Evaluation of the occurrence of sexual dysfunction and general quality of life in female patients with psoriasis

Kurizky, Patrícia Shu; Martins, Gisele; Carneiro, Jamille Nascimento; Gomes, Ciro Martins; Mota, Licia Maria Henrique da

doi:10.1590/abd1806-4841.20183071

Cited by 12 publications

(5 citation statements)

References 41 publications

(44 reference statements)

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“…In the literature, there are studies reporting the effect of psoriasis on sexual function since 1988 [40]. Many studies have associated psoriasis with a significantly increased prevalence and risk of new-onset dysfunction erectile [40][41][42][43][44][45][46]. Of note, psoriasis can alter patients' body image, resulting in low self-esteem and stigmatization, leading in turn to SD [37].…”

Section: Discussionmentioning

confidence: 99%

“…Of note, psoriasis can alter patients' body image, resulting in low self-esteem and stigmatization, leading in turn to SD [37]. Similarly, the sexual function seems to be altered in women with psoriasis, although studies are much scarcer in this area [46]. Hidradenitis suppurativa is another inflammatory dermatosis that can be attached to SD.…”

Section: Discussionmentioning

confidence: 99%

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Sexual Dysfunction and Atopic Dermatitis: A Systematic Review

Linares‐González

Lozano-Lozano

Gutiérrez‐Rojas

et al. 2021

Life

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Atopic dermatitis (AD) is a chronic inflammatory disease of the skin whose main symptom is pruritus and may affect all age ranges. Regarding the prevalence, it has been estimated at around 10% of the world population. Many concomitant diseases have been associated with AD, but the causal relationship between AD and psychological impairment has not been clearly established. Scientific literature studying the probable association between male or female sexual dysfunction and dermatological pathology is limited, even more so in AD. This systematic review was conducted following the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) reporting guidelines and the Cochrane Collaboration methodology for systematic reviews. All relevant articles in English were identified through a search from inception to 10 December 2020, including the following databases: Medline (via PubMed), Scopus, Web of Science Core Collection, and SciELO. The results of the search were compiled using the COVIDENCE software for systematic reviews. The methodological quality of the included studies was done using the “Quality Assessment Tool for Observational Cohort and Cross-Sectional Studies” and the “Quality Assessment of Case-Control Studies” developed by the National Heart, Lung, and Blood Institute, National Institutes of Health (NIH). Our search yielded potentially relevant studies. Five studies that evaluated the prevalence of sexual dysfunction in atopic dermatitis were retrieved after applying the selection criteria. The present systematic review achieved data from 8088 patients with atopic dermatitis from four articles. Sample sizes for atopic dermatitis patients ranged from 266 to 3997. We identified one cohort study with four years of follow-up, three studies with a cross-sectional design, and one case-control study. Three studies reported data disaggregated by the severity of atopic dermatitis. Two studies included healthy controls with a total sample size of 1,747,755 subjects. Two studies compared data with other dermatological conditions such as psoriasis. In conclusion, we can establish that unlike other psychological comorbidities such as anxiety and depression, sexual dysfunction is a field scarcely explored in the literature. This sexual dysfunction focuses on the male sex in large population studies and in clinical diagnoses without exploring it through specific and validated questionnaires in this regard. Further studies focused on both genders are needed. It is important to correlate this sexual dysfunction with the severity of the disease, previous treatments, and cardiovascular comorbidities.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Sexual Dysfunction and Atopic Dermatitis: A Systematic Review

Linares‐González

Lozano-Lozano

Gutiérrez‐Rojas

et al. 2021

Life

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“…Several studies have followed the sexual dysfunction in patients with psoriasis. These studies over time have found the prevalence of sexual dysfunction in psoriasis ranging from 22.6% to 71.3% 4,36 .…”

Section: Perspectives and Discussionmentioning

confidence: 99%

Sexual dysfunction in patients with psoriasis

Stănescu¹,

Grăjdeanu²,

Șerban³

et al. 2019

Arch Balk Med Union

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Le dysfonctionnement sexuel chez les patients atteints de psoriasis Le psoriasis est une maladie inflammatoire chronique qui affecte la vie des patients. La qualité de vie est généralement réduite en raison de multiples comorbidités, traitements, stigmatisation et fausses perceptions de cette maladie. La dysfonction sexuelle chez les femmes et les hommes est un changement dans la qualité de vie de ces patients en plus de ceux énumérés ci-dessus. Parce que la reconnaissance du dysfonctionnement sexuel par le patient peut être considérée comme difficile et honteuse, il est nécessaire que le médecin de famille intervienne pour améliorer la santé sexuelle de ces patients.

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“…Although it is not thought to affect fertility, pregnancy rates have been observed to be approximately 22% lower in women with psoriasis. Among the reasons for this, it has been suggested that many factors such as women's unwillingness to voluntarily, concerns about pregnancy and/or postpartum disease activity, fear of the effect of psoriasis treatments on pregnancy and baby, as well decreased closeness due to embarrassment and/or physical inability play a role [8,11].…”

Section: Psoriasis and Pre-pregnancy Periodmentioning

confidence: 99%

Interaction of psoriasis and pregnancy: Maternal and fetal outcomes

Akarsu¹

2020

Arch Anat Physiol

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Psoriasis is a chronic immune-mediated infl ammatory disease that affects about 2%-4% of the population. Clinically typical erythemato-squamous papules and plaques of different sizes and shapes on the skin are characterized by the parallel appearance of epidermal hyperproliferation, infl ammation and angioneogenesis. Although many factors are blamed in the etiology of psoriasis, genetic and environmental factors play a role in the pathogenesis of the disease. However, there may be fl uctuations in psoriasis activity by hormonal changes and pregnancy. Overall, three out of every four psoriasis patients experience a change in the course of the disease during pregnancy. The proportion of those with improvement in the course of psoriasis is about twice as high as those with worsening. However, generalized pustular psoriasis of pregnancy seen in the last trimester of pregnancy can lead to serious maternal and neonatal morbidities and even mortality. On the other hand, some complications such as low birth weight, preterm birth, gestational diabetes, gestational hypertension, preeclampsia and emergency cesarean section have been reported more frequently in pregnant patients with severe psoriasis. Therefore, considering the adverse maternal and fetal outcomes of severe psoriasis and the fetal side effects of systemic psoriasis treatments, psoriasis in pregnant cases should be managed well by keeping the risk-benefi t ratio in balance. In this article, the concerns and misconceptions of the patients with psoriasis about pregnancy and psoriasis interaction, pre-pregnancy counseling, the course of psoriasis during pregnancy, the pregnancy course in patients with psoriasis, and the management of psoriasis in pregnant women have been extensively reviewed, respectively.

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Evaluation of the occurrence of sexual dysfunction and general quality of life in female patients with psoriasis

Cited by 12 publications

References 41 publications

Sexual Dysfunction and Atopic Dermatitis: A Systematic Review

Sexual Dysfunction and Atopic Dermatitis: A Systematic Review

Sexual dysfunction in patients with psoriasis

Interaction of psoriasis and pregnancy: Maternal and fetal outcomes

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