The features of sexual function in gynecologic patients


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Aim. To investigate the features of sexual function in women with gynecological diseases undergoing screening in clinical settings. Materials and methods. This was a cross-sectional study of the sexual activity and sexual functioning of 1256 women who sought outpatient medical care at the V.I. Kulakov NMRC for OG&P of Minzdrav of Russia from 2014 to 2018, of which 602 (group 1) due to infertility (ICD 10 - N97) and 654 made up the control group(group 2). Baseline evaluation included a detailed medical history, clinical examination, and sexual health testing. Results. Compared with patients in group 2, patients in group 1 were more likely to have a history of salpingitis and oophoritis, uterine inflammatory diseases excluding the cervix, and endometriosis (p = 0.001). Decreased sexual functioning (FSFI ≤ 26.55) was observed in both groups in patients with inflammatory diseases of female pelvic organs (salpingitis, oophoritis, and uterine inflammatory diseases excluding the cervix) (p = 0.03), endometriosis (p = 0.01), and uterine f ibroids (p = 0.02). Also, differences were found in the number of individuals with reduced sexual function in the study groups (p = 0.0001). Infertile women were found to have 1.54-fold higher odds of having sexual dysfunction (FSFI ≤ 26.55) than fertile women (OR = 1.54, 95%CI 1.19; 1.99). There were significant differences between women in groups 1 and 2 with normal sexual function (FSFI> 26.55) in domain scores for orgasm (p = 0.03), pain (p = 0.02), and satisfaction” (p = 0.06, at the level of the trend). Women in groups 1 and 2, who had sexual dysfunction (FSFI ≤ 26.55) also had significant differences in domain scores for sexual desire (p = 0.01), lubrication (p = 0.04), and pain (p = 0.03). Conclusion. The present study convincingly showed that infertile women with inflammatory diseases of pelvic organs, endometriosis, and uterine fibroids have a high risk of sexual dysfunction, including decreased libido, insufficient vaginal lubrication, and dyspareunia.

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作者简介

Natalya Stenyaeva

V.I. Kulakov National Medical Research Center for Obstetrics, Gynecology and Perinatology of Minzdrav of Russia

Email: nataliasten@mail.ru
candidate of medical sciences, senior researcher of the Department of Andrology and Urology 117997, Russia, Moscow, ul. Oparina, 4

Dmitry Khritinin

I.M. Sechenov First Moscow State Medical University of Minzdrav of Russia (Sechenov University)

Corr. RAS, MD, professor of the Department of Psychiatry and Narcology, Faculty of Medicine 119991, Moscow, st. Trubetskaya, d. 8, p. 2

Andrey Chausov

V.I. Kulakov National Medical Research Center for Obstetrics, Gynecology and Perinatology of Minzdrav of Russia

Email: andreaschausov@gmail.com
Head of the Information and Analytical Center of the Department of Regional Cooperation and Integration 117997, Russia, Moscow, ul. Oparina, 4

Vyacheslav Grigor’ev

V.I. Kulakov National Medical Research Center for Obstetrics, Gynecology and Perinatology of Minzdrav of Russia

Clinical Resident 117997, Russia, Moscow, ul. Oparina, 4

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