Fibromiyalji Sendromu Olan Hastalarda Seksüel Disfonksiyonun Değerlendirilmesi

Abstract

ÖzetAmaç: Çalışmamızın amacı çeşitli semptom birlikteliği bulunan fibromiyalji hastalarında cinsel işlev bozukluğunun varlığını, niteliğini belirlemek ve normal popülasyonla karşılaştırmaktır. Gereç ve Yöntem: Çalışmamıza Antalya Eğitim ve Araştırma Hastanesi, Fiziksel Tıp ve Rehabilitasyon polikliniğine başvuran, 1990 ve 2010 American Collage of Rheumatology (ACR) kriterlerine göre fibromiyalji sendromu tanısı konan 55, cinsel aktif, kadın hasta dahil edilmiştir. Hastaların klinik değerlendirmesinde kullanılan parametreleri karşılaştırabilmek ve fibromiyalji sendrom (FMS)'lu kadın hastaların normal popülasyondan farklı olup olmadığını belirlemek için polikliniğimize değişik kas iskelet sistemi yakınmaları ile başvuran, cinsel olarak aktif, 50 hastadan oluşan kontrol grubu çalışmaya dahil edildi. Çalışmaya dahil olma kriterlerini tamamlayan onamları alınan hasta ve kontrol olgularına cinsel işlevi değerlendirmeye yönelik Kadın Cinsel Fonksiyon İndeksi (KCFİ) (female sexual function index; FSFI) sorgulandı. Rosen ve arkadaşları tarafından 2000 yılında geliştirilmiş, 19 sorudan oluşan, cinsel istek, uyarılma, kayganlaşma, orgazm, cinsel doyum ve ağrıyı içeren altı farklı boyutu sorgulayan bir testtir. Türk Androloji Derneği tarafından 2003 yılında Türkçe validasyonu yapılan formun puanlamasında, sorular belli bir katsayı ile çarpılarak her bölüm 6 puan üzerinden değerlendirilmektedir. En az 2,4 en çok 36 puan alınan form, kolay uygulanabilmesi ile Türkiye'de kadın cinsel fonksiyon bozukluğu değerlendirilmesinde standardizasyon için kullanıma sunulmuştur. Bulgular: Fibromiyalji Sendromlu hastaların kadın cinsel fonksiyon indeksi alt ölçek ve toplam skorlarının tamamı kontrol grubu hastalarının skorlarına göre istatistiksel olarak anlamlı derecede düşük saptandı (p<0,05 Objectives: The aim of our study is to determine the presence, quality of sexual dysfunction in patients with fibromyalgia syndrome and to compare with normal population. Material and Methods: A total of 55 sexually active women who were admitted to Department of Physical Therapy and Rehabilitation of Antalya Research and Training Hospital and diagnosed with fibromyalgia syndrome according to 1990 and 2010 American College of Rheumatology (ACR) criteria. A control group composed of 50 sexually active women who were admitted to our clinic with various musculoskeletal system complaints were also included in the study in order to compare the parameters used for clinical assessment of patients and to determine whether the patients differ from normal population. Patients and controls who met inclusion criteria were applied Female Sexual Function Index (FSFI) for assessment of sexual function. This test was developed by Rosen and colleagues in 2000, it is composed of 19 questions and inquires six different dimensions including desire, arousal, lubrication, orgasm, sexual satisfaction and pain. Turkish validation test was done by Turkish Society Of Andrology in 2003, answers are multiplied with a coefficient and each section is evaluated on six scores. Mini...

Changes in Erotic Expression in Women with Fibromyalgia

“…In this sense, many preferred to avoid sexual relations because their resources focused more on restricting activities to avoid pain than focusing on those that generated pleasure. The genital and corporal pain that occurred before, during and after intercourse influenced the posture they assumed in relation to their sex life (Prins et al, 2006;Sanabria & Gers, 2019;Shaver et al, 2006;Tikiz et al, 2005;Ülker et al, 2013). As a result, in many cases sexual encounters were evoked as a painful act that increased the symptoms of the disease (Prins et al, 2006).…”

“…Ostrander (2009) in the United States said that after being diagnosed with chronic disease these women had enriched their sexuality with erotic practices that included sensuality, affection and intimacy. As a result of the adjustments derived from the disease, the participants affirmed that they learned to feel pleasure without feeling guilty for resorting to other (Ülker, Çakır, Yalçınkaya, Demirdal, & Toraman, 2013). Although the etiology of sexual dysfunctions in patients with chronic pain has been poorly addressed, researchers say that since it is a multifactorial problem, some of the influences are general to all dysfunctions and others specific to each disorder (Hernández-Petro & Cardona-Arias, 2014;Kalichman, 2009;Shaver, Wilbur, Robinson, Wang, & Buntin, 2006;Soriano, Monsalve, Gómez-Carretero, & Ibáñez, 2012;Tawadros et al, 2013;Triviño-Martínez, Solano-Ruiz, & Siles-González, 2014).…”

“…In a research carried out in England, Ambler et al (2001) found that at the time of intercourse, the patients showed an increase in pain that was associated with sexual dysfunction and with the pain threshold. Dyspareunia and vaginismus were one of the complaints reported most frequently by patients with chronic pain (Kool, Woertman, Prins, Van Middendorp, & Geenen, 2006;Ülker et al, 2013). The results of the study conducted by Shaver et al (2006) in the United States suggested that women with fibromyalgia register a significant decrease in orgasm, self-pleasure, sexual activity and satisfaction, as well as vaginal dryness during penetration.…”