Sexual Behavior of a Sample of Females with Epilepsy

Demerdash, A. M.; Shaalan, Mohamed; Midani, A.; kamel, Fayez; Bahri, Mohamadreza Zarbakhshe

doi:10.1111/j.1528-1157.1991.tb05616.x

Cited by 68 publications

(47 citation statements)

References 8 publications

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“…In keeping with the findings of Mattson & Cramer 20 , Toone 21 , Demerdash et al 22 , and Silveira 4 , SD was more frequent in the epileptic group.…”

Section: Discussionsupporting

confidence: 78%

Sexual dysfunction in epilepsy: identifying the psychological variables

Souza

Keiralla

Silveira

et al. 2000

Arq. Neuro-Psiquiatr.

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-In order to evaluate the psychological variables that affect sexual dysfunction (SD) in epilepsy, where compared 60 epileptics (Group 1) with 60 healthy individuals (Group 2), through the State-Trait Anxiety Inventory (Spielberger et al., 1970), Beck Depression Inventory (Beck, 1974) and Sexual Behavior Interview (Souza, 1995). Sexual dysfunction (SD), anxiety and depression were found more frequently in Group 1 than in Group 2 and were not related to sex. Variables such as the onset duration and frequency of seizures as well as the use to medication were not associated with SD. Temporal lobe epilepsy was related to SD (p = 0.035) but not to anxiety or depression. Anxiety and depression were related to SD in both groups. Perception in controlling the seizures was closely related to anxiety (p = 0) and depression (p = 0.009). We conclude that psychological factors play an important role in the alteration of sexual behavior in epileptics and that suitable attention must be given to the control of these variables.KEY WORDS : sexual dysfunction, anxiety, depression, psychological variables, epilepsy. (Souza, 1995). Disfunção sexual, ansiedade e depressão foram mais frequentes no Grupo 1 que no Grupo 2 e não foram relacionadas à variável sexo. Variáveis como início, duração, frequência de crises e medicação não foram associadas a DS. Epilepsia de lobo temporal foi relacionada a DS (p=0,035) mas não com ansiedade e depressão. DS foi associada com ansiedade e depressão em ambos os grupos. Percepção de controle das crises foi significativamente relacionada com ansiedade (p=0) e depressão (p=0,009). Concluimos que fatores psicológicos têm importante papel na alteração do comportamento sexual em epilépticos e merece especial consideração.PALAVRAS-CHAVE: disfunção sexual, ansiedade, depressão, variáveis psicológicas, epilepsia.Hyposexuality (a reduction and/or absence of sexual desire, and/or excitement or potency, and/or sexual pleasure) has been related to an interictal alteration of sexual function which is more frequent in epileptics [1][2][3][4][5] . Since sexuality involves complex behavior, it is often difficult to evaluate the changes in sexual function 6 . There are various factors that affect sexual function and restrict

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“…In keeping with the findings of Mattson & Cramer 20 , Toone 21 , Demerdash et al 22 , and Silveira 4 , SD was more frequent in the epileptic group.…”

Section: Discussionsupporting

confidence: 78%

Sexual dysfunction in epilepsy: identifying the psychological variables

Souza

Keiralla

Silveira

et al. 2000

Arq. Neuro-Psiquiatr.

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“…Other studies of sexual function in women with epilepsy have suggested a deficit in arousal (6,8). Morrell et al (26) in 1994 reported that genital blood flow did not increase to the same degree in women with epilepsy presented with sexually explicit material as it did in a group of controls.…”

Section: Discussionmentioning

confidence: 99%

Sexual Function in Women with Epilepsy

et al. 1997

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Summary:Purpose: To examine certain aspects of sexual behaviour and attitudes in a group of women with epilepsy using a validated questionnaire (Sexuality Experience Scales), and effects of antiepileptic drugs (AEDs) on sex hormone binding globulin (SHBG), total testosterone (TT), and free testosterone (FT).Methods: One hundred ninety-five women all attending a hospital-based epilepsy clinic were recruited. One hundred fifty-nine received AED therapy and 36 women did not. A control group of 48 women was also recruited. All women completed the first two Sexuality Experience Scales (SES 1 and SES 2), and those women in stable heterosexual relationships completed SES 3 and SES 4. At the same time blood was taken for TT and SHBG 1evels.FT was calculated using the method of Nanjee and Wheeler (22).Results: Women receiving AED therapy achieved significantly higher SES 1 and SES 2 scores than the rest of the women, suggesting that they adhered to a stricter sexual morality and were less open to psychosexual stimulation than the rest of the women treated. Women in the treated group were less likely to have received further education than the controls, a factor that influences SES 1 and SES 2 scores. There were no significant differences between the three groups on SES 3 or SES 4, with the exception of the orgasmic adequacy (OE) scale of SES 3 where those women in the treated group attained a higher mean score than the controls, suggesting that they found orgasm less satisfying. Women receiving AEDs had significantly higher SHBG and TT than controls and untreated patients. There were no differences in FT between the groups. Those women receiving AEDs also exhibited the expected midcycle rise in FT. There was no significant correlation between FT and the desired frequency of intercourse or enjoyment of it for the three groups.Conclusions: Women in the treated group appeared to be more "moral" and less open to sexual approach, but those who had regular partners appeared to desire and enjoy intercourse as much as the control and untreated groups. This could be explained by differences in demographic characteristics of the study groups or be indicative of a bimodal distribution of sexual interest in these women. As FT was within physiological norms for each study group this cannot be cited as a cause for hyposexuality .

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“…Em contrapartida, as alterações sexuais estão entre os distúrbios encontrados na epilepsia, afetando em média 38 a 71% dos homens e 14 a 50% das mulheres [3][4][5] . No período intercrítico há relato de várias alterações, tais…”

Section: Sexual Disorders In Epilepsy: Results Of a Multidisciplinaryunclassified

“…Segundo a maior parte dos autores, o problema mais frequentemente observado na epilepsia é a falta de desejo e/ou excitação sexual verificado predominantemente em pacientes com crises parciais complexas, resultantes do acometimento do lobo temporal 5 . Em relação ao período crítico, as crises podem se expressar como sensações e/ou comportamentos sexuais, havendo relatos de crises epilépticas desencadeadas por estímulos sexuais específicos 3,8 .…”

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Alterações sexuais na epilepsia: resultados de uma avaliação multidisciplinar

Silva

Carvalho

Jorge

et al. 1999

Arq. Neuro-Psiquiatr.

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RESUMO -Onze pacientes do sexo masculino com epilepsia e queixa de alteração sexual foram submetidos a avaliação multidisciplinar. A média de idade foi 27 anos (20-34), a duração média da epilepsia foi 19 anos (0,5-32) e a frequência média das crises foi duas por semana (0-7). Dez pacientes apresentavam crises parciais e um, mioclônicas. Dez pacientes recebiam drogas antiepilépticas (difenil-hidantoína -1, carbamazepina -8, clonazepam -3, clobazam -2, valproato -3, vigabatrina -1). Segundo os critérios do DSM III -R, as queixas foram disfunção erétil (9), redução da libido (4), froteurismo (4), inibição do orgasmo (3), ejaculação precoce (3), fetichismo (2), voyeurismo (2), exibicionismo (2), pedofilia (1) e aversão sexual (1). A avaliação endocrinológica mostrou hipogonadismo hipogonadotrófico em dois pacientes. A avaliação urológica revelou disfunção erétil orgânica em outros dois. Em um paciente a alteração sexual foi considerada psicogênica. Em seis pacientes não foi possível estabelecer diagnóstico etiológico definitivo. Este estudo mostra que a alteração da sexualidade na epilepsia é multifatorial e necessita de abordagem multidisciplinar. PALAVRAS-CHAVE: epilepsia, sexualidade, endocrinologia, urologia. Sexual disorders in epilepsy: results of a multidisciplinary evaluationABSTRACT -Eleven epileptic men who complained of epilepsy and sexual dysfunction were submitted to a multidisciplinary evaluation. Mean age was 27 years (20-34), mean epilepsy duration was 19 years (0,5-32) and the mean seizure frequency was two by week (0-7). Ten patients had partial seizures and one other had myoclonic epilepsy. Ten patients were treated with antiepileptic drugs (phenytoin -1, carbamazepine -8, clonazepam -3, clobazam -2, valproic acid -3, vigabatrin -1). As defined in the DSM III-R, the complaints were: erectile disorder (9), hypoactive sexual desire disorder (4), frotteurism (4), inhibited orgasm (3), premature ejaculation (3), fetishism (2), voyeurism (2), exhibitionism (2), pedophilia (1) and sexual aversion disorder (1). Two patients showed hypogonadotropic hypogonadism on endocrinologic screening. Urological evaluation disclosed organic erectile dysfunction in other two. One patient had a diagnosis of psychogenic sexual disorder. In six patients a conclusive etiologic diagnosis was not reached This report shows the multifactorial nature of sexual disorder in epilepsy and underlies the need of a multidisciplinar evaluation.KEY WORDS: epilepsy, sexual behavior, endocrinology, urology.A maioria das doenças do sistema nervoso pode interferir na expressão satisfatória da sexualidade 1 , especialmente as que acometem o hipotálamo e o lobo temporal 2 . Em contrapartida, as alterações sexuais estão entre os distúrbios encontrados na epilepsia, afetando em média 38 a 71% dos homens e 14 a 50% das mulheres [3][4][5] . No período intercrítico há relato de várias alterações, tais

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Sexual Behavior of a Sample of Females with Epilepsy

Cited by 68 publications

References 8 publications

Sexual dysfunction in epilepsy: identifying the psychological variables

Sexual dysfunction in epilepsy: identifying the psychological variables

Sexual Function in Women with Epilepsy

Alterações sexuais na epilepsia: resultados de uma avaliação multidisciplinar

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