巴西不孕妇女接受辅助生殖治疗的性功能障碍评估

Ana Carolina Sater, R. Nisihara, Danielle Medeiros Teixeira Miyague, A. Schuffner, A. H. Miyague
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摘要

目的:世界各地不孕不育的增加对性欲和性功能产生了负面影响。本研究的目的是评估被诊断为不孕的女性是否存在性功能障碍,并将其与健康对照组进行比较。方法:这是一项基于在线问卷的横断面研究。不孕妇女和健康对照者填写了一份关于流行病学和辅助生殖数据的问卷。不孕患者回答了女性性功能指数(FSFI)和简短健康调查(SF-12)问卷,以评估性表现、身体和心理健康。对照组只回答FSFI。结果:357名受试者完成了调查:157名不孕患者和200名匹配的对照组。与对照组相比,不孕组患者FSFI域的所有中位数均较低(p=0.036),尤其是唤醒和润滑域的得分(分别为p=0.003和<0.0001)。在这一群体中,大多数人身体健康,一半人心理健康。抑郁症发生率为12.7%。患有抑郁症的患者FSFI评分更差(p=0.009)。27.4%(n=17)的患者经历过抑郁症和性功能障碍(p<0.0001)。更糟糕的心理健康状况与性功能障碍风险更高的患者有关(p<0.00001)。结论:在我们接受不孕不育治疗的女性样本中,我们发现FSFI评分显著低于对照组,主要在唤醒和润滑领域。此外,研究发现,心理健康状况越差,这一群体发生性功能障碍的可能性就越大。
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Evaluation of Sexual Dysfunction in Brazilian Women with Infertility Undergoing Assisted Reproduction Treatment
Purpose: The increase in infertility around the world has a negative impact on sexual desire and function. The objective of this study was to evaluate the presence of sexual dysfunction in women diagnosed with infertility, comparing them with healthy controls. Methods: This is a cross-sectional study based on online questionnaire. Infertile women and healthy controls filled a questionnaire about epidemiological and assisted reproduction data. The infertile patients answered the Female Sexual Function Index (FSFI) and the Short-Form Health Survey (SF-12) questionnaires to assess sexual performance, physical, and mental health. The control group answered only to the FSFI. Results: The survey was completed by 357 subjects: 157 infertility patients and 200 matched controls. All medians of the FSFI domains of patients in the infertility group are lower (p=0.036) when compared to controls, especially the scores in the arousal and lubrication domains (p=0.003 and p<0.0001, respectively). In this group, most are in good physical health and half are in good mental health. The depression rate was 12.7%. Patients who have depression have worse FSFI scores (p=0.009). Depression and sexual dysfunction were experienced by 27.4% (n=17) patients (p<0.0001). Worse mental health was related to patients at higher risk for sexual dysfunction (p<0.0001). Conclusion: In our sample of women undergoing infertility treatment, we found that the FSFI scores were significantly lower than in the control group, mainly in the arousal and lubrication domains. Additionally, it was found that the worse the mental health, the greater the possibility of sexual dysfunction in this group.
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