Sexual Function of Women with Infertility

Objective To assess the sexual function, anxiety, and depression of infertile women relative to a control group. Methods Infertile women (infertile group, IG) of reproductive age were invited to participate in this controlled study. A control group (CG) of women was recruited from the general population of the same city. Sexual function was assessed by the Female Sexual Function Index (FSFI), and anxiety and depression were measured by the Hospital Anxiety and Depression Scale (HADS). Results A total of 280 women participated in the present study, 140 in the IG and 140 in the CG. The analysis of the FSFI scores showed that 47 women (33.57%) in the IG and 49 women (35%) in the CG had sexual dysfunction (FSFI ≤ 26.55; p = 0.90). Women with anxiety or depression had a greater risk of sexual dysfunction, and sexual dysfunction increased the risk of anxiety and depression. Married women had a lower risk of depression than single women who were living with their partners. Conclusion Infertile women had no increased risk of sexual dysfunction relative to controls. Anxiety and depression increased the risk of sexual dysfunction in the studied population.

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Sexual dysfunction in women with rheumatic diseases

Modern Rheumatology Journal ◽

10.14412/1996-7012-2021-3-43-49 ◽

2021 ◽

Vol 15 (3) ◽

pp. 43-49

Author(s):

O. V. Teplyakova ◽

A. A. Morozova ◽

A. A. Popov

Keyword(s):

Sexual Dysfunction ◽

Sexual Function ◽

Affective Disorders ◽

Depression Scale ◽

Anxiety And Depression ◽

Average Score ◽

Control Group ◽

Depression Symptoms ◽

Group 2 ◽

Group 1

Objective: to assess sexual function in female patients with rheumatoid arthritis (RA) and fibromyalgia (FM) and to identify the main risk factors of sexual dysfunction (SD).Patients and methods. 60 patients with FM (mean age 44.2±10.1 years) – Group 1; 69 patients with RA (mean age 45.0±9.6 years) – Group 2; and 100 healthy women controls (mean age 45.1±11.8 years) – Group 3 were enrolled in the study. Medical history, severity of pain at rest and during movement by visual analog scale (VAS), and anxiety and depression symptoms by hospital anxiety and depression scale (HADS) were assessed. Sexual function was evaluated by «Female Sexual Function index (FSFI)».Results and discussion. The overall sexual function score in Group 1 (12.7±9.0) was almost twice lower than in the control group (23.55±8.24, p<0.001) and in Group 2 (20.9±11, p<0.001). There was no difference between RA patients group and control group, where the average score for each of the scales was above 3 (with the exception of the «desire» scale). In FM patients all scales were below 3 points, which indicated significant SD, score on the «orgasm» scale was the lowest (1.8±0.9), and score on «absence of sexual pain» scale was the highest (2.6±1.8). SD in patients with FM was significantly driven by affective disorders presenting with anxiety and depression. Inflammatory activity and severity of pain by VAS were strongly associated with SD in RA group. The divorced person status was associated with the development of SD, regardless of nosological diagnosis.Conclusion. RA and FM have a negative impact on women's sexual function. The inflammatory disease activity is the main driver of SD in RA patients while affective disorders promote SD in FM patients.

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The association between infertility and sexual dysfunction in women with obesity

10.22541/au.162648181.14193697/v1 ◽

2021 ◽

Author(s):

ALPARSLAN DENİZ ◽

Muhammed Okuyucu

Keyword(s):

Sexual Dysfunction ◽

Sexual Function ◽

Healthcare Professionals ◽

Normal Weight ◽

Control Group ◽

Inclusion Criteria ◽

Health Counseling ◽

Infertile Women ◽

Sociodemographic Data ◽

Sexual Health Counseling

Background: In this study, sexual function problems in obese infertile women were investigated. Methods: Meeting the inclusion criteria for the study; Included were 150 women obesity without infertility, 150 women obesity with infertility and 150 women normal weight without infertility. The participants were administered a sociodemographic data form, the Female Sexual Function Index (FSFI), and the Beck Depression Inventory following the measurement of body mass index. Results: FSFI scores were observed to be statistifical significantly lower in the group of obesity with infertility than in the other two groups. FSFI scores were measured as (19.6 ± 3.6 vs 21.0 ± 3.7 vs 27.1 ± 4.3) in the group of obesity with infertility, the group of obesity without infertility and the control group, respectively. Conclusion: In our study, sexual dysfunction was found to be statistically significantly higher in women obesity with infertility compared to the control group. Therefore, healthcare professionals in women obesity with infertility; in addition to infertility treatment, sexual health counseling should also be considered.

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Relative prevalence of anxiety and depression in cubital tunnel syndrome patients and associated factors

10.21203/rs.3.rs-24784/v1 ◽

2020 ◽

Author(s):

siming jia ◽

Xiaoying Shi ◽

Guanglian Liu ◽

Li Wang ◽

Xiaoran Zhang ◽

...

Keyword(s):

Associated Factors ◽

Univariate Analysis ◽

Depression Scale ◽

Cubital Tunnel Syndrome ◽

Cubital Tunnel ◽

Controlled Study ◽

Anxiety And Depression ◽

Depression And Anxiety ◽

Increased Risk ◽

Tunnel Syndrome

Abstract Purpose: Cubital tunnel syndrome (CuTS) is the second most common peripheral entrapment neuropathy. This study aimed to assess the prevalence of anxiety and depressive symptoms and explore associated factors among CuTS patients.Methods: This is a cross-controlled study. We used the Hospital Anxiety and Depression Scale to assess the prevalence of depression and anxiety. We calculated the proportion of depression and anxiety symptoms and compared characteristics between groups. Univariate analysis and multivariate regression were carried out to identify variables that were independently associated with anxiety and depression.Results: A total of 246 individuals diagnosed with CuTS were included. The results of the HADS demonstrated that 17.8% (n = 44) of the patients presented possible/probable depression, and 14.2% (n = 35) presented possible/probable anxiety. Logistic regression analysis revealed that diabetes Mellitus was independently associated with depression. And modified McGowan grade was independently associated with anxiety.Conclusions: Patients with cubital tunnel syndrome were at an increased risk of anxiety and depression. Abnormal mental states may have a negative impact in the course and outcome of the disease. Early screening for anxiety and depression in CuTS patients should be recommended.

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Investigating the Effect of Stress Management Counseling on the Sexual Function of Infertile Women

Current Women s Health Reviews ◽

10.2174/1573404817666210910120749 ◽

2021 ◽

Vol 17 ◽

Author(s):

Arezoo Shayan ◽

Seyedeh Zahra Masoumi ◽

Batul Khodakarami ◽

Hasan Ahmadnia ◽

Fatemeh Dastgerdian ◽

...

Keyword(s):

Sexual Dysfunction ◽

Sexual Function ◽

Stress Management ◽

Intervention Group ◽

T Test ◽

Behavioral Approach ◽

Analysis Of Covariance ◽

Control Group ◽

Infertile Women ◽

Family Breakdown

Background: Sexual dysfunction is one of the most common causes of family breakdown. In recent years, different approaches have been used to solve this problem. Due to the negative effects of sexual dysfunction in women and its complications. Objective: The present study was conducted with the aim of investigating the effect of stress management counseling on the sexual function of infertile women referred to Fatemieh Hospital in Hamadan. Methods: The present study was conducted as a randomized two-group clinical trial with two pre-test and post-test stages on 104 eligible women referring to Fatemieh Hospital in Hamadan in 2017-2018. Intervention group subjects received 4 two-hour group counseling sessions with a cognitive-behavioral approach on sexual issues. Data were obtained using two questionnaires of demographic characteristics and Female Sexual Function Index. To analyze the data, SPSS version 21 software and paired t-test, independent t-test and analysis of covariance were used. The level of significance was considered to be less than 0.05. Results: The results of the present study showed that the mean scores in all areas of total sexual function did not differ significantly before the intervention in two groups. However, after stress management counseling, a significant increase was observed in all areas and general sexual function in the intervention group compared to the control group (P <0.05). Conclusion: Stress management counseling in infertile women can play a positive and effective role in improving sexual function. Therefore, the effectiveness of this counseling in promoting sexual function can be confirmed with more confidence.

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Effects of a randomized, culturally adapted, lifestyle intervention on mental health among Middle-Eastern immigrants

European Journal of Public Health ◽

10.1093/eurpub/ckz020 ◽

2019 ◽

Vol 29 (5) ◽

pp. 888-894 ◽

Cited By ~ 2

Author(s):

Faiza Siddiqui ◽

Ulf Lindblad ◽

Peter M Nilsson ◽

Louise Bennet

Keyword(s):

Mental Health ◽

Lifestyle Intervention ◽

Rating Scale ◽

Middle Eastern ◽

Depression Scale ◽

Anxiety And Depression ◽

Control Group ◽

Culturally Adapted ◽

Increased Risk ◽

Middle Eastern Immigrants

Abstract Background Middle-Eastern immigrants in Sweden are at increased risk for type 2 diabetes (T2D) and poor mental health. Physical activity not only prevents/delays onset of T2D but also shows favorable effects on mental health. However, the effects of a culturally adapted lifestyle intervention on mental health among Middle-Eastern immigrants have not been explored before. We aimed to study the effects of a randomized controlled, culturally adapted lifestyle intervention on anxiety and depression levels in diabetes-prone Iraqi immigrants. Methods Participants (n = 96) were randomized to intervention group, IG (n = 50) or control group, CG (n = 46). The IG received seven group sessions addressing lifestyle change and the CG received treatment as usual. Montgomery–Åsberg Depression Rating Scale (MADRS-S) and Hospital Anxiety and Depression Scale (HADS) assessed mental health at start, mid (2 months) and end of the study (4 months). Proportional odds ratio (OR) model was used to study the effect of the intervention. Results The odds of scoring lower on MADRS-S and HADS depression scale at visit 3 vs. baseline were higher in the IG compared to the CG (MADRS-S OR 5.9, 95% CI: 1.6–22.5; HADS OR 4.4, 95% CI: 0.9–20.3). The findings persisted after adjustment for age, sex, body mass index, time since migration, sedentary lifestyle and language spoken at home. Group differences were non-significant at visit 2 vs. baseline. Conclusion A culturally adapted lifestyle intervention addressing T2D prevention in Middle-Eastern immigrants has favorable effects on mental health. The effect was more pronounced at the 4 months than at 2 months follow-up, indicating beneficial effect of longer study duration. Trial registration www.clinicaltrials.gov NCT01420198.

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Is psychosexual therapy a reliable alternative to bupropion extended-release to promote the sexual function in infertile women? An RCT

International Journal of Reproductive BioMedicine ◽

10.18502/ijrm.v18i3.6714 ◽

2020 ◽

Author(s):

Hajar Pasha ◽

Zahra Basirat ◽

Mahbobeh Faramarzi ◽

Farzan Kheirkhah

Keyword(s):

Sexual Dysfunction ◽

Sexual Function ◽

Extended Release ◽

Control Group ◽

Infertile Women ◽

Sexual Activities ◽

Sexual Pain ◽

Group A ◽

Baseline Values ◽

The Mean

Background: Various treatment methods are used to deal with sexual problems. Objective: This study was applied to answer the question of whether psychosexual therapy (PST) can be a reliable alternative to bupropion extended-release (BUP ER) to promote sexual function in infertile women. Materials and Methods: In this randomized clinical trial, 105 infertile women with sexual dysfunction were randomly allocated to three groups: PST, BUP ER, and a control group. The PST group participated in a total of eight 2-hr group sessions. In BUP ER group, 150 mg/day Bupropion ER was administered for eight weeks. The control group did not receive any interventions. The female sexual function index (FSFI) and a clinical interview were used to assess their sexual dysfunction. Results: The mean pre-to-post treatment scores of FSFI and its subscales increased significantly in PST and BUP ER groups (except in the subscale of sexual pain) (p = 0.0001, p = 0.0001). The changes in the subjects were not significant in the control group. After adjusting for the baseline values, the results remained significant for the mean FSFI (p = 0.0001), and its subscales between the groups. Compared to the control group, a significant increase was observed in the mean FSFI (p = 0.0001, p = 0.002) and its subscales in the PST group and in the BUP ER group (except in the subscale of sexual pain). Comparison of two intervention methods showed that PST had the better effect on the sexual function improving (p = 0.0001) and its subscales (exempting the subscale of orgasm) than BUP ER. Conclusion: PST can be considered not only a reliable alternative to pharmacotherapy; it also produces better results in terms of improving sexual function in infertile women. Key words: Infertility, Sexual activities, Drug therapy, Psychotherapy, Bupropion.

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EVALUATION OF FEMALE SEXUAL FUNCTION IN PERSONS WITH TYPE 2 DIABETES MELLITUS SEEN IN A TERTIARY HOSPITAL IN SOUTH EAST NIGERIA WITH EMPHASIS ON ITS FREQUENCY AND PREDICTORS

10.1101/526301 ◽

2019 ◽

Author(s):

Ignatius Ezeani ◽

Ugochukwu Onyeonoro ◽

Ejiofor Ugwu

Keyword(s):

Sexual Dysfunction ◽

Sexual Function ◽

Medical Center ◽

Female Sexual Function Index ◽

Controlled Study ◽

Female Sexual Function ◽

Function Index ◽

Increased Risk ◽

The Mean

Background women with diabetes are at increased risk of sexual problems, however, this problem is under reported hence the need for this study. Methods This was a cross sectional case-controlled study. Seventy-five consenting females with type 2 DM were enrolled from the Diabetes Clinic of the Federal Medical Center, Umuahia, while Seventy-five persons which included hospital workers and female companions of subjects were recruited as control. Sexual dysfunction in both groups was diagnosed and characterized using the female sexual function index (FSFI). Data obtained from this study was presented as Mean±SD and analyzed using SPSS 17 software. Results The mean age of the T2DM group and control were 44.5 years and 38.9 years respectively. The mean total female sexual score (TFSS) was 22.10±6.66 in the T2DM subjects, while in the control subjects, it was 22.43±5.29. This was not statistically significant. The FSF scores in the desire, lubrication and orgasm domains were all lower in the diabetic women and this was statistically significant (P< 0.05). The domains of pain and arousal were also lower in the diabetic women although this was not statistically significant (P >0.05). The proportion of diabetic females who reported problems in the arousal, lubrication, orgasm and pain domains were higher (40.0, 36.4, 32.7, 29.1) than the controls (27.9, 16.2, 14.7, 19.1) {p<0.05}. Conclusion The prevalence of female sexual dysfunction was high from our study. Similarly, the Female Sexual Function Index (FSFI) score was low in women with diabetes when compared with controls. The domains of arousal, pain, orgasm and satisfaction were the most affected domains in subjects with DM Age, marital status, BMI, FBS and hypertension were predictive of sexual dysfunction in the diabetic women.

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Sexual dysfunction, depression, and anxiety in young women according to relationship status: an online survey

Trends in Psychiatry and Psychotherapy ◽

10.1590/s2237-60892013000100007 ◽

2013 ◽

Vol 35 (1) ◽

pp. 55-61 ◽

Cited By ~ 14

Author(s):

Valeska Martinho Pereira ◽

Antonio Egidio Nardi ◽

Adriana Cardoso Silva

Keyword(s):

Sexual Dysfunction ◽

Sexual Function ◽

Young Women ◽

Online Survey ◽

Single Women ◽

Female Sexual Function Index ◽

Relationship Status ◽

Anxiety And Depression ◽

Female Sexual Function ◽

Function Index

BACKGROUND: Sexual dysfunction is a common, still poorly understood problem among women. Being or not in a relationship seems to be a risk factor for sexual dysfunction. OBJECTIVES: To evaluate the presence of sexual problems, anxiety, and depression in young women and to correlate findings with current relationship status (single, in a committed relationship, or married). METHODS: Data were collected trough an online survey from a total of 155 women aged between 20 and 29 years. Sociodemographic data were collected, and both the Hospital Anxiety and Depression scale and the Female Sexual Function Index were applied. Data were statistically analyzed using the chi-square and Kruskal-Wallis tests, and groups were compared in 2 x 2 matrices using the Mann-Whitney test. RESULTS: Single women showed a significantly higher prevalence of problems in the lubrication (45.3%), orgasm (53.1%), satisfaction (67.2%), and pain (50%) domains and also in total Female Sexual Function Index scores (60.9%) in comparison with the other groups. Additionally, significantly higher depression scores were found among single women (5.89±3.3) in comparison to those in a committed relationship (4.05±2.83). Anxiety scores were similar in all groups. CONCLUSION: Our findings suggest that single women have a poorer sexual function and are more likely to have mood disorders in comparison to their peers involved in stable relationships.

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Comparison of Sexual Function in Infertile Women with Polycystic Ovary Syndrome and Endometriosis: A cross-sectional Study

10.21203/rs.3.rs-27545/v1 ◽

2020 ◽

Author(s):

Zahra Daneshfar ◽

shahideh Jahanian Sadatmahalleh ◽

Nadia Jahangiri

Keyword(s):

Sexual Dysfunction ◽

Polycystic Ovary Syndrome ◽

Sexual Function ◽

Polycystic Ovary ◽

Cross Sectional Study ◽

Control Group ◽

Sectional Study ◽

Ovary Syndrome ◽

Cross Sectional ◽

Infertile Women

Abstract Introduction: Infertility is one of the issues affecting sexual function (SF). Infertility is also one of the complications of polycystic ovary syndrome (PCOS) and endometriosis. This research seeks to assess and compare SF and the prevalence of sexual dysfunction with PCOS and endometriosis in infertile women. Methods: A cross-sectional study was carried out on 630 samples (210 infertile women with endometriosis, 210 infertile women with PCOS, and 210 healthy women of childbearing age as the control group). SF was assessed by the Female Sexual Function Index (FSFI). Descriptive statistics and inferential statistics (One Way ANOVA and logistic regression) were used to analyze the data.Results: The results showed that the mean score of total FSFI in the two groups of PCOS and endometriosis was lower than the control group (P<0.001). In addition, women with higher education (university education) had a significantly higher score of total FSFI. Conclusion: Sexual dysfunction rates are high in infertile women with endometriosis and PCOS, so infertility service providers in infertility centers need to pay attention to this issue.

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Changes in insomnia as a risk factor for the incidence and persistence of anxiety and depression: a longitudinal community study

Sleep Science and Practice ◽

10.1186/s41606-020-00053-z ◽

2021 ◽

Vol 5 (1) ◽

Author(s):

Magnus Johansson ◽

Markus Jansson-Fröjmark ◽

Annika Norell-Clarke ◽

Steven J. Linton

Keyword(s):

Risk Factor ◽

Depression Scale ◽

Binary Logistic Regression ◽

Anxiety And Depression ◽

Hospital Anxiety ◽

Dynamic Risk ◽

Increased Risk ◽

Longitudinal Association ◽

Development Of Anxiety

Abstract Background The aim of this investigation was to examine the longitudinal association between change in insomnia status and the development of anxiety and depression in the general population. Methods A survey was mailed to 5000 randomly selected individuals (aged 18–70 years) in two Swedish counties. After 6 months, a follow-up survey was sent to those (n = 2333) who answered the first questionnaire. The follow-up survey was completed by 1887 individuals (80.9%). The survey consisted of questions indexing insomnia symptomatology, socio-demographic parameters, and the Hospital Anxiety and Depression Scale. Change in insomnia status was assessed by determining insomnia at the two time-points and then calculating a change index reflecting incidence (from non-insomnia to insomnia), remission (from insomnia to non-insomnia), or status quo (no change). Multivariate binary logistic regression analyses were used to examine the aim. Results Incident insomnia was significantly associated with an increased risk for the development of new cases of both anxiety (OR = 0.32, p < .05) and depression (OR = 0.43, p < .05) 6 months later. Incident insomnia emerged also as significantly associated with an elevated risk for the persistence of depression (OR = 0.30, p < .05), but not for anxiety. Conclusions This study extends previous research in that incidence in insomnia was shown to independently increase the risk for the development of anxiety and depression as well as for the maintenance of depression. The findings imply that insomnia may be viewed as a dynamic risk factor for anxiety and depression, which might have implications for preventative work.

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