scholarly journals Assessing Sexual Function of Women after 12 Months of IUD Usage

2020 ◽  
Vol 1 (1) ◽  
pp. 12-18
Author(s):  
Emmanuel Lamptey ◽  
Adesina oladokun ◽  
Michael A. Okunlola

The Intrauterine Device (IUD) is a well-accepted method of contraception. Most women are currently using it because of its effectiveness, longevity, and affordability. Moreover, users need no strict routine instructions for IUD. However, many women in the absence of any pre-existing conditions that may impair sexual functions discontinue the method due to poor sexual satisfaction. This paper aims to assess and measure the effects of IUDs on sexual function in women with no underlying condition over a period of 12 months. This study employed a longitudinal approach. To be eligible to participate, the study enrolled 260 women who have chosen to use IUDs willingly on their own at these selected centers during this period and are aged 20 years and above. It collected data at baseline and at 12 months of use. Measurements at these two timelines were done using the Female Sexual Function Index (FSFI). The prevalence of female sexual dysfunction among participants after 12 months was 47.7% (124). In the analysis of Mean scores, FSFI at baseline and at 12 months was 31.31 and 24.76 respectively (p<0.05). Significantly reduced scores (p=0.001), for all the six domains (desire, arousal, lubrication, orgasm, satisfaction, and pain) of sexual function were noted. Desire and pain were the most affected areas of sexual function with very low scores. Without any underlying and related triggers of sexual health, the study discovered that IUDs have the potentials to cause female sexual dysfunction in almost half of its users.

2020 ◽  
Author(s):  
Zaina Alazawi ◽  
Ola Alqudah ◽  
Ahmad Al-Bashaireh

The aims of this study are to determine the prevalence of sexual dysfunction and to examine the relationships of sexual function and psychological factors of depression and anxiety and diabetes-related factors in Jordanian women with type 2 diabetes mellitus. This study employed a cross-sectional, descriptive, correlational design. All eligible participants with type 2 diabetes mellitus were consequently recruited from primary care centers. All enrolled participants were asked to complete questionnaires: Arabic version of the Female Sexual Function Index, Beck Depression Inventory-II, Beck Anxiety Inventory, and demographic questionnaires. Physical and biological measures were collected from the patient's medical records. 107 women with type 2 diabetes mellitus were recruited with a mean of age of 52.46±8.38 years. The prevalence of female sexual dysfunction was 94.4%. Regarding the mean scores of the Arabic version of the Female Sexual Function Index domains, the highest mean score was for pain (5.09±1.51), and the lowest mean score was for sexual arousal (2.44±1.28). This study found significant inverse relationships between female sexual function and age (r= -0.340, P<0.01), duration of diabetes (r= -0.211, P=0.029), fasting blood sugar (r= -0.234, P=0.015), anxiety (r= -0.375, P<0.01), and depression (r= -0.480, P<0.01). Our study found female sexual dysfunction is widely prevalent in Jordanian women with type 2 diabetes mellitus (94.4%). There were significant correlations between anxiety, depression, and female sexual function among women with type 2 diabetes mellitus.


Author(s):  
Cecilia Raccagni ◽  
Elisabetta Indelicato ◽  
Victoria Sidoroff ◽  
Martin Daniaux ◽  
Angelika Bader ◽  
...  

Abstract Purpose The diagnosis of probable multiple system atrophy relies on the presence of severe cardiovascular or urogenital autonomic failure. Erectile dysfunction is required to fulfil the latter criterion in men, whereas no corresponding item is established for women. In this study, we aimed to investigate sexual dysfunction in women with multiple system atrophy. Methods We administered the Female Sexual Function Index questionnaire and interviewed women with multiple system atrophy and age-matched controls regarding the presence of “genital hyposensitivity.” Results We recruited 25 women with multiple system atrophy and 42 controls. Female Sexual Function Index scores in sexually active women with multiple system atrophy were significantly lower (multiple system atrophy = 10; 15.4, 95% CI [10.1, 22.1], controls = 37; 26.1 [24.1, 28.1], p = 0.0004). The lowest scores concerned the domains of desire, arousal and lubrication. Genital hyposensitivity was reported by 56% of the patients with multiple system atrophy and 9% controls (p < 0.0001). Conclusions Sexual dysfunction is highly prevalent in women with multiple system atrophy. Screening for disturbances in specific sexual domains should be implemented in the clinical evaluation of women with suggestive motor symptoms.


Sexual Health ◽  
2014 ◽  
Vol 11 (3) ◽  
pp. 240 ◽  
Author(s):  
Samy Hanafy ◽  
Neveen E. Srour ◽  
Taymour Mostafa

Background Pregnancy is a special period in the life of women characterised by physical, hormonal and psychological changes that, in conjugation with social and cultural influences, could affect women’s sexuality as well as couples’ sexual relationships. This cross-sectional study aimed to evaluate female sexual dysfunction (FSD) among the three pregnancy trimesters. Methods: A total of 300 healthy heterosexual pregnant Egyptian women with stable marital relationships were included. The Female Sexual Function Index (FSFI) questionnaire was used as a standard method for measuring female sexual function in each pregnancy trimester. Results: There was no significant relationship between FSD and women’s education, work, gravidity and parity. The incidence of FSD demonstrated significant alterations throughout pregnancy, being 68% in the first trimester, decreasing in the second trimester to 51% and increasing to 72% in the third trimester. Sexual desire decreased in the first trimester, was variable in the second trimester and decreased at the end of the third trimester (3.5 ± 1.2, 3.7 ± 1.2 and 3.4 ± 1.1 respectively). Sexual satisfaction declined significantly in the first trimester compared with the second and the third trimesters (4.2 ± 1.1, 4.8 ± 0.8 and 4.6 ± 1.0 respectively). Scores for the arousal, lubrication and orgasm domains were significantly decreased in the third trimester, where pain was increased in the second trimester compared with the first and third trimesters. Conclusion: Female sexual function is affected during pregnancy, with a significant change in all Female Sexual Function Index domains, especially in the first and third trimesters.


GYNECOLOGY ◽  
2021 ◽  
Vol 23 (2) ◽  
pp. 149-154
Author(s):  
Natalia N. Stenyaeva ◽  
Dmitrii F. Chritinin ◽  
Andrei A. Chausov

Background. Female sexual dysfunction is extremely common and affects about half of the worlds women. Currently, the question of the relationship between gynecological morbidity in women and the characteristics of sexual activity and sexual functioning in a couple remains poorly understood. Aim. To establish gynecological diseases associated with decreased sexual functioning, sexual health disorders in women on the basis of a screening assessment when visiting the clinic. Materials and methods. We conducted a cross-sectional descriptive study of the sexual functioning of 1256 women who presented to outpatient appointments. Anamnestic and clinical methods were used, sexological testing using the Female Sexual Function Index questionnaire. Results. Based on anamnestic data, screening assessment of sexual health and sexual functioning of 1235 women who applied for outpatient appointments to a gynecological clinic, a high gynecological and extragenital morbidity was established in patients (100%). The structure of gynecological diseases is represented by female infertility (48.3%), inflammatory diseases of the genital organs (38.5%; of which salpingo-oophoritis 16.6% and vulvovaginitis 15.9%), endometriosis (13.9%) , menstrual irregularities (8.3%), as well as pain disorders (8.1%). The incidence of infections, predominantly sexually transmitted, was revealed, among them papillomatous viral infection (8.3%), genital herpes (5.3%) and chlamydia (3.7%). It was found that in gynecological patients with diseases characterized by a chronic course, inflammation, pelvic pain, menstrual and reproductive disorders, sexual functioning significantly decreases (p=0.00) and sexual health is impaired. Sexual dysfunctions were detected in 21.6% of patients, their structure is represented by isolated (39.3%) and combined (60.7%) disorders of libido, orgasm, sexual anhedonia, failure of genital response, as well as dyspareunia, vaginismus. In 33.7% of patients, preclinical forms of sexual dysfunction were identified that did not meet the criteria for sexual dysfunction (did not cause distress, were short-lived), but confirmed by the analysis of patient complaints, as well as by the results of the Female Sexual Function Index questionnaire. Conclusion. Thus, chronic gynecological diseases with inflammatory manifestations, pelvic pain, menstrual and reproductive dysfunctions are associated with decreased sexual functioning, sexual dysfunctions, and preclinical forms of sexual dysfunctions.


2021 ◽  
Vol 17 ◽  
pp. 174550652110091
Author(s):  
Keiko Okumura ◽  
Hirokazu Takeda ◽  
Toshikazu Otani

Objectives: Female sexual dysfunction is an underestimated problem that negatively affects women’s quality of life. Although the overall prevalence of sexual dysfunction in women is high, only a few studies have focused on this problem. In Japan, an index of female sexual function has not been clearly defined. Hence, this study aimed to investigate the sexual function of normal Japanese women and the temporal changes they experienced using the Female Sexual Function Index administered online in 2012 and 2019. Methods: The subjects were Japanese women aged 20–79 years registered in an Internet research company. We collected data of 1034 and 2031 women in 2012 and 2019, respectively, based on Japan’s population distribution according to age. Subsequently, we analyzed the collected data using a Japanese version of the Female Sexual Function Index. We investigated the temporal changes in the Female Sexual Function Index total score, the ratio of women who did not engage in sexual activities and women having “no sexual activity” with their partners, and the total Female Sexual Function Index scores according to age. Results: The average Female Sexual Function Index total score decreased from 14.6 in 2012 to 12.5 in 2019 ( p < 0.001). No significant difference was observed in the average Female Sexual Function Index score of the group with sexual activity between 2012 (22.2) and 2019 (22.4). The ratio of women not engaging in sexual activities increased from 42.2% in 2012 to 54.0% in 2019. The ratio of women having “no sexual activity” with their partners increased by 10%. Conclusion: Comparison of data between 2012 and 2019 indicated that Japanese women have become less sexually active. The average Female Sexual Function Index total score of 22 may be useful as a reference value for diagnosing female sexual dysfunction in Japan.


2021 ◽  
Vol 9 (4) ◽  
pp. 232-240
Author(s):  
Orji Ernest Okechukwu

This study determined the prevalence, domain, and predictors of sexual dysfunction among 222 infertile women before and after Diagnosis of infertility in Ife East Senatorial district, Nigeria. They were interviewed using interviewer-administered questionnaire and Female Sexual Function Index assessment tool. Information about their sexual functions after marriage and before the couple started having difficulty in getting pregnant were obtained and compared with sexual functions after Diagnosis of infertility. Data management was done using SPSS Version22 and STATA 12. The Chi-square test was used to test associations. P-value of was set <0.05. Before infertility diagnosis, the prevalence of sexual dysfunction was 23.9%. After infertility diagnosis, this increased to 57.2%, P<0.001. The mean scores of female sexual function index for infertile patients were 29.57 ±5.10 before the infertility diagnosis but reduced to 24.42 ± 5.86 after infertility diagnosis P <0.001. The domain scores reduced after Diagnosis of infertility, and it shows statistical significance at P<0.001. Significant predictors at multivariate analysis include increasing maternal age, increasing duration of infertility, Hausa /Fulani tribe, and female genital mutilation. Infertility increases the prevalence of female sexual dysfunction and reduces the domain scores of sexual functions.


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 ◽  
...  

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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