Women's Medical Center, Sanno Medical Center, Tokyo, Japan.
Department of Gynecology, Juno-Vesta Clinic Hatta, Chiba, Japan.
Climacteric. 2020 Dec;23(6):603-607. doi: 10.1080/13697137.2020.1768236. Epub 2020 Jul 28.
The purpose of this survey was to assess the prevalence of genital and urinary tract symptoms among Japanese women with declining estrogen levels.
A health-related questionnaire survey was conducted among women in their 40s or older to inquire about their genital, intercourse-related, and urinary symptoms and concern over their symptoms.
Of the consecutive 10,000 respondents recruited, 4488 (44.9%) reported having symptoms: 3546 (79.0%) expressed concern over their symptoms. Furthermore, 2173 women (21.7%) had incontinence, 1999 (20.0%) had urinary frequency, 1648 (16.5%) had itching, and 1560 (15.6%) reported odor; these were followed by looseness, dryness, and burning. Of the 2518 (25.2%) sexually active women, 518 (20.6%) reported having dyspareunia and more reported having urinary symptoms than genital symptoms. Of the symptomatic respondents, 33.1% had genital symptoms alone, 28.4% had urinary symptoms alone, and 38.4% had both. More sexually active women had genital symptoms, while more sexually inactive women had urinary symptoms.
Genital and urinary symptoms were shown to be common and coexist in a considerable proportion of the respondents, highlighting the pathology of genitourinary syndrome of menopause. Again, dyspareunia and lower urinary tract symptoms were shown to be quite common among postmenopausal women.
本调查旨在评估雌激素水平下降的日本女性生殖泌尿系统症状的流行情况。
对 40 岁以上的女性进行了一项与健康相关的问卷调查，询问她们的生殖、性交和泌尿系统症状以及对症状的关注。
在连续招募的 10000 名受访者中，有 4488 名（44.9%）报告有症状：其中 3546 名（79.0%）对症状表示关注。此外，2173 名女性（21.7%）有尿失禁，1999 名（20.0%）有尿频，1648 名（16.5%）有瘙痒，1560 名（15.6%）有异味；其次是松弛、干燥和灼热。在 2518 名（25.2%）有性生活的女性中，有 518 名（20.6%）报告有性交困难，更多的女性报告有泌尿系统症状而不是生殖系统症状。在有症状的受访者中，有 33.1%只有生殖系统症状，28.4%只有泌尿系统症状，38.4%两者都有。更多有性生活的女性有生殖系统症状，而更多没有性生活的女性有泌尿系统症状。
生殖泌尿系统症状较为常见，且在相当一部分受访者中同时存在，突出了绝经后妇女性生殖泌尿系统综合征的病理学特征。此外，性交困难和下尿路症状在绝经后妇女中也相当常见。
