Kasano Juan Pedro Matzumura, Crespo Hugo F Gutiérrez, Arias Raúl Alberto Ruiz, Alamo Isabel
Department of Obstetrician and Gynecologist, Faculty of Medicine of the Universidad Nacional Mayor de San Marcos, Lima, Peru.
Universidad Nacional Federico Villarreal, Lima, Peru.
Turk J Obstet Gynecol. 2023 Mar 10;20(1):38-45. doi: 10.4274/tjod.galenos.2023.50449.
To describe the impact of genitourinary syndrome symptoms on daily activities and well-being in peri- and postmenopausal women living in an urban area.
Observational, prospective, and cross-sectional research in a population of peri- and postmenopausal women living in the Lima region. A non-probabilistic sample was used. The instrument used is "The Day-to-Day Impact of Vaginal Aging" questionnaire. It consists of four domains and its internal reliability is between 0.82 and 0.93. The questions were answered using a Likert scale. High values indicate a more severe impact. Statistical procedures were performed using SPSS version 26.
One thousand seventy women participated; the mean age was 54±7.5 years. The results about the activities of daily living showed that 35% of women reported regular vaginal symptoms and 14.7% major symptoms. In the emotional well-being domain, 90% had minor symptoms. In the sexual function domain, 57.6% reported minor vaginal symptoms, and in the self-concept and body image domain, 60.9% reported minor symptoms and 20.7% major symptoms. According to the global score, 60.9% reported minor discomfort, 36.3% regular discomfort, and 2.8% major discomfort. The sexually active women declared an impact of severity in terms of their daily activities and sexual function (p<0.05).
There is a relationship between activities of daily living, sexual function, and women with sexual activity, causing a negative impact on social life and quality of life.
描述泌尿生殖综合征症状对居住在城市地区的围绝经期和绝经后妇女日常活动及幸福感的影响。
对居住在利马地区的围绝经期和绝经后妇女群体进行观察性、前瞻性和横断面研究。采用非概率抽样。使用的工具是“阴道衰老对日常生活的影响”问卷。它由四个领域组成，其内部信度在0.82至0.93之间。问题采用李克特量表回答。高分表明影响更严重。使用SPSS 26版进行统计分析。
1070名妇女参与；平均年龄为54±7.5岁。关于日常生活活动的结果显示，35%的妇女报告有经常性阴道症状，14.7%报告有严重症状。在情绪幸福感领域，90%有轻微症状。在性功能领域，57.6%报告有轻微阴道症状，在自我概念和身体形象领域，60.9%报告有轻微症状，20.7%报告有严重症状。根据总体评分，60.9%报告有轻微不适，36.3%报告有经常性不适，2.8%报告有严重不适。有性行为的妇女宣称其日常活动和性功能受到严重影响（p<0.05）。
日常生活活动、性功能与有性行为的女性之间存在关联，对社交生活和生活质量产生负面影响。
