直肠阴道隔子宫内膜异位症浸润对性功能的影响：一项横断面研究。
Sexual function according to infiltration of endometriosis of the rectovaginal septum: a cross-sectional study.
机构信息
Universidade Estadual de Campinas, School of Medical Sciences, Department of Gynecology and Obstetrics - Campinas (SP), Brazil.
出版信息
Rev Assoc Med Bras (1992). 2023 Sep 18;69(9):e20230241. doi: 10.1590/1806-9282.20230241. eCollection 2023.
OBJECTIVE
The aim of this study was to associate the degree of infiltration of rectovaginal septum endometriosis with dyspareunia and sexual function.
METHODS
A cross-sectional study was carried out with 127 women followed up at a tertiary hospital from March 2021 to March 2022. The women's sociodemographic and clinical conditions and dyspareunia were evaluated. The sexual function was evaluated by the Female Sexual Function Index.
RESULTS
A total of 53 women with type I, 37 with type II, and 37 with type III rectovaginal septum endometriosis were evaluated. The women had a mean age of 38.76±6.63 years and a mean body mass index of 27.62±5.11 kg/m2. The mean time of diagnosis of endometriosis was 6.94±4.98 years. On average, the study participants engaged in sexual activity/intercourse 1.88±1.25 times per week. There was no difference between the dyspareunia score (p=0.822) and sexual function (p=0.174) according to the types of rectovaginal septum endometriosis. Overall, 93.7% of the women with endometriosis had sexual dysfunction. There was no correlation between the degree of rectovaginal septum endometriosis infiltration with dyspareunia (r=0.05; p=0.55) or sexual function (r=0.07; p=0.39).
CONCLUSION
Women with endometriosis have impaired sexual function, regardless of the degree of endometriosis infiltration.
目的
本研究旨在探讨直肠阴道隔子宫内膜异位症浸润程度与性交痛和性功能的关系。
方法
本研究为一项横断面研究，共纳入 2021 年 3 月至 2022 年 3 月在一家三级医院就诊的 127 名女性。评估了女性的社会人口学和临床状况以及性交痛。采用女性性功能指数评估女性的性功能。
结果
共评估了 53 例 I 型、37 例 II 型和 37 例 III 型直肠阴道隔子宫内膜异位症患者。患者的平均年龄为 38.76±6.63 岁，平均体重指数为 27.62±5.11kg/m2。子宫内膜异位症的平均确诊时间为 6.94±4.98 年。研究参与者平均每周进行 1.88±1.25 次性活动/性交。根据直肠阴道隔子宫内膜异位症的类型，性交痛评分（p=0.822）和性功能（p=0.174）之间无差异。总体而言，93.7%的子宫内膜异位症患者存在性功能障碍。直肠阴道隔子宫内膜异位症浸润程度与性交痛（r=0.05；p=0.55）或性功能（r=0.07；p=0.39）之间无相关性。
结论
无论子宫内膜异位症浸润程度如何，子宫内膜异位症患者的性功能均受损。
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