Sexual dysfunction and sexual health concerns in women with diabetes

: Sexual health plays an important role in the women’s health and quality of life. Sexual health management is a prerequisite for physical and psychological health of women. Sexual desire, arousal, and orgasm are three factors of female sexual response. So far many different methods has been known for the treatment of female sexual dysfunction, however none of them are not an efficacious therapy. Generally, use of herbal medicine is a safe and effective therapeutic method in the treatment of women with sexual dysfunction. The role of herbal and nutritional supplementation in female sexual function has attracted researchers’ interest in recent years. This study aimed to the evaluation of the studies focusing on the herbal medicine on women sexual function and the assessment of its effectiveness.

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Managing Sexual Dysfunction For Women With Breast Cancer: The Perspective Of Health Care Providers In North East Malaysia.

10.21203/rs.3.rs-161097/v1 ◽

2021 ◽

Author(s):

Siti Balqis Chanmekun ◽

Maryam Mohd Zulkifli ◽

Rosediani Muhamad ◽

Norhasmah Mohd Zain ◽

Wah Yun Low ◽

...

Keyword(s):

Breast Cancer ◽

Sexual Dysfunction ◽

Sexual Health ◽

Health Care Providers ◽

Thematic Analysis ◽

Healthcare Providers ◽

Phenomenological Approach ◽

Care Providers ◽

North East ◽

East Malaysia

Abstract Purpose: Management of female sexual dysfunction (FSD) is vital for women with breast cancer due to the devastating consequences, which include marital disharmony and reduced quality of life. We explore healthcare providers’ (HCPs) perceptions and experiences in managing FSD for women living with breast cancer using phenomenological approach. Methods: This qualitative study was conducted using a face-to-face interview method to HCPs from two tertiary hospitals in North East Malaysia. The interviews were recorded, transcribed verbatim, and transferred to NVivo ® for data management. The transcriptions were analyzed using thematic analysis. Results: Three key barriers were identified through the thematic analysis: a scarcity of related knowledge; the influence of socio-cultural ideas about sex; and the speciality-centric nature of the healthcare system. Most HCPs interviewed had a very narrow understanding of sexuality, were unfamiliar with the meaning of FSD, and felt their training on sexual health issues to be very limited. They viewed talking about sex to be embarrassing to both parties that is, both to HCPs and patients and was therefore not a priority. They focused more on their specialty hence limited the time to discuss sexual health and FSD with their patients. Conclusion: Therefore, interventions to empower the knowledge, break the sociocultural barriers and improve the clinic settings are crucial for HCPs in managing FSD confidently.

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Patient reported sexual concerns in routine cancer care.

Journal of Clinical Oncology ◽

10.1200/jco.2021.39.15_suppl.12128 ◽

2021 ◽

Vol 39 (15_suppl) ◽

pp. 12128-12128

Author(s):

Brittany Lees ◽

Smitha Vilasagar ◽

Jubilee Brown ◽

Peter E Clark ◽

Maxim McKibben ◽

...

Keyword(s):

Sexual Health ◽

Cancer Care ◽

Unmet Need ◽

Well Being ◽

Cancer Site ◽

Cancer Center ◽

Cancer Symptoms ◽

Health Concerns ◽

Patient Reported ◽

Sexual Concerns

12128 Background: Sexual health is an important component of overall well-being and can be adversely impacted by chemotherapy, surgery, radiation, in addition to the psychological effects of cancer treatments. Sexual health is challenging to discuss and may be overlooked or avoided during cancer care. Methods: Patients presenting for consultation in an outpatient multisite cancer center completed electronic distress screening (EDS) between January 2017 and December 2020. The EDS contains 42 questions; demographic information, cancer symptoms and side effects, and psychosocial factors. The EDS is completed by patients before a clinical encounter for early symptom identification and intervention. We conducted a retrospective data analysis of sexual health concerns (>5; scale 0-10) and evaluated patient characteristics and clinically relevant distress (>4; NCCN Distress Tool), depression risk (>3; PhQ2), and anxiety risk (>3; GAD2). Our primary aim was to identify the prevalence of sexual health concerns. The secondary aim was to examine the relationship between sexual health and emotional well-being. Results: 57,375 EDS screens were completed. 13,950 patients (24%) reported sexual concerns or lack of interest in sex (>5) within the last 2 weeks. The frequency of these concerns at specific clinics ranged from 12% to 48%, with the highest rates at Palliative care (39%) and Psycho-Oncology (48%) clinics. Genitourinary (30%), Gynecologic (27%) and Gastroenterology (26%) reported the highest frequency of sexual concerns from cancer site specific clinics. Males reported a higher rate of sexual problems compared to females (30% vs 21%, p < 0.001), but a lower rate of relationship concern distress (12% vs 13%, p < 0.05). Patients with a risk for depression (n = 9,126) or anxiety (n = 10,809) had higher rates of self-reported sexual concerns than those with a negative screen (44% vs 21% depression, p < 0.001; 40% vs 21% anxiety, p < 0.001). Conclusions: Sexual health is a concern for approximately one-quarter of patients presenting for cancer care. Sexual health concerns were prevalent across cancer sites. Patients with positive screens for anxiety and/or depression have nearly double the rates of reported sexual health concerns. Sexual health is a current unmet need that impacts cancer patients and warrants attention.

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Impact of Infertility Duration on Female Sexual Health

10.21203/rs.3.rs-575050/v1 ◽

2021 ◽

Author(s):

Meng Dong ◽

Xiaoyan Xu ◽

Yining Li ◽

Yixian Wang ◽

Zhuo Jin ◽

...

Keyword(s):

Risk Factor ◽

Sexual Dysfunction ◽

Sexual Health ◽

Sexual Function ◽

Equation Model ◽

Sexual Life ◽

Female Sexual Function ◽

Psychological Pain ◽

Multivariable Logistic Regression Model ◽

Group I

Abstract BackgroundAs an important source of stress, infertility may affect the quality of sexual life, with extensive studies believing that the incidence of sexual dysfunction in infertile women is highly prevalent. As the years of infertility increase, the greater this stress is likely to increase, which may aggravate psychological pain and cause sexual dysfunction. However, the effect of infertility duration on sexual health is unclear.Methods We performed a case-control study, and a total of 715 patients participated in this research between September 1, 2020, and December 25, 2020. Patients diagnosed with infertility (aged between 20 to 45 years) were included. Patients with infertility were divided into four groups according to infertility duration: ≤ 2 years (Group I, n=262), 2< infertility duration ≤5 years (Group II, n=282), 5 < infertility duration ≤8 years (Group III, n=97), and infertility duration > 8 years (Group IV, n=74). A questionnaire survey of female sexual function and psychological depression of patients with infertility was performed. The female sexual function was measured by the Female Sexual Function Index (FSFI), depression status was measured by the Patient Health Questionnaire (PHQ-9).ResultsAnalysis of the relevant factors that affect sexual function using a multivariable logistic regression model revealed that infertility duration of less than 8 years was not a risk factor for sexual dysfunction. However, when infertility duration was greater than 8 years, the incidence of sexual dysfunction (AOR=5.158,95%CI: 1.935-13.746, P=0.001) and 3 domains [arousal disorder (AOR=2.955 ,95%CI: 1.194-7.314, P=0.019, coital pain (AOR=3.811 ,95%CI: 1.045-13.897, P=0.043), and lubrication disorder (AOR=5.077 ,95%CI: 1.340-19.244, P=0.017)] increases. ConclusionsThe multivariate regression equation model reveals that the infertility duration is more than 8 years, which is a risk factor for the occurrence of sexual dysfunction. As the infertility duration increases, the incidence of female sexual dysfunction and psychological distress may increase.

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Barriers to Care of Sexual Health Concerns in Men Following Traumatic Pelvic Fractures

Journal of Sexual Medicine ◽

10.1016/j.jsxm.2019.07.014 ◽

2019 ◽

Vol 16 (10) ◽

pp. 1557-1566

Author(s):

Niels V. Johnsen ◽

Jonathan Lang ◽

Hunter Wessells ◽

Monica S. Vavilala ◽

Frederick P. Rivara ◽

...

Keyword(s):

Sexual Health ◽

Barriers To Care ◽

Pelvic Fractures ◽

Health Concerns

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Experiences of general practitioners in the Ga-Rankuwa and Mabopane areas in dealing with patients who have sexual problems

African Journal of Primary Health Care & Family Medicine ◽

10.4102/phcfm.v7i1.878 ◽

2015 ◽

Vol 7 (1) ◽

Author(s):

Benjamin Mills ◽

Indiran Govender ◽

Jannie Hugo

Keyword(s):

Sexual Dysfunction ◽

Sexual Health ◽

General Practitioners ◽

Sexual Problems ◽

Sexual Medicine ◽

Health Issues ◽

North West ◽

Self Help ◽

Field Notes ◽

And Training

Background: Sexual problems are common. Many patients with sexual health dysfunction use self-help literature or are often managed in general practice. However, many general practitioners (GPs) find it difficult to discuss sexual health issues because they feel uncomfortable with this and lack training in these matters. These GPs are now referring patients with sexual dysfunction to specialists.Aim: We sought to explore how GPs working in the Mabopane and Ga-Rankuwa areas of handle sexual problems of their patients.Setting: The setting was the Mabopane and Ga-Rankuwa areas of North-West Tshwane, in Gauteng Province.Methods: A qualitative study comprising eight free attitude interviews with purposefully selected four male and four female GPs. All interviews were conducted in English and tape-recorded. Field notes in the form of a detailed diary was kept. The tapes were transcribed verbatim, and the transcriptions were checked against the tapes for omissions and inaccuracies.Results: Six themes emerged from the interviews: causes of sexual problems; presentation of sexual problems to the doctor; management of sexual health problems; sex is a taboo topic; society’s need for sexual health discussions, and these discussions have already begun; previous limited exposure and training, and a need for more sexual health training.Conclusion: This study confirms earlier findings that patients could be either reluctant to discuss their problems or are open about them when presenting to doctors with sexual dysfunction. GPs were not exposed to sexual health training at medical school and, because of this shortcoming, felt that training in sexual medicine should be part of the curriculum.

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Sexual Health in Women with Inflammatory Bowel Disease in the Danish National Birth Cohort

Journal of Crohn s and Colitis ◽

10.1093/ecco-jcc/jjaa038 ◽

2020 ◽

Vol 14 (8) ◽

pp. 1082-1089

Author(s):

Ellen A Nøhr ◽

Jan Nielsen ◽

Bente M Nørgård ◽

Sonia Friedman

Keyword(s):

Inflammatory Bowel Disease ◽

Sexual Dysfunction ◽

Sexual Health ◽

Sexual Function ◽

Birth Cohort ◽

Bowel Disease ◽

Large Population ◽

Danish National Birth Cohort ◽

Increased Risk ◽

Inflammatory Bowel

Abstract Background and Aims Previous studies indicate an increased risk of sexual dysfunction in women with inflammatory bowel disease [IBD] but none have examined sexual function in a large population-based cohort. Methods To investigate the risk of sexual dysfunction in women with IBD, we used data from the Danish National Birth Cohort, a nationwide study of 92 274 pregnant women recruited during 1996–2002. We performed a cross-sectional study based on mothers who participated in the Maternal Follow-up in 2013–14. The outcome was self-reported sexual health. Information regarding demographics and IBD characteristics was retrieved from the Danish National Patient Register. Using regression models and adjusting for important confounders, we compared sexual function in women with and without IBD. Results The study population consisted of 38 011 women including 196 [0.5%] with Crohn’s disease [CD] and 409 [1.1%] with ulcerative colitis [UC]. Median age was 44 years. Compared to women without IBD, women with UC did not have significantly decreased sexual function, while women with CD had more difficulty achieving orgasm (adjusted odds ratio [aOR] 1.53; 95% confidence interval [CI] 1.02–2.30], increased dyspareunia [aOR 1.71; 95% CI 1.11–2.63] and deep dyspareunia [aOR 2.00; 95% CI 1.24–3.22]. The risk for difficulty achieving orgasm and deep dyspareunia was further increased within 2 years of an IBD-related contact/visit [aOR 1.81; 95% CI 1.11–2.95; and aOR 2.37; 95% CI 1.34–4.19]. Conclusions Women with CD have significantly increased difficulty achieving orgasm and increased dyspareunia. Physicians should be cognizant of and screen for sexual dysfunction in this group of patients.

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