Sandrieser Lejla, Heine Jana, Bekos Christine, Perricos-Hess Alexandra, Wenzl René, Husslein Heinrich, Kuessel Lorenz
Department of Obstetrics and Gynecology, Medical University of Vienna, 1090 Vienna, Austria.
J Clin Med. 2024 Aug 6;13(16):4604. doi: 10.3390/jcm13164604.
Myofascial pelvic pain (MFPP) is a prevalent yet frequently overlooked condition characterized by myofascial trigger points located within the pelvic floor muscles. Women with MFPP often experience severely reduced quality of life due to impaired sexual health. Here, we examined the relationship between MFPP and sexual function. : Eighty-three women with a benign gynecological condition were included in this pilot study. For each patient, we obtained a complete medical history, measured different types of subjective pain intensity using a visual analog scale, performed a validated standardized examination of the pelvic floor muscles for measuring MFPP, and used the German Female Sexual Function Index (FSFI-d) questionnaire. : Compared to women without MFPP (46 out of 83; 55.4%), the women with MFPP (37 out of 83; 44.6%) reported experiencing pain on more days per month (8 vs. 3 days/month; = 0.002) and higher median VAS scores for dyspareunia (4 vs. 0; < 0.001). We also found a significant inverse correlation between the severity of MFPP and overall FSFI-d scores (r = -0.35; < 0.001), particularly in the FSFI-d subdomains of pain (r = -0.364; < 0.001), lubrication (r = -0.230; = 0.005), and arousal (r = -0.360; < 0.001). Due to the higher prevalence of dyspareunia and pelvic pain, MFPP significantly impacts several aspects of female sexual health and function. This information, combined with increased awareness regarding MFPP, may provide a foundation for designing individualized therapies, thereby improving the quality of life of women affected by MFPP.
肌筋膜性骨盆疼痛（MFPP）是一种常见但常被忽视的病症，其特征是盆底肌肉内存在肌筋膜触发点。患有MFPP的女性由于性健康受损，生活质量往往严重下降。在此，我们研究了MFPP与性功能之间的关系。：本初步研究纳入了83名患有良性妇科疾病的女性。对于每位患者，我们获取了完整的病史，使用视觉模拟量表测量了不同类型的主观疼痛强度，对盆底肌肉进行了经过验证的标准化检查以测量MFPP，并使用了德国女性性功能指数（FSFI-d）问卷。：与没有MFPP的女性（83名中的46名；55.4%）相比，患有MFPP的女性（83名中的37名；44.6%）报告每月疼痛天数更多（8天对3天/月；P = 0.002），性交困难的视觉模拟量表（VAS）中位数得分更高（4对0；P < 0.001）。我们还发现MFPP的严重程度与FSFI-d总分之间存在显著负相关（r = -0.35；P < 0.001），特别是在FSFI-d的疼痛（r = -0.364；P < 0.001）、润滑（r = -0.230；P = 0.005）和唤起（r = -0.360；P < 0.001）子领域。由于性交困难和骨盆疼痛的患病率较高，MFPP对女性性健康和功能的多个方面有显著影响。这些信息，再加上对MFPP认识的提高，可能为设计个性化治疗提供基础，从而改善受MFPP影响的女性的生活质量。
