Omar Salma Samir, Dawood Waleed, Eid Noha, Eldeeb Dalia, Munir Amr, Arafat Waleed
Department of Dermatology, Venereology & Andrology, Faculty of Medicine, Alexandria University, Alexandria, Egypt.
Department of Urology, Faculty of Medicine, Alexandria University, Alexandria, Egypt.
Sex Med. 2021 Feb;9(1):100295. doi: 10.1016/j.esxm.2020.100295. Epub 2021 Jan 9.
Psychological consequences of the COVID-19 pandemic include pandemic triggered feelings of fear, uncertainty, and anxiety added to the effects of restricting the population's activities in lockdown.
We aimed to study the effect of COVID-19 pandemic on sexual satisfaction of females and males in Egypt and to evaluate possible predictive factors.
Married men and females in Egypt were invited to respond to an online questionnaire. The questionnaire addressed medical history, socioeconomic status, sexual performance satisfaction before and during the lockdown in addition to validated Arabic questionnaires for depression, sexual function in males and females, and sexual satisfaction (Generalized Anxiety Disorder-7, Patient Health Questionnaire-9, Female Sexual Function Index, International Index of Erectile Function-5, Index of Sexual Satisfaction, respectively).
The main outcome measures were frequency of depression, anxiety, sexual dysfunction, and sexual satisfaction in males and females during COVID-19 lockdown.
A total of 479 females and 217 males completed the questionnaire. Sexual satisfaction was significantly higher before (91.2%, 73.5%) than during lockdown (70.5%, 56.2%) in both males and females, respectively. During lockdown, significantly more males (70.5%) reported being satisfied with their sexual performance than females (56.2%) (P < .001). More than half of the male subjects (68.2%) had no erectile dysfunction while 97.3% females scored ≤26.5 on the Female Sexual Function Index scale suggestive of sexual difficulties. Sexual stress was significantly greater in females (70.8%) than males (63.1%). Educational level, occupation, anxiety, and erectile dysfunction were independently associated with sexual stress in males. Being a housewife or unemployed, husband's age >35 years, marriage duration of 5-10 years, anxiety, and female sexual dysfunction were predictors of sexual relation stress in females.
COVID-19 pandemic was associated with lower sexual satisfaction in both genders. Females however suffered more anxiety and depression and thereby greater risk of sexual function difficulties and sexual dissatisfaction. Intervention strategies in order to lessen the suffering of affected individuals particularly after the pandemic are recommended. Omar SS, Dawood W, Eid N, et al. Psychological and Sexual Health During the COVID-19 Pandemic in Egypt: Are Women Suffering More. Sex Med 2021;9:100295.
新冠疫情的心理影响包括疫情引发的恐惧、不确定和焦虑情绪，再加上封锁措施限制民众活动所产生的影响。
我们旨在研究新冠疫情对埃及男性和女性性满意度的影响，并评估可能的预测因素。
邀请埃及已婚男性和女性在线填写问卷。问卷涉及病史、社会经济状况、封锁前和封锁期间的性表现满意度，此外还有经过验证的阿拉伯语问卷，分别用于评估抑郁、男性和女性性功能以及性满意度（分别为广泛性焦虑障碍-7问卷、患者健康问卷-9、女性性功能指数、国际勃起功能指数-5、性满意度指数）。
主要观察指标为新冠疫情封锁期间男性和女性的抑郁、焦虑、性功能障碍频率以及性满意度。
共有479名女性和217名男性完成了问卷。男性和女性在封锁前的性满意度（分别为91.2%、73.5%）显著高于封锁期间（分别为70.5%、56.2%）。在封锁期间，报告对自己性表现满意的男性（70.5%）显著多于女性（56.2%）（P <.001）。超过一半的男性受试者（68.2%）没有勃起功能障碍，而97.3%的女性在女性性功能指数量表上得分≤26.5，提示存在性方面的困难。女性的性压力（70.8%）显著高于男性（63.1%）。教育程度、职业、焦虑和勃起功能障碍与男性的性压力独立相关。家庭主妇或无业、丈夫年龄>35岁、婚姻持续时间5至10年、焦虑和女性性功能障碍是女性性关系压力的预测因素。
新冠疫情与两性性满意度降低有关。然而，女性遭受更多焦虑和抑郁，因此性功能困难和性不满的风险更大。建议采取干预策略以减轻受影响个体的痛苦，尤其是在疫情之后。奥马尔·SS、达伍德·W、 Eid·N等。埃及新冠疫情期间的心理与性健康：女性受影响更大吗？《性医学》2021；9：100295 。
