Pelvic myofascial pain is associated with restriction of sexual activity in women with pelvic pain: a cross-sectional study.

IF 1.8 4区 医学 Q3 INFECTIOUS DISEASES
Sexual health Pub Date : 2024-10-01 DOI:10.1071/SH24144
Sara R Till, Andrew Schrepf, Sawsan As-Sanie
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Abstract

Background Dyspareunia and restriction of sexual activity are often reported by patients with chronic pelvic pain, but less is known about which conditions or factors contribute most to these symptoms. Methods This is a cross-sectional study of consecutive new patients who presented to a chronic pelvic pain and endometriosis referral clinic between January 2013 and December 2015. Patients completed a detailed questionnaire prior to their first visit and underwent a comprehensive standardised pelvic examination at their first visit. Patients were grouped according to description of sexual activity as 'normal activity without pain', 'normal activity but painful', 'severely restricted by pain', or 'absent due to pain.' Primary outcome was restriction of sexual activity due to pain. Multinomial logistic regression was performed with 'normal activity without pain' group as reference category and adjusted for age, depression, history of endometriosis, and pelvic myofascial pain. Results Over half of the 187 patients with chronic pelvic pain described severely restricted (n =75, 40.1%) or absent (n =21, 11.2%) sexual activity due to pain. Pelvic myofascial pain was highly prevalent in this population and pelvic myofascial tenderness score was associated with higher odds of sexual activity that was severely restricted by pain (OR 1.05, 95% CI 1.01-1.09, P =0.006) or absent due to pain (OR 1.09, 95% CI 1.04-1.13, P Conclusion Dyspareunia and sexual dysfunction are highly prevalent among patients with chronic pelvic pain, and pelvic myofascial pain is strongly associated with restriction of sexual activity due to pain.

盆腔肌筋膜疼痛与患有盆腔疼痛的女性性活动受限有关:一项横断面研究。
背景 慢性盆腔疼痛患者经常会出现性交痛和性活动受限的症状,但人们对导致这些症状的主要病症或因素知之甚少。方法 这是一项横断面研究,研究对象是 2013 年 1 月至 2015 年 12 月期间到慢性盆腔痛和子宫内膜异位症转诊诊所就诊的连续新患者。患者在首次就诊前填写了一份详细的调查问卷,并在首次就诊时接受了全面的标准化盆腔检查。根据患者对性活动的描述,将其分为 "正常活动但无疼痛"、"正常活动但有疼痛"、"因疼痛而严重受限 "或 "因疼痛而缺席"。主要结果是因疼痛而限制性活动。以 "正常活动但无疼痛 "组为参照组,并对年龄、抑郁、子宫内膜异位症病史和盆腔肌筋膜疼痛进行调整后,进行了多项式逻辑回归。结果 在187名慢性盆腔疼痛患者中,有一半以上的患者描述由于疼痛而导致性活动严重受限(75人,40.1%)或缺失(21人,11.2%)。骨盆肌筋膜疼痛在这一人群中非常普遍,骨盆肌筋膜触痛评分与因疼痛而严重限制性活动(OR 1.05,95% CI 1.01-1.09,P =0.006)或因疼痛而不进行性活动(OR 1.09,95% CI 1.04-1.13,P 结论 在慢性盆腔疼痛患者中,性交痛和性功能障碍的发病率很高,而盆腔肌筋膜疼痛与疼痛导致的性活动受限密切相关。
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来源期刊
Sexual health
Sexual health 医学-传染病学
CiteScore
2.30
自引率
12.50%
发文量
121
审稿时长
6-12 weeks
期刊介绍: Sexual Health publishes original and significant contributions to the fields of sexual health including HIV/AIDS, Sexually transmissible infections, issues of sexuality and relevant areas of reproductive health. This journal is directed towards those working in sexual health as clinicians, public health practitioners, researchers in behavioural, clinical, laboratory, public health or social, sciences. The journal publishes peer reviewed original research, editorials, review articles, topical debates, case reports and critical correspondence. Officially sponsored by: The Australasian Chapter of Sexual Health Medicine of RACP Sexual Health Society of Queensland Sexual Health is the official journal of the International Union against Sexually Transmitted Infections (IUSTI), Asia-Pacific, and the Asia-Oceania Federation of Sexology.
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