【 文献重点摘要 】

Background

Sexual dysfunctions are one of the most fundamental difficulties for infertile women, which can be as the cause of infertility. This study investigated the prevalence of this disorder and associated factors in order to improve infertility treatment process and the quality of life of women referring to infertility center.

Methods

A cross sectional study was performed on 236 women who referred to Fatima Zahra infertility center of Babol, Iran. Data collection tool was a questionnaire contained two parts; demographic characteristics and infertility information. Also, data for sexual dysfunction was obtained through diagnostic interview based on the international classification DSM-IV. For data analysis, logistic and linear regression analysis were used. The p<0.05 was considered significant.

Results

Most of women (84.9%) suffered from primary infertility and the mean duration of infertility was 60.2±8.4 months. The prevalence of sexual dysfunction was 55.5% (n=131); including dyspareunia in 28% (n=66), impaired sexual desire and lack of orgasm in 26.3% (n=62 patients), vaginismus in 15.2% (n=36) and lack of sexual stimulation in 13.6% (n=32). Binary logistic regression analysis showed that age, sexual satisfaction and history of mental illness had a significant effect on the probability of experiencing the sexual dysfunction.

Conclusion

There is a high prevalence of sexual dysfunction among infertile women. Considering the interaction between sexual dysfunction and infertility, professional health care centers should be sensitive to this effect. Also, more attention must be paid on marital relationships, economic and social situation and infertility characteristics in order to prevent sexual dysfunction development through early screening and psychological interference.

Keywords

Infertility, Sexual dysfunction, Women

背景

性功能障碍是不孕妇女最根本的困难之一，可作为不孕的原因。本研究通过对不孕症患者的患病率及相关因素进行调查，以期参考不孕不育中心改善不孕症的治疗过程，提高妇女的生活质量。

方法

对在伊朗巴布尔法蒂玛·扎赫拉不孕中心就诊的236名妇女进行横断面调查。数据收集工具为调查问卷，包含人口学特征和不孕症信息两部分。此外，性功能障碍的数据通过基于国际分类DSM-IV的诊断性访谈获得。数据分析采用Logistic和线性回归分析。P<0.05被认为是显著的。

结果

大多数妇女(84.9%)患有原发不孕症，平均不孕期为(60.2±8.4)个月。性功能障碍发生率为55.5%(n=131)，其中性交困难占28%(n=66)，性欲减退和性高潮缺乏占26.3%(n=62)，阴道痉挛占15.2%(n=36)，性刺激缺乏占13.6%(n=32)。二元Logistic回归分析显示，年龄、性满意度和精神病史对性功能障碍的发生概率有显著影响。

结论

不孕症妇女性功能障碍患病率较高。考虑到性功能障碍和不孕症之间的相互作用，专业保健中心应该对这种影响很敏感。重视婚姻关系、经济社会状况和不孕症特征，通过早期筛查和心理干预，防止性功能障碍的发生。

关键词

不孕不育，性功能障碍，女性