Association of Female Sexual Dysfunction and Fertility: a cross sectional study

Abstract Background Sexual function plays an essential role in the bio-psychosocial wellbeing and quality of life of women and disturbances in sexual functioning often result in significant distress. Female sexual dysfunction (FSD) and subfertility are common problems affecting approximately 43 and 20% of women respectively. However, despite the high prevalence of both conditions, little has been studied on the effects of subfertility on sexual functioning especially in sub-Saharan Africa. We set out to compare the prevalence of female sexual dysfunction in patients on assessment for sub-fertility and those either seeking or already on fertility control services at a private tertiary teaching hospital in Kenya. Methods This was an analytical cross sectional study. Eligible women of reproductive age (18–49 years), attending the gynaecological clinics with complaints of subfertility and those seeking fertility control services were requested to fill a general demographic tool containing personal data and the Female Sexual Function Index (FSFI) questionnaire after informed consent. Prevalence of sexual dysfunction was calculated as a percentage of patients not achieving an overall FSFI score of 26.55. Univariate and multivariate analysis were done to compare clinical variables to delineate the potential association. Results The prevalence of female sexual dysfunction was 31.2% in the subfertile group and 22.6% in fertility control group. The difference was not statistically significant (p = 0.187). The mean domain and overall female sexual function scores were lower in the subfertile group than the fertility control group though this was not statistically significant. The most prevalent sexual domain dysfunctions in both the subfertility and fertility control groups were desire and arousal while the least in both groups was satisfaction dysfunction. Subfertility type was not associated with sexual dysfunction. Higher education attainment was protective of female sexual dysfunction in the subfertile group while use of hormonal contraception was associated with greater sexual impairment in the fertility control group. On logistic regression analysis, higher maternal age and alcohol use appeared to be protective against sexual dysfunction. Conclusion The present study demonstrated no association between the fertility status and the prevalence female sexual dysfunction. Subfertility type was not associated with sexual dysfunction. Education level and hormonal contraception use were associated with female sexual dysfunction in the subfertile and fertility control groups respectively while alcohol use and higher maternal age appeared to be protective against sexual dysfunction.

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FEMALE SEXUAL DYSFUNCTION IN SUBFERTILITY PATIENTS VERSUS THOSE SEEKING FERTILITY CONTROL

International Journal of Advanced Research ◽

10.21474/ijar01/12369 ◽

2021 ◽

Vol 9 (01) ◽

pp. 911-919

Author(s):

Mostafa Abdulla Elsayed Mahmoud ◽

Keyword(s):

Sexual Dysfunction ◽

Female Sexual Dysfunction ◽

Personal Data ◽

Fertility Control ◽

Cross Sectional Study ◽

Reproductive Age ◽

Control Group ◽

Cross Sectional ◽

Common Problems ◽

The Difference

Background: Female sexual dysfunction (FSD) and subfertility are common problems affecting approximately 43 and 20% of women respectively. Studies on association of female sexual dysfunction and infertility is not much .the presented study compare the prevalence of female sexual dysfunction in patients on assessment for sub-fertility and those either seeking or already on fertility control services at a private sonolive clinic in Benha. Methods:This was an analytical cross sectional study. Eligible women of reproductive age (20â€“43â€‰years), attending the private sonolive infertility clinic in Benha Egypt in the period from January 2019 to July 2020 with complaints of subfertility and those seeking fertility control services (as controls)were requested to fill a general demographic tool containing personal data and the Female Sexual Function Index (FSFI) questionnaire after informed consent. Sexual dysfunction was calculated as a percentage of patients not achieving an overall FSFI score of 26.55. Results:The prevalence of female sexual dysfunction was 45% in the subfertile group and 35% in fertility control group. The difference was statistically significant (p =â€‰0.006).the important affected items were desire and lubrication also infrequent coitus in the fertility window Conclusion:The present study demonstrated a significant association between the fertility status and the prevalence female sexual dysfunction. Subfertility type was associated with sexual dysfunction especially the desire and lubrication which affect the whole score of sexual dysfunction.

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Sexual Dysfunction and Marital Relationship in Women With Schizophrenia in Comparison with Caregivers: A Hospital-based Study

Journal of Psychosexual Health ◽

10.1177/2631831820918133 ◽

2020 ◽

Vol 2 (1) ◽

pp. 87-92

Author(s):

Suvarna Jyothi Kantipudi ◽

Navina Suresh ◽

Poornima Ayyadurai ◽

Sathianathan Ramanathan

Keyword(s):

Sexual Dysfunction ◽

Sexual Function ◽

Sexual Functioning ◽

Cross Sectional Study ◽

Women Caregivers ◽

Cross Sectional ◽

Significant Difference ◽

Relationship Assessment ◽

The Impact ◽

The Relationship

Background: Sexual dysfunction is common in females with schizophrenia and is attributed to multiple causes, including individual psychopathology and antipsychotics. Understanding the impact of relationship satisfaction on sexual functioning is not widely studied in schizophrenia. Women caregivers also experience sexual problems and were not studied in the past. Aim: To assess the nature and occurrence of sexual dysfunction in women with schizophrenia in comparison to caregivers of males without severe mental disorder. Methods: A cross-sectional study was conducted. A total of 30 women with schizophrenia were recruited as cases and 26 age-matched controls were recruited from female caregivers. All subjects were assessed using standardized tools such as Female Sexual Function Index (FSFI) and Relationship Assessment Scale along with sociodemographic questionnaire. Results: There was a significant difference in FSFI scores and relationship scores between women with schizophrenia and caregiver control subjects. The relationship quality was better in patients with schizophrenia when compared to caregivers unlike sexual functioning. Conclusion: Sexual functioning in women is a complex phenomenon. A holistic biopsychosocial approach is necessary to understand women’s sexual function.

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Does Prevalence of Sexual Dysfunction Differ Among the Most Common Causes of Infertility? A Cross-Sectional Study

10.21203/rs.3.rs-709360/v2 ◽

2022 ◽

Author(s):

Mahnaz Ashrafi ◽

Nadia Jahangiri ◽

Shahideh Jahanian Sadatmahalleh ◽

Negin Mirzaei ◽

Naiiere Gharagozloo Hesari ◽

...

Keyword(s):

Sexual Dysfunction ◽

Sexual Function ◽

Female Sexual Dysfunction ◽

Cross Sectional Study ◽

Care Providers ◽

Sectional Study ◽

Male Factor ◽

Cross Sectional ◽

Common Causes ◽

Fertile Women

Abstract Background Sexuality as a fundamental component of women’s health, can be affected by infertility. The current study aimed at comparing the prevalence of sexual dysfunction among women with the most common causes of infertility. Methods The current cross-sectional study was conducted on 240 infertile females with infertility due to polycystic ovary syndrome (PCOS, n=80), endometriosis (n=80) and male factor (n=80) at Royan Institute for Reproductive Biomedicine (Tehran, Iran) and 160 fertile women at health care centers, between May 2016 and June 2017. Sexual function was assessed by Female Sexual Function Index (FSFI). Data were analyzed using SPSS (version 25.00) and differences were regarded statistically significant at p < 0. 05. Results The prevalence of female sexual dysfunction was 98.8% in women with PCOS, 100.0% in those with endometriosis, and 80.0% in those with male factor infertility. Overall, 36.2% of the enrolled fertile women were suffering from sexual dysfunction. Conclusions There was an association between the prevalence of female sexual dysfunction or individual domain scores of the FSFI, and infertility etiologies. Therefore, infertility care providers are required to take this into consideration and develop preventive strategies in this regard.

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Evaluation of Obesity Influence in the Sexual Function of Postmenopausal Women: A Cross-Sectional Study

Revista Brasileira de Ginecologia e Obstetrícia / RBGO Gynecology and Obstetrics ◽

10.1055/s-0039-1700795 ◽

2019 ◽

Vol 41 (11) ◽

pp. 660-667 ◽

Cited By ~ 1

Author(s):

Gustavo Maximiliano Dutra da Silva ◽

Sônia Maria Rolim Rosa Lima ◽

Benedito Fabiano dos Reis ◽

Carolina Furtado Macruz ◽

Sóstenes Postigo

Keyword(s):

Sexual Dysfunction ◽

Sexual Function ◽

Postmenopausal Women ◽

Female Sexual Dysfunction ◽

Cross Sectional Study ◽

Normal Weight ◽

Sectional Study ◽

Cross Sectional ◽

Text Revision ◽

Group 2

Abstract Objective The incidence of obesity, which is a chronic condition, has increased in recent years. The association between obesity and female sexual dysfunction remains unclear, particularly in postmenopausal women. In the present study, we evaluated whether obesity is a risk factor for sexual dysfunction in postmenopausal women. Methods This is a cross-sectional study that analyzed data from interviews of postmenopausal women at the Climacteric Outpatient Clinic from 2015 to 2018. After applying the inclusion and exclusion criteria, 221 women aged between 40 and 65 years old were selected and invited to participate in the study. Obesity was diagnosed according to body mass index (BMI). The participants were grouped into the following BMI categories: group 1, 18.5–24.9 kg/m2 (normal); group 2, 25.0–29.9 kg/m2 (overweight); and group 3, ≥30.0 kg/m2 (obese). Sexual function was assessed using the Female Sexual Function Index (FSFI) questionnaire. Cutoff points of ≥23 and ≥26.5 were adopted to define a diagnosis of female sexual dysfunction (FSD) based on the Diagnostic and Statistical Manual of Mental Disorders, 4th edition, Text Revision by the American Psychiatric Association (DSM-IV-TR). Results The desire and arousal scores were statistically higher in the normal BMI group than in the obese group (p = 0.028 and p = 0.043, respectively). The satisfaction scores were statistically higher in the normal BMI group than in the overweight and obese groups (p < 0.05). The total FSFI score statistically differed among the BMI categories (p = 0.027). Conclusion In the present study, obese and overweight postmenopausal women had higher total scores than women with normal BMI. Our results show that obese and overweight postmenopausal women had a higher index of dysfunction in desire and arousal and lower sexual satisfaction than normal-weight women.

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The impact of female sexual dysfunction on male sexual function: A cross sectional study

European Urology Supplements ◽

10.1016/s1569-9056(17)32148-6 ◽

2017 ◽

Vol 16 (13) ◽

pp. e3021

Author(s):

A. Zachariou ◽

M. Filiponi ◽

F. Dimitriadis ◽

I. Giannakis ◽

P. Lantin ◽

...

Keyword(s):

Sexual Dysfunction ◽

Sexual Function ◽

Female Sexual Dysfunction ◽

Cross Sectional Study ◽

Sectional Study ◽

Cross Sectional ◽

Male Sexual Function ◽

The Impact

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A new grading system for female sexual dysfunction based on the female sexual function index in Egyptian women: a cross-sectional study

African Health Sciences ◽

10.4314/ahs.v21i2.44 ◽

2021 ◽

Vol 21 (2) ◽

pp. 835-841

Author(s):

Sahar A Ismail ◽

Nagwa E Abdel-Azim ◽

Medhat A Saleh ◽

Ahmed A Mohamed ◽

Ali H Yosef ◽

...

Keyword(s):

Sexual Dysfunction ◽

Sexual Function ◽

Female Sexual Dysfunction ◽

Cross Sectional Study ◽

Female Sexual Function Index ◽

Grading System ◽

Female Sexual Function ◽

Sectional Study ◽

Cross Sectional ◽

Function Index

Objective: To provide a grading system that accurately reflects the grades of female sexual dysfunction (FSD) severity. Patients and methods: A cross-sectional study was conducted in Assiut University Hospital. It included 500 women who answered the Arabic version of the Female Sexual Function Index (FSFI) after getting their consent. A gradient of FSD severity was created, classifying FSD into five grades: severe, moderate, mild to moderate, mild, and no FSD. Results: According to our grading system, FSD was detected in 339 women (67.8 %); Mild FSD in 20.4%, mild to moderate in 41.6%, moderate in 15.3%, and severe in 22.7%. Mean scores of desire show a linear trend of reduction from 3.8 in mild to 3.36 in mild to moderate to 2.25 in moderate and markedly reduced to 2.1 in severe grade. This difference was highly statistically significant (p= 0.002). The same was reported in arousal, orgasm, and satisfaction domains, while in lubrication and pain domains, the difference was not statistically significant. Conclusion: In this study, our grading system was complementary to the FSFI. Moreover, it seems to be more practical and useful in grading the severity of FSD. Keywords: Female sexual dysfunction; FSFI; grading; sexual function.

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Does Prevalence of Sexual Dysfunction Differ Among The Most Common Causes of Infertility? A Cross-Sectional Study

10.21203/rs.3.rs-709360/v1 ◽

2021 ◽

Author(s):

Mahnaz Ashrafi ◽

Nadia Jahangiri ◽

shahideh Jahanian Sadatmahalleh ◽

negin mirzaei ◽

Naiiere. Gharagozloo Hesari ◽

...

Keyword(s):

Sexual Dysfunction ◽

Sexual Function ◽

Female Sexual Dysfunction ◽

Cross Sectional Study ◽

Care Providers ◽

Sectional Study ◽

Male Factor ◽

Cross Sectional ◽

Common Causes ◽

Fertile Women

Abstract Background Sexuality as a fundamental component of women’s health, can be affected by infertility. The current study aimed at comparing the prevalence of sexual dysfunction among women with the most common causes of infertility. Methods The current cross-sectional study was conducted on 240 infertile females with infertility due to polycystic ovary syndrome (PCOS, n = 80), endometriosis (n = 80) and male factor (n = 80) at Royan Institute for Reproductive Biomedicine (Tehran, Iran) and 160 fertile women at health care centers, between May 2016 and June 2017. Sexual function was assessed by Female Sexual Function Index (FSFI). Data were analyzed using SPSS (version 25.00) and differences were regarded statistically significant at p < 0. 05. Results The prevalence of female sexual dysfunction was 98.8% in women with PCOS, 100.0% in those with endometriosis, and 80.0% in those with male factor infertility. Overall, 36.2% of the enrolled fertile women were suffering from sexual dysfunction. Conclusions There was an association between the prevalence of female sexual dysfunction or individual domain scores of the FSFI, and infertility etiologies. Therefore, infertility care providers are required to take this into consideration and develop preventive strategies in this regard.

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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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The Effectiveness of Psycho-Educational and Cognitive-Behavioral Counseling on Female Sexual Dysfunction

Revista Brasileira de Ginecologia e Obstetrícia / RBGO Gynecology and Obstetrics ◽

10.1055/s-0040-1712483 ◽

2020 ◽

Vol 42 (06) ◽

pp. 333-339

Author(s):

Firoozeh Mirzaee ◽

Atefeh Ahmadi ◽

Zahra Zangiabadi ◽

Moghaddameh Mirzaee

Keyword(s):

Sexual Dysfunction ◽

Sexual Function ◽

Female Sexual Dysfunction ◽

Intervention Group ◽

Cognitive Behavioral ◽

Future Research ◽

Control Group ◽

Cutoff Score ◽

Female Sexual Function ◽

Behavioral Counseling

Abstract Introduction Sexual function is a multidimensional phenomenon that is affected by many biological and psychological factors. Cognitive-behavioral sex therapies are among the most common nonpharmacological approaches to psychosexual problems. The purpose of the present study was to investigate the effectiveness of psychoeducational and cognitive-behavioral counseling on female sexual dysfunction. Methods The present study was a clinical trial with intervention and control groups. The study population consisted of women referring to the general clinic of a governmental hospital in Iran. After completing the demographic questionnaire and Female Sexual Function Index (FSFI), those who obtained the cutoff score ≤ 28 were contacted and invited to participate in the study. Convenience sampling method was used and 35 subjects were randomly allocated for each group. Eight counseling sessions were held for the intervention group (two/week/1.5 hour). Post-test was taken from both groups after 1 month, and the results were statistically analyzed by PASW Statistics for Windows, Version 18 (SPSS Inc., Chicago, IL, USA). Results The total mean scores of FSFI and the subscales of sexual desire, arousal, orgasm, and satisfaction were significantly higher in the intervention group than in the control group after the intervention. In addition, postintervention pain mean scores in the intervention group were significantly lower than in the control group (p < 0.05). Conclusion The results of the present study indicate that psychoeducational cognitive-behavioral counseling is effective in improving female sexual function. It is recommended to compare the effects of psychoeducational cognitive-behavioral counseling on sexual dysfunctions of couples and with a larger sample size in future research.

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Quality of Life and Female Sexual Dysfunction in Croatian Women with Stress-, Urgency- and Mixed Urinary Incontinence: Results of a Cross-Sectional Study

Medicina ◽

10.3390/medicina55060240 ◽

2019 ◽

Vol 55 (6) ◽

pp. 240

Author(s):

Ivan Radoja ◽

Dunja Degmečić

Keyword(s):

Quality Of Life ◽

Urinary Incontinence ◽

Sexual Dysfunction ◽

Female Sexual Dysfunction ◽

Cross Sectional Study ◽

Mixed Urinary Incontinence ◽

Sectional Study ◽

Cross Sectional ◽

Significant Difference

Background and objectives: Urinary incontinence is defined as the involuntary leakage of urine. Studies have reported that the severity of urinary incontinence symptoms can cause decreased quality of life and female sexual dysfunction in women, but the association between the duration of the incontinence and the aforementioned disturbances has not been evaluated. The objective of this study was to evaluate the differences in the occurrence of decreased quality of life and female sexual dysfunction in Croatian women with urinary incontinence, with regard to the duration and subtype of urinary incontinence. Materials and Methods: We conducted a cross-sectional study from March 2017 to July 2018 at our neurourology and urodynamics outpatient clinic, among 120 women with urinary incontinence symptoms. Based on medical history, physical exam and urodynamic assessment, participants were divided into groups with stress-, urgency- and mixed urinary incontinence. Several quality of life and female sexual dysfunction questionnaires were used for evaluation. The differences between the three UI groups were tested by the Kruskal–Wallis test. All p values were two-sided. The level of significance was set to Alpha = 0.05. Results: The mixed urinary incontinence group had a significantly inferior quality of life (p = 0.003) and lower scores on the female sexual dysfunction questionnaires (p = 0.02). The longer the duration of incontinence King’s Health Questionnaire total score was worse (p = 0.003) and Female Sexual Function Index total score was worse (p < 0.001). Conclusions: Our results showed that there was a statistically significant difference in the occurrence of decreased quality of life and female sexual dysfunction considering the duration and subtype of incontinence in Croatian women.

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