The Influence of Male Erectile Function on Female Sexual Function: A Cross-Sectional Study in Chinese Infertile Couples

Abstract Background Infertility has a negative effect on sexual function in involuntarily childless couples, but the influence of male erectile function on their partner’s sexual function in this special population was unclear. Therefore, we conducted this study to explore the influence of male erectile function on their partner’s sexual function in Chinese infertile couples. Methods This cross-sectional research was conducted at the first affiliated hospital of Anhui Medical University (Hefei, China) between January and December in 2019. 324 consecutive couples with infertility attending the Reproductive Medicine Center and 326 female-age-matched couples without infertility from the Physical Examination Center were enrolled in this study. The sexual function of the female was assessed by sexual history and the Female Sexual Function Index (FSFI), etc. And their partners’ sexual function was assessed by sexual history, International Index of Erectile Function-15 (IIEF-15), self-reported intravaginal ejaculation latency time (IELT), etc. Demographics (age, educational status, smoking, drinking, monthly income, type of infertility, etc.) and status of depression assessed by the Beck Depression Inventory-II (BDI-II) were also recorded. Results Infertile women have a higher proportion of sexual dysfunction than females without infertility (58.6% vs. 50.3%, χ 2 =4.552, P=0.033). Sexual frequency, depression status and partner’s erectile dysfunction (ED) are independent risk factors for FSD (ED: β =0.909; OR=2.481;95% CI [1.361–4.526]; P = 0.003). Furthermore, the total score of FSFI is positively correlated to the IIEF-15 score of partners ( r =0.347, P <0.001). The majority of six domains of FSFI are also correlated to the five domains of the IIEF-15 ( P <0.05). Conclusions Male’s erectile function is closely related to his partner’s sexual function in Chinese infertile couples. So it is important to assess sexual dysfunction in infertile couples as a whole, and sexual concerns of couples should be assessed and addressed in this special population.

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Sexual function of undergraduate women: a comparative study between Brazil and Italy

Revista Brasileira de Enfermagem ◽

10.1590/0034-7167-2016-0669 ◽

2018 ◽

Vol 71 (suppl 3) ◽

pp. 1428-1434 ◽

Cited By ~ 1

Author(s):

Karine de Castro Bezerra ◽

Sabrine Rodrigues Feitoza ◽

Camila Teixeira Moreira Vasconcelos ◽

Sara Arcanjo Lino Karbage ◽

Dayana Maia Saboia ◽

...

Keyword(s):

Nursing Students ◽

Sexual Dysfunction ◽

Sexual Function ◽

Cross Sectional Study ◽

High Rate ◽

Female Sexual Function Index ◽

Female Sexual Function ◽

Related Factors ◽

Cross Sectional ◽

Function Index

ABSTRACT Objective: to evaluate the sexual function of Italian and Brazilian nursing students using the Female Sexual Function Index (FSFI), to estimate the prevalence of sexual dysfunctions and related factors. Method: this is a cross-sectional study involving 84 Brazilian and 128 Italian undergraduate. For the evaluation of sexual function, the Female Sexual Function Index (FSFI) questionnaire was used. Results: Italian women presented significantly higher sexual dysfunction index (n=78/60.9%) than the Brazilian women (n=32/38.1%) (p=0.00). Only the “desire” and “excitation” domains showed no difference between groups. Younger, single and without a steady relationship women had a higher rate of sexual dysfunction (p<0.05). Conclusion: the high rate of sexual dysfunction in a young public suggests the need for more research to increase knowledge about the influence of psychosocial and related factors on female sexual function, directing care towards the promotion of sexual and reproductive health.

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Assessment of female sexual function in remote postpatum period: a cross-sectional study

Revista Brasileira de Saúde Materno Infantil ◽

10.1590/1806-93042018000200003 ◽

2018 ◽

Vol 18 (2) ◽

pp. 289-294

Author(s):

Thalita Rodrigues Christovam Pereira ◽

Elissa Hanayama Dottori ◽

Flávia Maciel de Aguiar Fernandes Mendonça ◽

Ana Carolina Sartorato Beleza

Keyword(s):

Sexual Dysfunction ◽

Sexual Function ◽

Postpartum Period ◽

Cross Sectional Study ◽

Postpartum Women ◽

Fisher Exact Test ◽

Female Sexual Function ◽

Sectional Study ◽

Cross Sectional ◽

Significant Difference

Abstract Objectives: (i) to evaluate female sexual function in remote postpartum period within Brazilian women and (ii) to compare female sexual dysfunction in relation to the mode of delivery. Methods: in this cross-sectional study, two groups of remote postpartum women, who underwent vaginal delivery (n=30) and cesarean (n=48), were studied. The sexual function of participants was assessed through an online Brazilian version of FSFI between 45 and 180 days after delivery. Data were analyzed by descriptive and inferential statistics using Fisher exact test, and Student t test. Results: based on the data of 78 women who completed the online questionnaire, 78% (n=61) showed sexual dysfunction on remote postpartum period being that the FSFI mean score for vaginal postpartum was 22.17 and for cesarean postpartum, 21.12 (p=0.443). Conclusions: the majority of remote postpartum women showed sexual dysfunction. There was no significant difference found on female sexual function between modes of delivery.

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Sexual satisfaction in pregnancy: a cross section study in Japan

American Journal of BioMedicine ◽

10.18081/2333-5106/019-81-93 ◽

2019 ◽

Vol 7 (2) ◽

pp. 81-93

Author(s):

Yunhee Iba ◽

Ya-Ping Onozuka

Keyword(s):

Sexual Dysfunction ◽

Sexual Function ◽

Pregnant Women ◽

Sexual Satisfaction ◽

Antenatal Clinic ◽

Cross Sectional Study ◽

University Hospital ◽

Female Sexual Function ◽

Cross Sectional ◽

Wide Range

Sexuality is one of the most important quality of life issues for both men and women. Sexual dysfunction is a highly prevalent women's sexual response is characterized as highly variable and influenced by a wide range of determinants, including physiologic, psychosocial, and contextual factors. The aim of this study was to assess the sexual satisfaction in pregnant women. This was a cross-sectional study involving 685 Japanese pregnant women aging between17-43 years, who were recruited from January 01, 2012 – January 01, 2014 at the antenatal clinic of Jichi Medical University Hospital. The Female Sexual Function Index (FSFI) questionnaire was used to assess sexual function. Overall, 284/685, 41.45% of the 685 pregnant women were at risk for sexual dysfunction symptoms (FSFI scores ≤26); this rate was significantly higher among pregnant women in 3rd trimester (187/254, 73%; P<0.05). Furthermore, our present study showed that the 3rd trimester of pregnancy had lower mean scores in sexual satisfaction, desire, lubrication, orgasm, arousal and dyspareunia than 1st and 2nd trimester. According to these results, pregnant women in the third trimester of pregnancy have lower female sexual function scores than 2nd and 1st trimester of pregnancy.

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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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The impact of menopause on sexual function in women and their spouses

African Health Sciences ◽

10.4314/ahs.v20i4.56 ◽

2020 ◽

Vol 20 (4) ◽

pp. 1979-84

Author(s):

Zahra Bostani Khalesi ◽

Fatemeh Jafarzadeh-Kenarsari ◽

Yalda Donyaei Mobarrez ◽

Mahmood Abedinzade

Keyword(s):

Sexual Function ◽

Erectile Function ◽

Age Distribution ◽

Cross Sectional Study ◽

Female Sexual Function ◽

Cross Sectional ◽

Demographic Questionnaire ◽

Menopausal Women ◽

North Of Iran ◽

The Impact

Background: The purpose of this study is to evaluate the impact of menopause on sexual function in women and their spouses. Methods: This is a cross-sectional study that was conducted from January 2018 to May 2019 in Rasht (North of Iran). The participants included 215 menopausal women and their spouses. Data were collected using the demographic questionnaire, the Female Sexual Function Index (FSFI) questionnaire, and the International Index of Erectile Function (IIEF) question- naire. Results: On the basis of the FSFI and IIEF scores, 36.28% (78/215) women reported female sexual dysfunction (FSD) and 17.2% (37/215) men reported erectile dysfunction (ED) with 8.37% (N = 18) being mild, 5.58% (N = 12) mild to moderate, and 3.25% (N = 7) moderate ED. After adjusting differences in the female age distribution, the total score and scores of the IIEF subscales were also not significantly lower in the spouses of women with FSD than women without FSD. Conclusion: Although, significant correlations between male erectile function and menopausal female sexual function have not identified; but, low scores of the subscales of FSFI in female participants mostly impaired sexual satisfaction and overall satisfaction in their spouses. Keywords: Erectile function; female sexual function; couple; menopause.

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Συσχέτιση της σεξουαλικής δυσλειτουργίας με τη λειτουργικότητα της αριστερής και της δεξιάς κοιλίας του μυοκαρδίου σε ασθενείς με καρδιακή ανεπάρκεια

10.12681/eadd/47058 ◽

2020 ◽

Author(s):

Κωνσταντίνος Κουτσαμπασόπουλος

Keyword(s):

Sexual Function ◽

Erectile Function ◽

Cross Sectional Study ◽

Female Sexual Function Index ◽

Female Sexual Function ◽

Sectional Study ◽

Cross Sectional ◽

Function Index

Εισαγωγή: Σημαντικός αριθμός ασθενών με καρδιακή ανεπάρκεια θεωρεί σημαντικό κομμάτι της ζωής του τη σεξουαλική δυσλειτουργία, η οποία επηρεάζει την ποιότητα ζωής του. Το πρόβλημα της σεξουαλικής δυσλειτουργίας μπορεί να αφορά τόσο τους άνδρες, όσο και τις γυναίκες και είναι ιδιαίτερα συχνό στους ασθενείς με καρδιακή ανεπάρκεια. Σκοπός: Ο κύριος σκοπός της παρούσας διδακτορικής διατριβής είναι η συσχέτιση της σεξουαλικής δυσλειτουργίας με τη λειτουργικότητα (συστολική και διαστολική) της αριστερής και της δεξιάς κοιλίας του μυοκαρδίου σε ασθενείς με καρδιακή ανεπάρκεια. Μεθοδολογία: Σχεδιάστηκε και πραγματοποιήθηκε μια συγχρονική μελέτη (cross sectional study) για να εκτιμήσει τη συσχέτιση της σεξουαλικής δραστηριότητας με τη λειτουργικότητα της αριστερής και της δεξιάς κοιλίας του μυοκαρδίου σε ασθενείς με καρδιακή ανεπάρκεια. Η εκτίμηση της Σεξουαλικής Λειτουργικότητας στις Γυναίκες έγινε με το Δείκτη Σεξουαλικής Λειτουργικότητας στις Γυναίκες - Female Sexual Function Index (FSFI) και στους Άνδρες με το Διεθνή Δείκτη Στυτικής Λειτουργικότητας - International Index of Erectile Function (IIEF). Για την εκτίμηση της συστολικής και διαστολικής λειτουργίας της αριστερής και δεξιάς κοιλίας του μυοκαρδίου πραγματοποιήθηκε υπερηχοκαρδιογραφική μελέτη, σύμφωνα με τις τρέχουσες κατευθυντήριες οδηγίες. Αποτελέσματα: Συμμετείχαν 306 ασθενείς (201 άνδρες και 105 γυναίκες). Η σεξουαλική λειτουργία είναι επηρεασμένη στη μεγάλη πλειοψηφία των ασθενών με καρδιακή ανεπάρκεια (75,8%) και των δύο φύλων, με τις γυναίκες μάλιστα να εμφανίζουν πιο συχνά σεξουαλική δυσλειτουργία σε σχέση με τους άνδρες (91,4% έναντι 67,7%, p<0,001). Το κλάσμα εξώθησης της αριστερής κοιλίας εμφάνισε θετική συσχέτιση με το Δείκτη Στυτικής Λειτουργικότητας (IIEF) και επομένως με τη στυτική λειτουργία (r 0,140, p=0,047). Επιπλέον, η σταθμισμένη για την ηλικία πιθανότητα για στυτική δυσλειτουργία και γυναικεία σεξουαλική δυσλειτουργία, είναι υψηλότερη στους ασθενείς με καρδιακή ανεπάρκεια και ελαττωμένο κλάσμα εξώθησης συγκριτικά με τους ασθενείς με καρδιακή ανεπάρκεια και διατηρημένο κλάσμα εξώθησης και στους ασθενείς με καρδιακή ανεπάρκεια και ήπια επηρεασμένη τη συστολική λειτουργία συγκριτικά με τους ασθενείς με καρδιακή ανεπάρκεια και διατηρημένο κλάσμα εξώθησης (p<0,001). Η εκτίμηση της διαστολικής λειτουργίας της αριστερής κοιλίας με τη χρήση παλμικού και ιστικού Doppler, αποκάλυψε την παρουσία αρνητικής συσχέτισης ανάμεσα στο Δείκτη Στυτικής Λειτουργικότητας (IIEF) και στους λόγους E/e’ διαφραγματικά και πλάγια (r= -0,150 p=0,035 και r= -0,141 p=0,046, αντίστοιχα). Η συστολική δυσλειτουργία της δεξιάς κοιλίας κυμαινόταν από 24,2 έως 39,1% και της διαστολικής δυσλειτουργίας της δεξιάς κοιλίας 16,1 έως 83,1%. Η συστολική δυσλειτουργία της δεξιάς κοιλίας, όπως αυτή αξιολογήθηκε με τους δείκτες TAPSE, TAPSE/PASP ratio και διάμετρο της βάσης της δεξιάς κοιλίας συσχετίστηκε με χαμηλότερο Δείκτη Στυτικής Λειτουργικότητας (IIEF) (p=0,031, p=0,009 και p<0,001, αντίστοιχα). Συμπεράσματα: Το κύριο εύρημα της μελέτης αποτελεί η συσχέτιση της συστολικής λειτουργίας της αριστερής κοιλίας με το Δείκτη Στυτικής Λειτουργικότητας (IIEF) και επομένως με τη στυτική λειτουργία, αλλά όχι με τη γυναικεία σεξουαλική λειτουργία. Ομοίως, η διαστολική λειτουργία της αριστερής κοιλίας βρέθηκε να συσχετίζεται με τη σεξουαλική δυσλειτουργία. Από την άλλη πλευρά, η λειτουργικότητα (συστολική και διαστολική) της δεξιάς κοιλίας βρέθηκε να συσχετίζεται με τη στυτική, αλλά όχι με τη γυναικεία σεξουαλική λειτουργία. Ωστόσο στη μελέτη της δεξιάς κοιλίας, ορισμένοι δείκτες δυσλειτουργίας της δεξιάς κοιλίας συσχετίστηκαν με συγκεκριμένους παράγοντες της γυναικείας σεξουαλικότητας.

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Postpartum female sexual dysfunctions in Hungary: A cross-sectional study

Developments in Health Sciences ◽

10.1556/2066.2019.00006 ◽

2020 ◽

Vol 2 (4) ◽

pp. 108-113

Author(s):

K. SzÖllŐsi ◽

L. Szabó

Keyword(s):

Urinary Incontinence ◽

Sexual Dysfunction ◽

Sexual Function ◽

Infant Feeding ◽

Exclusive Breastfeeding ◽

Cross Sectional Study ◽

Female Sexual Function ◽

Sectional Study ◽

Cross Sectional ◽

Feeding Method

AbstractPurposeAlthough the prevalence of sexual dysfunction after delivery is generally considered high, this has not been well examined in Hungary. The aim of our study was to evaluate female sexual function at 3-months postpartum and to investigate some of the possible predictor factors which might influence it.Materials and MethodsWe designed a cross-sectional study using online questionnaires and recruited 253 participants. Risk factors such as infant-feeding method and urinary incontinence were assessed for a potential relationship with sexual dysfunction. The Female Sexual Function Index (FSFI) was used to assess sexual function. We wrote our own questions about potential predictors.Results48.79% of participants reported sexual dysfunction according to total FSFI score (M = 25.16, SD = 7.00). A significant relationship was found between infant-feeding method and sexual dysfunction (P = 0.003). Sexual dysfunction was more common in exclusive-breastfeeding mothers than in mixed or formula-feeding mothers. Women with urinary incontinence had significantly lower total FSFI scores (P = 0.006), and in the arousal (P = 0.033), lubrication (P = 0.022), satisfaction (P = 0.006) and pain (P = 0.032) domains compared to women with no incontinence problem.ConclusionsWomen suffering from urinary incontinence are more likely to have sexual problems, especially a higher risk of dyspareunia and a lower level of sexual interest and wetness. Exclusive breastfeeding has a negative effect on sexual function.

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