Department of Natural Sciences, University of Puerto Rico, Cayey.
University of Puerto Rico Center for IBD and Department of Medicine, School of Medicine, University of Puerto Rico Medical Sciences Campus, San Juan, Puerto Rico.
P R Health Sci J. 2020 Sep;39(3):243-248.
Inflammatory bowel disease (IBD) negatively impacts quality of life-related issues including intimacy, body image, and sexual activity. Sexual dysfunction in patients with IBD is often unrecognized. In this study, we aimed to describe sexual function in Puerto Rican women with IBD.
We conducted a cross-sectional study of women with IBD at the University of Puerto Rico Center for IBD. Patients were invited to anonymously complete the validated Spanish version of the Female Sexual Function Index (FSFI) questionnaire. On this 36-point scale, a score of 26.55 or less is defined as sexual dysfunction. Data were analyzed by diagnosis, presence of an ostomy, and age, using descriptive statistics, ANOVA, Student's t test, and logistic regression.
One hundred women completed the FSFI questionnaire, with subjects having Crohn's disease (CD) outnumbering those having ulcerative colitis (UC) 2:1. The mean sexual function score was 21.92 (95% CI: 20.08-23.76). No statistical difference was observed in total FSFI scores between subjects with CD and UC (p = 0.084) and those with an ostomy (p = 0.891). Sexual function decreased with age (p = 0.001). The domains of excitation, lubrication, orgasm, and satisfaction were the most negatively affected (p<0.05) by increasing age. Multivariate analysis confirmed the effect of age on excitation, lubrication, orgasm, and pain.
Our study showed sexual dysfunction to be present in this sample of Puerto Rican Hispanic women with IBD. Physicians treating patients with IBD need to be aware of these findings to explore the concerns of individuals with this disease and develop strategies to address those concerns.
炎症性肠病（IBD）对与生活质量相关的问题（包括亲密关系、身体形象和性活动）产生负面影响。IBD 患者的性功能障碍常常未被识别。在本研究中，我们旨在描述波多黎各 IBD 女性患者的性功能。
我们对波多黎各大学 IBD 中心的 IBD 女性患者进行了横断面研究。患者被邀请匿名填写经过验证的西班牙语版女性性功能指数（FSFI）问卷。在这个 36 分制的量表中，得分低于 26.55 被定义为性功能障碍。使用描述性统计、方差分析、学生 t 检验和逻辑回归，根据诊断、造口术的存在和年龄对数据进行分析。
100 名女性完成了 FSFI 问卷，患有克罗恩病（CD）的患者人数是溃疡性结肠炎（UC）的两倍。平均性功能评分 21.92（95%CI：20.08-23.76）。CD 和 UC 患者（p=0.084）以及造口术患者（p=0.891）之间的 FSFI 总分无统计学差异。性功能随年龄增长而下降（p=0.001）。兴奋、润滑、高潮和满意度等领域受年龄增长的负面影响最大（p<0.05）。多变量分析证实了年龄对兴奋、润滑、高潮和疼痛的影响。
我们的研究表明，IBD 对波多黎各西班牙裔女性患者的性功能存在影响。治疗 IBD 患者的医生需要意识到这些发现，以探讨该疾病患者的关注点，并制定解决这些问题的策略。
