Female Sexual and Hormonal Status in Patients with Bronchial Asthma: Relationship with Respiratory Function Tests and Psychological and Somatic Status

Başar, M. Murad; Ekici, Aydanur; Bulcun, Emel; Tuglu, Devrim; Ekici, Mehmet; Batı̇slam, Ertan

doi:10.1016/j.urology.2006.12.001

Cited by 10 publications

(12 citation statements)

References 24 publications

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“…The increased association of stress urinary incontinence in a population of females that challenge the pelvic floor (though perhaps not secondary to coughing), elite athletes, has been previously noted (1). That the patients with cystic fibrosis experienced an adverse effect on their quality of life parallels the findings by other authors when reviewing psychological and somatic status in patients with bronchial asthma (2).…”

Section: Editorial Commentsupporting

confidence: 84%

Prevalence of incontinence and incontinence-specific quality of life impairment in women with cystic fibrosis

Petrou

2009

Int. braz j urol.

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Aims: Cystic fibrosis (CF) is the commonest autosomal recessive disorder in Caucasians. With advancing medical technology, the life expectancy has more than double in the last twenty years. This has led to new unforeseen health problems like urinary incontinence. The aim was to establish the prevalence, symptomatic typology, and quality of life impact of incontinence in a population of women with CF. Methods: Women were recruited from two London tertiary referral centres for CF. They were asked to fill in a self-completed anonymous King's Health Questionnaire (KHQ) for assessment of symptoms and quality of life Impairment. Their age was also noted. Descriptive statistics are reported. Correlation was assessed using Pearson's Product Moment Correlation Coefficient (r). Results: One hundred and forty six women were approached for enrolment. 98(67%) consented to take part in study. Their mean age was 28. Seventy three (74%) reported symptoms of urinary incontinence, which in all cases was perceived as stress urinary incontinence. Of these 44(60%) reported mild stress incontinence, 16(22%) moderate stress incontinence and 13(18%) severe stress incontinence. Continent and incontinent women perceived their general health to be similarly poor (mean score 40 vs. 44 points). Strong positive correiations were found between age and stress urinary incontinence severity (r = 0.742; P < 0.001) and between age and total King's Health Questionnaire score (r = 0.828; P < 0.001). Conclusions: Women with CF have a higher prevalence of stress urinary incontinence than the general population, with both the prevalence and associated quality of life impairment increasing with age. Editorial CommentModern medicine has been able to alter the natural course of many diseases including that of cystic fibrosis. The authors note the benefit of an increased life expectancy for this patient population has brought about an associated higher prevalence for urinary incontinence and subsequent affectations on the quality of life. The report identifies the urinary incontinence as primarily stress as opposed to urge. The discussion section identified that the magnified respiratory symptoms associated with the disease may be the contributing factor to the increased incidence of urinary incontinence. The increased association of stress urinary incontinence in a population of females that challenge the pelvic floor (though perhaps not secondary to coughing), elite athletes, has been previously noted (1). That the patients with cystic fibrosis experienced an adverse effect on their quality of life parallels the findings by other authors when reviewing psychological and somatic status in patients with bronchial asthma (2).

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Section: Editorial Commentsupporting

confidence: 84%

Prevalence of incontinence and incontinence-specific quality of life impairment in women with cystic fibrosis

Petrou

2009

Int. braz j urol.

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“…But in chronic obstructive pulmonary disease (COPD) and asthma patients inhaling steroids only, minimal systemic effects and no decrease of sex steroid hormone have been observed. Therefore, the medication plays no role in the pathophysiology of the FSD of previous diseases [21].…”

Section: Discussionmentioning

confidence: 99%

Female Sexual Dysfunction Among a Sample of Egyptian Patients with Asthma

Reda

Ruby

2020

TORMJ

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Background: Despite asthma being a worldwide disease, still little awareness regarding the sexual function of asthmatic patients exists. So this study attempts to assess the Female Sexual Dysfunction (FSD) amongst Egyptian females with asthma and its burden on their quality of life. Materials & Methods: The sample consisted of 180 subjects, comprising 90 asthma patients and 90 healthy controls aged between 20 - 45 years old, who visited the Chest Department Outpatient Clinic of Ain Shams University Hospital between January and December 2018. We reported all the subjects' demographic and clinical data; both groups answered an Arabic version of the Female Sexual Function Index (Ar FSFI) and World Health Organization Quality of Life Questionnaire abbreviated version (WHOQL-Bref). Results: 90% of asthmatic females had FSD; total Female Sexual Function Index score was 12.956 ± 10.3 in asthmatic females compared to 25.423 ± 5.521 in healthy controls; 45.6% of asthmatic females with sexual dysfunction had moderate asthma and 86.4% had uncontrolled asthma, 40.1% of them had a low educational level and 80.2% were unemployed. Conclusion: Jobless females with severe uncontrolled asthma and a low educational level had higher sexual dysfunction and a poor quality of life.

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“…Six papers were identified that were relevant to the topic of pursuit. An identified correlation between asthma, stress and the negative impact on sexual function is reported7 while a comparison of the sexual assessments of mild female asthmatics against a healthy cohort demonstrated loss of desire and a higher prevalence of emotional issues impacting on intimacy 8. Additionally, the physical limitations of asthma are reported to impact on QoL which then negatively compounds on sexual quality of life 9–12.…”

Section: Introductionmentioning

confidence: 98%

Sex and intimacy in people with severe asthma: a qualitative study

et al. 2019

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IntroductionPeople with severe asthma experience unpredictable daily symptoms requiring an intense treatment regimen impacting on health-related quality of life (QoL). Sexuality contributes to this, yet there is a dearth of research exploring intimacy in people with severe asthma. We aimed to explore the patient’s perception of the impact of severe asthma on intimacy, establish their information needs and their perceived role of the healthcare practitioner.MethodsWe have performed a qualitative study guided by Interpretive Phenomenological Analysis. We interviewed patients diagnosed with severe asthma recruited from a dedicated clinic using purposive sampling. Interviews were audio recorded and transcribed verbatim. Using thematic analysis, the data were analysed for emergent themes.ResultsThe nine interviews provided unique and detailed insights into their perspectives on how living with severe asthma impinges on sexual intimacy. Four superordinate themes emerged: (1) ‘Physical intimacy’: including disclosure of physical limitations of severe asthma on intimacy; (2) ‘Emotional intimacy’: the cyclical impact of the often-negative emotional struggle of living with severe asthma on relationships; (3) ‘The role of the healthcare professional’: a perceived failure of healthcare professionals (HCPs) to tackle sexual intimacy in consultations and (4) ‘Image of self’: the reported struggle to deal with negative body image and confusion regarding changing relationship roles.DiscussionThis study is the first to explore the impact of severe asthma on intimacy. We suggest an emphasis on education to raise awareness and help HCPs to address this sensitive topic in this cohort and adopt positive strategies to help improve QoL.

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Female Sexual and Hormonal Status in Patients with Bronchial Asthma: Relationship with Respiratory Function Tests and Psychological and Somatic Status

Cited by 10 publications

References 24 publications

Prevalence of incontinence and incontinence-specific quality of life impairment in women with cystic fibrosis

Prevalence of incontinence and incontinence-specific quality of life impairment in women with cystic fibrosis

Female Sexual Dysfunction Among a Sample of Egyptian Patients with Asthma

Sex and intimacy in people with severe asthma: a qualitative study

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