Weber A M, Walters M D, Schover L R, Mitchinson A
Department of Gynecology, Cleveland Clinic Foundation, Ohio, USA.
Obstet Gynecol. 1995 Dec;86(6):946-9. doi: 10.1016/0029-7844(95)00291-x.
To describe vaginal anatomy related to sexual function in women.
One hundred four women presenting for gynecologic care (mean age 55.8 years) completed questionnaires assessing sexual function and underwent measurements of vaginal caliber and length, and grading of vulvovaginal atrophy.
Women who were not currently sexually active had a higher mean body mass index. Current sexual activity was not associated with differences in vaginal length or introital caliber. Among 73 sexually active women, 30 had one or both symptoms of dyspareunia and vaginal dryness, and 43 had neither symptom. Menopausal status, current use of estrogen, introital caliber, and vaginal length were not different in women with dyspareunia, vaginal dryness, or both when compared to women having neither symptom. Premenopausal women with dyspareunia, vaginal dryness, or both had significantly higher global sexual function scores, reflecting worse sexual function, when compared with premenopausal women without these symptoms (0.61 +/- 0.16 versus 0.46 +/- 0.15, respectively; P = .02); however, there was no significant difference in postmenopausal women (0.60 +/- 0.12 versus 0.61 +/- 0.12).
Vaginal anatomy, measured by introital caliber, length, and vulvovaginal atrophy, does not correlate well with sexual function, particularly symptoms of dyspareunia and vaginal dryness.
描述与女性性功能相关的阴道解剖结构。
104名前来接受妇科护理的女性（平均年龄55.8岁）完成了评估性功能的问卷，并接受了阴道口径和长度的测量以及外阴阴道萎缩的分级。
目前没有性生活的女性平均体重指数较高。目前的性活动与阴道长度或阴道口口径的差异无关。在73名有性生活的女性中，30名有性交困难和阴道干涩中的一种或两种症状，43名没有这些症状。与没有这些症状的女性相比，有性交困难、阴道干涩或两者皆有的女性在绝经状态、目前雌激素使用情况、阴道口口径和阴道长度方面并无差异。与没有这些症状的绝经前女性相比，有性交困难、阴道干涩或两者皆有的绝经前女性的整体性功能得分显著更高，反映出性功能更差（分别为0.61±0.16和0.46±0.15；P = 0.02）；然而，绝经后女性之间没有显著差异（0.60±0.12和0.61±0.12）。
通过阴道口口径、长度和外阴阴道萎缩测量的阴道解剖结构与性功能，特别是性交困难和阴道干涩症状的相关性不佳。
