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Szymańska E, Kisielewski R, Kisielewska L, Tomaszewski J. The impact of pregnancy on sexual functioning in Polish women. Arch Gynecol Obstet 2024; 310:2133-2140. [PMID: 39080057 PMCID: PMC11392988 DOI: 10.1007/s00404-024-07648-2] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/20/2024] [Accepted: 07/09/2024] [Indexed: 09/13/2024]
Abstract
INTRODUCTION Sexual life of pregnant women alters during pregnancy due to the physiologic,' anatomic and hormonal changes in her body. Therefore, the aim of this study was to evaluate female sexual functioning after becoming pregnant. PATIENTS AND METHODS A prospective survey study including 148 pregnant women. An anonymous questionnaire including 60 inquiries concerning intimate relationship before and during pregnancy was performed. The following statistical test were used: Chi-square test of independence, Spearman's rank correlation coefficient and Wilcoxon test. The significance level of p = 0.05 was assumed. RESULTS Most of the respondents were between 31 and 40 years old (55%). Majority of them were married (86%). During pregnancy, slightly more than half of women had a moderate need for sexual intercourse (51%), a large percentage of them had a low need (32%), a high need for intercourse was declared by 17% of women. The correlation analysis showed a statistically significant relationship between women's education and the need for sex before pregnancy (p = 0.049). Respondents with higher degrees of education more often felt the need for intercourse before pregnancy. No correlation was found between education and the need for intercourse after pregnancy (p = 0.107). After becoming pregnant, 51% of women had less need for intercourse, 7% more, and 42% the same as before pregnancy, and these differences were statistically significant (p < 0.001). Also, a decreased satisfaction with sexual intercourse was reported during pregnancy (p < 0.001). After getting pregnant, the average number of intercourses decreased in majority (71%) of respondents, and differences in the number of intercourses before and during pregnancy were statistically significant (p < 0.001). CONCLUSION Pregnancy has significant impact on woman's sexuality. After becoming pregnant majority of women declare less need for sexual intercourses, decreased number of intercourses with less satisfaction.
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Affiliation(s)
- Edyta Szymańska
- Department of Gastroenterology, Hepatology, Feeding Disorders and Pediatrics, The Children's Memorial Health Institute, Warsaw, Poland.
| | - Rafał Kisielewski
- Tomaszewski Gynecology and Obstetrics Private Clinic, Bialystok, Poland
- Department of Gynecologic Oncology, The Centre of Oncology, Bialystok, Poland
| | - Lidia Kisielewska
- Tomaszewski Gynecology and Obstetrics Private Clinic, Bialystok, Poland
- Department of Gynecologic Oncology, The Centre of Oncology, Bialystok, Poland
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Altınayak SÖ, Rüzgar Ş, Koç E. The relationship between sleep problems and sexual dysfunction among pregnant women in Turkey. Sleep Breath 2024; 28:459-465. [PMID: 37550557 DOI: 10.1007/s11325-023-02896-z] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/14/2023] [Revised: 07/26/2023] [Accepted: 07/28/2023] [Indexed: 08/09/2023]
Abstract
OBJECTIVE Sexual dysfunction and sleep problems are common in women. Nevertheless, the relationship between sleep problems and sexual dysfunction during pregnancy has yet to be fully clarified. The aim of this study was to evaluate the relationship between sleep problems and sexual dysfunction in pregnant women. METHODS The study had a cross-sectional design and the sample was determined by employing the G*Power program on the basis of the findings of a related study. Taking the correlation value between the Female Sexual Function Index (FSFI) and the Insomnia Severity Index (ISI) into account, it was found that the minimum sample size was 219 pregnant women. Healthy pregnant women who were literate, did not have a diagnosed psychiatric disease, did not have a mental disability or communication problems, were in the gestation period, were not restricted by their doctors in terms of engaging in sexual activity, and who were willing to participate were included. The study included those pregnant women who consecutively attended the NST polyclinic in a maternity hospital in a province in the Black Sea region of Turkey between January 2022 and August 2022. The Sociodemographic Information Form, the Pittsburgh Sleep Quality Index (PSQI), the ISI, and the FSFI were used to collect data. RESULTS A total of 220 pregnant women took part. The women had a mean age of 27.4 ± 6.3. Of the pregnant women, all had poor sleep quality: 61% had insomnia problems; 30% had sexual dysfunction. When the relationships between the PSQI, ISI and FSFI were examined, there was a statistically significant positive correlation between the mean PSQI and ISI scores (p = 0.000). A statistically significant negative correlation was determined between the mean ISI and FSFI scores (p = 0.044). According to the multiple regression analysis, age did not significantly predict sexual function (β = -0.112; t = -1.639; p = 0.103); insomnia severity predicted sexual function negatively (β = -0.146; t = -2.136; p = 0.034). The explained variance was 2.6%. CONCLUSION The findings suggest that sleep quality as measured by the PSQI does not correlate with female sexual dysfunction in pregnant women. However, severity of insomnia does correlate with sexual dysfunction.
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Affiliation(s)
- Serap Öztürk Altınayak
- Ondokuz Mayıs University Faculty of Health Science, Department of Midwifery, Kurupelit Campus, 55200, Samsun, Turkey.
| | - Şebnem Rüzgar
- Ondokuz Mayıs University Faculty of Health Science, Department of Midwifery, Kurupelit Campus, 55200, Samsun, Turkey
| | - Emine Koç
- Ondokuz Mayıs University Faculty of Health Science, Department of Midwifery, Kurupelit Campus, 55200, Samsun, Turkey
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Demir O, Sal H, Ozalp M, Adas MB, Aran T, Osmanagaoglu MA. Examination of the change in sexual functions and anxiety as the pregnancy progresses and the effect of nulliparity on this change. North Clin Istanb 2023; 10:514-520. [PMID: 37719246 PMCID: PMC10500246 DOI: 10.14744/nci.2022.85226] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/07/2022] [Accepted: 07/04/2022] [Indexed: 11/20/2022] Open
Abstract
OBJECTIVE The objective of the study is to examine the sexual functions and anxiety levels of the same pregnant women during the three periods of pregnancy, and to observe how they change between trimesters and also the effect of nulliparity on these changes. METHODS This prospective clinical study was conducted between 2019 and 2021 in the University Hospital. Healthy, heterosexual pregnant women were included in this study and were consecutively interviewed regarding their anxiety levels and sexual function in the three trimesters of pregnancy. Participants in the study filled out two questionnaires, the Female Sexual Function Index (FSFI) form and the beck anxiety inventory (BAI). All data were analyzed using SPSS 21 statistical software. RESULTS There were a total of 35 pregnant women who met the inclusion criteria and completed the questionnaire forms in the three trimesters of pregnancy. Nineteen of the study group were nulliparous (54.3%). FSFI scores were found to be below the cutoff value required to diagnose sexual dysfunction in all three trimesters. The anxiety scores were found to be statistically significantly compatible with mild anxiety in all three periods. In the variance analysis of the survey scores over the three periods, a statistical significance was found for both the FSFI scores and the BAI scores. It was observed that nulliparity had no effect on the change between periods. CONCLUSION Sexual functions decrease and anxiety increases as we approach the 3rd trimester of pregnancy. There was no significant effect of the parity on the significant change in sexual functions and anxiety between trimesters.
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Affiliation(s)
- Omer Demir
- Department of Gynecology and Obstetrics, Karadeniz Technical University Faculty of Medicine, Trabzon, Turkiye
| | - Hidayet Sal
- Department of Gynecology and Obstetrics, Arakli Bayram Halil State Hospital, Trabzon, Turkiye
| | - Mirac Ozalp
- Department of Gynecology and Obstetrics, Prof. Dr. Cemil Tascioglu City Hospital, Istanbul, Turkiye
| | - Merve Bulut Adas
- Department of Family Medicine, Central Community Health Center, Rize, Turkiye
| | - Turhan Aran
- Department of Gynecology and Obstetrics, Karadeniz Technical University Faculty of Medicine, Trabzon, Turkiye
| | - Mehmet Armagan Osmanagaoglu
- Department of Gynecology and Obstetrics, Karadeniz Technical University Faculty of Medicine, Trabzon, Turkiye
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Maya ET, Boamah MO, Agyabeng K, Srofenyoh E, Mumuni K, Samba A. Determinants of sexual dysfunction in pregnancy in a large tertiary hospital in Ghana. PLoS One 2023; 18:e0288456. [PMID: 37471375 PMCID: PMC10358996 DOI: 10.1371/journal.pone.0288456] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/22/2021] [Accepted: 06/19/2023] [Indexed: 07/22/2023] Open
Abstract
OBJECTIVE To determine the factors associated with sexual dysfunction in pregnancy. METHODS A cross-sectional facility-based study using quantitative methods was carried out among pregnant women attending antenatal clinic of the Greater Accra Regional Hospital from 14th May to 25th June 2018. Four hundred and twenty-seven married or cohabiting women who were at least eight weeks pregnant and have been living together with their partners for at least four weeks prior to the survey were consecutively recruited. The Female Sexual Function Index (FSFI) tool was used to assess their sexual function. Pearson's Chi Square, Fischer's exact, Mann Whitney and Student's t-tests were used for bivariate analysis where appropriate between sexual dysfunction (dependent variable) and demographic, obstetrics and gynecologic factors (independent variables). Multiple logistic regression was done. Statistical significance was set at p-value of less than 0.05 at bivariate and multivariable analyses. RESULTS The mean age of the respondents was 30.8 ± 4.8 years. Their mean gestational age was 32.3 ± 7.1 weeks. Marital status and duration of stay in marriage or cohabitation were significantly associated with sexual dysfunction with adjusted odds ratios of 1.88 (p-value < 0.05) and 1.08 (p-value < 0.05) respectively. CONCLUSION Cohabiting and increasing length of stay with spouse are significantly associated with sexual dysfunction in pregnancy.
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Affiliation(s)
| | - Martin Owusu Boamah
- Department of Obstetrics and Gynecology, Greater Accra Regional Hospital, Accra, Ghana
| | - Kofi Agyabeng
- School of Public Health, University of Ghana, Accra, Ghana
| | - Emmanuel Srofenyoh
- Department of Obstetrics and Gynecology, Greater Accra Regional Hospital, Accra, Ghana
| | - Kareem Mumuni
- Department of Obstetrics and Gynaecology, University of Ghana Medical School, Accra, Ghana
| | - Ali Samba
- Department of Obstetrics and Gynaecology, Korle-bu Teaching Hospital, Accra, Ghana
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Lamba A, Mohajir N, Rahman S. A review of the psychosocial factors that contribute to sexuality, female sexual dysfunction, and sexual pain among Muslim women. Sex Med Rev 2023:7160016. [PMID: 37169514 DOI: 10.1093/sxmrev/qead019] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/15/2022] [Revised: 04/03/2023] [Accepted: 04/07/2023] [Indexed: 05/13/2023]
Abstract
INTRODUCTION Sexual pain disorders are complex conditions experienced by women around the world. Muslim women experience sexuality and sexual dysfunction in a distinct manner that is influenced by religious and cultural standards. Muslim women experiencing sexual pain are a unique patient population whose cultural background should be understood by health care professionals to provide culturally competent care. OBJECTIVES To identify the psychosocial factors that influence Muslim women's experience of sexual pain. METHODS A comprehensive review of the literature through PubMed and Google Scholar was conducted to compile information related to sexual dysfunction, sexual pain, and treatment options in the Muslim women population in the United States and internationally. RESULTS Painful sex among Muslim women has been associated with female genital cutting, cultural taboos, lack of sex education, absence of language to discuss sex, negative cognitions about sex, expectations to bear the male partner's inconsiderate sexual performance, and familial interference. Typical treatments for sexual pain in Islamic countries were explored, with new treatments that have recently been tested. CONCLUSION Understanding sexual pain among Muslim women, including the religious and cultural factors that are potentially associated with this pain, is important for health care professionals to care for their Muslim patients in a culturally competent manner and reduce the implicit bias that may affect quality of care. It appears that providing sexual education, with treatment modalities such as psychotherapy and physical therapy, is useful in treating female sexual pain. We suggest that sexual education, as well as a cultural shift that embraces women's sexual agency, is needed to reduce and prevent sexual pain.
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Affiliation(s)
- Arleen Lamba
- Stritch School of Medicine, Loyola University Chicago, Maywood, IL 60153, United States
| | - Nadiah Mohajir
- HEART Women and Girls, HEART, Chicago, IL 60637, United States
| | - Sameena Rahman
- Obstetrics and Gynecology, Feinberg School of Medicine, Northwestern University, Chicago, IL 60611-3008, United States
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Ugwu EO, Dim CC, Eleje GU. Sexual Function in Pregnancy in a Nigerian Population: A Prospective Longitudinal Study. Niger J Clin Pract 2023; 26:636-645. [PMID: 37357482 DOI: 10.4103/njcp.njcp_119_23] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 06/27/2023]
Abstract
Background Studies are abound from low- and middle-income countries (LMICs) on postpartum sexual dysfunction but very limited in pregnancy. The data will help clinicians in providing women with evidence-based information and counseling in these regards. Aim To determine the effects of different trimesters of pregnancy on sexual functions and the possible risk factors for sexual dysfunction in pregnancy. Patients and Methods The study was longitudinal in design, and study population consisted of 270 pregnant women attending antenatal care at the two largest tertiary hospitals in Enugu, Nigeria. The recruitment was in the first trimester, and each recruited participant served as her own control. Interviews were conducted at specific times in the three trimesters, and data regarding sexual functions were obtained using validated questionnaires. Analysis of variance (ANOVA) was performed to compare the mean total and domain female sexual function index (FSFI) scores between the three trimesters, and Bonferroni's test for significant association between any two trimesters as may be applicable. The risk factors were determined via multivariate logistic regression analysis. A P value ≤0.05 was considered statistically significant. Results The FSFI means total score decreased as pregnancy advanced. It was significantly lower in second trimester (T2) than in first trimester (T1) (P < 0.001), and significantly lower in third trimester (T3) than T1 (P < 0.001), but no difference between T3 and T2 (P = 0.759). Similarly, the mean frequency of coitus per week declined across the trimesters; lower in T2 than T1 (2.2 ± 0.7 vs. 2.4 ± 0.6; P < 0.01), and lower in T3 than T1, but no difference between T3 and T2. The overall rate of sexual dysfunction was 50.7% and the risk factors age ≥35 years (AdjOR: 1.4; 95%CI: 1.1-1.9; P: 0.01), multiparity (AdjOR: 1.7; 95%CI: 1.2-2.5; P: 0.013) and a previous history of cesarean section (AdjOR: 2.1; 95%CI: 1.7-2.6; P: 0.004). Conclusion Sexual function declines as pregnancy advances and the rate of sexual dysfunction is high in Enugu, Nigeria. Obstetricians are encouraged to discuss sexual health issues during antenatal care services and make more efforts towards reducing the modifying obstetric risk factors.
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Affiliation(s)
- E O Ugwu
- Department of Obstetrics and Gynaecology, College of Medicine, University of Nigeria Ituku-Ozalla; Institute of Maternal and Child Health, College of Medicine, University of Nigeria Ituku-Ozalla Campus, Enugu, Nigeria
| | - C C Dim
- Department of Obstetrics and Gynaecology, College of Medicine, University of Nigeria Ituku-Ozalla; Institute of Maternal and Child Health, College of Medicine, University of Nigeria Ituku-Ozalla Campus, Enugu, Nigeria
| | - G U Eleje
- Institute of Maternal and Child Health, College of Medicine, University of Nigeria Ituku-Ozalla Campus; Department of Obstetrics and Gynaecology, Faculty of Medicine, College of Health Sciences, Nnamdi Azikiwe University, Nnewi Campus, Anambra State, Nigeria
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Taştekin Ouyaba A, Infal Kesim S. The prevalence of sexual dysfunctions in pregnant women and the correlated factors: a systematic review and meta-analysis. J Sex Med 2023; 20:475-487. [PMID: 36764823 DOI: 10.1093/jsxmed/qdad002] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/18/2022] [Revised: 12/09/2022] [Accepted: 01/03/2023] [Indexed: 02/12/2023]
Abstract
BACKGROUND Sexual functions are negatively affected during pregnancy with the emergence of physical, hormonal, mental, emotional, and behavioral changes; however, there is no cumulative knowledge about the global prevalence of sexual dysfunction (SD) in pregnant women and the correlated factors in SD. AIM The study aimed to determine the prevalence of SD among pregnant women and the factors correlated with their SD scores. METHODS A systematic review and meta-analysis of studies focusing on SD in pregnant women were conducted in the PubMed, EBSCOhost, Web of Science, Turkish Medline, Scopus, Google Scholar, and Ovid databases by using the following combination of keywords: "pregnant" OR "pregnancy" AND "sexual dysfunction." OUTCOMES Nearly 70% of pregnant women were at risk for SD. The age of the pregnant woman, the spouse's age, and the duration of marriage were negatively correlated with the SD score, while the education level was positively correlated with it. RESULTS Initially, 5644 studies were identified: 693 studies were evaluated for eligibility and 668 were removed following the exclusion criteria. A total of 25 studies involving 6871 pregnant women were included in the meta-analysis. The pooled SD prevalence in pregnant women was 69.7% (95% CI, 59.9%-77.9%). CLINICAL IMPLICATIONS The results of this study can be used in the organization of prenatal care, especially for pregnant women at high risk for SD. STRENGTHS AND LIMITATIONS This meta-analysis is the first to reveal the global prevalence of SD and the factors correlated with SD scores in pregnant women. The most important limitation of this study is that it analyzes documents showing pregnant women at risk for SD according to an unconfirmed measurement tool for pregnant women. CONCLUSION Most pregnant women experience SD symptoms. More research is needed, specifically on validated tools that assess pregnancy-specific SD symptoms.
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Affiliation(s)
- Ayşe Taştekin Ouyaba
- Department of Nursing, Health Sciences Faculty, Afyonkarahisar Health Sciences University, Afyonkarahisar, 03100, Turkey
| | - Selma Infal Kesim
- Department of Nursing, Aksehir Kadir Yallagöz School of Health, Selçuk University, Konya, 42560, Turkey
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Rivera Felix LM, López Sánchez M, Quiñones Colchado ER, Ramos Cardenas MA. [Female sexual dysfunction and factors that influence it during pregnancy. A systematic review in South America and Asia in the last decade]. REVISTA DE LA FACULTAD DE CIENCIAS MÉDICAS 2022; 79:374-378. [PMID: 36542591 PMCID: PMC9987313 DOI: 10.31053/1853.0605.v79.n4.30907] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/14/2020] [Accepted: 02/21/2022] [Indexed: 12/24/2022] Open
Abstract
Introducción: La disfunción sexual femenina (DSF) se define como un trastorno en el deseo, excitación, orgasmo y/o dolor durante la relación sexual, que genera estrés personal y tiene impacto en la calidad de vida, en la presente revisión sistemática, se describen los factores que mayormente influyen en la disfunción sexual femenina durante la etapa gestacional. El objetivo de este trabajo fue analizar los artículos publicados sobre los factores que influyen en la disfunción sexual femenina durante la etapa gestacional en Sudamérica y Asia en la última década. Métodos: Se realizó una revisión sistemática utilizando las siguientes las siguientes bases de datos: Doaj, Nure, Pubmed, Scopus, Scielo, Medigraphic, Revista de salud materno fetal y por último el Artículo ciencias, docencia y tecnología. Resultados: Existen diversos factores que influyen en la disfunción sexual femenina en gestantes y los más frecuentes son por el avance de los trimestres de gestación, por el mismo embarazo, por miedos a complicaciones o creencias, estado emocional, y el estilo de vida que lleva gestante. Conclusión: Existen diversos factores por lo cual se produce este cambio en el comportamiento sexual, para evitar la disfunción sexual femenina en la etapa gestacional se recomienda que la gestante reciba una orientación adecuada sobre los cambios y dificultades en la sexualidad que se darán en este periodo.
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Tosun Güleroğlu F, Uludağ E. The effects of motherhood and body perception on sexual dysfunctions among pregnant women. Perspect Psychiatr Care 2022; 58:2072-2078. [PMID: 35094411 DOI: 10.1111/ppc.13033] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 10/17/2021] [Revised: 12/23/2021] [Accepted: 01/15/2022] [Indexed: 11/27/2022] Open
Abstract
PURPOSE This study aimed to determine the effects of motherhood and body perception of pregnant women on sexual dysfunction. METHODS Data were collected using a demographic data form, the Self-Perception of Pregnants Scale (SPPS) and the Female Sexual Function Index (FSFI). The study which is cross-sectional was conducted with 280 pregnant women. Percentages, Pearson correlation, and multiple regression analyzes were used for data analysis. FINDINGS Pregnant women with a positive pregnancy-related motherhood and body perception had low sexual dysfunction. There was a moderately significant positive relationship between sexual functions and pregnancy-related motherhood perception (r: 0.430, p < 0.001) and a moderately significant negative relationship between pregnancy-related body perception (r: -0.376, p < 0.001). CLINICAL IMPLICATIONS Healthcare professionals should know what is the motherhood and body perception of pregnants while evaluating sexual health.
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Affiliation(s)
| | - Elif Uludağ
- Faculty of Health Sciences, Pamukkale University, Denizli, Turkey
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Shenoi SD, Prabhu SS. Female sexual dysfunction: A clinical case series. Indian J Sex Transm Dis AIDS 2022; 43:208-210. [PMID: 36743123 PMCID: PMC9891021 DOI: 10.4103/ijstd.ijstd_67_20] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/04/2020] [Revised: 09/28/2021] [Accepted: 11/03/2021] [Indexed: 11/17/2022] Open
Abstract
Introduction Female sexual dysfunction (FSD) is a much-neglected area of medicine possibly due to the stigma attached to sexual functioning in most religions and cultures. Materials and Methods Here, we report a case series of 12 females with FSD from the data collated from the sexual dysfunction clinic of a tertiary care hospital in South India. Results Of the 370 patients who were seen in the sexual dysfunction clinic, only 12 (3.24%) were women aged from 22 to 58 years with a duration of marriage 3 months to 25 years. The commonly encountered problems were dyspareunia and hypoactive sexual disorder. Three had nonconsummated marriages. After evaluation, two patients were treated with antipsychotics and all were offered psychosexual counseling. Conclusion Female sexual dysfunction remains unrecognized and under reported, especially in patriarchal cultural societies of the Indian subcontinent.
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Affiliation(s)
- Shrutakirthi Damodar Shenoi
- Department of Dermatology and Venereology, Kasturba Medical College, Manipal, Manipal Academy of Higher Education, Manipal, Karnataka, India
| | - Smitha S. Prabhu
- Department of Dermatology and Venereology, Kasturba Medical College, Manipal, Manipal Academy of Higher Education, Manipal, Karnataka, India
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Gokyildiz Surucu S, Avcibay Vurgec B, Kaya Senol D, Gozuyesil E, Bilgic D, Onat Koroglu C, Daglar G, Avci N, Cayir G, Haliloglu Peker B, Kizilkaya Beji N, Peker H, Yalcin O. Evaluation of women's sexual quality of life, depression, and sexual functions in the pregnancy and postpartum periods: A multi-centered study. J Obstet Gynaecol Res 2022; 48:1379-1389. [PMID: 35315957 DOI: 10.1111/jog.15227] [Citation(s) in RCA: 4] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/07/2021] [Revised: 02/28/2022] [Accepted: 03/07/2022] [Indexed: 11/28/2022]
Abstract
AIM This multi-centered, longitudinal, and prospective study aims to identify women's sexual functions, sexual quality of life, and depression and their relationships with each other in the pregnancy and postpartum periods. METHODS The participating pregnant women (n = 113) were interviewed six times: once in each trimester, and once in the eighth week third month, and sixth month postpartum. This study was conducted in three regions of Turkey including Marmara, Mediterranean, and Central Anatolia regions. Data were collected through the "Socio-demographic Form," "Female Sexual Function Index (FSFI)," Sexual Quality of Life-Female Questionnaire (SQLQ-F), and "Center for Epidemiologic Studies-Depression Scale (CES-D)." While the first interviews were administered face to face, successive ones were administered via phone. RESULTS The sexual dysfunction rates of the participants were found to be high in the pregnancy and postpartum periods, and their sexual quality of life, which decreased as the pregnancy months progressed, was found to increase significantly with the progress in the postpartum period. The sexual dysfunction increased and sexual quality of life decreased significantly with the increase in depression symptoms in the pregnancy and postpartum periods. When the depressive symptoms decreased especially in the sixth month postpartum, sexual quality of life was also found to increase. CONCLUSIONS As a result, in the pregnancy and postpartum periods, it is highly important to provide women with diagnosis through a holistic approach by creating available environments to assess their psychological health and sexual functions and refer them to the related physicians when necessary.
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Affiliation(s)
- Sule Gokyildiz Surucu
- Midwifery Department, Faculty of Health Sciences, Cukurova University, Adana, Turkey
| | - Burcu Avcibay Vurgec
- Midwifery Department, Faculty of Health Sciences, Cukurova University, Adana, Turkey
| | - Derya Kaya Senol
- Midwifery Department, Faculty of Health Sciences, Osmaniye Korkut Ata University, Osmaniye, Turkey
| | - Ebru Gozuyesil
- Midwifery Department, Faculty of Health Sciences, Cukurova University, Adana, Turkey
| | - Dilek Bilgic
- Faculty of Nursing, Dokuz Eylul University, Izmir, Turkey
| | - Cemile Onat Koroglu
- Nursing Department, Faculty of Health Sciences, Hatay Mustafa Kemal University, Hatay, Turkey
| | - Gulseren Daglar
- Midwifery Department, Faculty of Health Sciences, Sivas Cumhuriyet University, Sivas, Turkey
| | - Nilgun Avci
- Midwifery Department, Faculty of Health Sciences, Biruni University, Istanbul, Turkey
| | - Gulsen Cayir
- Midwifery Department, Faculty of Health Sciences, Biruni University, Istanbul, Turkey
| | - Berna Haliloglu Peker
- Obstetric and Gynecology Department, Maltepe University Faculty of Medicine, Istanbul, Turkey
| | | | - Hakan Peker
- Vocational School, Nisantasi University, Istanbul, Turkey
| | - Onay Yalcin
- Department of Health Sciences, Kyrenia University, Kyrenia, Northern Cyprus
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Fuchs A, Dulska A, Bodziony J, Szul M, Drosdzol-Cop A. Female Sexual Function in Twin Pregnancy. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2022; 19:3546. [PMID: 35329228 PMCID: PMC8955136 DOI: 10.3390/ijerph19063546] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 02/01/2022] [Revised: 03/04/2022] [Accepted: 03/14/2022] [Indexed: 02/01/2023]
Abstract
INTRODUCTION The incidence of twin pregnancy is estimated at 1 per 80 single pregnancies. As the topic of sexual function among women with multiple pregnancy is insufficiently developed, we believe it is appropriate to raise this subject. METHODS A prospective study was conducted on 100 women during subsequent trimesters of pregnancy. RESULTS From a group of 100 women, 54 women were primiparous, while 46 women had a history of previous delivery. The mean overall FSFI (female sexual function index) was found to be 24.3 ± 6.1. Mean FSFI was the highest in the first trimester at 25.6. The result decreased successively to 24.8 ± 7 and 22.6 ± 8.4 in the second and third trimesters, respectively. The patient's place of residence had a crucial impact on their FSFI score. The results were considerably higher for residents of small and medium towns or cities-24.4 ± 3.8 and 25.9 ± 4.9, respectively-while for those living in rural areas, the FSFI reached only 21.7 ± 5.4. CONCLUSIONS The present study shows that the FSFI decreased throughout twin pregnancy. The lowest observed FSFI occurred in the third trimester, while the highest FSFI occurred during the first trimester.
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Affiliation(s)
- Anna Fuchs
- Chair and Department of Gynecology, Obstetrics and Oncological Gynecology, Medical University of Silesia, 40-055 Katowice, Poland; (A.D.); (J.B.); (M.S.); (A.D.-C.)
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Masoudi M, Maasoumi R, Bragazzi NL. Effects of the COVID-19 pandemic on sexual functioning and activity: a systematic review and meta-analysis. BMC Public Health 2022; 22:189. [PMID: 35086497 PMCID: PMC8794736 DOI: 10.1186/s12889-021-12390-4] [Citation(s) in RCA: 54] [Impact Index Per Article: 27.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/04/2021] [Accepted: 12/07/2021] [Indexed: 02/08/2023] Open
Abstract
BACKGROUND Since December 2019, when it was first reported in Wuhan, province of Hubei, China, the new virus SARS-CoV-2 has spread rapidly around the world and has become a global pandemic. During the COVID-19 pandemic, due to the public health measures implemented, people's sexual activity has also been affected. Restrictions on people's activities, reduced sports activities, economic issues, increased psychological stress, and reduced entertainment have, indeed, dramatically impacted sexual activity and functioning. The purpose of this study was tosystematically identify, collect and summarize the existing body of evidence from published studies on the effects of COVID-19 pandemic on sexual activity and functioning. METHODS Several scholarly databases, namely MEDLINE (via PubMed interface), Web of Science (WOS), Embase, CINAHL, the Cochrane Library, Scopus, and PsycINFO databases, were mined from December 2019 to the end of January 2021. We utilized a random-effect meta-analytical model to analyze all the data. More in detail, the Standardized Mean Difference (SMD) was used in order to estimate and evaluate the effects of the COVID-19 pandemic on sexual activity and functioning. RESULTS Twenty-one studies were included in the present study. In total, 2454 women and 3765 men were evaluated. In the present meta-analysis, sexual functioning and activity were assessed by means of two standardized and reliable tools, namely the "Female Sexual Function Index" (FSFI) and the "International Index of Erectile Function-5 items" (IIEF-5). A total of 5 studies reported the FSFI score before and after the COVID-19 pandemic in female participants. Based on the random-effect model, the SMD was computed to be - 4.26 [95% confidence interval or CI: - 7.26, - 1.25], being statistically significant. A total of 3 studies reported the IIEF-5 score before and after the COVID-19 pandemic in male participants. Based on the random-effect model, the SMD was computed to be - 0.66 [CI 95%: - 0.99, - 0.33], being statistically significant. In the majority of these studies, participants reported a reduction in the number of sexual relations and an increase in the frequency of solo sex activity, especially masturbation, compared to the time prior to the COVID-19 pandemic. CONCLUSION The results of the present study showed that COVID-19 related restrictions were correlated with higher rates of sexual dysfunction and reduced sexual activity; however, results of the current meta-analytical study show that this change in sexual functioning was greater in women compared to men. Sex is one of the dimensions of every person's life; therefore, researchers should identify the factors that lead to sexual dysfunction due to COVID-19 pandemic in their community. In this regard, sexologists should design and implement effective programs to reduce the heterogeneous causes affecting sexual functioning, given the psychological strain that the COVID-19 pandemic puts on individuals.
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Affiliation(s)
- Mojgan Masoudi
- grid.411705.60000 0001 0166 0922Department of Midwifery and Reproductive Health, School of Nursing and Midwifery, Tehran University of Medical Sciences, Tehran, Iran
| | - Raziyeh Maasoumi
- grid.411705.60000 0001 0166 0922Department of Midwifery and Reproductive Health, School of Nursing and Midwifery, Tehran University of Medical Sciences, Tehran, Iran ,grid.411705.60000 0001 0166 0922Nursing and Midwifery Care Research Center, School of Nursing and Midwifery, Tehran University of Medical Sciences, Tehran, Iran
| | - Nicola Luigi Bragazzi
- grid.21100.320000 0004 1936 9430Laboratory for Industrial and Applied Mathematics (LIAM), Department of Mathematics and Statistics, York University, Toronto, ON Canada ,grid.5606.50000 0001 2151 3065Department of Health Sciences (DISSAL), Postgraduate School of Public Health, University of Genoa, Genoa, Italy
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Uludağ E, Tosun Güleroğlu F, Kul Uçtu A. Effects of Sexual Behaviour, Intercourse, Satisfaction-Related Myths and Perceived Spirituality on Sexual Dysfunctions in Muslim Pregnant Women. JOURNAL OF RELIGION AND HEALTH 2021; 60:4249-4263. [PMID: 34089421 DOI: 10.1007/s10943-021-01301-x] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Accepted: 05/31/2021] [Indexed: 06/12/2023]
Abstract
The aim of this study was to examine the effects of sexual behaviour, intercourse, satisfaction-related myths and spirituality on sexual dysfunctions in Muslim pregnant women. The study had a descriptive, cross-sectional and correlational design and was performed with 215 Muslim pregnant women. Descriptive statistics and multiple regression analyses were utilized for data analysis. As a result of the multiple regression analyses, sexual dysfunctions were most affected by sexual behaviour myths and least affected by perceived spirituality. It can be suggested that sexuality should be incorporated into prenatal care and counselling.
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Affiliation(s)
- Elif Uludağ
- Faculty of Health Science, Pamukkale University, Denizli, Turkey.
| | | | - Arzu Kul Uçtu
- Faculty of Gülhane Health Science, Health Science University, Ankara, Turkey
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15
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Sexual life changes in pregnant women during COVID-19 outbreak. JOURNAL OF SURGERY AND MEDICINE 2021. [DOI: 10.28982/josam.873383] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/28/2022] Open
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16
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Dağli E, Kul Uçtu A, Özerdoğan N. Sexual dysfunction in the postpartum period: Its relationship with postpartum depression and certain other factors. Perspect Psychiatr Care 2021; 57:604-609. [PMID: 32677049 DOI: 10.1111/ppc.12583] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 06/09/2020] [Accepted: 07/04/2020] [Indexed: 12/01/2022] Open
Abstract
PURPOSE This study aimed to determine the prevalence of female sexual dysfunction in the postpartum period and its relationship with postpartum depression and certain other factors. DESIGN AND METHODS Data were collected using an information form, the female sexual function index (FSFI), and the Edinburgh postpartum depression scale (EPDS) (N = 123). FINDINGS A negative, very high, and statistically significant relationship was found between FSFI and EPDS scores (r = -0.831; P = .000). PRACTICE IMPLICATIONS The frequency of sexual dysfunction may increase in women at risk of postpartum depression.
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Affiliation(s)
- Elif Dağli
- Health Care Services Department, Abdi Sütcü Vocational School of Health Services, Çukurova University, Adana, Turkey
| | - Arzu Kul Uçtu
- Midwifery Department, Health School, Bozok University, Yozgat, Turkey
| | - Nebahat Özerdoğan
- Midwifery Department, Faculty of Health Sciences, Eskişehir Osmangazi University, Eskişehir, Turkey
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Nakip G, Gürşen C, Baran E, Üzelpasaci E, Çinar GN, Özgül S, Beksaç MS, Akbayrak T. Psychometric properties of the Turkish version of the Pregnancy Sexual Response Inventory. Arch Gynecol Obstet 2021; 304:101-107. [PMID: 33475828 DOI: 10.1007/s00404-020-05933-4] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/23/2020] [Accepted: 12/01/2020] [Indexed: 11/25/2022]
Abstract
PURPOSE The purpose of this study was to adapt the Pregnancy Sexual Response Inventory (PSRI) into Turkish and to determine the psychometric properties for pregnant women. METHODS A total of 139 pregnant women were included in the study. The psychometric features of the questionnaire were analyzed in terms of internal consistency, test-retest reliability, content and criterion validity. The Turkish version of the PSRI and the Female Sexual Function Index (FSFI) was completed by the pregnant women. Criterion validity was tested by measuring the correlations between the total and subscale scores of the PSRI and the FSFI. RESULTS The test-retest reliability of the Turkish PSRI was found to be moderate to very strong (ICC = 0.57-0.96, p < 0.001). The internal consistency [Cronbach's alpha (α) coefficient] was found to be 0.65-0.70 before pregnancy and 0.73-0.80 during pregnancy. The criterion validity of the PSRI was supported by moderate to strong correlations between the subscales of the FSFI (desire, arousal, orgasm, satisfaction, pain) and the subscales of the PSRI-during pregnancy (r = 0.59, r = 0.45, r = 0.64, r = 0.53, r = 0.41, p < 0.001, respectively). The total score of the PSRI was significantly correlated with the total score of the FSFI (r = 0.71, p < 0.001). CONCLUSION The results of this study showed that the Turkish version of the PSRI has valid and reliable properties for assessing sexuality and sexual response during pregnancy.
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Affiliation(s)
- Gülbala Nakip
- Department of Physiotherapy and Rehabilitation, Faculty of Physical Therapy and Rehabilitation, Hacettepe University, Samanpazari, 06100, Ankara, Turkey.
| | - Ceren Gürşen
- Department of Physiotherapy and Rehabilitation, Faculty of Physical Therapy and Rehabilitation, Hacettepe University, Samanpazari, 06100, Ankara, Turkey
| | - Emine Baran
- Department of Physiotherapy and Rehabilitation, Faculty of Physical Therapy and Rehabilitation, Hacettepe University, Samanpazari, 06100, Ankara, Turkey
| | - Esra Üzelpasaci
- Department of Physiotherapy and Rehabilitation, Faculty of Physical Therapy and Rehabilitation, Hacettepe University, Samanpazari, 06100, Ankara, Turkey
| | - Gamze Nalan Çinar
- Department of Physiotherapy and Rehabilitation, Faculty of Physical Therapy and Rehabilitation, Hacettepe University, Samanpazari, 06100, Ankara, Turkey
| | - Serap Özgül
- Department of Physiotherapy and Rehabilitation, Faculty of Physical Therapy and Rehabilitation, Hacettepe University, Samanpazari, 06100, Ankara, Turkey
| | - Mehmet Sinan Beksaç
- Division of Perinatology, Department of Obstetrics and Gynecology, Hacettepe University, Ankara, Turkey
| | - Türkan Akbayrak
- Department of Physiotherapy and Rehabilitation, Faculty of Physical Therapy and Rehabilitation, Hacettepe University, Samanpazari, 06100, Ankara, Turkey
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Karakas LA, Azemi A, Simsek SY, Akilli H, Esin S. Risk factors for sexual dysfunction in pregnant women during the COVID-19 pandemic. Int J Gynaecol Obstet 2020; 152:226-230. [PMID: 33141928 PMCID: PMC9087706 DOI: 10.1002/ijgo.13462] [Citation(s) in RCA: 6] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/02/2020] [Revised: 10/16/2020] [Accepted: 11/02/2020] [Indexed: 01/26/2023]
Abstract
Objective To evaluate the level of sexual function during the COVID‐19 pandemic in pregnant women followed up in Baskent University Faculty of Medicine, Turkey, using the Female Sexual Function Index (FSFI). Methods An observational analysis was performed on pregnant women who were not infected with COVID‐19. A total of 135 pregnant women (group 1), 45 of whom were in the first trimester, 45 in the second trimester, and 45 in the third trimester, and 45 healthy women who were not pregnant (group 2), were included in the study. The FSFI was used to assess sexual dysfunction status. Results A total of 118 (87.4%) pregnant participants and 31 (68.9%) non‐pregnant participants were diagnosed as having sexual dysfunction according to the FSFI. When comparing groups 1 and 2, FSFI scores were significantly lower in group 1 (p = 0.002). It was also found that women who had university degrees, were multiparous, and in the third trimester were more likely to develop sexual dysfunction (p = 0.030, p = 0.029, and p = 0.001, respectively). FSFI scores were found to be significantly higher in planned pregnancies than in unplanned pregnancies (p = 0.001). Conclusion The sexual function of uninfected pregnant women decreased during the COVID‐19 pandemic, negatively influenced by restrictive social distancing measures. Restrictive social distancing measures have negatively influenced the sexual function of university‐educated and multiparous uninfected pregnant women during the COVID‐19 pandemic.
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Affiliation(s)
- Latife A Karakas
- Department of Obstetrics and Gynecology, Baskent University Faculty of Medicine, Ankara, Turkey
| | - Asli Azemi
- Department of Obstetrics and Gynecology, Baskent University Faculty of Medicine, Ankara, Turkey
| | - Seda Y Simsek
- Department of Obstetrics and Gynecology, Baskent University Faculty of Medicine, Adana, Turkey
| | - Huseyin Akilli
- Department of Obstetrics and Gynecology, Baskent University Faculty of Medicine, Ankara, Turkey
| | - Sertac Esin
- Department of Obstetrics and Gynecology, Baskent University Faculty of Medicine, Ankara, Turkey
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19
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The Effect of Exposure to Sexual Violence on Sexual Dysfunction and Sexual Distress in Pregnant Women. J Sex Med 2020; 17:2394-2407. [PMID: 33199238 DOI: 10.1016/j.jsxm.2020.09.006] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/22/2020] [Revised: 09/01/2020] [Accepted: 09/17/2020] [Indexed: 11/22/2022]
Abstract
BACKGROUND Sexual dysfunction and sexual distress are common during pregnancy, but the effects of exposure to sexual violence on sexual dysfunction and sexual distress in pregnant women is unknown. AIM The aim of this study was to determine the effects of sexual violence on female sexual dysfunction and sexual distress. METHODS This is a descriptive study. Data were collected between December 2019 and April 2020 from 605 pregnant women. OUTCOMES The data were collected with a Data Collection Form (The socio-demographic and obstetric characteristics and exposure to sexual violence were evaluated with questions.), Female Sexual Function Index, and Female Sexual Distress Scale-Revised. RESULTS In our study, sexual dysfunction was found in 72.9% of the pregnant women, and sexual distress was found in 38.2%. It was found that 11.6% of the women were exposed to sexual violence in their then-current pregnancy. While the rate of sexual distress was found to be significantly higher in women who were exposed to sexual violence during pregnancy (P < .001), no significant difference was found between sexual violence and female sexual dysfunction (P = .572). Sexual violence during pregnancy was found to be a risk factor for sexual distress (P = .006). CLINICAL IMPLICATIONS This study may be an opportunity for nurses and physicians to determine the effects of sexual violence experienced by pregnant women on female sexual dysfunction and sexual distress during pregnancy. STRENGTH & LIMITATIONS This is the first and only study that determines the effects of sexual violence on female sexual dysfunction and sexual distress. Our findings cannot be generalized to the entire population of Turkey. CONCLUSION The presence of female sexual dysfunction in women during pregnancy is quite high, and the rate of sexual distress is moderate. Sexual violence from partner/spouse during pregnancy is a risk factor for sexual distress. Alan Dikmen H, Çankaya S. The Effect of Exposure to Sexual Violence on Sexual Dysfunction and Sexual Distress in Pregnant Women. J Sex Med 2020;17:2394-2407.
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Oche OM, Abdullahi Z, Tunau K, Ango JT, Yahaya M, Raji IA. Sexual activities of pregnant women attending antenatal clinic of a tertiary hospital in North-West Nigeria. Pan Afr Med J 2020; 37:140. [PMID: 33425173 PMCID: PMC7757294 DOI: 10.11604/pamj.2020.37.140.25471] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/10/2020] [Accepted: 09/14/2020] [Indexed: 01/23/2023] Open
Abstract
Introduction myths about sex during pregnancy harming fetus and leading to preterm labor or miscarriage are very strong factors releasing fear and leading to avoidance of sexual contact during gestation. We therefore evaluated the attitude, sexual experiences and changes in sexual function during pregnancy. Methods a cross-sectional study was conducted among 170 pregnant women who were selected using systematic sampling. Data were collected using an interviewer-administered questionnaire. Data was analysed using IBM SPSS® version 22.0. Descriptive statistics, Chi-square test and Cochran´s Q-test were estimated. Results the mean age of respondents was 27.2 ± 6.2 years. Most of the respondents, 107 (62.7%) had formal education. One-fifth of the respondents, 34 (20.2%) have been married for over 10 years. More than half of them were multiparous, 112 (68.3%) and in the third trimester of pregnancy, 99 (59.6%). Majority of the respondents, 153 (87.9%) thought coitus was safe in pregnancy. More than half 89 (58.2%) had coitus at least thrice a week before pregnancy and 98.8% have engaged in sexual activities during pregnancy. Most of the respondents, 105 (61.1%) enjoyed coitus during pregnancy. The desire for coitus significantly reduced in the third trimester, p=0.001. Conclusion sexual intercourse during pregnancy was universal and respondents engaged in sexual activities during different stages of pregnancy. Although sexual frequency declined in pregnancy compared to pre-pregnancy period, most of the respondents desired and enjoyed it. We recommend that couples are well educated to understand the normal fluctuations in sexual interest and practices during pregnancy.
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Affiliation(s)
- Oche Mansur Oche
- Department of Community Medicine, Usmanu Danfodiyo University Teaching Hospital, Sokoto, Nigeria.,Department of Community Health, Usmanu Danfodiyo University, Sokoto, Nigeria
| | - Zainab Abdullahi
- Department of Community Medicine, Usmanu Danfodiyo University Teaching Hospital, Sokoto, Nigeria
| | - Karima Tunau
- Department of Obstetrics and Gynaecology, Usmanu Danfodiyo University Teaching Hospital, Sokoto, Nigeria
| | - Jessica Timane Ango
- Department of Community Medicine, Usmanu Danfodiyo University Teaching Hospital, Sokoto, Nigeria
| | - Musa Yahaya
- Department of Community Health, Usmanu Danfodiyo University, Sokoto, Nigeria
| | - Ismail Abdullateef Raji
- Department of Community Medicine, Usmanu Danfodiyo University Teaching Hospital, Sokoto, Nigeria.,Nigeria Field Epidemiology and Laboratory Training Program, Asokoro, Abuja, Nigeria
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21
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Bahrami Vazir E, Mohammad-Alizadeh-Charandabi S, Kamalifard M, Ghelichkhani F, Mohammadi A, Mirghafourvand M. The correlation between sexual dysfunction and intimate partner violence in young women during pregnancy. BMC INTERNATIONAL HEALTH AND HUMAN RIGHTS 2020; 20:24. [PMID: 32928215 PMCID: PMC7491062 DOI: 10.1186/s12914-020-00245-9] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Subscribe] [Scholar Register] [Received: 12/31/2018] [Accepted: 09/08/2020] [Indexed: 11/10/2022]
Abstract
Background Sexual function is one of the main aspects of life. Pregnancy affects sexual function. The aim of this study was to determine the sexual dysfunction in young pregnant women and its correlation with intimate partner violence (IPV). Methods This cross-sectional study was conducted using two-stage cluster sampling method. The data were collected using a socio-demographic questionnaire, Female Sexual Function Index (FSFI), and Conflict Tactics Scale (CTS2). Multivariate logistic regression was used to determine the relationships between sexual dysfunction with IPV and socio-demographic factors. Results The results of this study on 346 pregnant women aged 18–29 years showed that mean (SD = standard deviation) of the total sexual function score was 25.4 (5.9), within a possible score range of 2 to 36. About 66% of the young pregnant women had a sexual dysfunction. The lowest and the highest prevalence of sexual dysfunction were in sub domains of sexual satisfaction and sexual desire, respectively. The prevalence of overall IPV against young women was 63%. The most common type of IPV experienced by women was psychological aggression (56.6%). There were statistically significant relationships between sexual dysfunction and IPV (OR (Odds Ratio) = 0.4, 95% Confidence Interval = 0.2 to 0.6, p < 0.001), sufficiency of income for expenses (0.2, 0.1 to 0.6, p = 0.005), husband educational level (0.5, 0.3 to 0.9, p = 0.028) and marriage duration (1.9, 1.0 to 3.7, p = 0.044). Conclusions Sexual dysfunction has a high prevalence in young pregnant women and IPV had correlation with sexual dysfunction. The routine screening for sexual dysfunction and IPV is recommended during pregnancy for detection and consulting.
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Affiliation(s)
- Ellahe Bahrami Vazir
- Department of midwifery, Faculty of Nursing and Midwifery, Ilam University of Medical Sciences, Ilam, Islamic Republic of Iran
| | - Sakineh Mohammad-Alizadeh-Charandabi
- Department of Midwifery, Social Determinants of Health Research Centre, Faculty of Nursing and Midwifery, Tabriz University of Medical Sciences, Tabriz, Islamic Republic of Iran
| | - Mahin Kamalifard
- Department of Midwifery, Faculty of Nursing and Midwifery, Tabriz University of Medical Sciences, Tabriz, Islamic Republic of Iran
| | - Fatemeh Ghelichkhani
- Department of Midwifery, Imam Sajjad Hospital, Shahriar, Iran University of Medical Sciences, Tehran, Islamic Republic of Iran
| | - Azam Mohammadi
- Department of Midwifery and Reproductive Health, Faculty of Nursing and Midwifery, Tehran University of Medical Sciences, Tehran, Islamic Republic of Iran
| | - Mojgan Mirghafourvand
- Department of Midwifery, Social Determinants of Health Research Centre, Faculty of Nursing and Midwifery, Tabriz University of Medical Sciences, Tabriz, Islamic Republic of Iran.
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Aksoy Derya Y, Gök Uğur H, Özşahin Z. Effects of demographic and obstetric variables with body image on sexual dysfunction in pregnancy: A cross-sectional and comparative study. Int J Nurs Pract 2020; 26:e12829. [PMID: 32155306 DOI: 10.1111/ijn.12829] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/22/2019] [Revised: 02/16/2020] [Accepted: 02/17/2020] [Indexed: 11/30/2022]
Abstract
AIM This study was conducted to determine the effects of demographic and obstetric variables with body image on sexual dysfunction in pregnant women. BACKGROUND Sexual dysfunction is frequent in pregnant women. To what extent body image plays a role is incompletely understood. METHODS In the research, a cross-sectional and comparative study was conducted. A personal information form, body image scale, and female sexual function index were applied to 472 pregnant women. Descriptive statistics, the Student t-test, the χ2 test, and logistic regression analysis were employed for evaluating the data. RESULTS Sexual dysfunction was found in 54.7%. The frequency of sexual dysfunction in the first trimester was lower. In addition, factors like the place of residence of the pregnant women and number of pregnancies were found to be related to sexual dysfunction in pregnant women. Each unit decrease in body image score resulted in women being 0.98 times more likely to experience sexual dysfunction. CONCLUSION It was determined that approximately one in two pregnant women experienced sexual dysfunction, and body image, place of residence, trimester of the pregnancy, and number of pregnancies were important factors affecting sexual function.
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Affiliation(s)
- Yesim Aksoy Derya
- Department of Midwifery, Faculty of Health Sciences, Inonu University, Malatya, Turkey
| | - Hacer Gök Uğur
- Department of Nursing, Faculty of Health Sciences, Ordu University, Ordu, Turkey
| | - Zeliha Özşahin
- Department of Midwifery, Faculty of Health Sciences, Inonu University, Malatya, Turkey
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Fuchs A, Czech I, Sikora J, Fuchs P, Lorek M, Skrzypulec-Plinta V, Drosdzol-Cop A. Sexual Functioning in Pregnant Women. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2019; 16:ijerph16214216. [PMID: 31671702 PMCID: PMC6862185 DOI: 10.3390/ijerph16214216] [Citation(s) in RCA: 15] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 09/27/2019] [Revised: 10/26/2019] [Accepted: 10/28/2019] [Indexed: 11/25/2022]
Abstract
Sexual activity during pregnancy is determined by emotional, psychosocial, hormonal, and anatomical factors and varies during trimesters. This work aimed to establish women’s sexual activity during each trimester of pregnancy. A total of 624 women were included in the study and filled in the questionnaire three times, once during each trimester of pregnancy. The first part of the survey included questions about socio-demographic characteristics, obstetric history, and medical details of a given pregnancy. The second part was the Polish version of the female sexual function index (FSFI) questionnaire. Comparison of the mean scores for the overall sexual function of each trimester revealed clinically relevant sexual dysfunction in the second and third trimesters (mean values 25.9 ± 8.7 and 22.7 ± 8.7, respectively; p < 0.01). Women were most sexually active during their second trimester. In the first trimester of pregnancy, women were most likely to choose intercourse in the missionary position. Women with vocational education were characterized by the lowest and homogenous FSFI values. Total FSFI score depended on the martial status—the highest value pertained to married women (25.2 ± 6.9; p = 0.02).
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Affiliation(s)
- Anna Fuchs
- Department of Pregnancy Pathology, School of Health Sciences in Katowice, Medical University of Silesia, 40-752 Katowice, Poland.
- Department of Woman's Health, School of Health Sciences in Katowice, Medical University of Silesia, 40-752 Katowice, Poland.
| | - Iwona Czech
- Department of Pregnancy Pathology, School of Health Sciences in Katowice, Medical University of Silesia, 40-752 Katowice, Poland.
- Department of Woman's Health, School of Health Sciences in Katowice, Medical University of Silesia, 40-752 Katowice, Poland.
| | - Jerzy Sikora
- Department of Pregnancy Pathology, School of Health Sciences in Katowice, Medical University of Silesia, 40-752 Katowice, Poland.
- Department of Woman's Health, School of Health Sciences in Katowice, Medical University of Silesia, 40-752 Katowice, Poland.
| | - Piotr Fuchs
- Department of Pregnancy Pathology, School of Health Sciences in Katowice, Medical University of Silesia, 40-752 Katowice, Poland.
- Department of Woman's Health, School of Health Sciences in Katowice, Medical University of Silesia, 40-752 Katowice, Poland.
| | - Miłosz Lorek
- Department of Pregnancy Pathology, School of Health Sciences in Katowice, Medical University of Silesia, 40-752 Katowice, Poland.
- Department of Woman's Health, School of Health Sciences in Katowice, Medical University of Silesia, 40-752 Katowice, Poland.
| | - Violetta Skrzypulec-Plinta
- Department of Woman's Health, School of Health Sciences in Katowice, Medical University of Silesia, 40-752 Katowice, Poland.
| | - Agnieszka Drosdzol-Cop
- Department of Pregnancy Pathology, School of Health Sciences in Katowice, Medical University of Silesia, 40-752 Katowice, Poland.
- Department of Woman's Health, School of Health Sciences in Katowice, Medical University of Silesia, 40-752 Katowice, Poland.
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Nunes SK, Rudge CVC, Quiroz SCBV, Hallur RL, Prudencio CB, Pinheiro FA, Filho CIS, Odland J, Calderon IMP, Barbosa AMP, Rudge MVC. Impact of Gestational Diabetes Mellitus on Sexual Function: A Case-Control Study. J Womens Health (Larchmt) 2019; 29:1150-1159. [PMID: 31647360 DOI: 10.1089/jwh.2019.7794] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/12/2022] Open
Abstract
Background: The prevalence of gestational diabetes mellitus (GDM) is increasing worldwide, and this condition may be compromising female sexual function. However, there are controversial findings regarding the impact of GDM diagnosis and proposed treatments on sexual function during pregnancy. Therefore, this study seeks to elucidate the impact of GDM on sexual function in pregnant women by making a comparison between GDM and non-GDM groups using pregnancy sexual response inventory (PSRI). Materials and Methods: A case-control study involved 303 [168 women without GDM (control group) and 108 women diagnosed with GDM (case group)] Brazilian pregnant women at the Perinatal Diabetes Research Centre-Universidade Estadual Paulista, Brazil. PSRI was used to collect the data. The sexual function was scored in 10 domains as composite and specific scores by domains, categorized into quartiles (0 < 25 "very low," 25 < 50 "low," 50 < 75 "high," and 75-100 "very high"), for "before pregnancy" and "during pregnancy." The obtained data were subjected to statistical analysis using Student's t-, F-, and chi-square tests. Results: GDM women (PSRI composite score <50) are at risk of decreased sexual function during pregnancy, while non-GDM women are not at risk (PSRI composite score >50). There were no significant differences in the sexual functions between the two groups before pregnancy (p > 0.0001). After GDM diagnosis and proposed treatment, the differences were significant (p < 0.0001), notably in the frequency, arousal, orgasm, satisfaction, and dyspareunia score. Conclusions: This study showed that GDM diagnosis and proposed treatment resulted in decreased sexual functions during pregnancy.
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Affiliation(s)
- Sthefanie K Nunes
- Department of Gynecology and Obstetrics, Botucatu Medical School, São Paulo State University (UNESP), Botucatu, SP, Brazil
| | - Cibele V C Rudge
- Department of Gynecology and Obstetrics, Botucatu Medical School, São Paulo State University (UNESP), Botucatu, SP, Brazil
| | - Sofia C B V Quiroz
- Department of Gynecology and Obstetrics, Botucatu Medical School, São Paulo State University (UNESP), Botucatu, SP, Brazil
| | - Raghavendra L Hallur
- Department of Gynecology and Obstetrics, Botucatu Medical School, São Paulo State University (UNESP), Botucatu, SP, Brazil
| | - Caroline B Prudencio
- Department of Gynecology and Obstetrics, Botucatu Medical School, São Paulo State University (UNESP), Botucatu, SP, Brazil
| | - Fabiane A Pinheiro
- Department of Gynecology and Obstetrics, Botucatu Medical School, São Paulo State University (UNESP), Botucatu, SP, Brazil
| | - Carlos I Sartorão Filho
- Department of Gynecology and Obstetrics, Botucatu Medical School, São Paulo State University (UNESP), Botucatu, SP, Brazil
| | - Jon Odland
- Department of Public Health and Nursing, Norwegian University of Science and Technology (NTNU), Trondheim, Norway
| | - Iracema M P Calderon
- Department of Gynecology and Obstetrics, Botucatu Medical School, São Paulo State University (UNESP), Botucatu, SP, Brazil
| | - Angélica M P Barbosa
- Department of Gynecology and Obstetrics, Botucatu Medical School, São Paulo State University (UNESP), Botucatu, SP, Brazil.,Department of Physiotherapy and Occupational Therapy, School of Philosophy and Sciences, São Paulo State University (UNESP), Marilia, SP, Brazil
| | - Marilza V C Rudge
- Department of Gynecology and Obstetrics, Botucatu Medical School, São Paulo State University (UNESP), Botucatu, SP, Brazil
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Daud S, Zahid AZM, Mohamad M, Abdullah B, Mohamad NAN. Prevalence of sexual dysfunction in pregnancy. Arch Gynecol Obstet 2019; 300:1279-1285. [PMID: 31435778 DOI: 10.1007/s00404-019-05273-y] [Citation(s) in RCA: 11] [Impact Index Per Article: 2.2] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/03/2019] [Accepted: 08/08/2019] [Indexed: 12/15/2022]
Abstract
PURPOSE This study aims to determine the prevalence of sexual dysfunction during pregnancy and to determine its associated factors. METHODS This 6-month cross-sectional study adopted convenience sampling; inclusion criteria were healthy pregnant women, sexually active and living together with their partner for 3 months prior to recruitment into this study. Women who received advice to avoid sexual intercourse, with any medical illness and/or those conceived via assisted reproductive technology were excluded. Participants filled in a questionnaire consisting of demographic details and Malay Version Female Sexual Function Index Questionnaire. Data were analysed using SPSS 24.0; categorical data were analyzed by Chi-square and Fisher exact test. RESULTS One hundred pregnant women with a mean age of 31 + 4.31 years old participated. By using the cut-off FSFI score of 26.55, 81 (81%) participants were diagnosed to have sexual dysfunction. The mean FSFI score was 20.41 ± 8.45 (range 2.6-33.5; median 23.6). All the mean FSFI scores of first, second and third trimesters were low with 22.80 ± 10.67, 23.81 ± 7.18 and 18.74 ± 8.43, respectively. The mean score for desire, arousal, satisfaction and pain were significantly lower in the third trimester than earlier gestation. There was a significant difference in the incidence of difficulties in desire, arousal, lubrication, satisfaction and pain between first and second trimester combined, as compared to the third trimester of pregnancy. Trimester of pregnancy was found to have a significant association with the incidence of sexual dysfunction. CONCLUSION Sexual dysfunction among pregnant women is a significant burden. Despite being a common health problem, it is often neglected.
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Affiliation(s)
- Suzanna Daud
- Maternofetal and Embryo (MatE) Research Group, Faculty of Medicine, Universiti Teknologi MARA, Sungai Buloh Campus, 47000, Sungai Buloh, Selangor, Malaysia.
- Obstetrics and Gynaecology Department, Faculty of Medicine, Universiti Teknologi MARA, Sungai Buloh Campus, 47000, Sungai Buloh, Selangor, Malaysia.
| | - Akmal Zulayla Mohd Zahid
- Obstetrics and Gynaecology Department, Faculty of Medicine, Universiti Teknologi MARA, Sungai Buloh Campus, 47000, Sungai Buloh, Selangor, Malaysia
| | - Mariam Mohamad
- Public Health Medicine Department, Faculty of Medicine, Universiti Teknologi MARA, Sungai Buloh Campus, 47000, Sungai Buloh, Selangor, Malaysia
| | - Bahiyah Abdullah
- Maternofetal and Embryo (MatE) Research Group, Faculty of Medicine, Universiti Teknologi MARA, Sungai Buloh Campus, 47000, Sungai Buloh, Selangor, Malaysia
- Obstetrics and Gynaecology Department, Faculty of Medicine, Universiti Teknologi MARA, Sungai Buloh Campus, 47000, Sungai Buloh, Selangor, Malaysia
| | - Noor Azura Noor Mohamad
- Obstetrics and Gynaecology Department, Faculty of Medicine, Universiti Teknologi MARA, Sungai Buloh Campus, 47000, Sungai Buloh, Selangor, Malaysia
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Bouzouita I, Ellouze F, El Kefi H, Chaari I, Ben Cheikh C, Krir M, Eddhif S, Bouguerra B, Oumaya A. Sexualité de la femme tunisienne au cours de la grossesse : entre mythe et réalité. SEXOLOGIES 2018. [DOI: 10.1016/j.sexol.2017.06.004] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/30/2022]
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Akyuz MD, Turfan EC, Oner SC, Sakar T, Aktay DM. Sexual functions in pregnancy: different situations in near geography:a case study on Turkey, Iran and Greece. J Matern Fetal Neonatal Med 2018; 33:222-229. [PMID: 29890872 DOI: 10.1080/14767058.2018.1488164] [Citation(s) in RCA: 9] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/14/2022]
Abstract
Purpose: This descriptive and cross-sectional study aims to determine the sexual function status of primipar and multipar pregnant women who admitted to birth clinics in Iran, Turkey and Greece and to investigate the relationship between pregnancy processes and some variables.Methodology: This descriptive and cross-sectional study population consisted of primipar/multipar pregnant women who met the research inclusion criteria, agreed to participate in the research and admitted to the Tabriz Pars Clinic in Iran, Izmir Aegean Maternity Hospital in Turkey and Thessaloniki University Hospital in Greece.Results: When the sexual problems of women are compared according to their countries,it was determined that 40% of Iranian women "can't easily share their sexuality issues with their spouses", whereas this rate was 8% in Turkey and 6.7% in Greece.Considering the prevalence of orgasmic and arousal disorder in the pre-pregnancy period,it was reported that this rate was 53% in Iran, 47% in Greece and 5.6% in Turkey.In the study, the mean "Female Sexual Function Index(FSFI)" score of Turkish women was found to be (59.83 ± 21.75), whereas the FSFI score of Iranian women was (62.86 ± 22.71) and mean FSFI score of the Greek women was (54.33 ± 21.15).Discussion: In the study, it was shown that there is a difference in the sexual problems of the women, depending on the religious and socio-cultural structure of the country they live in. For an effective case and training on sexuality,the norms and values of the society have to be understood in order to raise quality of lives and problem-free sexuality of pregnant women.
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Affiliation(s)
- Mahide Demireloz Akyuz
- Department of Midwifery, Faculty of Health Sciences, Ege University, Izmir, Bornova, Izmir Turkey
| | - Esin Ceber Turfan
- Department of Midwifery, Faculty of Health Sciences, Ege University, Izmir, Bornova, Izmir Turkey
| | - Serap Cetintas Oner
- Department of Midwifery, Faculty of Health Sciences, Ege University, Izmir, Bornova, Izmir Turkey
| | - Tugce Sakar
- Department of Midwifery, Faculty of Health Sciences, Ataturk University, Erzurum, Turkey
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Subclinical hypothyroidism would not lead to female sexual dysfunction in Chinese women. BMC WOMENS HEALTH 2018; 18:26. [PMID: 29370851 PMCID: PMC5785892 DOI: 10.1186/s12905-017-0465-0] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Subscribe] [Scholar Register] [Received: 09/17/2016] [Accepted: 11/03/2017] [Indexed: 02/05/2023]
Abstract
BACKGROUND There is dearth of research about female sexual dysfunction (FSD), especially in China, because of conservative beliefs. Previous studies indicated the relationship between subclinical hypothyroidism and anxiety and depression. However, there is dearth of research regarding the relationship between subclinical hypothyroidism and FSD in Chinses women. METHOD A hospital-based research was conducted. Female sexual function was measured by CVFSFI which includes 19 items. Participants were identified as FSD if CVFSFI ≤ 23.45. Logistics analysis was used to determine risk factor of FSD. All of them finished CVFSFI, Beck Depression Inventory (BDI) self-reporting questionnaires and had thyroid hormone tests. Based on presence and absence of subclinical hypothyroidism, participants were divided into two groups. Risk factors of FSD were identified. RESULT One thousand one hundred nineteen participants with CVFSFI score 25.8 ± 3.9 were enrolled in final analysis. Incidence of subclinical hypothyroidism and FSD in Chinese women was 15.0% and 26.5% respectively. There were no significant difference between subclinical hypothyroidism and control group in FSFI score and prevalence of FSD. Age, Depression (medium risk) was identified as risk factors for nearly all types of FSD, and Income (ranges from 40,000 to 100,000 RMB/year) as protective factor. Subclinical hypothyroidism had no significant relationship with FSD. CONCLUSION Subclinical hypothyroidism is not the risk factor for FSD in urban women of China.
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Nia ASN, Salari P, Sharifi N, Nooghani HJ. Effect of Attachment Styles to Parents on Sexual Dysfunction Domains of Married Women. Electron Physician 2017; 9:3605-3610. [PMID: 28243413 PMCID: PMC5308501 DOI: 10.19082/3605] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/17/2016] [Accepted: 10/08/2016] [Indexed: 11/20/2022] Open
Abstract
INTRODUCTION According to Bowbly attachment theory, attachment of a baby and its main care provider, influences on social growth and the baby's feelings throughout its life. The present study was performed aim to determine the effect of attachment style to parents on domains of sexual dysfunction in married women. METHODS This cross-sectional study was carried out on two hundred married women who were fertile, and referred private and governmental gynecology clinics in Mashhad, Iran, in 2014. Data collection tools were three questionnaires; Demographic and marital questionnaire, Female sexual function index questionnaire, and Adult attachment style questionnaire. Data were analyzed by SPSS version 20 (IBM© SPSS© Statistics version 20 using independent-samples t-test and logistic regression. The statistical tests were performed at the 95% confidence interval. RESULT Mean of safe attachment style to parents in all aspect of sexual dysfunction was significantly lower (p≤0.01), however, mean of distant attachment style to parents in all aspects of sexual dysfunction was significantly higher (p≤0.05). CONCLUSION Secure and distance attachment style to the mother showed maximum power of prediction for sexual dysfunction, which indicates the importance of attachment to parents and its impact on adult relationships.
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Affiliation(s)
- Anvar Sadat Nayebi Nia
- M.Sc. of Midwifery, Faculty Member, Department of Midwifery, School of Nursing and Midwifery, Islamic Azad University of Karaj, Karaj, Iran
| | - Parvin Salari
- M.Sc. of Midwifery, Faculty Member, Department of Midwifery, School of Nursing and Midwifery, Mashhad University of Medical Sciences, Mashhad, Iran
| | - Nasibeh Sharifi
- Ph.D. Student of Reproductive Health, Department of Midwifery, School of Nursing and Midwifery, Shahid Beheshty University of Medical Sciences, Tehran, Iran
| | - Hadi Jabbari Nooghani
- Department of Statistics, Associate Professor, Ferdowsi University of Mashhad, Mashhad, Iran
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