scholarly journals Sexual Function in Iranian Female Multiple Sclerosis Patients

2019 ◽  
Vol 7 (8) ◽  
pp. 1303-1308 ◽  
Author(s):  
Alireza Alehashemi ◽  
Zahra Mostafavian ◽  
Najmeh Dareini
Keyword(s):  
Multiple Sclerosis ◽  
Sexual Dysfunction ◽  
Sexual Function ◽  
Correlation Coefficients ◽  
Significant Negative Correlation ◽  
Chi Square ◽  
Significant Difference ◽  
Severity Of Depression ◽  
Multiple Sclerosis Patients ◽  
And Control

BACKGROUND: One of the typical complaints in females with multiple sclerosis (MS) is Sexual dysfunction (SD). AIM: This study aimed to compare the sexual function of women with and without MS and to recognise factors that possibly related to sexual dysfunction of women with MS. MATERIAL AND METHODS: Sexual function of 64 women with MS as a case study group were compared to a group of control comprised of 64 women. Female Sexual Function Inventory (FSFI) and Beck Depression Inventory (BDI) were used accordingly to assess sexual function and severity of depression of case and control groups. Functional status of MS Patients was assessed by the Expanded Disability Status Scale (EDSS). The data were analysed using chi-square, independent Samples t, Pearson's correlation coefficients, and multiple linear regression tests. RESULTS: There were no differences in the Total FSFI and 4 FSFI subscale scores (i.e. sexual desire, arousal, lubrication and satisfaction) between women with MS and controls. The only significant difference between the two groups was the dimension of orgasm (p = 0.016). Multivariate analysis demonstrated that only BDI and FSFI total scores have significantly related (B = -0.436, P < 0.001). In women with MS, a significant negative correlation was found between FSFI and EDSS scores (rho = -0.35, P = 0.032), as well as between FSFI scores and disease duration (rho = -0.25, P = 0.01). CONCLUSION: Depression was associated to sexual dysfunction in women. It could be advantageous to evaluate and treat depression in women with MS who suffer from sexual dysfunction.

scholarly journals Effect of Cold Dialysis Solution on the Sexual Dysfunction of Patients with Chronic Renal Failure Undergoing Hemodialysis: A Randomized Clinical Trial

2021 ◽  
Vol In Press (In Press) ◽  
Author(s):  
Rahele Hassanpour Moghaddam ◽  
Fatemeh Nazemian ◽  
Sedigheh Rastaghi ◽  
Mostafa Rad
Keyword(s):  
Sexual Dysfunction ◽  
Sexual Function ◽  
Female Sexual Function ◽  
Control Groups ◽  
Male And Female ◽  
Dialysis Solution ◽  
Significant Difference ◽  
Before And After ◽  
And Control ◽  
Experimental Group

Background: The present study aimed to evaluate the effect of cold dialysis solution on the sexual dysfunction of patients with chronic renal failure undergoing hemodialysis. Methods: This randomized clinical trial was conducted with a before and after parallel design among 60 hemodialysis patients diagnosed with sexual dysfunction. The selected subjects were randomly allocated to the two groups of experimental and control (30 per each). Patients in the experimental and control groups underwent hemodialysis for one month using 35.5°C and 37°C dialysis solutions, respectively. Following the procedure, male and female sexual function was assessed in the study groups. Data were collected using the International Index of Erectile Functions, the female sexual function index (FSFI), and a demographic questionnaire. Data analysis was performed using Chi-square, Fisher's exact test, Mann-Whitney U test, t-test, paired t-test, and Wilcoxon test at 95% confidence interval. Results: No significant difference was observed between the experimental and control groups regarding male sexual function before and after the intervention (P > 0.05). However, the Mann-Whitney U test indicated a significant difference in the female subjects’ arousal in the experimental group before (3.68 ± 0.38) and after the intervention (3.98 ± 0.46; z = 2.216; P = 0.027). Conclusions: Cold dialysis solution could only increase the sexual arousal of the women in the experimental group, and no changes were observed in other sexual function domains of the male and female patients. Given the short duration of our intervention, it is recommended that further longitudinal studies be performed on larger cohorts of patients in different geographical regions.

scholarly journals Female Sexual Function after Vaginal Delivery with Episiotomy and Cesarean Section

2016 ◽  
Author(s):  
I Made W Jembawan
Keyword(s):  
Sexual Dysfunction ◽  
Cesarean Section ◽  
Sexual Function ◽  
Vaginal Delivery ◽  
P Value ◽  
Female Sexual Function ◽  
Chi Square ◽  
Cross Sectional ◽  
Significance Level ◽  
Significant Difference

Objective: To determine the difference of sexual function after vaginal delivery with episiotomy and cesarean section in Sanglah Hospital, Denpasar. Method: This research was conducted using cross sectional method. Sample was collected using consecutive sampling, starting from October 2011-September 2012. Our sample consists of 86 women, 43 post-episiotomy and 43 post-cesarean section. Sexual function was assessed using FSFI (Female Sexual Function Index). Total score was analyzed using independent t-test and difference of sexual function was tested using Chi-square, with significance level p0.05). There was no significant difference between the two groups in term of sexual arousal and lubrication, with p-value 0.160 and 0.67, respectively. However, we found significant difference in other domains, namely desire (p=0.014), orgasm (p=0.045), satisfaction (p=0.018), pain (p=0.02), and total FSFI score (p=0.006). Sexual dysfunction was found in 18.60% of the episiotomy group and 2.33% of the cesarean section group, with p=0.030. Conclusion: Female sexual dysfunction was found to be significantly different between women post vaginal delivery with episiotomy and women who had cesarean section. [Indones J Obstet Gynecol 2014; 4: 199-203] Keywords: cesarean section, episiotomy, female sexual function

Effectiveness of Relationship Enrichment program (REP) on sexual dysfunction and Satisfaction of Females with Multiple Sclerosis-An Educational Study

2021 ◽  
Vol 17 ◽  
Author(s):  
Negin Sayari ◽  
Katayon Vakilian ◽  
Zohre Khalajinia ◽  
Seyyed Amir Hejazi ◽  
Mostafa Vahedian
Keyword(s):  
Multiple Sclerosis ◽  
Sexual Dysfunction ◽  
Sexual Function ◽  
Sexual Satisfaction ◽  
Repeated Measures ◽  
Intervention Group ◽  
Sexual Life ◽  
Educational Design ◽  
Significant Difference ◽  
Enrichment Program

Aims: Improving sexual function in women with disability such as multiple sclerosis was aimed. Background: Sexual dysfunction and the consequent low satisfaction is very common in females with Multiple Sclerosis (MS). Objectives: This study aimed to investigate the effectiveness of Relationship Enhancement Therapy (REP) on sexual function and satisfaction of females with MS. Methods: the present study was an educational design with two groups, in which 44 females with MS participated and their spouses (N= 88) participated and randomly divided in two groups of intervention (N= 22 couples) and control (N= 22 couples). They signed written consent forms and were included in the project. The intervention group received the REP in six 90-minute sessions. The groups completed standard questionnaires of sexual dysfunction and sexual satisfaction in three stages of pretest-posttest and 3 months later. The Descriptive and inferential statistics (Two- way repeated measures ANOVA, chi-square, t-test and Mann-Whitney U test) were used to analyze data. Results: The results of analysis showed that there was a clinically significant difference between the scores of sexual dysfunction in different phases of the assessment between two groups (p <0.05). Also sexual satisfaction was higher in the intervention group vs. in the control (p <0.05). Conclusion: according to the findings, marital enrichment program was effective in improvement of sexual function and sexual satisfaction of females with multiple sclerosis. It is recommended to healthcare providers to use enrichment alongside medical services to improve patients' sexual life.

scholarly journals PERBEDAAN KEJADIAN DISFUNGSI SEKSUAL PADA WANITA DENGAN DIABETES MELITUS DAN TANPA DIABETES MELITUS

2016 ◽  
Vol 12 (2) ◽  
pp. 133
Author(s):  
Helna Amelia ◽  
Husnul Khatimah ◽  
Istiana Istiana
Keyword(s):  
Diabetes Mellitus ◽  
Sexual Dysfunction ◽  
Sexual Function ◽  
Female Sexual Function Index ◽  
Female Sexual Function ◽  
Chi Square ◽  
Control Approach ◽  
Function Index ◽  
Significant Difference ◽  
Diabetes Melitus

Abstract: Sexual dysfunction in woman with diabetes mellitus has received less attention from the doctors. The study about sexual dysfunction in female is relatively less than sexual dysfunction in male. The aim of this study was to analyze the difference of sexual dysfunction in diabetes and non-diabetes female at Ulin and Dr. H. Moch. Ansari Saleh Hospitals Banjarmasin. This study was an observational analytic study with case control approach. Diabetes and non-diabetes female that came to the subspecialist polyclinic in Ulin hospital and to the internal medicine polyclinic in Dr. H. Moch. Ansari Saleh hospital period July-September 2015 that meet to the inclusion criteria were included as sample of this study. Female sexual dysfunction was assessed using the Female Sexual Function Index (FSFI) questionnaire. From 30 diabetes females, there were 19 females (63,3%) had sexual dysfunction and from 30 non-diabetes females there were 14 females (46,7%) had sexual dysfunction. The data analysis using chi-square was resulted p=0,299 that means there was no significant difference. It was concluded that there was no significant difference of sexual dysfunction in diabetes and non-diabetes female. Keywords:sexual dysfunction, female, diabetes mellitus Abstrak: Disfungsi seksual pada wanita dengan diabetes melitus (DM) belum banyak mendapat perhatian dari dokter. Penelitian tentang disfungsi seksual pada wanita juga relatif sedikit jika dibandingkan dengan disfungsi seksual pada laki-laki. Penelitian ini bertujuan untuk menganalisis perbedaan kejadian disfungsi seksual pada wanita dengan DM dan tanpa DM di RSUD Ulin dan RSUD Dr. H. Moch. Ansari Saleh Banjarmasin. Penelitian ini merupakan penelitian observasional analitik dengan pendekatan case control.Pasien wanita DM dan tanpa DM yang datang ke poliklinik subspesialis RSUD Ulin dan poliklinik penyakit dalam RSUD Dr. H. Moch. Ansari Saleh Banjarmasin periode Juli-September 2015 yang memenuhi kriteria inklusi menjadi sampel pada penelitian ini. Disfungsi seksual wanita dinilai dengan menggunakan kuesioner the Female Sexual Function Index (FSFI). Dari 30 wanita DM yang menjadi subjek penelitian, terdapat 19 orang (63,3%) yang mengalami disfungsi seksual dan dari 30 wanita tanpa DM yang menjadi subjek penelitian, terdapat 14 orang (46,7%) mengalami disfungsi seksual. Analisis data dengan menggunakan uji chi-square didapatkan nilai p=0,299 yang berarti tidak terdapat perbedaan yang bermakna.  Berdasarkan penelitian yang dilakukan dapat diambil kesimpulan bahwa tidak terdapat perbedaan yang bermakna antara kejadian disfungsi seksual pada wanita DM dan tanpa DM. Kata-kata kunci: lingkar pinggang, obesitas sentral, diabetes melitus, disfungsi ereksi

scholarly journals The Effect of Cannabis on the Clinical and Cytokine Profiles in Patients with Multiple Sclerosis

2021 ◽  
Vol 2021 ◽  
pp. 1-10
Author(s):  
Wessam Mustafa ◽  
Nadia Elgendy ◽  
Samer Salama ◽  
Mohamed Jawad ◽  
Khaled Eltoukhy
Keyword(s):  
Multiple Sclerosis ◽  
Clinical Symptoms ◽  
Positive Impact ◽  
Control Groups ◽  
Serum Cytokines ◽  
Tnf Α ◽  
Significant Difference ◽  
Bladder Symptoms ◽  
Multiple Sclerosis Patients ◽  
And Control

Background. Multiple studies have reported that cannabis administration in multiple sclerosis patients is associated with decreased symptom severity. This study was conducted to evaluate the prevalence of cannabis abuse in multiple sclerosis cases and to evaluate the effect of cannabis on serum cytokines in such cases. Patients and Methods. A total of 150 multiple sclerosis cases along with 150 healthy controls were included during the study period. All cases were subjected to history taking, neurological examination, and routine investigations. Cases were asked about cannabis intake which was confirmed by a urine test. Serum cytokines including IL-1, IL-2, IL-4, IL-10, IL-12, IL-17, IL-22, IFN-γ, IFN-β1, and TNF-α were ordered for all cases and controls. Results. Twenty-eight cases were cannabis abusers (MS/cannabis group, 18.67%). The remaining 122 cases represented the MS group. There was no significant difference between the three groups regarding age, disease duration, or MS type. Male gender was more predominant in the MS/cannabis group, and the number of relapses was significantly lower in the same group. Fifteen cases (53.6%) reported that their symptoms were improved by cannabis. Proinflammatory cytokines were significantly elevated in the MS group compared to the MS/cannabis and control groups. Additionally, anti-inflammatory cytokines had significantly lower values in the MS group compared to the MS/cannabis and control groups. Most clinical symptoms were significantly improved in the MS/cannabis group compared to the MS group apart from sexual dysfunction, bladder symptoms, and visual disturbances. Mild side effects of cannabis were also reported. Conclusion. Cannabis may have a positive impact on the cytokine and clinical profiles in cases with multiple sclerosis.

scholarly journals Sexual Dysfunction Seems to Trigger Depression in Female Multiple Sclerosis Patients

2018 ◽  
Vol 80 (1-2) ◽  
pp. 34-41 ◽  
Author(s):  
Katharina M. Hösl ◽  
Martina Deutsch ◽  
Ruihao Wang ◽  
Sankanika Roy ◽  
Klemens Winder ◽  
...  
Keyword(s):  
Multiple Sclerosis ◽  
Sexual Dysfunction ◽  
Sexual Function ◽  
Beck Depression Inventory ◽  
Female Sexual Function Index ◽  
Female Sexual Function ◽  
Exact Test ◽  
Therapeutic Relevance ◽  
Depressed Patients ◽  
Multiple Sclerosis Patients

Background: In women with multiple sclerosis (MS), depression and sexual dysfunction (SD) are common. Whether SD promotes depression or vice versa remains unclear despite therapeutic relevance. Therefore, we aimed to assess whether SD more likely triggers depression or vice versa. Methods: In 83 female MS patients and 21 age-matched healthy women, we assessed depression, using the Beck Depression Inventory-V (BDI-V), and SD using the Female Sexual Function Index (FSFI). We diagnosed depression with BDI-V-scores >35 and SD with FSFI scores < 26.55. We divided patients into groups with and without SD, with and without depression. Between groups, we compared prevalence of SD and depression (Fisher’s-exact-test), age, MS-duration, MS-severity, BDI-V-, and FSFI scores (Mann-Whitney U-test; significance: p < 0.05). Results: A total of 37/83 MS patients and 1/21 controls had SD; 28/83 patients and 3/21 controls had depression; 51.4% patients with SD but only 19.6% without SD had depression (p = 0.003). SD was present in 67.9% depressed and 32.7% non-depressed patients. BDI-V-scores were higher in patients with SD than in patients without SD. FSFI scores were lower in depressed than non-depressed patients. Conclusion: In conclusion, SD was more common than depression. SD afflicted 67.9% depressed MS patients and was also more common in non-depressed MS patients than controls. SD may occur independently from depression while increased depressiveness seems linked to coexistent SD.

scholarly journals Female Sexual Function after Vaginal Delivery with Episiotomy and Cesarean Section

2016 ◽  
Author(s):  
I Made W Jembawan
Keyword(s):  
Sexual Dysfunction ◽  
Cesarean Section ◽  
Sexual Function ◽  
Vaginal Delivery ◽  
P Value ◽  
Female Sexual Function ◽  
Chi Square ◽  
Cross Sectional ◽  
Significance Level ◽  
Significant Difference

Objective: To determine the difference of sexual function after vaginal delivery with episiotomy and cesarean section in Sanglah Hospital, Denpasar. Method: This research was conducted using cross sectional method. Sample was collected using consecutive sampling, starting from October 2011-September 2012. Our sample consists of 86 women, 43 post-episiotomy and 43 post-cesarean section. Sexual function was assessed using FSFI (Female Sexual Function Index). Total score was analyzed using independent t-test and difference of sexual function was tested using Chi-square, with significance level p0.05). There was no significant difference between the two groups in term of sexual arousal and lubrication, with p-value 0.160 and 0.67, respectively. However, we found significant difference in other domains, namely desire (p=0.014), orgasm (p=0.045), satisfaction (p=0.018), pain (p=0.02), and total FSFI score (p=0.006). Sexual dysfunction was found in 18.60% of the episiotomy group and 2.33% of the cesarean section group, with p=0.030. Conclusion: Female sexual dysfunction was found to be significantly different between women post vaginal delivery with episiotomy and women who had cesarean section. [Indones J Obstet Gynecol 2014; 4: 199-203] Keywords: cesarean section, episiotomy, female sexual function

scholarly journals The effect of implementing self-management plan on selfconcept of family caregivers of multiple sclerosis patients

2020 ◽  
Vol 22 (2) ◽  
pp. 74-81
Author(s):  
Soheila Banitalebi ◽  
Shahram Etemadifar ◽  
Soleiman Kheiri ◽  
Reza Masoudi
Keyword(s):  
Multiple Sclerosis ◽  
Family Caregivers ◽  
Intervention Group ◽  
Management Program ◽  
Self Concept ◽  
Self Management ◽  
Significant Difference ◽  
The Mean ◽  
Multiple Sclerosis Patients ◽  
And Control

Background and aims: Caring for patients with multiple sclerosis causes family caregivers many problems and challenges. Self-management interventions can facilitate the caring process and increase the quality of patient care. Therefore, the aim of this study was to investigate the effect of a self-management program on Self-concept of the family caregivers of multiple sclerosis patients. Methods: This quasi-experimental study was conducted in 2018 at the MS Treatment Center of Shahrekord. The samples were selected through convenience sampling method. First, participants were assigned to two groups of men and women by stratified random sampling, and then men and women were assigned randomly to intervention (n=35) and control (n=35) groups. For the intervention group, the selfmanagement program was implemented twice a week in 8 sessions. Data collection was performed using the Coopersmith self-concept Inventory in two groups before, immediately after, and three months after the intervention. Data were analyzed by SPSS version 16.0. Results: The mean scores of self-concept in the intervention and control groups before the intervention were 72.6±9.1 and 72±10.6, respectively. There was no significant difference between the mean score of self-concept between the intervention and control groups before the intervention (P>0.05). The mean scores of self-concept immediately after the intervention in the two groups were 86.4±9.2 and 73±10.6, and three months after the intervention, they were 103±7.4 and 73.9±10.5, respectively. A significant increase in the scores of self-concept in the intervention group (P<0.001) was observed. Moreover, the independent t test showed a significant difference in the two groups immediately after and three months after the intervention (P<0.001). Conclusion: Self-management program increased the self-concept of multiple sclerosis (MS) patients’ caregivers. Therefore, selfmanagement can play a critical role in improving the quality of life of family caregivers and coping with the physical and psychological stress related to their caring role.

Resorbable Collagen Barrier Impeding the Extrusion of Obturating Material in Primary Molars Undergoing Resorption – A Randomized Clinical Trial

2021 ◽  
Vol 45 (5) ◽  
pp. 312-316
Author(s):  
Mishra Neha Sanjeev ◽  
Harsimran Kaur ◽  
Sandeep Singh Mayall ◽  
Rishika ◽  
Ramakrishna Yeluri
Keyword(s):  
Test Group ◽  
Primary Molars ◽  
Control Group ◽  
Chi Square ◽  
Significance Level ◽  
Significant Difference ◽  
Chi Square Test ◽  
Group A ◽  
Group B ◽  
And Control

Objective: To evaluate the effectiveness of placing a resorbable collagen barrier in impeding the extrusion of obturation material in primary molars undergoing resorption. Study design: All the 94 canals in 47 mandibular molars were allocated to 2 groups- Group ‘A’- 47 canals with collagen barrier (Test group) and Group ‘B’- 47 canals without collagen barrier (Control group) based on randomization protocol. Pulpectomy was performed and obturation of both test and control canals were radiographically assessed. Pearson’s chi – square test was applied to analyze the results. The significance level was predetermined at p &lt; 0.05. Results: Among the test group, 93.6% of the canals showed no extrusion while, 6.4% showed visible extrusion of the material outside the apex. In the control group, 83% showed no extrusion whereas 17% of the canals showed visible extrusion outside the apex. But no significant difference was noted (p&gt;0.05). Conclusion: The placement of resorbable collagen barrier in the apical third of the canal prevented the extrusion of obturating material beyond the apex in resorbing primary molars.

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