Department of Neurology, Şişli Hamidiye Etfal Training and Research Hospital, İstanbul, Turkey.
Department of Neurology, İstanbul University Cerrahpaşa- Cerrahpaşa Faculty of Medicine, İstanbul, Turkey.
Agri. 2020 Nov;32(4):193-201. doi: 10.14744/agri.2020.47640.
Recent studies have shown a more frequent occurrence of sexual dysfunction in patients with headache. The aim of this study was to assess the effects of demographic and clinical characteristics and psychiatric symptoms on sexual dysfunction in Turkish female patients with migraine.
In all, 18 sexually active patients with episodic migraine (EM), 12 patients with chronic migraine (CM), and 22 healthy controls of similar age were enrolled in the study. A numeric rating scale was administered to assess pain intensity. The psychiatric symptoms and sexual function of all of the participants were evaluated using the Beck depression and anxiety scales and the Golombok-Rust Inventory of Sexual Satisfaction (GRISS).
The mean GRISS subscale scores did not differ significantly between the migraine groups and the control group (all p values <0.05). A positive correlation was found between the duration of headache and GRISS subscales of noncommunication, dissatisfaction, vaginismus, and anorgasmia in EM patients. In addition, there was a negative correlation with the infrequency and avoidance subscales. No correlation was detected between the GRISS subscale scores and the demographic and clinical characteristics of the patients with CM, with the exception of the level of education. Higher pain intensity scores and the presence of anxiety or depression among the EM and CM patients significantly affected all of the subscale scores of the sexual function inventory.
Although there was no relationship between migraine chronicity and sexual dysfunction, our data indicated that patient demographic characteristics, greater pain severity, and comorbidities of depression or anxiety were associated with greater sexual dysfunction among patients with EM and CM.
最近的研究表明，头痛患者的性功能障碍更为常见。本研究旨在评估人口统计学和临床特征以及精神症状对土耳其女性偏头痛患者性功能障碍的影响。
本研究共纳入 18 例发作性偏头痛（EM）、12 例慢性偏头痛（CM）和 22 例年龄相仿的健康对照者。采用数字评分量表评估疼痛强度。使用贝克抑郁和焦虑量表以及 Golombok-Rust 性满意度量表（GRISS）评估所有参与者的精神症状和性功能。
偏头痛组与对照组之间的 GRISS 亚量表评分无显著差异（所有 p 值均>0.05）。EM 患者头痛持续时间与非沟通、不满、阴道痉挛和性高潮障碍的 GRISS 亚量表呈正相关。此外，与不频繁和回避亚量表呈负相关。CM 患者的 GRISS 亚量表评分与人口统计学和临床特征之间无相关性，除了教育水平。EM 和 CM 患者较高的疼痛强度评分和焦虑或抑郁的存在显著影响性功能量表的所有亚量表评分。
尽管偏头痛的慢性与性功能障碍之间没有关系，但我们的数据表明，患者的人口统计学特征、更严重的疼痛程度以及抑郁或焦虑的合并症与 EM 和 CM 患者的性功能障碍更为相关。
