Association of Body Weight and Female Sexual Dysfunction: A Case Control Study

Abstract

Background:About 79% of the pregnant women experience sleep disorders and 70% of pregnant women experience some symptoms of the depression. Physiologic, hormonal, and physical changes of pregnancy can predispose mothers to depression these disorders before, during, and after childbirth and might be aggravated by neglecting health behavior. Health behavior education might be useful for the management of depression in pregnant women.Objectives:This study aimed to evaluate the effect of sleep health behavioral education on the improvement of depression in pregnant women with sleep disorders.Patients and Methods:This study was a randomized clinical trial, performed on 96 pregnant women with sleep disorder diagnosed according to the Pittsburgh Sleep Quality Index. Tools for data collection included demographic questionnaire and Beck's Depression Inventory (BDI). Easy and accessible sampling was done. Participants were randomly (simple) allocated to intervention and control groups. In intervention group, sleep health behavior education was presented during a four-hour session held in weeks 22, 23, 24, and 25; then the patients were followed up to fill out the BDIQ in follow-up session at weeks 29 and 33 of pregnancy. The control group received no intervention and only received routine prenatal care. The results were assessed by Chi-square tests, independent-samples t-test, and Fischer’s exact-test by SPSS 16.Results:A statistically significant change was reported in the severity of depression in pregnant women with sleep disorders in the intervention group in comparison to the control group at weeks 29 (P < 0.000) and 33 (P < 0.00).Conclusions:Sleep health behavioral education improves depression in pregnant women who are experiencing insomnia. Findings from this study add support to the reported effectiveness of sleep health behavioral education in the prenatal care and clinical management of insomnia in pregnancy.

Obesity, Overweight, Female Sexual Function, and Penile-Vaginal Intercourse Frequency

“…Among Portuguese women, greater frequency of orgasms from PVI without clitoral masturbation was related to a slimmer waist (Costa & Brody, 2014). In congruence with these findings, female sexual dysfunctions and sexual dissatisfaction have been shown to be cross-culturally related to body fat indices (Brody & Weiss, 2013;Castellini et al, 2010;Esposito et al, 2007;Morotti et al, 2013;Mozafari et al, 2015;Veronelli et al, 2009;Yaylali, Tekekoglu, & Akin, 2010). In congruence with these findings, female sexual dysfunctions and sexual dissatisfaction have been shown to be cross-culturally related to body fat indices (Brody & Weiss, 2013;Castellini et al, 2010;Esposito et al, 2007;Morotti et al, 2013;Mozafari et al, 2015;Veronelli et al, 2009;Yaylali, Tekekoglu, & Akin, 2010).…”

Association of Depression and Common Complaints of Pregnancy in Women with Sleep Disorder

“…The PSQI was finally designed by Buysse et al (1989) with a sensitivity of 89.6%, specificity of 86.5%, validity of 88% (r = 0.88) and reliability of 83%. Its validity and reliability were confirmed by research in other countries and in Iran (Buysse et al, 1989;Rezaei et al, 2015;Zahra and Elham, 2014).…”

The Relationship Between Obesity and Sexual Function in Iranian Women

“…In Jamali's study, a sig-nificant relationship was found between sexual function and age (P = 0.02), education level (P < 0.001), and occupation (P < 0.001) (16). Also, the results of Mozafari et al (20) showed age had a significant correlation with FSFI (P < 0.001) (22).…”

“…In addition, sexual desire, arousal, lubrication, orgasm, satisfaction, and pain were statistically significant in both groups. Rada et al (22) found that obese persons in comparison to normal weight ones reported the lack of desire and sexual pleasure, abstention, and difficulties in sexual contact accomplishment. In Jamali et al's study (16), the most common sexual problems in infertile females decreased libido (95.2%) and anorgasmia (94.6%).…”