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首页> 外文期刊>The journal of sexual medicine >Women with deep infiltrating endometriosis: Sexual satisfaction, desire, orgasm, and pelvic problem interference with sex
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Women with deep infiltrating endometriosis: Sexual satisfaction, desire, orgasm, and pelvic problem interference with sex

机译：具有深层浸润性子宫内膜异位症的女性：性满足，性欲，性高潮和骨盆问题对性的干扰

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Introduction: Endometriosis is a chronic and progressive condition of women of reproductive age. It is strongly associated with a significant reduction of quality of life (QOL) and sexual function. Aims: This study aims to objectively evaluate sexual function in women with deep infiltrating endometriosis (DIE) and to study the impact of endometriosis symptoms and type of lesion on patient's sexual function. Methods: This is a cross-sectional study in a tertiary care university hospital. It included 182 patients with preoperative clinical and ultrasound diagnosis of DIE who were referred to our center from 2008 to 2011. Main Outcome Measures: A sexual activity questionnaire, the Sexual Health Outcomes in Women Questionnaire (SHOW-Q) was used to collect data pertaining to satisfaction, orgasm, desire, and pelvic problem interference with sex. Short Form 36 (SF-36) was used to evaluate QOL. Demographic and clinical characteristics were assessed: age, body mass index, parity, ethnicity, postsecondary education, employment, smoking, history of surgical treatment, and hormonal contraception. Patients were asked about pain symptoms (dysmenorrhea, dyspareunia, dyschezia, chronic pelvic pain, and dysuria) using a visual analog scale. Results: The mean values obtained on the different scales of the SHOW-Q showed poor sexual function (mean SHOW-Q total score 56.38±22.74). Satisfaction was the dimension most affected (mean satisfaction score 55.66±34.55), followed by orgasm (mean orgasm score 56.90±33.77). We found a significant correlation between the SF-36 scores and the SHOW-Q scores (P<0.0001). Sexual dysfunction and deterioration of QOL seem to be correlated. Analyzing the impact of symptoms and lesions on sexual function, we found that dyspareunia and vaginal DIE nodules significantly affect sexual activity (P<0.05). Conclusion: The results of this study demonstrated that women with DIE have a sexual function impairment, correlated with the overall well-being decrease. Moreover, the presence of dyspareunia and vaginal endometriotic lesions seems to be involved in sexual dysfunction.
机译：简介：子宫内膜异位症是育龄妇女的慢性和进行性疾病。它与生活质量（QOL）和性功能的显着降低密切相关。目的：本研究旨在客观评价深浸润型子宫内膜异位症（DIE）女性的性功能，并研究子宫内膜异位症的症状和病变类型对患者性功能的影响。方法：这是一家三级护理大学医院的横断面研究。其中包括182例2008年至2011年间转诊至我中心的DIE的术前临床和超声诊断患者。主要结果指标：使用性活动问卷，《女性性健康结局问卷》（SHOW-Q）收集了相关数据。满足，性高潮，欲望和骨盆问题对性的干扰。简短表格36（SF-36）用于评估QOL。人口统计学和临床​​特征进行了评估：年龄，体重指数，性别，种族，专上教育，就业，吸烟，手术治疗史和激素避孕。使用视觉模拟量表向患者询问疼痛症状（痛经，痛经，性交困难，慢性盆腔痛和排尿困难）。结果：在SHOW-Q的不同量表上获得的平均值显示性功能较差（平均SHOW-Q总分56.38±22.74）。满意度是受影响最大的维度（平均满意度得分55.66±34.55），其次是性高潮（平均性高潮得分56.90±33.77）。我们发现SF-36得分与SHOW-Q得分之间存在显着相关性（P <0.0001）。性功能障碍和QOL恶化似乎相关。分析症状和病变对性功能的影响，我们发现性交困难和阴道DIE结节显着影响性活动（P <0.05）。结论：这项研究的结果表明，DIE妇女的性功能障碍与总体健康状况下降相关。此外，性交障碍和阴道子宫内膜异位病变的存在似乎与性功能障碍有关。

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