Genital tract abnormalities and female sexual function impairment in systemic sclerosis

Bhadauria, Sushma

doi:10.1016/0020-7292(96)81045-9

Cited by 9 publications

(28 citation statements)

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“…It is not surprising that pain was robustly linked to sexual impairment, as many studies of patients with arthritis and other chronic pain conditions have found that pain is strongly associated with reduced sexual function (36 -38). Similarly, other studies of patients with SSc have identified specific sources of pain associated with sexual impairment in bivariate analyses, including vaginal pain, joint pain, skin pain, gastrointestinal pain, and pain from Raynaud's phenomenon (10,11,15). We found that although many sources of pain may influence sexual function, vaginal pain most clearly distinguished women with and without impairment.…”

Section: Discussionsupporting

confidence: 70%

“…We found that although many sources of pain may influence sexual function, vaginal pain most clearly distinguished women with and without impairment. Several authors have suggested steps that women with SSc can take that may reduce their pain and discomfort during sexual activity (10,16,17). For instance, the use of a water-based lubricant may be useful to reduce vaginal dryness and dyspareunia (10 -12,15-17).…”

Section: Discussionmentioning

confidence: 99%

“…Existing studies of sexual functioning among women with SSc have concluded that sexual impairment is common, based on frequencies of reported problems (10,17), comparisons to the general population (11,12,15), and comparisons to women with other chronic diseases (14). Common problems reported include vaginal dryness and discomfort, painful intercourse, and reduced frequency and intensity of orgasms (10,15).…”

Section: Introductionmentioning

confidence: 99%

“…Common problems reported include vaginal dryness and discomfort, painful intercourse, and reduced frequency and intensity of orgasms (10,15). Impaired sexual function has been associated with disease duration, pain, body image dissatisfaction, and marital distress (11).…”

Section: Introductionmentioning

confidence: 99%

“…Impaired sexual function has been associated with disease duration, pain, body image dissatisfaction, and marital distress (11). Existing studies, however, have been limited by the use of single unvalidated items to assess impairment and problems (10,17), not explicitly distinguishing between sexual inactivity and impairment (10 -14,17), and small sample sizes (10 -12,17). There is only one study of Ն100 patients that has analyzed sexual inactivity and impairment separately and used a validated measure of sexual function (15), but that study did not include multivariate analyses of factors associated with sexual problems.…”

Section: Introductionmentioning

confidence: 99%

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Rates and correlates of sexual activity and impairment among women with systemic sclerosis

Levis

Hudson

Knafo

et al. 2012

Arthritis Care & Research

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Objective. To assess 1) the rates of sexual activity and impairment, 2) clinical correlates of sexual activity/impairment, and 3) common sources of pain during and after sex in a large sample of female patients with systemic sclerosis (SSc; scleroderma). Methods. We performed a cross-sectional multicenter study of female SSc patients from the Canadian Scleroderma Research Group Registry. Patients underwent medical examinations and clinical histories and were asked whether they had engaged in sexual activities with their partner in the past 4 weeks. Sexually active patients completed a 9-item version of the Female Sexual Function Index (FSFI) and items related to problems that may be linked to sexual dysfunction in SSc. Multivariate logistic regressions assessed independent predictors of activity/inactivity and sexual dysfunction. Results. A total of 226 (41%) of 547 patients, including 215 (54%) of the 401 patients currently in relationships, reported having engaged in sexual activities with a partner in the past 4 weeks. Among 165 sexually active patients with complete data for all variables, 102 (62%) had FSFI total scores <22.5, indicating impaired function. Seventeen percent of the patients were sexually active and not impaired. Independent predictors (P < 0.05) of sexual activity were younger age, fewer gastrointestinal symptoms, and less severe Raynaud's phenomenon symptoms. Sexual impairment was independently associated with older age, higher skin scores, and more severe breathing problems. Vaginal pain was 8 times more likely among women with impairment. Conclusion.Research is needed to compare the extent of activity and impairment in SSc compared to women without SSc and to develop interventions to address impaired sexual function in women with SSc.

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Section: Discussionsupporting

confidence: 70%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Rates and correlates of sexual activity and impairment among women with systemic sclerosis

Levis

Hudson

Knafo

et al. 2012

Arthritis Care & Research

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Histopathological changes of cervical tissue in women with systemic sclerosis

Evrüke¹,

Ertunç

Doran³

et al. 2004

Pathology International

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Systemic sclerosis is a connective tissue disease that can affect almost any organ of the body. The clinical aspects of systemic sclerosis on the reproductive system have been studied in large series, and an increased rate of cesarean section has been reported. For this reason, in the present study the histopathological features of cervical specimens of hysterectomyzed women with systemic sclerosis were evaluated. An increased frequency of vascular and stromal abnormalities in cervical specimens of women with systemic sclerosis were observed. Vascular medial hypertrophy, intimal thickening, and fibrosis were more often encountered in the cervical specimens of the patients with systemic sclerosis. Some of the histopathological features also showed correlation with the clinical profile of the disease. The patients with vascular medial hypertrophy in their cervical specimens were older, had a higher Rodnan score, and had longer duration of the disease. In contrast to vascular medial hypertrophy, periadventitial edema was found in the cervical specimens of the patients who were younger, had a lower Rodnan score, and had shorter duration of the disease. It was concluded that the problems that are seen in common obstetric and gynecological practices in patients with systemic sclerosis may be explained by these tissue abnormalities.

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Sexual Distress, Sexual Dysfunction and Relationship Quality in Women with Systemic Sclerosis: Correlation with Clinical Variables

Rosato

Rossi

Molinaro

et al. 2014

Int J Immunopathol Pharmacol

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To assess the rate of sexual distress, sexual dysfunction and relationship quality and their association with clinical variables in women with systemic sclerosis (SSc), 102 sexually active women with SSc were recruited. Sexual distress, sexual dysfunction and dissatisfaction with relationship quality were investigated by Female Sexual Distress Scale Revised (FSDS-R), Female Sexual Function Index (FSFI) and Dyadic Adjustment Scale (DAS), respectively. The patients underwent medical examinations and nailfold videocapillaroscopy (NVC). Of the 102 patients, 37 (36%) reported sexual distress with FSDS-R score >11, 45 (44%) had sexual dysfunction with FSFI score <19 and 49 (48%) were not satisfied with relationship quality with DAS score <100. There was a negative correlation (p<0.001, R= −0.30) between FSDS-R and FSFI. No correlation was found between FSDS-R and DAS. FSFI showed a positive correlation with DAS (p<0.0001, R= 0.36). Age correlated negatively (p<0.05, R= −0.26) with FSFI, while FSDS-R and DAS did not correlate (p>0.05) with age. SSc women with digital ulcers (DU) had a reduction of FSFI and DAS compared with women without DU. In patients with late capillaroscopic pattern, mean value of FSFI was significantly lower than the other two capillaroscopic patterns. DAS decreased with progression of capillaroscopic damage. In a high percentage of women with SSc FSDS-R was increased, while FSFI and DAS were reduced. Age correlated negatively with FSFI, while skin score showed a negative correlation with DAS. Digital vascular damage negatively influenced FSFI and DAS.

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Genital tract abnormalities and female sexual function impairment in systemic sclerosis

Cited by 9 publications

References 0 publications

Rates and correlates of sexual activity and impairment among women with systemic sclerosis

Rates and correlates of sexual activity and impairment among women with systemic sclerosis

Histopathological changes of cervical tissue in women with systemic sclerosis

Sexual Distress, Sexual Dysfunction and Relationship Quality in Women with Systemic Sclerosis: Correlation with Clinical Variables

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