UBIC Research Group, Department of Physiotherapy, Faculty of Physiotherapy, University of Valencia, Valencia 46010, Spain.
Department of Physiotherapy, Faculty of Physiotherapy, University of Valencia, Valencia 46010, Spain.
J Sex Med. 2023 Oct 31;20(11):1285-1291. doi: 10.1093/jsxmed/qdad121.
Fibromyalgia syndrome (FMS) is a rheumatic disorder that has been observed to affect self-perception of sexuality.
The study aims to assess sexual dysfunction (SD), establish possible associations with SD levels, and evaluate the impact of physical activity (PA) levels on SD in Spanish women with FMS as compared with healthy control women.
The study was cross-sectional. A total of 170 women voluntarily agreed to participate between September 2019 and February 2020: 88 in the FMS group and 82 in the control group.
The main outcome measures were SD, as assessed through the Female Sexual Function Index (FSFI), and PA levels, as assessed with a structured interview.
There were significant differences in every domain and total SD score between the FMS and control groups (P < .05). In addition, we obtained a moderate significant direct association (χ2[1] = 37.071, P < .05, phi = 0.467) when exploring the associations between FMS and risk of SD. Results showed statistically significant differences between the FMS group and the control group when PA levels were not reached in the desire, pain, and total scores of the FSFI (P < .05). When the PA levels were reached, between-group differences were found in all domains, as well as in the total score of the FSFI (P < .05).
Sexual function should be evaluated in women with FMS, while future treatments should address this clinical area with the aim of managing SD in this population.
The main limitation is that the outcome measures were self-reported.
We found a high prevalence of SD in Spanish women with FMS, with an impact on aspects such as desire, arousal, lubrication, orgasm, satisfaction, and pain during sexual intercourse. In addition, there is a moderate direct association between FMS and SD. Ultimately, the results showed that, irrespective of PA, women with FMS reported increased SD.
纤维肌痛综合征（FMS）是一种风湿性疾病，已观察到其会影响患者的性自我认知。
本研究旨在评估西班牙语女性纤维肌痛综合征患者的性功能障碍（SD），确定 SD 水平与可能存在的关联，并评估身体活动（PA）水平对 SD 的影响，同时与健康对照组女性进行比较。
本研究为横断面研究。共有 170 名女性自愿于 2019 年 9 月至 2020 年 2 月间参与研究：88 名纤维肌痛综合征患者和 82 名健康对照组女性。
主要结局指标为通过女性性功能指数（FSFI）评估的 SD，以及通过结构化访谈评估的 PA 水平。
纤维肌痛综合征组和对照组之间的每一个领域和总 SD 评分均存在显著差异（P<.05）。此外，我们发现当探索纤维肌痛综合征与 SD 风险之间的关联时，存在中度显著直接关联（χ2[1]=37.071，P<.05，phi=0.467）。当未达到 PA 水平时，纤维肌痛综合征组与对照组在 FSFI 的欲望、疼痛和总分方面存在统计学显著差异（P<.05）。当达到 PA 水平时，两组在所有领域以及 FSFI 的总分方面均存在差异（P<.05）。
应评估纤维肌痛综合征女性的性功能，而未来的治疗方法应针对这一临床领域，旨在管理该人群的 SD。
主要的局限性在于结局测量是自我报告的。
我们发现西班牙纤维肌痛综合征女性中 SD 的发生率较高，对欲望、唤起、润滑、性高潮、满意度和性交时疼痛等方面均有影响。此外，纤维肌痛综合征与 SD 之间存在中度直接关联。最终结果表明，无论 PA 水平如何，纤维肌痛综合征女性的 SD 均有所增加。
