scholarly journals Sexual dysfunction and associated factors among patients with epilepsy at Amanuel Mental Specialty Hospital, Addis Ababa – Ethiopia

BMC Neurology ◽  
2019 ◽  
Vol 19 (1) ◽  
Author(s):  
Alem K. Ejigu ◽  
Kelemwa H. Zewlde ◽  
Niguse Y. Muluneh ◽  
Zehara R. Seraj ◽  
Mahlet W. GebreLibanos ◽  
...  
Keyword(s):  
Sexual Dysfunction ◽  
Sexual Arousal ◽  
Associated Factors ◽  
Sexual Dysfunctions ◽  
Careful Study ◽  
Substantial Impact ◽  
Sexual Pain ◽  
Specialty Hospital ◽  
Pain Problem ◽  
Patients With Epilepsy

Abstract Background Many patients with chronic illness have sexual dysfunction that may be related to the condition itself, drug side effects, emotional sequel, or a combination of those factors. Patients with epilepsy are no exception. Men and women with epilepsy are frequently complaining sexual dysfunction and they appear to have a higher incidence of sexual dysfunction than peoples with other chronic neurologic illness. These problems can have a substantial impact on their sexuality thus; it needs careful study and evaluation. Methods Hospital based cross sectional study was conducted from January to July, 2016 among Patient with Epilepsy at Amanuel Mental Specialty Hospital. Interviewer administered Changes in Sexual Functioning Questionnaire (CSFQ-14) was used in order to assess the sexual problems. Finally, the data was analyzed by using Statistical Package for Social Science (SPSS) V-20. Descriptive statistics and logistic regression were used to describe the variables. Levels of significance of association determined at < 0.05. Results A total of 694 respondents participated, with response rate 99.14%. Among them 576 completed all items. The result showed that 363 subjects (63.9, 95%CI = 59.5–67.7) had global sexual dysfunction. Furthermore, the rate of sexual dysfunction was reported as 55.6% (95%CI = 49.1–62.6) and 67.4% (95%CI = 62.8–72.1) in female and male participants, respectively. Among domains of sexual dysfunction; sexual arousal problem (97.8% (95%CI = 95.8–98.3)) and sexual pain problem (11.3% (95%CI = 8.8–13.9)) were the most and the least prevalent sexual dysfunctions respectively. Concerning associated factors; age grouped > 51, depression, being out of relationship or not satisfied with non-sexual aspect of relationship, being jobless and khat use has positive association with sexual dysfunction. By the other side alcohol use, level of education & age groups 18–21 years associated negatively. Conclusions The prevalence of sexual dysfunction among patients with epilepsy is very high; its prevalence is more among males than females. Sexual arousal problem and sexual pain problem were the most and the least prevalent sexual dysfunctions respectively.

Sexual Concordance and Orgasm Consistency in Women

2018 ◽  
Author(s):  
Michelle McCowan
Keyword(s):  
Sexual Dysfunction ◽  
Sexual Arousal ◽  
Female Sexual Dysfunction ◽  
Sexual Dysfunctions ◽  
Sexual Assertiveness ◽  
Sexual Outcomes ◽  
Sexual Concordance ◽  
Low Levels ◽  
The Relationship ◽  
Very High

The agreement between psychological and physical sexual arousal is variable among women: some show very high levels of sexual concordance while others demonstrate little or no agreement the emotional and physiological components of arousal (Chivers, Seto, Lalumière, Laan, & , 2010). This mind-body connection has been implicated in female sexual dysfunction, as women sexual dysfunctions tend to show especially low levels of sexual concordance (e.g., Laan, van Driel, & Lunsen, 2008). To date, there has been very little research on how concordance influences individual in sexual outcomes in women without sexual dysfunction. Initial evidence suggested a relationship between sexual concordance and orgasm consistency in healthy women (e.g., Adams, Haynes & Brayner, 1985); however, the few studies examining this relationship present mixed findings. The current study attempts to clarify the relationship between sexual concordance and orgasm consistency and examines sexual assertiveness as a mediator in the predicted concordance-orgasm consistency relationship.

scholarly journals Sexual function in patients with endometriosis: a prospective case–control study in China

2021 ◽  
Vol 49 (4) ◽  
pp. 030006052110043
Author(s):  
Xiaochun Yang ◽  
Xinfen Xu ◽  
Lili Lin ◽  
Kaihong Xu ◽  
Min Xu ◽  
...  
Keyword(s):  
Sexual Dysfunction ◽  
Sexual Function ◽  
Sexual Arousal ◽  
Case Control Study ◽  
Case Control ◽  
Sexual Life ◽  
Control Group ◽  
Sexual Pain ◽  
Control Study ◽  
Prospective Case Control Study

Objective Endometriosis is a common disease in women of childbearing age, leading to sexual dysfunction or loss of libido. We aimed to evaluated the effect of endometriosis on women’s sexual function. Methods We performed a prospective case–control study to determine the effect of endometriosis on women’s sexual function using a self-administered questionnaire from September 2017 to August 2018. The simplified Chinese version of the Female Sexual Function Index (FSFI) was used to assess sexual function. Results We found that sexual function of women in the endometriosis group (n=77) in all dimensions was significantly lower compared with that in the control group (n=63). The total FSFI score in patients was 25.5, which tended to be lower than that in the control group (26.7). Sexual arousal, sexual pain, and satisfaction were significantly different between the two groups. Sexual arousal and sexual pain scores were significantly lower in the endometriosis group than in the control group at the ages of 31 to 40 years. Conclusion Women with endometriosis suffer from sexual dysfunction, especially those aged 31 to 40 years. Our findings suggest that the quality of sexual life in this subpopulation needs to be improved.

scholarly journals A review of experimental research on anxiety and sexual arousal: Implications for the treatment of sexual dysfunction using cognitive behavioral therapy

2019 ◽  
Vol 10 (2) ◽  
Author(s):  
Leanne Kane ◽  
Samantha J. Dawson ◽  
Krystelle Shaughnessy ◽  
Elke D. Reissing ◽  
Allison J. Ouimet ◽  
...  
Keyword(s):  
Sexual Dysfunction ◽  
Sexual Arousal ◽  
Experimental Research ◽  
Behavioral Therapy ◽  
Attentional Focus ◽  
Anxiety Reduction ◽  
Cognitive Behavioral ◽  
Future Research ◽  
Sexual Dysfunctions ◽  
Variable Effect

Clinical models of sexual response link anxiety to the etiology of sexual dysfunction. Furthermore, some cognitive behavioral therapies (CBTs) for sexual dysfunction have included strategies targeting anxiety reduction. This review examines the experimental literature on the effects of manipulating aspects of the anxiety response (e.g., anxious sensations, thoughts, attentional focus) on genital and self-reported sexual arousal. An additional aim was to use this literature to elucidate potential mechanisms that may be useful for CBT for sexual dysfunction. Our review suggested that anxiety sometimes facilitates, inhibits, or has no effect on sexual arousal. These findings suggest that caution is warranted incorporating anxiety-focused interventions in the treatment of sexual dysfunctions. Importantly, little experimental research has utilized precise manipulations of anxiety (e.g., manipulating fear of penetration) that are related to current CBT interventions. To better understand the relationship between anxiety and sexual dysfunction, future research should explore the question of why and how anxiety exerts a variable effect on sexual arousal rather than simply if anxiety exerts an effect on sexual arousal. Importantly, experimental research examining individual differences in beliefs about anxiety and sex may be helpful in answering this important question and help advance and improve CBT interventions for sexual dysfunctions.

scholarly journals Sexual Dysfunctions of HIV-Positive Men: Associated Factors, Pathophysiology Issues, and Clinical Management

2011 ◽  
Vol 2011 ◽  
pp. 1-10 ◽  
Author(s):  
Marco de Tubino Scanavino
Keyword(s):  
Sexual Dysfunction ◽  
Clinical Management ◽  
Associated Factors ◽  
Psychological Intervention ◽  
Antiretroviral Drugs ◽  
Hiv Positive ◽  
Testosterone Replacement Therapy ◽  
Therapeutic Effects ◽  
Sexual Dysfunctions ◽  
Hiv Positive Men

Sexual dysfunctions in HIV-positive men are associated with an increase in risky sexual behavior and decreased adherence to antiretroviral drug regimens. Because of these important public health issues, we reviewed the literature on the pathophysiology, associated factors and clinical management of sexual dysfunction in HIV-positive men. The goal was to investigate the current research on these issues. Literature searches were performed in June 2011 on PubMed, Web of Science, and PsycInfo databases with the keywords “AIDS” and “sexual dysfunction” and “HIV” and “sexual dysfunction”, resulting in 54 papers. Several researchers have investigated the factors associated with sexual dysfunction in HIV-positive men. The association between sexual dysfunction and antiretroviral drugs, particularly protease inhibitors, has been reported in many studies. The lack of standardized measures in many studies and the varying study designs are the main reasons that explain the controversial results. Despite some important findings, the pathophysiology of sexual dysfunction in the HAART era still not completely understood. Clinical trials of testosterone replacement therapy have shown the treatment to be beneficial to the improvement of sexual dysfunctions related to hypogonadism. However, there are not enough psychological intervention studies to make conclusions regarding the therapeutic effects of psychotherapy.

scholarly journals The Risk and Associated Factors of Female Sexual Dysfunction (FSD) in Women with Psoriasis

2020 ◽  
Vol 16 (1) ◽  
Author(s):  
Adawiyah J ◽  
Moonyza AAK ◽  
Hatta S ◽  
Mohd Rizal AM ◽  
Felix BBY ◽  
...  
Keyword(s):  
Sexual Dysfunction ◽  
Associated Factors ◽  
Female Sexual Dysfunction ◽  
Severity Index ◽  
Cross Sectional Study ◽  
Cross Sectional ◽  
Substantial Impact ◽  
Genital Area ◽  
Validated Questionnaire ◽  
Immune Mediated

Introduction: Psoriasis is a chronic, immune mediated, hyperproliferative skin disease that has substantial impact on the sexual functions. This study aimed to determine the prevalence and associated factors of female sexual dysfunction (FSD) in patients with psoriasis. Methods: A cross-sectional study involving 79 women with psoriasis attending two Dermatology Outpatient Clinics were interviewed and assessed for female sexual dysfunction and severity of psoriasis. The socio-demographic and clinical characteristics of the subjects were compared between the women with and without sexual dysfunction. The subjects were interviewed using Mini International Neuropsychiatric Interview (M.I.N.I.) to exclude any existing psychiatric illness. Sexual dysfunction was assessed using a validated questionnaire on sexual function and the severity of psoriasis was assessed using Psoriasis Area and Severity Index (PASI). Results: The prevalence of FSD in the patients with psoriasis was 20.3%, with hypoactive sexual desire being the most prevalent problem (44.3%). Sexual dysfunction was associated with older age, menopause, low body mass index, longer duration of marriage and presence of psoriasis in the genital area. Female sexual dysfunction was highly prevalent in patients with psoriasis. Conclusion: Management of psoriasis should include assessment in patients’ sexual health. Genital area involvement with psoriasis should not be overlooked as it can cause significant psychosexual distress.

Impact of obesity on female sexual dysfunction: A remiss

2020 ◽  
Vol 16 ◽  
Author(s):  
Asma Farooq Shah ◽  
Isha Chawla ◽  
Kirti Goel ◽  
Rakesh Gollen ◽  
Randhir Singh
Keyword(s):  
Sexual Dysfunction ◽  
Female Sexual Dysfunction ◽  
Kidney Diseases ◽  
Public Health Problem ◽  
Point Of View ◽  
Sexual Disorders ◽  
Sexual Dysfunctions ◽  
Obese Women ◽  
Prevalence Of Obesity ◽  
The Impact

: The prevalence of obesity around the globe is increasing at such an alarming rate that WHO consultation on obesity designated obesity as a major unattended public health problem worldwide. Obesity is associated with a greater risk of excessive fat related metabolic and endocrinal diseases associated with different set of illness and disabilities, including type 2 diabetes, cardiovascular diseases, kidney diseases, sleep apnea, arthritis, lung diseases and sexual disorders. Obesity is found to be associated with male and female sexual dysfunctions and several studies have indicated a positive correlation between obesity and sexual dysfunction among both males and females. The relationship between male obesity and sexual dysfunction has been widely discussed, whereas a very little emphasis is laid on relationship between obesity and female sexual dysfunctions. Sexual dysfunctions are common and affects 20-50% of obese women. Particularly, female sexual dysfunction is a multi-factorial problem, including organic and psychological aspects involved into it. These disorders not only affect physical health of women but to a greater extent mental health is also affected. Considering this point of view, present review is emphasized on the impact of obesity on female sexual dysfunctions.

scholarly journals Epidemiology and aetiology of male and female sexual dysfunctions related to pelvic ring injuries: a systematic review

2021 ◽  
Author(s):  
Giuseppe Rovere ◽  
Andrea Perna ◽  
Luigi Meccariello ◽  
Domenico De Mauro ◽  
Alessandro Smimmo ◽  
...  
Keyword(s):  
Sexual Dysfunction ◽  
Sexual Function ◽  
Pelvic Fracture ◽  
Pelvic Ring ◽  
Pelvic Fractures ◽  
Sexual Dysfunctions ◽  
Fracture Type ◽  
Ring Fracture ◽  
Male And Female ◽  
Pelvic Ring Injuries

Abstract Introduction Pelvic ring injuries, frequently caused by high energy trauma, are associated with high rates of morbidity and mortality (5–33%), often due to significant blood loss and disruption of the lumbosacral plexus, genitourinary system, and gastrointestinal system. The aim of the present study is to perform a systematic literature review on male and female sexual dysfunctions related to traumatic lesions of the pelvic ring. Methods Scopus, Cochrane Library MEDLINE via PubMed, and Embase were searched using the keywords: “Pelvic fracture,” “Pelvic Ring Fracture,” “Pelvic Ring Trauma,” “Pelvic Ring injury,” “Sexual dysfunction,” “Erectile dysfunction,” “dyspareunia,” and their MeSH terms in any possible combination. The following questions were formulated according to the PICO (population (P), intervention (I), comparison (C), and outcome (O)) scheme: Do patients suffering from pelvic fracture (P) report worse clinical outcomes (C), in terms of sexual function (O), when urological injury occurs (I)? Is the sexual function (O) influenced by the type of fracture (I)? Results After screening 268 articles by title and abstract, 77 were considered eligible for the full-text analysis. Finally 17 studies that met inclusion criteria were included in the review. Overall, 1364 patients (902 males and 462 females, M/F ratio: 1.9) suffering from pelvic fractures were collected. Discussion Pelvic fractures represent challenging entities, often concomitant with systemic injuries and subsequent morbidity. Anatomical consideration, etiology, correlation between sexual dysfunction and genitourinary lesions, or pelvic fracture type were investigated. Conclusion There are evidences in the literature that the gravity and frequency of SD are related with the pelvic ring fracture type. In fact, patients with APC, VS (according Young-Burgess), or C (according Tile) fracture pattern reported higher incidence and gravity of SD. Only a week association could be found between GUI and incidence and gravity of SD, and relationship between surgical treatment and SD. Electrophysiological tests should be routinely used in patient suffering from SD after pelvic ring injuries.

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