSD 之间的关系。
在绝经前组（n=564），FSD 的发生率（55.0%比 58.8%，=0.387）和总 FSFI 评分无差异。然而，在绝经后组（n=277），患有子宫肌瘤的女性 FSD 发生率低于无子宫肌瘤的女性（71.3%比 86.4%，=0.003）。在调整混杂变量后，子宫肌瘤与绝经后女性 FSD 发生率降低之间仍存在显著关系。
子宫肌瘤与 FSD 之间的关系因绝经状态而异。
