Showing 3 results for Sexual Dysfunction
Fatemeh Bahadori , Shahideh Jahanian Sadatmahalleh ,
Volume 17, Issue 0 (4-2020)
Abstract
Background: Sexuality is a complex aspect of the human being’s life and is more than of only the sexual act. Normal sexual functioning consists of sexual activity with transition through the phases from arousal to relaxation with no problems, and with a feeling of pleasure, fulfillment and satisfaction. Rheumatic diseases may affect all aspects of life including sexual functioning. The reasons for disturbing sexual functioning are multifactorial and comprise disease-related factors as well as therapy.
Methods: Searching performed in some databases like PubMed, google scholar, Scopus, Springer and Science Direct. 22 full text articles in English from 2000 until 2019 were found
Which their topic was similar to our topicThe presence of sexual dysfunction was assessed with the questionnaire ‘Female Sexual Function Index (FSFI)’. The FSFI was self-administered and consisted of 19 questions covering six domains; desire, subjective arousal, lubrication, satisfaction, orgasm and pain. The patients’ answers were based on the 4 weeks prior to completing the questionnaire. A total score of ≤ 26 indicated sexual dysfunction.
Results: In rheumatoid arthritis and ankylosing spondylitis patients, pain and depression could be the principal factors contributing to sexual dysfunction. On the other hand, in women with Sjögren’s syndrome, systemic lupus erythematosus and systemic sclerosis sexual dysfunction is apparently most associated to vaginal discomfort or pain during intercourse. Finally, sexual dysfunction in patients with fibromyalgia could be principally associated with depression, but the characteristic symptoms of fibromyalgia (generalized pain, stiffness, fatigue and poor sleep) may contribute to the occurrence of sexual dysfunction.
Rheumatic diseases affects sexual health as a result of pain, reduced joint mobility, fatigue, depression and body image alterations. Sexual function is closely related to satisfactory quality of life. The treatment of sexual dysfunction will depend on the specific patient’s symptoms, however, there are some general recommendations including: exploring different positions, using analgesics drug, heat and muscle relaxants before sexual activity and exploring alternative methods of sexual expression.
Conclusions: Sexual dysfunction in females with rheumatic diseases is multifactorial due to chronic disease aspects, disease activity and drugs. A multidisciplinary approach is essential in order to offer preventive measures for these patients.
The investigated material provides few solutions to sexual health problems of female patients. The most commonly mentioned solution is increased information and communication between health professionals and patients. Further research is needed to understand which types of intervention can help women with rheumatic disease to improve their sexual health
The results of this studies indicated that more attention should be paid to the sexual health of women suffering from rheumatic diseases as a neglected aspect of their treatment, which requires an interdisciplinary approach to shift the care of these patients from a biomedical model to a biopsychosocial model.
Sedighe Rezaie-Chamani, Mona Rahnavardi, Shadi Sabetghadam, Sahar Mahbubinejad, Azizeh Farshbaf-Khalili, Nazanin Rezaie,
Volume 17, Issue 1 (4-2020)
Abstract
Background: Sexuality is an important and inseparable part of the life of every woman. Female sexual dysfunction (FSD) has a major influence on quality of life and can lead to personal distress and anxiety. This study aimed to determine the prevalence of sexual dysfunction and predisposing factors in women.
Methods: This cross-sectional study was carried out on 400 outpatient women aged 15-49, who had a health record in the health care centers of Rasht, Iran during 2015-2016. Samples were selected through multi-stage cluster sampling method. Data collection tool included demographics and reproductive information, the standard questionnaire of female sexual function index (FSFI). Multivariate linear regression analysis was used to determine the predictors of sexual dysfunction in SPSS 13.
Results: The mean±SD score of total FSFI was 28.14±3.82, ranging from 2 to 36. The frequency of sexual dysfunction was 34.3% in total. Multivariate linear regression analysis showed a significant correlation between FSFI and some factors including age, education level, age at menarche, frequency of sex, and knowledge on sexual function. These factors accounted for 12% of the variance in the sexual function index of women.
Conclusions: Considering the critical impact of sexual function on the health of couples, paying attention to sexual function in women and its predictors are important to help and plan prevention programs.
Narjes Sadat Borghei, Fatemeh Seifi, Naser Behnampour, Fatemeh Raeesian,
Volume 19, Issue 2 (9-2022)
Abstract
Background: Sexual function is particularly important aspect of pregnant women’s lives that can affect mental health and family cohesion. The present study aimed to determine the effect of sex education on sexual function of primigravid pregnant women.
Methods: This randomized clinical trial study with four parallel groups (two intervention and two control groups) was conducted on 100 primigravid women in 2019. The Two intervention groups (n=50) received three sessions of sex education, once a week and two control groups (n=50) didn't received sex education. The Female Sexual Function Index was completed at the beginning of the study and after eight weeks. Data were analyzed with SPSS (version 18) and One-way analysis of variance (ANOVA), paired t-test, Fisher's exact test were used for analysis and significance was set at 0.05.
Results: The Given that the mean sexual function in the groups before the intervention was significantly different (P=0.0004), the Mean difference rate of change (Mean DRC) was used for inter-group comparisons. Mean DRC of sexual function in the first intervention group (sex education and prenatal education) was 0.173±0.563 (17% increase) and the second intervention group (only sex education), was 0.106±0.209 (10% increase). However, Mean DRC of sexual function decreased significantly in the two control groups (-0.0364±0.205) (-0.009±0.132) (P<0.05).
Conclusion: The results confirm the positive effects of sex education on sexual function during pregnancy. In addition, combination of sex education with conventional prenatal education can have a greater impact on the overall sexual function than each intervention separately.
