Fertility and sterility · 2010
Well-being and sexual function outcomes in women with vaginal agenesis.
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Kimberley Natalie, Hutson John M, Southwell Bridget R, Grover Sonia R
Аннотация
OBJECTIVE: To assess long-term quality of life and sexual satisfaction outcomes of women treated for vaginal agenesis.
DESIGN: An audit project using questionnaires to assess quality of life (World Health Organization Quality of Life Bref [WHOQoL-Bref]) and sexual satisfaction (Golombok Rust Inventory of Sexual Satisfaction [GRISS]).
SETTING: Gynecology Department of Royal Children's Hospital.
PATIENT(S): Women with vaginal agenesis.
INTERVENTION(S): Medical data were extracted from notes. Women were contacted at their review consultation or were offered the opportunity for review and participation in the audit.
MAIN OUTCOME MEASURE(S): WHOQoL-Bref and GRISS were measured. Correlation with medical details and treatment method was undertaken.
RESULT(S): Age range was 16-71 years (median, 23 years). WHOQoL-Bref (n=28) scores (mean±SD, 4.2±0.8), were similar to the mean Australian population score. The GRISS questionnaire (n=20) revealed that 75% of women had overall satisfactory scores. WHOQoL scores had a high correlation with GRISS scores. Time since diagnosis correlated to GRISS scores with 12 of 13 diagnosed>5 years earlier having satisfactory results. Women without a hymen had more problems with vaginismus.
CONCLUSION(S): General outcomes are good for these women, although vaginismus was an issue. There was a correlation between lower health satisfaction scores, feeling less feminine and feeling down, but not GRISS.
DESIGN: An audit project using questionnaires to assess quality of life (World Health Organization Quality of Life Bref [WHOQoL-Bref]) and sexual satisfaction (Golombok Rust Inventory of Sexual Satisfaction [GRISS]).
SETTING: Gynecology Department of Royal Children's Hospital.
PATIENT(S): Women with vaginal agenesis.
INTERVENTION(S): Medical data were extracted from notes. Women were contacted at their review consultation or were offered the opportunity for review and participation in the audit.
MAIN OUTCOME MEASURE(S): WHOQoL-Bref and GRISS were measured. Correlation with medical details and treatment method was undertaken.
RESULT(S): Age range was 16-71 years (median, 23 years). WHOQoL-Bref (n=28) scores (mean±SD, 4.2±0.8), were similar to the mean Australian population score. The GRISS questionnaire (n=20) revealed that 75% of women had overall satisfactory scores. WHOQoL scores had a high correlation with GRISS scores. Time since diagnosis correlated to GRISS scores with 12 of 13 diagnosed>5 years earlier having satisfactory results. Women without a hymen had more problems with vaginismus.
CONCLUSION(S): General outcomes are good for these women, although vaginismus was an issue. There was a correlation between lower health satisfaction scores, feeling less feminine and feeling down, but not GRISS.