Okobi Okelue E
Family Medicine, Lakeside Medical Center, Belle Glade, USA.
Cureus. 2021 Jun 28;13(6):e16006. doi: 10.7759/cureus.16006. eCollection 2021 Jun.
The Center for Disease Control and Prevention describes infertility as the inability to conceive after one year or longer with adequate unprotected sex. Infertility affects both females and males, interfering with their everyday lives and significantly impacting their mental health. Sexual dysfunction is defined as an alteration of the sexual response cycle phases, preventing satisfaction during sexual activity. The prevalence of sexual dysfunction in the United States is high, with about 10%-52% among men and 25%-63% among women. Different scales can measure sexual satisfaction and double as a tool to diagnose sexual dysfunction. The Female Sexual Function Index (FSFI) is the gold standard for diagnosing sexual dysfunction in women. Overall, fertile women had a higher score on the FSFI than infertile women; however, both groups showed sexual dysfunctions even if the fertile group was classified as a mild disorder. The most common disorders were disorders of desire and lubrication. Desire and arousal dysfunction appeared more common in participants with secondary infertility, while lubrication dysfunctions were more common in older participants. In the future, it will be important to evaluate other factors that affect sexual function and fertility including mental health, male health, and couple factors.
疾病控制与预防中心将不孕症定义为在有足够的无保护性行为一年或更长时间后仍无法受孕。不孕症对男性和女性都会产生影响，干扰他们的日常生活，并对他们的心理健康产生重大影响。性功能障碍被定义为性反应周期阶段的改变，导致性行为过程中无法获得满足感。在美国，性功能障碍的患病率很高，男性约为10%-52%，女性约为25%-63%。不同的量表可以衡量性满意度，同时也可作为诊断性功能障碍的工具。女性性功能指数（FSFI）是诊断女性性功能障碍的金标准。总体而言，可育女性在FSFI上的得分高于不孕女性；然而，两组均表现出性功能障碍，即使可育组被归类为轻度障碍。最常见的障碍是性欲和润滑方面的障碍。继发性不孕的参与者中，性欲和唤起功能障碍更为常见，而润滑功能障碍在年龄较大的参与者中更为常见。未来，评估其他影响性功能和生育能力的因素，包括心理健康、男性健康和夫妻因素，将非常重要。
