通过自我填写问卷分析皮肌炎和多发性肌炎患者的性功能:一项横断面研究

Fernando Henrique Carlos de Souza , Daniel Brito de Araújo , Clovis Artur Silva , Renata Miossi , Carmita Helena Najjar Abdo , Eloisa Bonfá , Samuel Katsuyuki Shinjo
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引用次数: 5

摘要

迄今为止,文献中没有关于皮肌炎(DM)和多发性肌炎(PM)女性患者妇科和性功能评估的描述。目的评价女性DM/PM患者的性功能。患者和方法这是一项单中心横断面研究,其中23例患者(16例DM和7例PM),年龄在18至40岁之间,与23名相同年龄段的健康女性进行比较。采用巴西葡萄牙语女性性商数(FSQ)和女性性功能指数(FSFI)问卷对性功能特征进行分析。结果患者的平均年龄(32.7±5.3岁vs 31.7±6.7岁)与对照组相当,种族和社会经济阶层分布相似。至于妇科特征,患者和健康对照组在初潮年龄、痛经、月经过多、经前综合征、月经中期疼痛、宫颈粘液分泌和阴道分泌物的百分比方面没有差异。与对照组相比,FSQ得分以及FSFI问卷的所有领域(欲望、兴奋、润滑、性高潮和满意度)在患者中显著降低,60.9%的患者表现出一定程度的性功能障碍。结论:这是第一个确定DM/PM患者性功能障碍的研究。因此,对于特发性炎症性肌病患者来说,多学科的方法是必不可少的,以便为他们的性生活提供预防和护理,为患者和他们的伴侣提供更好的生活质量。
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Analysis of sexual function of patients with dermatomyositis and polymyositis through self-administered questionnaires: a cross-sectional study

Introduction

To date, there are no descriptions in the literature on gynecologic and sexual function evaluation in female patients with dermatomyositis (DM) and polymyositis (PM).

Objective

To assess sexual function in female patients with DM/PM.

Patients and methods

This is a monocentric, cross-sectional study in which 23 patients (16 DM and 7 PM), with ages between 18 and 40 years, were compared to 23 healthy women of the same age group. Characteristics on sexual function were obtained by applying the questionnaires Female Sexual Quotient (FSQ) and Female Sexual Function Index (FSFI) validated for the Brazilian Portuguese language.

Results

The mean age of patients was comparable to controls (32.7 ± 5.3 vs. 31.7 ± 6.7 years), as well as the distribution of ethnicity and socioeconomic class. As for gynecological characteristics, patients and healthy controls did not differ with respect to age at menarche and percentages of dysmenorrhea, menorrhagia, premenstrual syndrome, pain at mid-cycle, mucocervical secretion, and vaginal discharge. The FSQ score, as well as all domains of the FSFI questionnaire (desire, arousal, lubrication, orgasm and satisfaction), were significantly decreased in patients vs. controls, with 60.9% of patients showing some degree of sexual dysfunction.

Conclusions

This was the first study to identify sexual dysfunction in patients with DM/PM. Therefore, a multidisciplinary approach is essential for patients with idiopathic inflammatory myopathies, in order to provide prevention and care for their sexual life, providing a better quality of life, both for patients and their partners.

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