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首页> 外文期刊>Revista Brasileira de Ginecologia e Obstetrícia >Fun??o sexual feminina em mulheres com suspeita de endometriose infiltrativa profunda
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Fun??o sexual feminina em mulheres com suspeita de endometriose infiltrativa profunda

机译：怀疑深浸润性子宫内膜异位症的女性的性功能

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Objective To evaluate the quality of the sexual function of women with suspected deep infiltrating endometriosis. Methods A cross-sectional, observational and prospective study was conducted between May 2015 and August 2016, in which 67 patients with deep infiltrating endometriosis, suspected or diagnosed, were assessed for epidemiological and clinical characteristics, such as pain level through a visual analog scale (VAS), features of deep infiltrating endometriosis lesions and score on the Female Sexual Function Index (FSFI) before the onset of treatment. The statistical analysis was performed using the software STATA version 12.0 (StataCorp LLC, College Station, TX, USA) to compare the variables through multiple regression analysis. Results The average age of the patients was 39.2 years old; most patients were symptomatic (92.5%); and the predominant location of the deep infiltrating lesions was on the rectosigmoid colon (50%), closely followed by the retrocervical region (48.3%). The medianoverallscoreontheFSFIwas23.4;in67.2%of thecasesthescorewas26.5(cutoff point for sexualdysfunction). Deepdyspareunia(p = 0.000,confidenceinterval [CI]:0.64- 0.83) and rectosigmoid endometriosis lesions (p = 0.008, CI: 0.72-0.95) showed significant correlation with lower FSFI scores, adjusted by bladder lesion, patients’ ageand size of lesions. Deep dyspareunia (p = 0.003, CI: 0.49-0.86) also exhibited significant correlation with FSFI pain domain, adjusted by cyclic bowel pain, vaginal lesion and use of gonadotropin-releasing hormone (GnRH) analog. These results reflect the influence of deep dyspareunia on the sexual dysfunction of the analyzed population. Conclusion Most patients exhibited sexual dysfunction, and deep dyspareunia was the pelvic painful symptom that showed correlation with sexual dysfunction.
机译：目的评估疑似深层浸润性子宫内膜异位症妇女的性功能质量。方法2015年5月至2016年8月进行了一项横断面，观察性和前瞻性研究，通过视觉模拟量表评估了67例疑似或确诊的深层浸润性子宫内膜异位症患者的流行病学和临床特征，例如疼痛程度（ （VAS），深层浸润性子宫内膜异位病变的特征以及治疗开始前女性性功能指数（FSFI）的评分。使用软件STATA 12.0版（StataCorp LLC，美国德克萨斯州大学城）进行统计分析，以通过多元回归分析比较变量。结果患者平均年龄为39.2岁。大多数患者有症状（92.5％）;深部浸润性病变的主要部位在直肠乙状结肠上（50％），紧随其后的是宫颈后区域（48.3％）。 FSFI的总得分中位数为23.4; 67.2％的得分为26.5（性功能障碍的临界点）。深度性痛经（p = 0.000，置信区间[CI]：0.64- 0.83）和直肠乙状结肠内异症病变（p = 0.008，CI：0.72-0.95）与较低的FSFI评分显着相关，并通过膀胱病变，患者年龄和病变大小进行了调整。深部性交困难（p = 0.003，CI：0.49-0.86）也表现出与FSFI疼痛域的显着相关性，这是通过周期性肠痛，阴道病变和促性腺激素释放激素（GnRH）类似物的调节来进行的。这些结果反映了深度性交往不良对所分析人群的性功能障碍的影响。结论大多数患者表现出性功能障碍，深部性交困难是骨盆疼痛症状，与性功能障碍相关。

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