Female sexual dysfunction: Facts and factors among gynecology outpatients
Female sexual dysfunction: Facts and factors among gynecology outpatients
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DOI：
10.1111/j.1447-0756.2011.01648.x
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发表时间：
2012-01-01
影响因子：
1.6
通讯作者：
Watanabe, Tetsu
中科院分区：
文献类型：
--
作者：
Jahan, Muna Shalima;Billah, Syed Muhammad Baqui;Watanabe, Tetsu
目的：本研究的目的是评估女性性功能障碍的受访者在妇科门诊clinics.Materials和方法：横断面研究涉及采访137名女性受访者从妇科门诊部的达卡医学院医院和沙希德Suhrawardy医院与半结构式问卷调查在2007年3月至8月。结果：半数（51.8%）的被调查者有一个或多个性问题。性交疼痛（71.8%）和性欲减退（54.9%）是最常见的主诉，其次是性高潮（43.66%）和性唤起问题（32.39%）。年龄和受教育程度与性欲降低显著相关（P = 0.03）。分娩方式与性欲抑制（P = 0.01）和唤醒问题（P = 0.003）显著相关，与疼痛无显著相关性（P = 0.06）。调整混杂因素后，（比值比[OR] = 3.4，95%置信区间[CI]：1.21-9.68），月经调节史（OR = 2.84，95%CI：1.31-6.22），精神应激（OR = 2.81，95%CI：1.05-7.50）和丈夫的性问题（OR = 3.16，95% CI：（1.19-8.44）成为增加功能障碍几率的危险因素，而增加性交频率显示出轻微的显着降低作用结论：这是孟加拉国一项关于女性性行为假设的先驱性研究，揭示疼痛障碍是最普遍的;有功能障碍的妇女对她们的性生活不满意。为了确定女性性功能障碍的原因，该主题需要进一步探索，包括定期医疗调查的干预。
Aim: This study was aimed at assessing the female sexual dysfunction of respondents at gynecology outpatient clinics.Materials and Methods: The cross-sectional study involved interviewing 137 female respondents from the gynecology outpatient department of Dhaka Medical College Hospital and Shaheed Suhrawardy Hospital with a semi-structured questionnaire during March-August 2007. The sociodemographic details and sexual history with sexual problems were recorded.Results: Half (51.8%) the respondents had one or more sexual problems. Pain during intercourse (71.8%) and reduced desire (54.9%) were highest among different complaints followed by orgasmic (43.66%) and arousal problems (32.39%). Age and education were significantly associated with reduced desire (P = 0.03). Delivery mode was significantly associated with inhibited desire (P = 0.01) and arousal problems (P = 0.003), and not significantly with pain (P = 0.06). After adjusting confounding factors, parity (odds ratio [OR] = 3.4, 95% confidence interval [CI]: 1.21-9.68), history of menstrual regulation (OR = 2.84, 95% CI: 1.31-6.22), mental stress (OR = 2.81, 95% CI: 1.05-7.50) and sexual problems of the husband (OR = 3.16, 95% CI: 1.19-8.44) became risk factors for increasing odds of having dysfunction while increased frequency of intercourse showed a marginally significant reducing effect (OR = 0.764, 95% CI: 0.95-1.00).Conclusions: This is a pioneer study in Bangladesh to postulate female sexuality, revealing pain disorder as most prevalent; the women with dysfunction were dissatisfied with their sexual life. In order to determine the cause of female sexual dysfunction, the topic needs further exploration involving intervention at regular medical investigations.