Karpuz Savas, Yilmaz Ramazan, Akdere Emine, Aksanyar Behiye, Tuncez Ismail Hakki, Yilmaz Halim
Department of Physical Medicine and Rehabilitation, Beyhekim Training and Research Hospital, Konya, Türkiye.
Department of Physical Medicine and Rehabilitation, Meram State Hospital, Konya, Türkiye.
Sisli Etfal Hastan Tip Bul. 2024 Apr 5;58(1):91-96. doi: 10.14744/SEMB.2023.97254. eCollection 2024.
Fibromyalgia is known to affect sexual function, but the effect of frequency of sexual intercourse on fibromyalgia symptom severity is unclear. This study investigated how frequently women with fibromyalgia engaged in sexual activity affected how severe the disease was.
The depression status of the participants was evaluated with the Beck Depression Inventory (BDI) and the mean monthly frequency of sexual intercourse in the last 3 months was noted. Pain levels of fibromyalgia patients were evaluated with Visual Analog Scale (VAS), pain prevalence Widespread Pain Index (WPI), symptom level Symptom Severity Scale (SSS), and fibromyalgia exposure status with Fibromyalgia Impact Questionnaire (FIQ).
A hundred women with fibromyalgia with a mean age of 37.11±6.2 years and 100 healthy female controls with a mean age of 36.53 ± 5.85 years participated in the study. Female patients with fibromyalgia had higher BDI and VAS scores and lower frequency of sexual intercourse (p<0.001). While no significant relationship was observed between the frequency of sexual intercourse and VAS, FIQ, SSS and WPI scores, it was found that BDI was lower in those with an average monthly frequency of 8 or more sexual intercourses (p=0.02).
This study revealed that the frequency of sexual intercourse is low in female patients with FM and that depression is less common in women with FM who have a higher frequency of sexual intercourse.
已知纤维肌痛会影响性功能，但性交频率对纤维肌痛症状严重程度的影响尚不清楚。本研究调查了纤维肌痛女性的性交频率如何影响该疾病的严重程度。
使用贝克抑郁量表（BDI）评估参与者的抑郁状态，并记录过去3个月的平均每月性交频率。使用视觉模拟量表（VAS）评估纤维肌痛患者的疼痛水平，使用广泛疼痛指数（WPI）评估疼痛患病率，使用症状严重程度量表（SSS）评估症状水平，并使用纤维肌痛影响问卷（FIQ）评估纤维肌痛暴露状态。
100名平均年龄为37.11±6.2岁的纤维肌痛女性和100名平均年龄为36.53±5.85岁的健康女性对照参与了研究。纤维肌痛女性患者的BDI和VAS评分较高，性交频率较低（p<0.001）。虽然未观察到性交频率与VAS、FIQ、SSS和WPI评分之间存在显著关系，但发现平均每月性交频率为8次或更多次的患者BDI较低（p=0.02）。
本研究表明，纤维肌痛女性患者的性交频率较低，而性交频率较高的纤维肌痛女性抑郁情况较少见。
