背景:性功能障碍可能导致不孕妇女的性困扰,而多囊卵巢综合征(PCOS)可能会加剧这种痛苦。本研究旨在探讨PCOS在伊朗女性不孕症患者性功能障碍与性困扰关系中的作用。
方法:女性性功能指数(FSFI),女性性困扰量表修订(FSDS-R),对190名不孕症女性(103名PCOS女性和87名无PCOS女性)进行了DASS-21的抑郁和焦虑模块的横断面调查。
结果:在整个样本中,性功能领域与性困扰之间呈负相关(P<.001)。适度分析显示,欲望受损程度更高,唤醒,PCOS组的性痛苦增加。在调整了抑郁和焦虑之后,只有性疼痛和性困扰之间的关联受到PCOS条件的调节(P=.008).
结论:研究结果表明,在不育症女性患者中,性功能受损与性压力增加有关。重要的是,多囊卵巢综合征合并症使患者在性疼痛增加的情况下容易遭受性困扰。进一步的研究可能会揭示生理,心理,以及患有多囊卵巢综合征的不孕女性患者的性疼痛和相关痛苦的关系方面。
BACKGROUND: Sexual dysfunction may lead to sexual distress in women with
infertility, while polycystic ovarian syndrome (PCOS) may escalate this distress. This study aimed to investigate the role of PCOS in the relationship between sexual dysfunction and sexual distress in Iranian women with
infertility.
METHODS: The Female Sexual Function Index (FSFI), Female Sexual Distress Scale-Revised (FSDS-R), and Depression and Anxiety modules of the DASS-21 were cross-sectionally investigated in 190 women with
infertility (103 women with PCOS and 87 women without PCOS).
RESULTS: There were negative correlations between sexual function domains and sexual distress (P < .001) in the total sample. Moderation analysis revealed that higher levels of impaired desire, arousal, and pain elevated sexual distress in the PCOS group. After adjusting for depression and anxiety, only the association between sexual pain and sexual distress was moderated by PCOS condition (P = .008).
CONCLUSIONS: The findings suggest that impaired sexual function is associated with increased levels of sexual distress in infertile female patients. Importantly, comorbid PCOS renders patients susceptible to sexual distress where sexual pain is increased. Further research may shed light on the physiological, psychological, and relational aspects of sexual pain and associated distress in infertile female patients with comorbid PCOS.