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Evaluation of sexual function in brazilian women with recurrent vulvovaginal candidiasis and localized provoked vulvodynia

机译:巴西女性复发性外阴念珠菌病和局部诱发性外阴痛的性功能评估

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Introduction. Recurrent vulvovaginitis is an important trigger for inflammatory processes that in many cases may result in vulvovaginal pain. Vulvodynia, a vulvar disorder, can also cause a lot of pain in the female genitals. The sexual function in women with vulvodynia or recurrent vulvovaginitis will possibly be negatively affected and therefore should be evaluated. Aim. To assess sexual function in women with recurrent vulvovaginal candidiasis (RVVC) and localized provoked vulvodynia (LPV) in comparison with women without lower genital tract dysfunction. Methods. A 1-year cross-sectional study evaluated sexual function in 58 women (11 with RVVC, 18 with LPV, and 29 controls) seen at a university outpatient clinic. Sexual function was assessed by taking into account the results obtained from the application of the Female Sexual Function Index (FSFI) questionnaire. Kruskal-Wallis, Mann-Whitney, chi-square, and Fisher's tests were used for statistical analysis. Main Outcome Measure. FSFI, a validated questionnaire in Portuguese. Results. There were no significant differences in the three groups with respect to age, marital status, schooling, race, body mass index, contraceptive method, and parity. The FSFI questionnaire total score found was 25.51 (±5.12), 21.17 (±5.15), and 29.56 (±3.87) for the RVVC, LPV, and control groups, respectively. The scores were significantly statistically lower in the study groups compared with the control group (P<0.05). Women with RVVC and LPV also had lower total scores compared with 26.55 values, considered a cutoff score for sexual dysfunction in literature. The LPV group showed a significant difference and scored worse in the domains of arousal, lubrication, orgasm, satisfaction, and pain but not in the domain of sexual desire. The same occurred with the RVVC group but only for the domains of orgasm and satisfaction. Conclusion. Women with RVVC and LPV had significantly more symptoms of sexual dysfunction than women without lower genital tract diseases.
机译:介绍。复发性外阴阴道炎是炎症过程的重要诱因,在许多情况下可能导致外阴阴道疼痛。外阴痛是一种外阴疾病,也会导致女性生殖器疼痛。患有外阴痛或复发性外阴阴道炎的女性的性功能可能会受到负面影响,因此应进行评估。目标。与没有下生殖道功能障碍的女性相比,评估患有复发性外阴念珠菌病(RVVC)和局部性诱发性外阴痛(LPV)的女性的性功能。方法。一项为期一年的横断面研究评估了在大学门诊就诊的58名妇女(11名RVVC,18名LPV和29名对照)的性功能。通过考虑从女性性功能指数(FSFI)调查表获得的结果来评估性功能。使用Kruskal-Wallis,Mann-Whitney,卡方检验和Fisher检验进行统计分析。主要结果指标。 FSFI,经过验证的葡萄牙语问卷。结果。三组在年龄,婚姻状况,受教育程度,种族,体重指数,避孕方法和均等方面无显着差异。 RVVC,LPV和对照组的FSFI问卷调查总评分分别为25.51(±5.12),21.17(±5.15)和29.56(±3.87)。与对照组相比,研究组的得分显着降低(P <0.05)。 RVVC和LPV的女性总得分也低于26.55,被认为是文献中性功能障碍的临界得分。 LPV组表现出显着差异,在唤醒,润滑,性高潮,满意度和疼痛方面得分较差,而在性欲方面则没有。 RVVC组也发生了同样的情况,但仅在性高潮和满意度方面。结论。患有RVVC和LPV的女性比没有下生殖道疾病的女性有更多的性功能障碍症状。

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