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首页> 外文期刊>The journal of sexual medicine >Sexual function and distress in women treated for primary headaches in a tertiary university center
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Sexual function and distress in women treated for primary headaches in a tertiary university center

机译：大专院校中心治疗原发性头痛的妇女的性功能和困扰

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Introduction. Primary headaches are common in women and impact on their quality of life and psychosocial functioning. Few data are available on sexuality in female headache sufferers. Aim. An observational pilot study was conducted to assess sexual function and distress in women treated for primary headaches in a tertiary university center. Methods. From a total of 194 women consecutively observed over a 3-month period, 100 patients were recruited. Migraine with and without aura, and tension-type headache, both episodic and chronic (CTTH), were diagnosed according to the International Classification of Headache Disorders. A detailed pharmacological history was collected, and anxiety and depression were assessed using validated scales. The Female Sexual Function Index (FSFI) and Female Sexual Distress Scale-Revised were administered. Main Outcome Measures. The main outcome measures are sexual symptoms and distress in women treated for primary headaches. Results. More than 90% of the women had a median FSFI full-scale score under the validated cutoff, while 29% reported sexual distress. Hypoactive sexual desire disorder (HSDD) was diagnosed in 20% of the women and the pain domain score (median 2, score range 0-6) was highly affected by the head pain condition. However, the FSFI domain and full-scale scores did not significantly differ by headache diagnosis. The women with CTTH displayed a high rate of sexual distress (45.5%) and a strong negative correlation between desire, arousal, and full-scale FSFI score and number analgesics/month (r: -0.77, P=0.006; r: -0.76, P=0.006; and r: -0.68, P=0.02, respectively). Depression was positively correlated with sexual distress (r: 0.63, P=0.001) only in the women with CTTH. Conclusion. Women treated for primary headaches were found to display a high rate of sexual symptoms and distress. Both migraine and tension-type headache were associated with sexual pain and HSDD, but women with CTTH seem to be more prone to develop sexual distress.
机译：介绍。原发性头痛在女性中很常见，并且会影响她们的生活质量和社会心理功能。关于女性头痛患者性行为的数据很少。目标。进行了一项观察性试点研究，以评估在大学大学中心接受原发性头痛治疗的妇女的性功能和困扰。方法。在三个月内连续观察到的总共194名妇女中，有100名患者入组。根据《国际头痛分类》对患有或不伴有先兆的偏头痛和发作性和慢性紧张性头痛（CTTH）进行了诊断。收集详细的药理史，并使用有效量表评估焦虑和抑郁。进行女性性功能指数（FSFI）和女性性窘迫量表修订。主要观察指标。主要预后指标是接受原发性头痛治疗的女性的性症状和痛苦。结果。超过90％的女性在经过验证的临界值下具有FSFI全面评分中位数，而29％的女性表示性困扰。在20％的女性中诊断出性欲减退（HSDD），并且头痛领域对疼痛域评分（中位数2，评分范围0-6）有很大影响。然而，FSFI域和全面评分在头痛诊断中没有显着差异。患有CTTH的女性表现出较高的性困扰率（45.5％），并且欲望，唤醒和全面FSFI得分与每月止痛药次数之间存在强烈的负相关性（r：-0.77，P = 0.006; r：-0.76 ，P = 0.006;和r：-0.68，P = 0.02）。仅在患有CTTH的女性中，抑郁与性困扰呈正相关（r：0.63，P = 0.001）。结论。发现接受原发性头痛治疗的妇女表现出很高的性症状和痛苦感。偏头痛和紧张型头痛均与性疼痛和HSDD有关，但CTTH患者似乎更容易出现性困扰。

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