Department of Reproductive Health and Midwifery, Faculty of Medical Sciences, Tarbiat Modares Univesity, Tehran, Iran.
Department of Nursing, Faculty of Medical Sciences, Tarbiat Modares University, Tehran, Iran.
Sci Rep. 2024 Mar 18;14(1):6430. doi: 10.1038/s41598-024-57274-w.
Evidence suggests that lumbar disc herniation (LDH) influences sexual function to a great deal. However, most existing studies have been conducted on men. Thus, the current study aimed to assess sexual function and its correlates in women with acute LDH. This descriptive cross-sectional study was conducted on 350 women of reproductive age with acute LDH in Fasa, Iran in 2023. The mean score of female sexual function was 21.33 (3.38). Almost 80% of women had sexual dysfunction. Women scored lower on sexual desire and the higher on lubrication. As the severity of LDH increased, arousal, lubrication and sexual pain score decreased and low back pain (LBP) score increased (p < 0.05). The number of sexual activities after disc herniation was significantly lower in the women with sexual dysfunction (p < 0.001). Regression analysis showed a significant association between sexual dysfunction and LBP intensity (OR = 1.13, CI 1.02-1.26, p = 0.01) and lumbar disc herniation intensity (OR = 2.22, CI 1.07-4.62, p = 0.03). Lumbar disc herniation (LDH) may significantly affect women's sexual function. Severity of low back pain and severity of lumbar disc herniation were found to be risk factors for sexual dysfunction in this population.
有证据表明，腰椎间盘突出症（LDH）对性功能有很大影响。然而，大多数现有研究都是针对男性进行的。因此，本研究旨在评估急性 LDH 女性的性功能及其相关因素。本描述性横断面研究于 2023 年在伊朗法萨对 350 名患有急性 LDH 的育龄妇女进行。女性性功能的平均得分为 21.33（3.38）。近 80%的女性存在性功能障碍。女性的性欲评分较低，而润滑评分较高。随着 LDH 严重程度的增加，兴奋、润滑和性疼痛评分降低，而腰痛（LBP）评分升高（p<0.05）。在有性功能障碍的女性中，椎间盘突出后性活动的次数明显减少（p<0.001）。回归分析显示，性功能障碍与 LBP 强度（OR=1.13，CI 1.02-1.26，p=0.01）和腰椎间盘突出症强度（OR=2.22，CI 1.07-4.62，p=0.03）之间存在显著关联。腰椎间盘突出症（LDH）可能会显著影响女性的性功能。在该人群中，腰痛严重程度和腰椎间盘突出症严重程度被发现是性功能障碍的危险因素。
