子宫内膜异位症患者的性功能：一项中国的前瞻性病例对照研究。
Sexual function in patients with endometriosis: a prospective case-control study in China.
作者信息
Yang Xiaochun, Xu Xinfen, Lin Lili, Xu Kaihong, Xu Min, Ye Jinying, Shen Xiaoli
机构信息
Women's Hospital School of Medicine, 12377Zhejiang University, Hangzhou, Zhejiang Province, People's Republic of China.
出版信息
J Int Med Res. 2021 Apr;49(4):3000605211004388. doi: 10.1177/03000605211004388.
OBJECTIVE
Endometriosis is a common disease in women of childbearing age, leading to sexual dysfunction or loss of libido. We aimed to evaluated the effect of endometriosis on women's sexual function.
METHODS
We performed a prospective case-control study to determine the effect of endometriosis on women's sexual function using a self-administered questionnaire from September 2017 to August 2018. The simplified Chinese version of the Female Sexual Function Index (FSFI) was used to assess sexual function.
RESULTS
We found that sexual function of women in the endometriosis group (n=77) in all dimensions was significantly lower compared with that in the control group (n=63). The total FSFI score in patients was 25.5, which tended to be lower than that in the control group (26.7). Sexual arousal, sexual pain, and satisfaction were significantly different between the two groups. Sexual arousal and sexual pain scores were significantly lower in the endometriosis group than in the control group at the ages of 31 to 40 years.
CONCLUSION
Women with endometriosis suffer from sexual dysfunction, especially those aged 31 to 40 years. Our findings suggest that the quality of sexual life in this subpopulation needs to be improved.
目的
子宫内膜异位症是育龄期女性的常见疾病，可导致性功能障碍或性欲丧失。我们旨在评估子宫内膜异位症对女性性功能的影响。
方法
我们进行了一项前瞻性病例对照研究，以确定2017年9月至2018年8月期间子宫内膜异位症对女性性功能的影响，采用自行填写的问卷。使用简化中文版女性性功能指数（FSFI）评估性功能。
结果
我们发现，子宫内膜异位症组（n = 77）女性在所有维度的性功能均显著低于对照组（n = 63）。患者的FSFI总分为25.5，倾向于低于对照组（26.7）。两组之间的性唤起、性交疼痛和满意度存在显著差异。在31至40岁年龄段，子宫内膜异位症组的性唤起和性交疼痛评分显著低于对照组。
结论
患有子宫内膜异位症的女性存在性功能障碍，尤其是31至40岁的女性。我们的研究结果表明，这一亚群体的性生活质量需要改善。
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