盆底疾病在女性中很常见,并与性功能受损有关。
■旨在评估患有盆底疾病的女性,并描述与性不活跃相关的因素以及与性活跃女性性功能相关的因素。
进行了一项横断面研究,其中包括有盆底疾病症状的非孕妇,这些妇女被转诊到挪威两家大学医院的泌尿妇科和外科门诊诊所:圣奥拉夫斯医院,特隆赫姆大学医院,挪威北部大学医院,特罗姆瑟。妇女匿名回答问卷。
■盆腔器官脱垂失禁性问卷-IUGA修订。
■在157名受访者中,111(71%)报告有性活跃(有或没有伴侣),和46(29%)报告没有性活跃。与性活跃的女性相比,没有性活跃的女性年龄较大(平均值±SD,60.2±13.3vs51±12.1年;P<.001),更年期更多(78%vs47%,P=.001),更多的患者出现症状<1年(31%vs9%,P<.001)。他们报告了更多与盆底疾病有关的痛苦,尤其是盆腔器官脱垂.在多元逻辑回归分析中,绝经女性和症状首次出现<1年的女性没有性活跃的可能性是绝经前女性的4倍(赔率比,4.0;95%CI,1.7-9.2)和症状首次出现≥1年的女性(比值比,4.0;95%CI,1.5-10.7)。在性活跃的女性中,结直肠-肛门窘迫与性功能的6个领域中的5个呈负相关:唤醒/性高潮(β=-0.36;95%CI,-0.02至-0.005),伴侣相关(β=-0.28;95%CI,-0.01至-0.002),条件特异性(β=-0.39;95%CI,-0.002至-0.009),全球质量(β=-0.23;95%CI,-0.02至-0.002),和条件影响(β=-0.34;95%CI,-0.02至-0.006)。
卫生保健专业人员应讨论盆底疾病患者的性功能,尤其是更年期女性和有直肠肛门症状的女性。
■该研究使用了针对特定疾病的措施,并从2所大学医院招募了年龄广泛的女性。限制包括小样本量和宽置信区间。认为自己没有性生活的女性人数很少,这些女性的项目无反应水平有点高。在625名符合条件的妇女中,200人(32%)回答了问卷。性健康和性功能仍然被禁忌所包围,有些女人可能不愿意回答这些问题。
■更年期女性和近期出现盆底疾患症状的女性更容易出现性活动,在性活跃的女性中,结肠直肠-肛门症状对性功能的影响最大。
UNASSIGNED: Pelvic floor disorders are common and associated with impaired sexual function in women.
UNASSIGNED: To assess women with pelvic floor disorders and describe factors associated with not being sexually active and those associated with sexual function in sexually active women.
UNASSIGNED: A cross-sectional
study was conducted that included nonpregnant women with symptoms of pelvic floor disorders who were referred to the urogynecologic and surgical outpatient clinic at 2 Norwegian university hospitals: St Olavs Hospital, Trondheim University Hospital, and the University Hospital of Northern Norway, Tromsø. Women answered a questionnaire anonymously.
UNASSIGNED: Pelvic Organ Prolapse Incontinence Sexual Questionnaire-IUGA Revised.
UNASSIGNED: Of 157 respondents, 111 (71%) reported being sexually active (with or without a partner), and 46 (29%) reported not being sexually active. As compared with sexually active women, not sexually active women were older (mean ± SD, 60.2 ± 13.3 vs 51 ± 12.1 years; P < .001), more were menopausal (78% vs 47%, P = .001), and more had symptom debut <1 year (31% vs 9%, P < .001). They reported more distress related to pelvic floor disorders, especially pelvic organ prolapse. In a multivariate logistic regression analysis, menopausal women and women with symptom debut <1 year were 4 times more likely to be not sexually active than premenopausal women (odds ratio, 4.0; 95% CI, 1.7-9.2) and women with symptom debut ≥1 year (odds ratio, 4.0; 95% CI, 1.5-10.7). In sexually active women, colorectal-anal distress was negatively associated with 5 of 6 domains of sexual function: arousal/orgasm (ß = -0.36; 95% CI, -0.02 to -0.005), partner related (ß = -0.28; 95% CI, -0.01 to -0.002), condition specific (ß = -0.39; 95% CI, -0.002 to -0.009), global quality (ß = -0.23; 95% CI, -0.02 to -0.002), and condition impact (ß = -0.34; 95% CI, -0.02 to -0.006).
UNASSIGNED: Health care professionals should discuss sexual function in patients with pelvic floor disorders, especially menopausal women and women with colorectal-anal symptoms.
UNASSIGNED: The
study used condition-specific measures and recruited women from 2 university hospitals with wide range of age. Limitations include the small sample size and wide confidence intervals. The number of women who considered themselves not sexually active was low, and item nonresponse levels among these women where somewhat high. Of 625 eligible women, 200 (32%) answered the questionnaire. Sexual health and sexual function are still surrounded with taboo, and some women were probably not comfortable answering the questions.
UNASSIGNED: Menopausal women and women with recent onset of symptoms of pelvic floor disorders are more likely to be sexually inactive, and colorectal-anal symptoms have the most negative impact on sexual function in sexually active women.