Daneshfar Zahra, Jahanian Sadatmahalleh Shahideh, Jahangiri Nadia
Department of Midwifery and Reproductive Health, Faculty of Medical Sciences, Tarbiat Modares University, Tehran, Iran.
Department of Endocrinology and Female Infertility, Reproductive Biomedicine Research Center, Royan Institute for Reproductive Biomedicine, ACECR, Tehran, Iran.
Int J Reprod Biomed. 2022 Oct 10;20(9):761-768. doi: 10.18502/ijrm.v20i9.12066. eCollection 2022 Sep.
Infertility is one of the issues affecting sexual function (SF). Infertility is also one of the complications of polycystic ovary syndrome (PCOS) and endometriosis.
This research seeks to assess and compare SF and the prevalence of sexual dysfunction in infertile women with PCOS and endometriosis.
A cross-sectional study was carried out with a sample of 630 (210 infertile women with endometriosis, 210 infertile women with PCOS, and 210 healthy women of childbearing age as the control group). SF was assessed by the female sexual function index (FSFI). Descriptive statistics and inferential statistics were used to analyze the data. The primary outcome measured was FSFI score. Secondary outcome was hospital anxiety and depression scale score.
The results showed that the mean score of the total FSFI in the 2 groups of PCOS and endometriosis was lower than the control group (p 0.001). In addition, women with higher education (university education) had a higher total FSFI.
Sexual dysfunction rates are high in infertile women with endometriosis and PCOS. Infertility service providers in infertility centers need to pay attention to this issue.
不孕症是影响性功能（SF）的问题之一。不孕症也是多囊卵巢综合征（PCOS）和子宫内膜异位症的并发症之一。
本研究旨在评估和比较患有PCOS和子宫内膜异位症的不孕女性的性功能及性功能障碍患病率。
进行了一项横断面研究，样本为630人（210名患有子宫内膜异位症的不孕女性、210名患有PCOS的不孕女性以及210名育龄健康女性作为对照组）。通过女性性功能指数（FSFI）评估性功能。使用描述性统计和推断性统计分析数据。测量的主要结果是FSFI评分。次要结果是医院焦虑抑郁量表评分。
结果显示，PCOS组和子宫内膜异位症组的FSFI总分均值低于对照组（p<0.001）。此外，受过高等教育（大学学历）的女性FSFI总分更高。
患有子宫内膜异位症和PCOS的不孕女性性功能障碍发生率较高。不孕不育中心的不孕不育服务提供者需要关注这一问题。
