A Study of the Impact of the Commonly Used Female Contraceptive Methods in Egypt on Female Sexual Function

Hassanin, Ahmed Mohamed; Elhalwagy, Ahmed; Ismail, Nashaat Nabil; Shehab, Basma Atef

doi:10.1080/0092623x.2018.1437579

Cited by 13 publications

(10 citation statements)

References 31 publications

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“…When asked about their subjective opinions on the influence of hormonal contraceptives, women declared no effect or a slight decrease in sexual response, which is in line with some previous observations -no effect in 55% of users [30].…”

Section: Discussionsupporting

confidence: 88%

“…Third, we did not evaluate the effect of progestin-only pills (POP), hormonal IUDs, patches, rings or injections. In the Hassanin et al study, 95% and 84% of injectable contraceptive and POP users reported a decline in sexual function [ 30 ]. Finally, a prospective study with a sexual function evaluation before and after using hormonal contraceptives would be more reliable in showing a causative association.…”

Section: Discussionmentioning

confidence: 99%

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Do oral combined contraceptive pills modify body image and sexual function?

Nowosielski

2022

Reprod Biol Endocrinol

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Background The effect of hormonal contraceptives on sexual function and body image is still controversial. Existing studies have not come to definite conclusions on the association between hormonal contraceptive use and sexual function/presence of sexual dysfunction or changes in body image perception. Thus, this study aimed to evaluate the prevalence of sexual problems/dysfunction in Polish women of reproductive age (18–45 years) and to assess to what extent oral combined contraceptive pills (OCCP) impact body image, sexual function and the prevalence of female sexual dysfunction (FSD). Methods A total of 495 women were included in this cross-sectional questionnaire-based study. Sexual function was assessed by the Changes in Sexual Function Questionnaire (CSFQ), the prevalence of FSD was assessed by DSM-5 criteria, and body image was assessed by the Body Exposure during Sexual Activity Questionnaire (BESAQ). A total of 237 women using OCCP were the study group (HC), and the rest were controls (CG). A regression model was used to evaluate the influence of the selected variables on sexual function and the presence of FSD. Results The prevalence of FSD was 7.5% in HC and 2.6% in CG, and 22% compared to 14% of women in HC and CG, respectively, reported sexual problems (CSFQ). The demographic characteristics of those using other contraception methods or not using any contraception (control group) were similar. The contraceptive group was characterized by significantly higher importance of sex (4.03 vs. 3.79), worse partner’s attitude toward sex (4.35 vs. 4.47), worse self-attitude toward sex (4.35 vs. 4.47), and worse body image (BESAQ) compared to controls. Among all of the variables, a lower level of anxiety (t = -1.99), positive attitudes toward sex (t = 2.05), watching erotic videos (t = 5.58) and a higher importance of sex (t = 5.66) were predictive of better sexual function (R2–0.38, F = 28.9, p = 0.0001). Conclusion Sexual behaviors and function are different in those using OCCP compared to nonusers. The prevalence of sexual problems and dysfunction was higher in those using this hormonal method of contraception; however, using OCCP was not a risk factor for either worse sexual function or sexual dysfunction. Partners’ attitudes toward sex and general anxiety level were factors contributing to sexual function and the risk of sexual dysfunction in the population of women of reproductive age and should be routinely evaluated in clinical practice, especially before prescribing hormonal contraceptives.

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Section: Discussionsupporting

confidence: 88%

Section: Discussionmentioning

confidence: 99%

Do oral combined contraceptive pills modify body image and sexual function?

Nowosielski

2022

Reprod Biol Endocrinol

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show abstract

“…However, the population induced in the study was small to draw the de nite conclusion. Some differences might be also due to cultural script and ethnicity -women from Europe seems to have higher prevalence of pain during intercourse when using hormonal contraceptives compared to other continents (20) When asked about subjective opinion on the in uence of hormonal contraceptives women declared no effect or slightly decrease in sexual response, what is in line with some previous observation -no effect in 55% of users (29).…”

Section: Discussionsupporting

confidence: 76%

“…Secondly, propensity for inhibition/excitation could also be evaluated, what is currently being pain more and more attention (22). Thirdly, we have not evaluated the effect of progestin-only pills (POP), hormonal IUD, patches, ringd and injections, like in Hassanin et al study where 95% and 84% of injectable contraceptive and POP users reported decline in sexual function (29). Finally, a prospective character of the study with sexual function evaluation before introducing the hormonal contraceptive would be more reliable in showing the association.…”

Section: Discussionmentioning

confidence: 99%

Do Oral Combined Contraceptive Pills Modify Body Image and Sexual Function?

Nowosielski

2022

Preprint

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Background. The effect of hormonal contraceptives on sexual function and body image is still controversial. Existing studies have not come to definite conclusion on the associate between hormonal contraceptive use and sexual function/presence of sexual dysfunction nor changes in body image perception. Thus, this study aimed to evaluate the prevalence of sexual problems/dysfunction in Polish women in the reproductive age (18-45 years) and to assess to what extend oral combined contraceptive pills (OCCP) impact body image, sexual function and prevalence of Female Sexual Dysfunction – FSD. Methods. 495 women were included in this cross-sectional questionnaire-based study. Sexual function was assessed by Changes in Sexual Function Questionnaire - CSFQ, prevalence of FSD by DSM-5 criteria and body image by Body Exposure during Sexual Activity Questionnaire (BESAQ). 237 women using OCCP were study group (HC), the rest were controls (CG). Regression model was used to evaluate the influence of selected variable on sexual function and the presence of FSD. Results. The prevalence of FSD was 7.5% in HC and 2.6% in CG. 22% compared to 14% of women in HC and CG, respectively, reported sexual problems (CSFQ). Contraceptive group was characterized by significantly higher importance of sex (4.03 vs 3.79), worse partner’s’ attitude toward sex (4.35 vs 4.47), worse self-attitude towards sex (4.35 vs 4.47), and worse body image (BESAQ) compared to controls. Among all variables lower level of anxiety (t=-1.99), positive attitudes toward sex (t=2.05), watching erotic videos (t=5.58) and higher importance of sex (t=5.66) were predictive for better sexual function (R2 – 0.38, F=28.9, p=0.0001). Conclusion. Sexual behaviors and function are different in those using OCCP’s compared to non-users. The prevalence of sexual problems and dysfunction is higher in those using hormonal method, however using OCCP is not a risk factor for neither worse sexual function nor sexual dysfunction. Partner’s attitude toward sex and general anxiety level are factors contributing to sexual function and risk of sexual dysfunction in the population of women in reproductive age and should be routinely evaluated in clinical practice, especially before prescribing hormonal contraceptives.

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“…In one study, for example, researchers found that HC type moderated women's experience of sexual side effects. In particular, they found that women using combined OCs exhibited no impairment in sexual functioning from HC use, while women using progestin-only injectables and progestin only pills did (Hassanin et al, 2018). Given the important role of estradiol in NC women's sexual desire (Roney & Simmons 2013;2016;Shirazi et al, 2019), it is unsurprising that progestin only methods of HCs are associated with decreased sexual functioning.…”

Section: Prescription-based Factorsmentioning

confidence: 99%