How Is the Sexual Function of Premenopausal Chinese Women Without Hyperlipidemia?

Yali Xiang; Yuxin Tang; Jiaqun Li; Dongjie Li

doi:10.1016/j.esxm.2019.10.004

How Is the Sexual Function of Premenopausal Chinese Women Without Hyperlipidemia?

Sex Med. 2020 Mar;8(1):65-75. doi: 10.1016/j.esxm.2019.10.004. Epub 2019 Dec 16.

Authors

Yali Xiang¹, Yuxin Tang², Jiaqun Li³, Dongjie Li⁴

Affiliations

¹ Health Management Center, Fifth Affiliated Hospital of Sun Yat-sen University, Zhuhai, P.R. China.
² Department of Urology, Fifth Affiliated Hospital of Sun Yat-sen University, Zhuhai, P.R. China.
³ Department of Reproductive Endocrinology, Women's Hospital, School of Medicine, Zhejiang University, Hangzhou, P.R. China. Electronic address: jiaqunli@zju.edu.cn.
⁴ Department of Geriatric Urology, Xiangya International Medical Center, Xiangya Hospital, Central South University, Changsha, P.R. China; National Clinical Research Center for Geriatric Disorders, Changsha, P.R. China. Electronic address: dongjieli@csu.edu.cn.

Abstract

Introduction: Most premenopausal women in China have normal lipid profiles while the sexual function among them was scarcely demonstrated.

Aim: To find out the characteristics of the sexual function in premenopausal Chinese women without hyperlipidemia using the Female Sexual Function Index (FSFI) and the Golombok Rust Inventory of Sexual Satisfaction (GRISS).

Methods: This cross-sectional study was performed to find out the characteristics of sexual function in premenopausal Chinese women without hyperlipidemia. Between January 2019 and March 2019, we recruited 216 women, 25-49 years of age. Data from questionnaires and health checkups were collected and analyzed.

Main outcome measure: We report the prevalence of and factors related to female sexual dysfunction (FSD) in premenopausal Chinese women without hyperlipidemia in accordance with the FSFI and the GRISS.

Results: The prevalence of FSD in our study was 46.2%. The mean age was 38.07 ± 6.94 years. More highly educated women suffered from FSD than those in the control group (61.1% vs 35.2%, P < .05). Binge eating was significantly different between the groups (P = .023). Multiple logistic regression analyses demonstrated that total cholesterol level was positively associated with low desire (OR, 2.13; 95% CI, 1.10-4.13; P = .025) and so was the low-density lipoprotein level (OR, 2.18; 95% CI, 1.03-4.62; P = .0.041). The high-density lipoprotein level was inversely associated with infrequency (OR, 0.18; 95% CI, 0.06-0.59; P = .004). More women with FSD had orgasm disorder than those in the control group, for 83.3% vs 35.2% in the FSFI (P < .001), 88.9% vs 54.3% in the GRISS (P < .001), respectively. Dissatisfaction remained the most common issue for the control group in both the FSFI and the GRISS (90.50% and 58.10%, respectively).

Conclusions: FSD is frequent in premenopausal Chinese women without hyperlipidemia. Dissatisfaction as the common problem influenced over half of them and orgasm disorder is a severe sexual issue for women with FSD. Xiang Y, Tang Y, Li J, et al. How Is the Sexual Function of Premenopausal Chinese Women Without Hyperlipidemia. J Sex Med 2019;8:65-75.

Keywords: Dissatisfaction; FSFI; Female Sexual Dysfunction; GRISS; Lipid Profiles.