Darvish Soodabeh, Fakari Farzaneh Rashidi, Ashka Nina Khodadadi, Mazaheri Azadeh
Department of Obstetrics and Gynecology, Female Pelvic Medicine and Reconstructive Surgery, Preventative Gynecology Research Center, Shahid Beheshti University of Medical Sciences, Tehran, Iran.
Department of Midwifery, School of Medicine, North Khorasan University of Medical Sciences, Bojnurd, Iran.
Adv Biomed Res. 2024 Jul 29;13:41. doi: 10.4103/abr.abr_371_22. eCollection 2024.
Genital prolapse is one of the main health problems in women that affects various aspects of women's lives. This study aimed to investigate the relationship between pelvic prolapse and female sexual function.
This cross-sectional study was performed on a random sample of married women (96 patients) referred to two university hospitals of Shahid Beheshti University of Medical Sciences. To determine the score of sexual activity, a female sexual function questionnaire was used, which included 19 questions and five linked options. The severity of pelvic organ prolapses (POPs) and the type of prolapse were determined by clinical examination by a female resident based on the POP Quantification (POP-Q) classification system. The results were analyzed with descriptive statistical tests, Pearson's correlation, and one-way analysis of variance with Statistical Package for the Social Sciences (SPSS) version 24 software.
About 54.2% (N = 52) of the studied women were over 40 years old, 59.3% (N = 57) had two births, and the type of delivery was normal for more than 83.4% (N = 80) of them. Cystocele and rectocele with a frequency of 66.6% (N = 64) were the most common types of prolapse observed in the studied women. 44.8% (N = 43) of the studied women had stage 2 prolapse. The results of the one-way analysis of variance showed a statistically significant relationship between the average score of sexual activity and the stage of prolapse ( < 0.001).
Increased severity of prolapse leads to decreased sexual activity in women.
生殖器脱垂是影响女性生活各个方面的主要健康问题之一。本研究旨在调查盆腔器官脱垂与女性性功能之间的关系。
本横断面研究对随机抽取的96名已婚女性进行，这些女性均转诊至沙希德·贝赫什提医科大学的两所大学医院。为确定性活动评分，使用了女性性功能问卷，该问卷包括19个问题和5个相关选项。盆腔器官脱垂（POP）的严重程度和脱垂类型由女性住院医师根据盆腔器官脱垂量化（POP-Q）分类系统进行临床检查确定。结果采用描述性统计检验、Pearson相关性分析和社会科学统计软件包（SPSS）24版软件进行单因素方差分析。
约54.2%（N = 52）的研究女性年龄超过40岁，59.3%（N = 57）生育两胎，其中超过83.4%（N = 80）的分娩方式为顺产。膀胱膨出和直肠膨出的发生率为66.6%（N = 64），是研究女性中最常见的脱垂类型。44.8%（N = 43）的研究女性有2期脱垂。单因素方差分析结果显示，性活动平均得分与脱垂分期之间存在统计学显著关系（< 0.001）。
脱垂严重程度增加会导致女性性活动减少。
