Warchala Anna, Madej Paweł, Kochanowicz Marta, Krzystanek Marek
Department and Clinic of Psychiatric Rehabilitation, Faculty of Medical Sciences, Medical University of Silesia in Katowice, Ziołowa 45/47, 40-635 Katowice, Poland.
Department of Gynecological Endocrinology, Faculty of Health Science in Katowice, Medyków 14, Medical University of Silesia, 40-752 Katowice, Poland.
J Clin Med. 2024 Apr 12;13(8):2227. doi: 10.3390/jcm13082227.
The prevalence and character of female sexual dysfunction (FSD) in polycystic ovary syndrome (PCOS) have not been precisely determined. The aim of this study was to assess FSD using the Changes in Sexual Functioning Questionnaire (CSFQ-14) in women with PCOS and their partners compared to a control group, as well as correlations between five subscales, the total score of the CSFQ, and seven questions of the Visual Analogue Scale (VAS). The study sample ( = 160) comprised two groups: (1) women with PCOS and their partners ( = 91) and (2) women without PCOS and their partners (control group; = 69). The total scores of the CSFQ did not reveal FSD in either group of women. Regarding all subscales and the total score, the analysis showed a statistically significant difference between women and their partners (in all cases: < 0.001). The discrepancy in arousal between women and men in the PCOS group was large (the mean difference was -2.32; = -11.29, < 0.001, Cohen's d = -1.26). The importance (VAS1), the level (VAS7) of sexual satisfaction, and the intensity of sexual thoughts (VAS2) correlated with almost all domains of the CSFQ. In conclusion, normal sexual function in PCOS does not mean proper sexual functioning in a sexual relationship.
多囊卵巢综合征（PCOS）中女性性功能障碍（FSD）的患病率和特征尚未得到确切确定。本研究的目的是使用性功能变化问卷（CSFQ - 14）评估PCOS女性及其伴侣与对照组相比的FSD情况，以及CSFQ五个子量表、总分与视觉模拟量表（VAS）七个问题之间的相关性。研究样本（n = 160）包括两组：（1）PCOS女性及其伴侣（n = 91）和（2）无PCOS的女性及其伴侣（对照组；n = 69）。CSFQ的总分在两组女性中均未显示存在FSD。关于所有子量表和总分，分析显示女性及其伴侣之间存在统计学上的显著差异（在所有情况下：p < 0.001）。PCOS组中女性和男性在性唤起方面的差异很大（平均差异为 - 2.32；t = - 11.29，p < 0.001，Cohen's d = - 1.26）。性满意度的重要性（VAS1）、水平（VAS7）以及性想法的强度（VAS2）与CSFQ的几乎所有领域都相关。总之，PCOS中的正常性功能并不意味着性关系中的性功能正常。
