Department of Gynecological and Obstetrics, Sandro Pertini Hospital, Rome, Italy; Department of Gynecological and Obstetrics, University "Sapienza" of Rome, Rome, Italy.
Department of Gynecological and Obstetrics, Sandro Pertini Hospital, Rome, Italy.
J Sex Med. 2020 Aug;17(8):1407-1413. doi: 10.1016/j.jsxm.2020.06.006. Epub 2020 Jul 8.
The beginning of 2020 was characterized by the COVID-19 pandemic. The world governments have adopted restrictive measures to reduce the spread of infection. These measures could affect the sexual function and quality of life of women living with their partner.
The aim is to assess the impact of the social distancing measures caused by the COVID-19 pandemic on sexual function and quality of life of noninfected reproductive-age women, living with their sexual partner.
Observational analysis on sexually active women, living with their partner, and without COVID-19 infection was performed. The population previously answered FSFI, FSDS, and SF-36 questionnaires. 4 weeks after the introduction of the restrictive measures, these women were invited to complete the same questionnaires by e-mail for an evaluation during the COVID-19 outbreak.
The primary endpoint was the assessment of the women's sex function change during the social restriction period, by analyzing the FSFI and FSDS questionnaires. The secondary endpoint was the evaluation of the impact on the quality of life calculated by the SF-36 questionnaire.
89 patients were considered. The median age was 39 (28-50) years. Mean sexual intercourses/month decreased from 6.3 ± 1.9 to 2.3 ± 1.8, mean difference: -3.9 ± 1.2. FSFI decreased significantly (29.2 ± 4.2 vs 19.2 ± 3.3, mean difference: -9.7 ± 2.6) and FSDS increased significantly (9.3 ± 5.5 vs 20.1 ± 5.2, mean difference: 10.8 ± 3.4). The SF-36 showed a significant change from 82.2 ± 10.2 to 64.2 ± 11.8 4 weeks after the introduction of the restrictive measures; mean difference: -17.8 ± 6.7. The univariable analysis identified working outside the home, university educational level, and parity ≥1 as predictive factors of lower FSFI. In multivariable analysis, working outside the home and combination of working outside the home + university educational level + parity ≥1 were the independent factors of a lower FSFI.
The negative impact of the COVID-19 epidemic period on sexual function and quality of life in women shows how acute stress might affect the psychological state. Thus, psychological or sexual support could be useful.
To our knowledge, this study is the first that analyzes the change in sexual activity in women during the COVID-19 outbreak period. The limitations were the low number of the analyzed participants, psychological tests were not included, and no data were collected on masturbation, self-heroism, solitary, and nonpenetrative sex.
The COVID-19 epidemic and the restrictive social distancing measures have negatively influenced the sexual function and quality of life in not-infected reproductive-age women who live with their sexual partners. Schiavi MC, Spina V, Zullo MA, et al. Love in the Time of COVID-19: Sexual Function and Quality of Life Analysis During the Social Distancing Measures in a Group of Italian Reproductive-Age Women. J Sex Med 2020;17:1407-1413.
2020 年初的特点是 COVID-19 大流行。世界各国政府采取了限制性措施来减少感染的传播。这些措施可能会影响与伴侣生活的女性的性功能和生活质量。
目的是评估 COVID-19 大流行期间的社会隔离措施对与伴侣生活的未感染生殖年龄女性的性功能和生活质量的影响。
对有性生活、与伴侣生活且未感染 COVID-19 的活跃女性进行观察性分析。该人群先前回答了 FSFI、FSDS 和 SF-36 问卷。在限制性措施实施 4 周后，邀请这些女性通过电子邮件完成相同的问卷，以便在 COVID-19 爆发期间进行评估。
主要终点是通过分析 FSFI 和 FSDS 问卷评估女性在社会限制期间的性功能变化。次要终点是通过 SF-36 问卷评估对生活质量的影响。
共考虑了 89 名患者。中位年龄为 39 岁（28-50 岁）。平均每月性生活次数从 6.3±1.9 次减少到 2.3±1.8 次，平均差异为-3.9±1.2。FSFI 显著下降（29.2±4.2 与 19.2±3.3，平均差异：-9.7±2.6），FSDS 显著增加（9.3±5.5 与 20.1±5.2，平均差异：10.8±3.4）。SF-36 在引入限制措施后 4 周从 82.2±10.2 降至 64.2±11.8，平均差异：-17.8±6.7。单变量分析确定外出工作、大学教育水平和产次≥1 是 FSFI 较低的预测因素。多变量分析表明，外出工作以及外出工作+大学教育水平+产次≥1 的组合是 FSFI 较低的独立因素。
COVID-19 流行期间对女性性功能和生活质量的负面影响表明急性压力可能如何影响心理状态。因此，心理或性支持可能是有用的。
据我们所知，这项研究是首次分析 COVID-19 爆发期间女性性行为的变化。分析参与者数量较少，未包括心理测试，也未收集自慰、自我英雄主义、孤独和非渗透性行为的数据。
COVID-19 大流行和限制性社会隔离措施对与伴侣生活的未感染生殖年龄女性的性功能和生活质量产生了负面影响。
