對53例骨盆腔鬆弛婦女做矯正手術前的性機能分析。除2例拒絕回答 外，所有病人均在醫護人員協助下完成問卷。陰道潤滑液減少是最常見的性困擾 (42/51);39例有性生活的病患中又以性慾減少(23/39)，性頻率減少(22/39)，性高潮 減少(21/39)較常見，20例有性交疼痛的病患中，只有5例在脫垂後疼痛加劇。組 織與解剖功能的變化是骨盆腔鬆弛婦女性困擾的原因，建議利用簡單的陰道潤滑 劑，女性荷爾蒙補充與性交姿勢的改變做初步的治療，至於子宮摘除與直腸膀恍 懸吊術對性機能的影響，必須做較長時間的追蹤。

　　　　　From September 1990 to March 1991 , 53 consecutive patients with pelvicprolapse were admitted to CCMH for surgical intervention. All cases wereadministered a screening questionnaire of sexual problems by either aresident doctor or a. bedside nurse. Fifty-one patients agreed to answerthe sexual inquiry, 39 of whom were sexually active. The most commonsexual complaint was decreased vaginal lubrication (42/51), followed bydecreased sexual desire (23/39), decreased frequency of sexual activity(22/39), decreased orgasmic response (21/39). Twenty yatients had dyspareunia, but the severity of pain became worse just in 5 cases. Anatomic a.nd physiologic change nay cause sexual difficulties in pelvic relaxation women. For improving those sexual problems, simple interventions should be suggested such as using lubricating jellies or creams, hormone replacement therapy, or switching coital positions . However, the role of surgical interventions in treating sexual difficulty warrants further investigation and long-term follow-up.