Antalya Training and Research Hospital, Department of Rheumatology, Health Sciences University, Antalya, Turkey.
Physiotherapy and Rehabilitation, Akdeniz University, Antalya, Turkey.
Women Health. 2023 Sep 14;63(8):615-622. doi: 10.1080/03630242.2023.2249128. Epub 2023 Aug 30.
The aim of the study was to examine the relationship between pelvic floor functions and sexual functions in women with fibromyalgia. The study included 204 women with fibromyalgia, mean aged 43.43 ± 8.61 years. All patients who met the inclusion criteria and applied to the rheumatology outpatient clinic were included in the study. The study was conducted between September 2020 and June 2022. The Female Sexual Function Scale (FSFI) was used to evaluate sexual function, Pelvic Floor Distress Scale-20 (PFDI-20), Pelvic Floor Impact Questionnaire (PFIQ-7) and Pelvic Organ Prolapse/Incontinence Sexual Function Assessment (PSIQ-12) were used to evaluate pelvic floor problems. The relationship between sexual dysfunction and other parameters was analyzed using Spearman correlation analysis. There was a weak negative correlation between many sub-parameters of FSFI and scores of PFDI-20, PFIQ-7, PSIQ-12 (r:-0.165--0.377 p: 0.02-0.00). According to the results of this study, sexual dysfunction was negatively affected by pelvic floor dysfunction and symptoms related to bladder, bowel, and pelvic organs in women with fibromyalgia. These results may suggest that sexual function and pelvic floor problems in women with fibromyalgia should be considered together and an approach should be planned for such problems in treatment programs.
本研究旨在探讨患有纤维肌痛症的女性的盆底功能与性功能之间的关系。该研究纳入了 204 名患有纤维肌痛症的女性，平均年龄为 43.43±8.61 岁。所有符合纳入标准并向风湿病门诊就诊的患者均纳入研究。研究于 2020 年 9 月至 2022 年 6 月进行。采用女性性功能指数（FSFI）评估性功能，采用盆底疾病困扰量表-20（PFDI-20）、盆底影响问卷（PFIQ-7）和盆腔器官脱垂/尿失禁性功能评估问卷（PSQI-12）评估盆底问题。采用 Spearman 相关分析评估性功能障碍与其他参数之间的关系。FSFI 的许多亚参数与 PFDI-20、PFIQ-7、PSIQ-12 的评分呈弱负相关（r：-0.165--0.377，p：0.02-0.00）。根据这项研究的结果，性功能障碍受到纤维肌痛症女性盆底功能障碍和与膀胱、肠道和盆腔器官相关症状的负面影响。这些结果可能表明，应同时考虑纤维肌痛症女性的性功能和盆底问题，并在治疗计划中为这些问题制定方案。
