scholarly journals Female Sexual Dysfunction in a Third Level Health Facility, Southern Nigeria

Author(s):  
Oranu Emmanuel Okwudili ◽  
Owolabi Ayodeji Oluwaseun

Background: Observation during our gynaecology consultations does not tend to agree with reviews in literature suggesting high prevalence of sexual dysfunction. With this background, we decided to subject this general observation to scientific scrutiny to determine the proportion of our patients that actually have sexual dysfunction; and thepredisposing risk factors. Objective: To determine the prevalence and risk factors associated with sexual dysfunction in females attending the gynaecology clinic of the University of Port Harcourt Teaching Hospital (UPTH), Port Harcourt. Methods: This was a prospective cross-sectional questionnaire based study of 72 females of reproductive age group attending the outpatient gynaecological unit of UPTH. They were interviewed using the Female Sexual Dysfunction Index (FSFI). A total FSFI score of less than 26.5 was indicative of sexual dysfunction. The data were collated and entered into SPSS version23 statistical software which was also used for analysis. A p-value of < 0.05 was considered significant. Results: The prevalence of sexual dysfunction in females was 61.1% using the FSFI of less than 26.50. The most common type of sexual dysfunction among the respondents was desire disorders (66.7%) followed by disorders of orgasm (62.5%), lubrication (56.9%), arousal (43.1%) and pain (40.3%). Advanced age, higher education, parity and female genital cutting were found to be associated with sexual dysfunction. Conclusion: The findings in this study showed that a significant number of women in our centre are affected with sexual dysfunction.

Author(s):  
Mahesh Gupta ◽  
Daneshwar Singh ◽  
Manju Toppo ◽  
Angelin Priya ◽  
Soumitra Sethia ◽  
...  

Background: Polycystic ovarian syndrome (PCOS) is the most common endocrine disorder among women of reproductive age groups. It is one of the leading causes of poor fertility. Risk factors include obesity, not enough physical exercise, and a family history. Most studies in India report prevalence of PCOS as 9.13% to 36%. Behaviour and life style modifications are important part of treatment for PCOS. A number of cases in the community due to lack of awareness and proper guidance, it remains undiagnosed. Aim of this study was to find the prevalence of PCOS among the young females of Bhopal city. Thus, risk assessment in the form of a survey would be one of the strategies to identify this syndrome early so as to encourage young women to seek timely treatment and prevent its long term complications. Methods: Non comparative cross sectional study for duration of 8 month. Results: The prevalence of PCOS in this study was 8.20%. Among all the risk factors, BMI ≥25 (P value < 0.0001) and waist hip ratio ≥0.85 (<0.0001) were strongly associated with the presence of PCOS and Lack of awareness, there were in girls (78.4%). Conclusions: Women who were having BMI ≥25 and waist hip ratio ≥0.85 should be educated about its complications and should be advised weight loss. Girls who had irregularity of menses and signs of hyperandrogenism should be investigated and must be managed accordingly. Early diagnosis of PCOS and its prompt treatment will help the girls to improve quality of life. 


2020 ◽  
Author(s):  
Mustafa Khidir Mustafa Elnimeiri ◽  
Reem Mahmoud Mohamed Abdelbasit ◽  
Mohanad Kamaleldin Mahmoud Ibrahim ◽  
Dimetry Adel Dimetry Mingaryous ◽  
Taqwa Mohieldeen Hamid Abdelrahim ◽  
...  

Abstract Background: Female genital cutting/mutilation (FGC/M) is deeply rooted and widely practiced in Sudan. Although the trend is slowly decreasing, the magnitude is still very high as the procedure has no known benefit but has many consequences. The aim of this study was to identify the causes and the risk factors associated with FGC/M among reproductive-age women in the country.Methods: A community based cross-sectional survey was conducted among 902 women in the reproductive age (15-49) years in Khartoum State-Sudan, sampled proportionate to size using multistage clustering and participants were drawn using systematic probability sampling technique. Data were collected using a standardized administered questionnaire. Statistical analysis was done using bivariate and multivariate logistic regression. Results: Among 902 women who participated in the study, 89% of were married and 48% of them got married for the first time at age less than 20 years. The commonest age for such practice was 6-7 years as stated by about 48% of them. There is a significant association between educational level of participants and practicing FGC/M among their daughters (P value=.0001) with a tendency of the participants who attained a higher educational levels to less subject their daughters to any form of FGC/M. There is a significant association between the type of FGC/M of participants and the type of FGC/M of their daughters (P value=.001) with a tendency of the participants’ daughters to be subjected to clitorectomy rather than pharaonic. 39% of the participants stated that they themselves influenced the decision to subject their daughters to FGC/M while 32% of them stated that the grandmothers influence such a decision. The study revealed 45% of the participants believed in customs and traditions as the main reason for the conduct of FGC/M.Conclusion: The FGC/M was widely practiced by the participants’ families indicating the deeply rooted practice as a social norm. Parental education is inversely associated with practicing FGC/M to their daughters. The socio-cultural reason was the main cause of practicing FGC/M among participants. Therefore, a significant change in factors such as education, and social development might cause a gradual decline in FGC/M.


2019 ◽  
Vol 19 (1) ◽  
Author(s):  
Farah Safdar ◽  
Chui Lee Julia Eng ◽  
Khin Lay Wai ◽  
Wan Shi Tey ◽  
Seng Bin Ang

Abstract Background Female sexual dysfunction (FSD) is increasingly being identified as a problem around the world. Women can have problems in various parts of the sexual cycle - desire, arousal, lubrication, orgasm or they may experience pain related to sexual activity. The only study involving Singapore with regard to sexual dysfunction in women, the Asian Global Studies of Sexual Attitudes and Behaviours in 2002, reported that Singapore had one of the lowest age-standardised sexual dysfunction rates of 32% compared with other Asian countries. This pilot study aims to evaluate the prevalence of female sexual dysfunction and to investigate the independent significant risk factors among allied health workers in a tertiary hospital in Singapore. Methods A cross-sectional study where an anonymous questionnaire which included 19 questions in the FSFI (Female Sexual Function Index) was distributed to all allied health workers in a tertiary hospital in Singapore aged between 18 to 70 years old. Results Three hundred thirty completed questionnaires were involved in analysis. 56.0% of women were found to have sexual dysfunction. A significant difference was found in the prevalence of FSD when comparing nurses to other allied health staff, where nurses had a decreased risk of developing FSD. Age was not found to be a significant risk factor in our study. Respondents below 40 years of age had significantly lower satisfaction scores than those above 40. Indians and Filipinos were found to have lower scores than the Chinese and Malay respondents in the lubrication (p = 0.02) and pain domains (p = 0.02). Conclusion A significant proportion our female allied health workers suffer from sexual dysfunction. In this study, we found that the overall prevalence was independent of age, race and marital status. Nurses had a lower risk of developing FSD. We will need further studies to assess the prevalence of female sexual dysfunction in the general population, to evaluate the independent significant risk factors for developing FSD, in addition to classical risk factors, as well as to assess the psychological impact of this condition and whether people would be willing to seek help for such problems.


2021 ◽  
Author(s):  
Berhane Asfaha Teklay ◽  
Haftu Berhe Gebru ◽  
Desta Siyoum Belay ◽  
Teferi Gebru Gebremeskel

Abstract Background: Worldwide, around one million girls and women are currently living with fistula. Less than 20,000 women with obstetric fistula are treated each year. Lack of awareness is a frequently mentioned barrier to seeking fistula treatment; many women suffering from obstetric fistula do not know what fistula is, as it is treatable, or where to get treatment. Even though obstetric fistula has likely weighed down women since the beginning of time, few researches proportionally exists.Methods: A community based quantitative cross-sectional survey was undertaken in south eastern zone of Tigray. A multistage random sampling technique was implemented to select total participants of 605 reproductive age women. Two districts were randomly selected and from those districts, 12 kebels were selected randomly and the calculated sample size (605) was proportionally allocated to each selected kebeles. The data were collected by using face to face/interview with structured questionnaire from February 26-Murch 24/2020 after ensuring that all requirements of ethical considerations were fulfilled. The collected data were entered in to Epidata version 4.2 then exported to SPSS version20 for analysis. Descriptive statistics with frequency, percentage, table and graph and cross tabulation were used for presentation of result. Bivariable and multivariable analysis were used to examine the association. Odds ratios with 95% confidence interval and P-value <0.05 were used to determine the statistical association.Results: Overall, about 42.15%, of respondents had good awareness on risk factors of obstetric fistula. The major determinant factors identified to awareness on risk factors of obstetric fistula were, level of education(above secondary) [AOR (95%CI=2.7(1.189-6.24)], having history of modern family planning use [AOR (95%CI=2.22(1.14-4.34)], institutional delivery (for the index child)[AOR (95%CI=2.3(1.1-4.99)] and prior information about obstetric fistula[AOR (95%CI=6.1(2.65-14.1)].Conclusion: In this study majority of reproductive age women in the study area had poor awareness regarding risk factors of obstetric fistula. Several interventions like health education and information should be implemented to enhance the awareness of the community towards risk factors for obstetric fistula.


Author(s):  
Mkpe Abbey ◽  
Kinikanwo I. Green ◽  
Roseline Iheagwam ◽  
Chris Akani

Background: Venous thromboembolism (VTE) is a leading cause of maternal morbidity and mortality in the puerperium. Unfortunately in Nigerian tertiary institutions, there is paucity of information about its risk factors, screening for it, and its prophylaxis. The aim of the study therefore was to review the VTE risk and thromboprophylaxis in the puerperium at the University of Port Harcourt Teaching Hospital (UPTH), Nigeria.Methods: A retrospective cross-sectional study carried out at the University of Port Harcourt Teaching Hospital (UPTH). The following data were extracted from the notes of 424 consecutive inpatients postnatal women who delivered from the 1st of January to the 30th of April 2020: history/demographic characteristics, risk factors for VTE using the RCOG Green top guideline No. 37a.of 2015 as a benchmark, thromboprophylaxis, diagnosis and treatment of VTE. Women with a VTE event in the preceding 4 months before pregnancy were excluded. Data was analysed using a statistical package for social science (SPSS) software, version 18.Results: Risk assessment for VTE and its prophylaxis in the puerperium were not routine practice at the UPTH. 420 (99.06%) out of the total 424 postpartum women that were assessed were at significant risk of developing VTE and therefore needed to be on thromboprophylaxis with low molecular weight heparin. Irrespective of the high prevalence of risk factors and the fact that 100 (23.58%) of the patients had symptoms and signs of VTE, no case of VTE was recorded in the study population. Paucity of information and lack of knowledge about the diseases may be responsible for that.Conclusions: 420 (99.06%) out of the total 424 puerperal women were at significant risk of developing VTE and therefore needed to be on thromboprophylaxis in the puerperium. It was therefore recommended that a national guideline on VTE in the puerperium be written, taking into consideration local disease topography, ethnic diversity and the level of economic development in Nigeria.


2016 ◽  
Vol 9 (1) ◽  
pp. 155-155
Author(s):  
H. Son ◽  
◽  
J. Park ◽  
S. Cho ◽  
M. Cho ◽  
...  

Objective: We conveyed 10 year interval survey, named Korean Internet Sexuality Survey (KISS) 2014 to investigate the prevalence and the risk factors of Female Sexual Dysfunction (FSD) in Korea. Design and Method: The Internet-based survey was performed in 20-59 year old women via e-mail and they were asked to answer the questionnaire only if they were sexually active, having sex more than once per month during the last 6 months, following the same method of our previous study in 2004. Results: In total, 516 responses were analyzed. The mean age of the subjects was 38.1±10.3. We defined FSD as FSFI total score under 25.0 and the prevalence of FSD was 46.7%. The prevalence of FSD in each age group increased with age: 23.7% in 20s, 45.4% in 30s, 51.4% in 40s and 72% in 50s. The prevalence of FSD in 20s decreased significantly from 44.3% in 2004 to 23.7% in 2014 (p-value=0.000). All six domains of FSD increased with age. Especially, lubrication and pain domain dysfunctions were highly prevalent in 50s. The risk factors for FSD were analyzed as constipation, Beck Depression Inventory (BDI) and Overactive Bladder Symptom Score (OABSS). Women with older age at first intercourse, increasing number of sexual partners and use of contraceptive pill had lower risk to have FSD. Conclusions: FSD was still highly prevalent in Korea and it increased with age. Compared to the previous study, prevalence of FSD in 20s significantly decreased. Further periodic study is necessary to widen the scope of understanding FSD.


2019 ◽  
Vol 4 (1) ◽  
pp. 19
Author(s):  
Dr. Imran Ali Shaikh ◽  
Dr .Naila Masood ◽  
Dr. Khalida Shaikh

Background: Sexual cycle is complex and have so many phases. There are desires that initiates sex , which  occur with or without stimulus. Sexual dysfunction is a problem that occurs during the sexual response cycle that inhibits person from sexual satisfaction .It is difficult to estimate the prevalence of sexual dysfunction in women because of religious grounds, natural shyness, illiteracy, and unawareness of sexual education.Objective: To determine female sexual dysfunction in non-diabetic young female of Hyderabad, and to enhance awareness of this taboo problem in women.Material and methods: This cross-sectional   questionnaire based study includes 276 married non diabetic females, enrolled   by non-probability convenience sampling from OPD of private clinics of sadder Hyderabad. Study was conducted in l accordance with the guidelines for Declaration of Helsinki and data was collected after obtaining participants consents. All women were interviewed according to questionnaire designed in local aspects by modifying female sexual scale which contained 19 different questions, most of them having score from 1 to 5 or -1 to -5. This scale has been modified in local languages in Urdu and Sindhi. All data was entered and analyzed using statistical package for social sciences version 22.0.Results: The mean age was 23±9.5 years, mean BMI  was 24±5.5, mean duration of marriage was5.6±4.3 years, (24%) didn’t  conceived after 2 years of marriage.(55%) had 2 or more  children, Contraceptives user were 24±5.6 Pain  was experienced during coitus  by (15%), decreased desire in (20%),decreased secretion during foreplay in (15%) lack of orgasm in (30%) and arousal failure in (10% )and only (10%) had mixed disorder.(30%) had orgasm failure score of 25 and p value adjusted with age 0.03, arousal failure was in 10% but score was very low -10, p value was0.04.Conclusion: Awareness and decreasing shyness barriers of sexuality are increasing among the women.  Women are seeking a sexual solution, which is the first step toward proper treatment plan.


Author(s):  
Ahmed E. Arafa ◽  
Rasha S. Elbahrawe ◽  
Sherwet M. Shawky ◽  
Alshimaa M. Mostafa ◽  
Safaa S. Ahmed ◽  
...  

Background: Female sexual dysfunction (FSD) has many psychological and social negative consequences. The aim of this study is to detect the potential risk factors associated with FSD among sexually active women in Beni-Suef, Egypt. Methods: A multi-stage random sampling methodology was used to include 490 premenopausal women, residing in Beni-Suef, in this cross-sectional study. FSD was measured using the Arabic version of the female sexual function index (ArFSFI), throughout an interview. It includes 6 domains; desire, arousal, lubrication, orgasm, satisfaction and pain. The questions in each domain have five to six choices with a score ranging between zero and five. Results: Age, years of marriage and number of pregnancies correlated negatively with ArFSFI total score (p<0.05). Higher body mass index was associated with lower scores of desire, arousal and lubrication (p<0.05). Compared to those with constant job, unemployed women had lower scores of desire and arousal (p<0.05). No statistically significant associations have been detected between circumcision and any of the studied ArFSFI domains (p>0.05). Conclusions: There are many potential risk factors suggested to be associated with FSD. Further studies should focus on understanding the adaptive strategies used by women to get over their FSD problems. Barriers preventing women with FSD from seeking treatment should also be investigated. 


2021 ◽  
Vol 9 (01) ◽  
pp. 911-919
Author(s):  
Mostafa Abdulla Elsayed Mahmoud ◽  

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 (20–43 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 = 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.


2017 ◽  
Vol 9 (2) ◽  
pp. 155-158
Author(s):  
Ritu Agarwal

ABSTRACT Introduction Female sexual dysfunction (FSD) is very common among infertile patients. Whether FSD leads to infertility or infertility leads to FSD is still less understood. Objectives To study the prevalence of FSD and various factors that can lead to sexual dysfunction. Materials and methods This is a cross-sectional observational study conducted at a tertiary care center in Ahmedabad from June 2015 to March 2016. A total of 240 infertile patients in reproductive age group (20—47 years) were studied, for which informed consent was obtained. Female sexual dysfunction was assessed with a detailed 19-item female sexual function index questionnaire. All six domains of sexual dysfunction, i.e., desire, arousal, lubrication, orgasm, satisfaction, and pain, were studied. Various associated factors like gynecological and psychological disorders were also studied. Fertile patients were excluded. Results The prevalence of FSD among infertile patients was 48.75%. The most common sexual dysfunction was arousal (94.01%) followed by lubrication (89.74%) and orgasm dysfunction (85.47%). Psychological status of patients had significant impact on sexual life. Conclusion Sexuality is an important part of an individual's personality. With time, stress in life and sexual dysfunction are also increasing. Therefore, sexual function assessment should be included in the routine workup for infertility. How to cite this article Mishra VV, Nanda S, Agarwal R, Choudhary S, Aggarwal R, Goyal P. Female Sexual Dysfunction among Indian Infertile Females. J South Asian Feder Obst Gynae 2017;9(2):155-158.


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