The assessment of sexual functions in women with male partners complaining of erectile dysfunction:: Does treatment of male sexual dysfunction improve female partner's sexual functions?
The assessment of sexual functions in women with male partners complaining of erectile dysfunction:: Does treatment of male sexual dysfunction improve female partner's sexual functions?
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DOI：
10.1080/00926230490465091
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发表时间：
2004-10-01
影响因子：
2.5
通讯作者：
Akbay, E
中科院分区：
文献类型：
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作者：
Çayan, S;Bozlu, M;Akbay, E
这项前瞻性研究的目的是比较有勃起功能障碍(ED)男性伴侣的女性和没有勃起功能障碍男性伴侣的女性的性功能，并探讨男性勃起功能障碍治疗对女性伴侣性功能的影响。这项研究包括87名女性和她们的男性伴侣。我们把这些妇女分成两组。38名有男性伴侣抱怨勃起功能障碍的女性(ED组)和49名有男性伴侣但没有ED的女性(对照组)。30例勃起功能障碍患者接受阴茎假体植入(n=17)或口服柠檬酸西地那非(n=13)治疗。我们用国际勃起功能指数(IIEF；Rosen，Cappelleri，Smith，Lipsky，&Pena，1999)、体格检查和彩色阴茎多普勒超声对所有男性进行评估。我们用女性性功能指数(FSFI；Rosen et al.，2000)来评估女性的性功能，以评估性欲望、性唤醒、润滑、性高潮、满足感和疼痛。我们比较了患有和不患有勃起功能障碍的男性伴侣的女性之间的女性性功能评分，也比较了两组治疗前和勃起功能障碍组男性伴侣治疗后的女性性功能评分。此外，我们根据给予男性伴侣的治疗类型来比较分数。勃起功能障碍组的性唤醒(p=0.009)、润滑(p=0.001)、性高潮(p=0.006)、满足感(p=0.000)、疼痛(p=0.039)和总分(p=0.003)均显著低于对照组(p=0.515)。我们调查了男性ED对女性性功能的影响，发现器质性阳萎、年龄较大和勃起评分较低的IIEF在统计学上没有显著差异(分别为p=0.53、p=0.15和p=0.1)。在男性勃起功能障碍的治疗后，我们观察到女性在性唤起(p=0.001)、润滑性(p=0.002)、性高潮(p=0.000)、满意度(p=0.000)和疼痛(p=0.002)方面有显著改善。这些发现表明，女性的性功能受到男性勃起状态的影响，治疗男性性功能障碍后，女性的性功能可能会得到改善。
The aims of this prospective study were to compare sexual functioning between women with male partners who have erectile dysfunction (ED) and women without partners with ED and also to investigate the effect of the treatment of male ED on female partner's sexual function. The study included 8 7 women and their male Partners. We divided the women into two groups. 38 women with male partners complaining of ED (ED group) and 49 women with male partners who have no ED (control group). Of the men with ED, 30 were treated with penile prosthesis implantation (n = 17) or oral sildenafil citrate (n = 13). We evaluated all the men with the International Index of Erectile Function (IIEF; Rosen, Cappelleri, Smith, Lipsky, & Pena, 1999), physical examination, and color penile Doppler ultrasound. We evaluated female sexual function with the Female Sexual Function Index (FSFI; Rosen et al., 2000) to assess sexual desire, arousal, lubrication, orgasm, satisfaction, and pain. We compared female sexual function scores between the women of the male partners with and without ED and also compared before both groups and after the treatment of male partners in the ED group. Additionally, we compare the scores according to the type of treatment given to the male partners. Sexual arousal (p = 0.009), lubrication (p = 0.001), orgasm (p = 0.006), satisfaction (p = 0.000), pain (p = 0.039), and total score (p = 0.003) were highly significantly lower in the ED group than in the control group, although sexual desire did not differ between the two groups (p = 0.515). We investigated the effect of male ED on female sexual functions and found no statistically significant differences in the presence of organic type impotence, older age, and lower erection scores on the IIEF (p = 0.53, p = 0.15, and p = 0.1, respectively). After the treatment of male ED, we observed significant improvement in sexual arousal (p = 0.001), lubrication (p = 0.002), orgasm (p = 0.000), satisfaction (p = 0.000), and pain (p = 0.002) in the women. These findings suggest that female sexual function is affected by male erection status and may improve after the treatment of male sexual dysfunction.