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Prevalence of sexual dysfunction and impact of contraception in female German medical students.

机译:德国女性医学生的性功能障碍患病率和避孕影响。

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INTRODUCTION: Female sexual dysfunction (FSD) is a very common disorder, with an estimated prevalence of having at least one sexual dysfunction of about 40%. AIM: To investigate the prevalence and types of FSD and the relationship between hormonal contraception (HC) and FSD in female German medical students. MAIN OUTCOME MEASURES: Female Sexual Function Index (FSFI) with additional questions on contraception, sexual activity, and other factors that may influence sexual function. METHODS: An online questionnaire based on the FSFI was completed by students from six medical schools. Obtained data were screened for inconsistencies by programmed algorithms. RESULTS: A total of 1,219 completed questionnaires were received, and 1,086 were included in the analyses after screening. The mean total FSFI score was 28.6 +/- 4.5. 32.4% of women were at risk for FSD according to FSFI definitions. Based on domain scores, 8.7% for were at risk for FSD concerning orgasm, 5.8% for desire, 2.6% for satisfaction, 1.2% for lubrication, 1.1% for pain and 1.0% for arousal. The method of contraception and smoking were factors with significant effect on the total FSFI score whereby hormonal contraception was associated with lower total FSFI scores and lower desire and arousal scores than no contraception and non-hormonal contraception only. Other variables such as stress, pregnancy, smoking, relationship and wish for children had an important impact on sexual function as expected according to earlier studies. CONCLUSIONS: The prevalence of students at high risk for FSD was consistent with the literature although domain subscores differed from samples previously described. The contraception method has a significant effect on the sexual functioning score and women using contraception, especially hormonal contraception, had lower sexual functioning scores. Stress and relationship among other variables were found to be associated with sexual function and may thus provide insight into the etiology of sexual disorders.
机译:简介:女性性功能障碍(FSD)是一种非常常见的疾病,据估计,至少有一种性功能障碍的患病率约为40%。目的:探讨德国女性医学生FSD的流行,类型以及激素避孕(HC)和FSD之间的关系。主要观察指标:女性性功能指数(FSFI),其中还有关于避孕,性活动以及其他可能影响性功能的因素的问题。方法:由六所医学院的学生完成了基于FSFI的在线问卷调查。通过编程算法对获得的数据进行了筛查是否存在不一致。结果:共收到1,219份完整的问卷,筛选后的分析中包括1,086份。 FSFI总平均得分为28.6 +/- 4.5。根据FSFI的定义,有32.4%的妇女有患FSD的风险。根据域得分,高潮风险为FSD的风险为8.7%,欲望的风险为5.8%,满意度的风险为2.6%,润滑的风险为1.2%,疼痛的风险为1.1%,唤醒的风险为1.0%。避孕和吸烟的方法是对总FSFI评分有显着影响的因素,与之相比,与仅不避孕和非激素避孕相比,激素避孕与更低的总FSFI评分以及更低的欲望和唤醒得分相关。正如早期研究所预期的那样,其他变量,例如压力,怀孕,吸烟,对孩子的关系和对孩子的愿望对性功能有重要影响。结论:尽管领域评分与之前描述的样本不同,但FSD高危学生的患病率与文献一致。避孕方法对性功能评分有显着影响,而使用避孕药,尤其是激素避孕的妇女,性功能评分较低。发现压力和其他变量之间的关系与性功能相关,因此可以提供对性障碍病因的了解。

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