Polland Allison, Duong Vi, Furuya Rachel, Fitzgerald Jocelyn J, Wang Haijun, Iwamoto Aya, Bradley Sarah, Iglesia Cheryl B
Maimonides Medical Center, Brooklyn, NY.
Georgetown University School of Medicine/MedStar Health, Washington, DC; Massachussets General Hospital, Boston, MA.
Sex Med. 2021 Dec;9(6):100443. doi: 10.1016/j.esxm.2021.100443. Epub 2021 Oct 8.
Vaginal laxity (VL) is a sensation of vaginal looseness which may develop after pregnancy and vaginal delivery and may be affected by prior pelvic surgery, menopause and aging. Pelvic organ prolapse (POP) is a disorder in which pelvic organs descend from the normal position. VL has attracted recent attention due to the advent of energy-based treatments for this symptom.
To determine the correlation between VL symptoms and physical exam findings of POP, specifically the introital measurement of genital hiatus.
This was a multi-center cross-sectional study of sexually active women over 18 years of age with a parity of one or greater. Subjects completed the Vaginal Laxity Questionnaire (VLQ), the Pelvic Floor Distress Inventory-20, and the Female Sexual Function Index (FSFI), and were asked if a sexual partner had commented on laxity. Subjects underwent pelvic exam, including the pelvic organ prolapse quantification (POP-Q).
Correlation between VL symptoms as measured by the VLQ and POP as measured by elements of the POP-Q.
A total of 95 subjects with an average age was 54.3 ± 13.18 years were included. Sixty-three percent of patients were postmenopausal. The average VLQ score was 4.2 ± 1.35 and the average FSFI score was 23.42 out of 36. There was no significant correlation between VLQ score and POP or mid-vaginal caliber. Sensation of vaginal tightness was significantly associated with age (P=0.03) and menopausal status (P=0.04). Only 28% of partners commented on laxity and the majority commented on the vagina being tight (21%) rather than loose (7%).
VL was not correlated with physical exam findings quantifying POP or sexual function. This study emphasizes the need to develop a more standardized definition of VL and a better assessment tool for VL symptoms. Polland A, Duong V, Furuya R, et al. Description of Vaginal Laxity and Prolapse and Correlation With Sexual Function (DeVeLoPS). Sex Med 2021;9:100443.
阴道松弛是一种阴道松弛的感觉，可能在怀孕和阴道分娩后出现，也可能受到既往盆腔手术、绝经和衰老的影响。盆腔器官脱垂是指盆腔器官从正常位置下降的一种病症。由于针对该症状的基于能量的治疗方法的出现，阴道松弛最近受到了关注。
确定阴道松弛症状与盆腔器官脱垂的体格检查结果之间的相关性，特别是生殖裂孔的阴道口测量。
这是一项多中心横断面研究，研究对象为年龄在18岁以上、产次为一胎或多胎的性活跃女性。受试者完成了阴道松弛问卷（VLQ）、盆底困扰量表-20和女性性功能指数（FSFI），并被问及性伴侣是否对阴道松弛有过评价。受试者接受了盆腔检查，包括盆腔器官脱垂定量检查（POP-Q）。
通过VLQ测量的阴道松弛症状与通过POP-Q要素测量的盆腔器官脱垂之间的相关性。
共纳入95名平均年龄为54.3±13.18岁的受试者。63%的患者已绝经。VLQ平均得分为4.2±1.35，FSFI平均得分为36分中的23.42分。VLQ评分与盆腔器官脱垂或阴道中段口径之间无显著相关性。阴道紧绷感与年龄（P=0.03）和绝经状态（P=0.04）显著相关。只有28%的伴侣提到过阴道松弛，大多数伴侣提到阴道紧（21%）而非松（7%）。
阴道松弛与量化盆腔器官脱垂的体格检查结果或性功能无关。本研究强调需要制定更标准化的阴道松弛定义和更好的阴道松弛症状评估工具。波兰德A、杜昂V、古屋R等。阴道松弛和脱垂的描述及其与性功能的相关性（DeVeLoPS）。性医学2021；9：100443。
