Hypertension as a risk factor for female sexual dysfunction: cross-sectional study

Lunelli, Rosana Pinheiro; Irigoyen, Maria Cláudia; Goldmeier, Sílvia

doi:10.1590/0034-7167-2017-0259

Cited by 10 publications

(9 citation statements)

References 17 publications

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“…It was a significant predictor of ED and DE in the sample of veterans in a relationship. These findings are consistent with those of numerous studies that emphasize high blood pressure as a risk factor for SD [65,66,67]. Actually, vasculogenic ED is considered part of a systemic vasculopathy and has a known relationship with cardiovascular risk factors such as hypertension, diabetes, dyslipidemia, and smoking [68].…”

Section: Discussionsupporting

confidence: 91%

Predictors of Sexual Dysfunction in Veterans with Post-Traumatic Stress Disorder

Letica-Crepulja

Stevanović

Protuđer

et al. 2019

JCM

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Background: The problems in sexual functioning among patients with post-traumatic stress disorder (PTSD) are often overlooked, although scientific research confirms high rates of sexual dysfunctions (SD) particularly among veterans with PTSD. The main objective of this study was to systematically identify predictors of SD among veterans with PTSD. Methods: Three hundred veterans with PTSD were included in the cross-sectional study. The subjects were assessed by the Mini-International Neuropsychiatric Interview (MINI) and self-report questionnaires: PCL-5, i.e., PTSD Checklist for Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition (DSM-5) with Criterion A, International Index of Erectile Function (IIEF), Premature Ejaculation Diagnostic Tool (PEDT), and Relationship Assessment Scale (RAS). Several hierarchical multiple regressions were performed to test for the best prediction models for outcome variables of different types of SD. Results: 65% of participants received a provisional diagnosis of SD. All tested prediction models showed a good model fit. The significant individual predictors were cluster D (Trauma-Related Negative Alterations in Cognition and Mood) symptoms (for all types of SD) and in a relationship status/relationship satisfaction (all, except for premature ejaculation (PE)). Conclusions: The most salient implication of this study is the importance of sexual health assessment in veterans with PTSD. Therapeutic interventions should be focused on D symptoms and intended to improve relationship functioning with the aim to lessen the rates of SD. Psychotropic treatment with fewer adverse sexual effects is of utmost importance if pharmacotherapy is applied. Appropriate prevention, screening, and treatment of medical conditions could improve sexual functioning in veterans with PTSD.

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Section: Discussionsupporting

confidence: 91%

Predictors of Sexual Dysfunction in Veterans with Post-Traumatic Stress Disorder

Letica-Crepulja

Stevanović

Protuđer

et al. 2019

JCM

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“…This term includes sexual disorders of desire, interest, arousal, orgasm, pain during genital-pelvic penetration, and satisfaction. 3 , 25 …”

Section: Resultsmentioning

confidence: 99%

Relationship Between Hypertension, Antihypertensive Drugs and Sexual Dysfunction in Men and Women: A Literature Review

Lou,

Chen,

Ali

et al. 2023

VHRM

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Sexual dysfunction pertains to any issue that hinders an individual from attaining sexual contentment. This health issue can have a significant impact on the quality of life and psychological health of affected individuals. Sexual dysfunction can generate stress, anxiety, depression, and low self-esteem, which can lead to a reduction in overall life satisfaction and the quality of interpersonal relationships. Sexual dysfunction can manifest as erectile dysfunction in men or lack of sexual desire in women. Although both sexes can experience sexual problems, there are some significant differences in the manifestation of sexual dysfunction between men and women. In men, sexual dysfunction is usually physical and associated with problems such as erectile dysfunction, while in women, sexual dysfunction is usually related to psychological factors. Additionally, there was an association between hypertension and sexual dysfunction in both the sexes. In men, hypertension can cause erection problems, whereas in women, it can cause vaginal dryness and a decrease in sexual desire. Furthermore, antihypertensive drugs can negatively impact sexual function, which can decrease adherence to drug treatment. However, nebivolol, an antihypertensive drug, has beneficial effects on erectile dysfunction in men. This is believed to be because nebivolol improves blood flow to the penis by producing nitric oxide, which can help improve erections.

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“…Além disso, um recente estudo 25 demonstrou uma associação entre o uso de medicamentos anti-hipertensivos, como diuréticos tiazídicos, β-bloqueadores e antagonistas de aldosterona e disfunção erétil na população masculina. A utilização de fármacos como diuréticos, betabloqueadores, inibidores da enzima de conversão da angiotensina e bloqueadores dos canais de cálcio também se evidenciou como um fator associado a disfunção sexual feminina 26 .…”

Section: Discussionunclassified

Prevalência de disfunção sexual e incontinência urinária em indivíduos cardiopatas candidatos à reabilitação cardíaca e indivíduos sem evento cardíaco prévio

Albuquerque

Bittencourt²,

Santos³

et al. 2021

Saúde (Sta. Maria)

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Objetivo: Analisar a prevalência de disfunção sexual e incontinência urinária em sujeitos cardiopatas candidatos a um programa de reabilitação cardíaca (PRC), assim como comparar os achados a sujeitos sem evento cardíaco prévio (n=25) e correlacionar com as variáveis capacidade funcional (CF) e qualidade de vida (QV). Métodos: Trata-se de um estudo transversal com avaliação dos seguintes desfechos: disfunção sexual (Female Sexual Function Index e Índice Internacional de Função Erétil Simplificado), incontinência urinária (International Consultation Incontinence Questionnaire – Short Form, Incontinence Severity Index), qualidade de vida (Minnesota Living with Heart Failure Questionnaire e MacNew Heart Disease Health-Related Quality of Life Questionnaire para sujeitos cardiopatas e Medical Outcomes Study 36-Item Short-Form Health Survey e Notthingam Health Profile para sujeitos sem evento cardíaco prévio) e CF (teste de caminhada de 6 minutos). Resultados: A amostra foi composta por 25 indivíduos cardiopatas candidatos a um PRC (59,88 ± 8,53 anos, 19 homens) e 25 indivíduos sem evento cardíaco prévio (57,88 ± 9,54 anos, 19 homens). Não houve diferença significativa na prevalência de disfunção sexual e incontinência urinária entre os grupos. Houve correlação inversa e forte (r=-0,803; p=0,005) entre disfunção sexual e CF nos homens cardiopatas. Os pacientes cardiopatas demonstraram uma menor capacidade funcional quando comparados aos sujeitos sem evento cardíaco prévio. Considerações Finais: Ressalta-se a importância da abordagem de temas como disfunção sexual e incontinência urinária dentro de um PRC, sobretudo em função do manejo precoce dos seus fatores de risco.

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Hypertension as a risk factor for female sexual dysfunction: cross-sectional study

Cited by 10 publications

References 17 publications

Predictors of Sexual Dysfunction in Veterans with Post-Traumatic Stress Disorder

Predictors of Sexual Dysfunction in Veterans with Post-Traumatic Stress Disorder

Relationship Between Hypertension, Antihypertensive Drugs and Sexual Dysfunction in Men and Women: A Literature Review

Prevalência de disfunção sexual e incontinência urinária em indivíduos cardiopatas candidatos à reabilitação cardíaca e indivíduos sem evento cardíaco prévio

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