Sexualily in Menopausal Thai Women
Transcription
Sexualily in Menopausal Thai Women
Sexualilyin MenopausalThai Women SuchadaI.thawiwat, M.D.+ M.D.* Man€€Rattanachaiyanont, Pidlai Lcerasiri MJ'* SurasakAngsuwathtna'M.D.* Kiti.st Techatrisak,M.D * To evalu{c $e rypeand in.tden€ or $'o,1 pioblemsmd th.n rchdoiship to v.8iial obje.dv. prcblemsmd homonalpphcenenrrhqlpv (sRT) in m.rcO!$al Tr'ii woncn of Obsctric lrirheMenopauso Cliiic, Dspinmenr 96 *omer vho wde rollowed-[p 200r b Augsr 2002. oyicorogl Fctrr,y of M€diitu si nj Hcp'd rmn sep'cmber , hisrorYolhononal rcPhcam$irhd TypB or $xual ptublms, d'c Elrrio 'n-,'lL 'd rk' mc'o 3Lr rer lo+ of hb'do o1' nn F;" h"",.--.d *,-"r." "; r.*d r" d'. *'s."rg-"p, conchslon "0, o.ry 4,6 oI rhe$bjec essionanvE&hedory*r vasirarprobrcms rioNhip b 6d lcs or sexualdcit w ormc thel@korolgNmAbou!45.2% Thcrcis trd{linc ji HRr -*d ;'b''"c "l' rhue.pl"ms or scxu'l dysluncriorhur I n beicfici.l ror vasii,l complarb couNding lid heal$ edu$doi in w !y.&r"!r;hdrii€e€dv! r'r', inc fitli I r', 6a"nd iilol 6wiidi v.!'. Mi indrrtri '. }.!.' n_{qidrr n ! fiAi'i oiili.fi6 '^1Aat1nad1dr{ 6t riw1. htutuvtwnlsriaintualnr e,1i'rlddt M atafznt zstt: *' nq.tgt .Depddne oJobearnai.rreeatocy,Frc 10704 rhan.na o oJMedi.inesnircj HqPtat Mdhidaturir{si', Bdrskat' rrii'rl"!;lldriinN1n0 6&i'!f ri!inslM!d!!'!dt:t'lNir!r'r rirnrrlrurarn:1ni!0inQvnfl ioqn**i Lnidlqi(,inwiio!navaiNAno, mrr'ldditDrliorli !d#iuft llw nrdnM(wnnrilL$ilfis! fl1trllmrir"s : niinidtor mnim{anlif liniivm ntua'lf0tlrnntnirnMr!1h!ulir!1ti! d.r#finrtr'! lfl l !mainl t:t'hx6orn'wrr! nrirdradN : dn;iurori!ri!nrnt!inuhaGnniitN 544 iii alvrn! 1545irw!sd nd nrnrtuilsntnn'iidroi'iiunuJI!nnrn(!r:qflur:idri{#0!!i!!nlrm: nrnefi 6:mrHmntui6m! ifi,,tdt'il tilsnx{anm riouiifrj Nliow!fl!fi jNnI!'1'rid'!ri!6rium! ino M:qiAnrnttNnQtnr.dlliud irl!ftr:qdt:' ,"li#ft."e: m:aslNntldooilllho(Lrltioiruvnn6{M4'!f a6tninNiiihii^ nff amr!a crNLrd nqvr rlnnrinEl!iln4v.iiNnoirns.d'!1i!dlo"Mi mflrth"! : ml6uhM:iinslnN$.ooNi'im!d.!l]i!!6!!n! n16!eo{ndorfl !fi liBilxtuti$d&i'!f I #!diLti! ;dowrm:n irwuiom: rg hnd!.ni1-in!!;v!d':qori!!irnmMl$ino!nil nrliq!oarN M!fi!it'uir ra iinft:o{6!in Li!6!rn-u4!{n'iilrriiv!rrrqarnnulrdd flN$. 1!1o:idorn.oo,L,"ji"idtnrwrnt6!rn{diit h!n: 4 hd'; ,ii!iRieirdojinr!6 i oriil{'iiluf ^rM!i-!n!inrutlrNL}i&lild r1n.ni^w!.hinqursNLvitu{'!d,iri !(n';iotjhiur!r Ld!'di'ndln4! rnilnr'1irifl !wo$!61lnntittmrxNiirs!tr!6r idvN;rxm:enixiumtrnnr'l1n'd q"jtllmturin'u:nruiFonai6 NiIl6lxroiorlqvlviLn6tufi!f1o",i!'!o 01mnNiisho6ld ii1!$6dxi'!f m:irdr'n!6iq;$u:m1ur;1!iuurAuiirrirn'q1!m:i INTRODUCTTON preyunllonot commdn hc,lrh pmblems, sme my pcriod'mmyPhFiolocicchalg$ocfisapc6s deE$cdoveiinfun.lion,,nd|]'crcsulbnlAbgei d.licicicy In addirioi ro vdomobr syrproms, quilry otlirc. Thh soalcaobcf[ieved by rFplviig ^rhush 'hs maFiy or won$ dn ob'fun3 eNd lid quihy otrirc hy mei0 ofhellrh prcmotion liown ro bc rfrred by stosen den.i.icy dumlioiofHRT. x'is a.onpulcn,cd plqan (sPss r0.0) and RESULTS N4ATERIALSAND METIIODS m.ioptrsc p''ien6 (45.31 5. I y4 v* rc$ rhan'he (433a36yr). sii*j s6pir,1, M'hidorunivdiry, fmmscpbmbcr Ag. of husbadd!r imc icw (yt The womenweE incniewcd 3.6 A[6d$blmshdlsngh rl n n I I lllcrulioiii*xmlily' wis significadlyrebkd b vagii,l pbbl.ns (P= 0.04) ar lb$icc ot sxutrl olgant *d sgnifidnrry rl cd ro d'edryiss or vaginilserdioo (P: o or ) Tabhs ? atrd 3 show thd rcldioiship *rh HRrdid nol sp.nc.c rlbbs r ard 4 demorrrub 'r'd 'hemiiori'y Trbl. 1 Tbc pEYdsncc oI scxtriliry i s difldei.e in sexualiry rypcor$rdiry Not uDnscd(*) (a)ch' sque 'es! NA=no'avnlibld D(rusd(ft) Trblc 3, Rehionshipbdw.ci rypcsor HRTand$xudity alcntioi. 13r 135 Nore G)Chisquarebt. E=Estosc og$tqercoirE P=coiriioN DISCUSSION inenopaNs.Thn maybd |ldrly dm ro rlt gmduil CONCLUSION !.'iv ryiirnmopasnLTn&vomsriosornerl lhal$xua|d$fuldlioijnl[esudypopu|ilion!s ACKNOWLDDGEMDNT ot rhc $iu,lny, U)ronunarcly. {0 dd ror 6*ss ro rheiaft membero or'rheDiisjon ofcynrqiD somchliT.vslFr c, soirhr s.oqnpon ( Ptia rsperetrl.c|aa.(6eNMoop4EUdftF@id Arqeds Eo, Nrt*bi Aa Nmiiirnjd*l@ulby'lob'dcyeo]R4 o{oPegh:couidoE's'iidlnd&pcfu hmM ?. s.@r5r.wicturo &bs.i depdsrimed$eind strn8oL'v4hddmphyiis.'osnso'Md Epbha' d@r! Mmdb 1e9qlx ,9