Gynecology Department, Institute Clinic of Gynecology, Obstetrics and Neonatology, Hospital Clinic, Universitat de Barcelona, Institut d`Investigacions Biomèdiques August Pi i Sunyer (IDIBAPS), Barcelona, Spain.
Women Health. 2021 Jul;61(6):520-526. doi: 10.1080/03630242.2021.1920557. Epub 2021 May 18.
This study aimed to assess the impact of adenomyosis (AD) on different domains of sexual life. The study population included three groups: one composed of 68 women diagnosed with AD by transvaginal ultrasound, a second group comprised by 65 women diagnosed with isolated deep infiltrating endometriosis by transvaginal ultrasound and a third group including 70 women without AD or/and endometriosis. All participants completed the Brief Profile of Female Sexual Function (B-PFSF), the Female Sexual Distress Scale (FSDS), and the Sexual Quality of Life-Female (SQOL-F) questionnaire. Compared with non-AD/DIE controls, women with AD present significantly lower scores of the B-PFSF and the SQOL-F questionnaires and higher FSDS questionnaire scores ( < .0001). There were no differences between the groups of AD and deep infiltrating endometriosis. Clinicians should be aware that the quality of sexual life may be affected in patients with AD. Early diagnosis and multidisciplinary management would contribute to preventing impairment of sexual quality of life in these patients.
本研究旨在评估子宫腺肌病（AD）对性生活不同方面的影响。研究人群包括三组：一组由 68 名经阴道超声诊断为 AD 的女性组成，第二组由 65 名经阴道超声诊断为单纯深部浸润性子宫内膜异位症的女性组成，第三组由 70 名无 AD 和/或子宫内膜异位症的女性组成。所有参与者都完成了简要女性性功能量表（B-PFSF）、女性性困扰量表（FSDS）和女性性健康生活质量量表（SQOL-F）问卷。与非 AD/DIE 对照组相比，AD 患者的 B-PFSF 和 SQOL-F 问卷评分显著降低，FSDS 问卷评分显著升高（<0.0001）。AD 组和深部浸润性子宫内膜异位症组之间无差异。临床医生应该意识到 AD 患者的性生活质量可能受到影响。早期诊断和多学科管理有助于预防这些患者的性生活质量受损。
