Sexual Dysfunction in Female Patients With Neurodermatitis

Abstract

Neurodermatitis is a chronic disease affecting the patient's psychosocial status and quality of life. It is associated with a variety of psychologic problems, including demoralization, depression, anxiety, obsessive-compulsive disorder, and sleep disturbances. Coexistence of sexual dysfunction, especially in women, with several systemic diseases has gained interest in recent years. In this study, we evaluated sexual function in female patients with neurodermatitis. We enrolled 89 women (43 patients, 46 controls) in the study. Quality of life was assessed with the Dermatology Life Quality Index (DLQI), and the Female Sexual Function Index (FSFI) was used to determine sexual function. Individuals with psychiatric disorders and/or those using antidepressants were excluded. The total DLQI score was 11.95 6 5.65 in patients with neurodermatitis.The total FSFI score was significantly lower in patients compared with healthy controls (22.76 6 5.31 and 28.83 6 3.50, respectively; P 5 .001). Domain scores of FSFI (desire, arousal, lubrication, orgasm, and satisfaction) except pain were significantly lower in patients with neurodermatitis (P 5 .001). The pain score was also lower in patients than controls, but the difference was not statistically significant (P 5 .073). Neurodermatitis may be associated with sexual dysfunction, and patients with neurodermatitis should be evaluated with regard to sexual function to provide a better quality of life.

Profound disturbances of sexual health in patients with acne inversa

“…3 Moreover, in the current study, women with AI reported age at disease onset approximately 6 years younger compared with male patients, which DLQI, mean 6 SD (range) 14.4 6 6.6 (1-26) 9.6 6 6.9 .03* FKKS SSEX, mean 6 SD (range) 19.5 6 5.1 (12-32) 23.5 6 5.8 (13)(14)(15)(16)(17)(18)(19)(20)(21)(22)(23)(24)(25)(26)(27)(28)(29)(30)(31)(32) .02* Sartorius score, mean 6 SD (range) 52.9 6 35.5 (7-138) 52. 8 6 27.3 (17-114) .72…”

“…showed that patients with AI have a significantly lower quality of life, compared with patients with other chronic skin diseases, such as acne vulgaris, 10 psoriasis, 11,12 atopic dermatitis, 13 alopecia, 14 Darier disease, 15 and morbus Hailey-Hailey. 15 Although the affected body regions are intimate, the effect of AI on sexual health, as an integral part of quality of life, is an underexplored area.…”

“…Examples are psoriasis vulgaris, [16][17][18] atopic dermatitis, 13 chronic hand eczema, 19 vitiligo, and chronic urticaria. 20 To our knowledge, the degree of sexual dysfunction in patients with AI is unknown, until today.…”

The Effect of Pruritus and Pain on the Quality of Life

“…FMS hastaları ile yapılan bazı çalışmaların sonuçları, bu hastalarda emasyonel stresin, anksiyete ve depresyonun sık gözlendiğini ve bu durumun hastalığın patofizyolojisi üzerine etkisinin olabileceğini desteklemektedir. Çocukluk çağı travması, psikolojik ve emosyonel stres FMS'de tetikleyici olarak karşımıza çıkarken, depresyon ve yorgunluk ağrının persiste etmesine yol açmaktadır (13 (30,31). Çalışmamızda cinsel fonksiyonu sorgulayan sosyal etki alanı skorları FMS grubunda daha düşük tespit edilmiş olup, FMS hastalarında sosyal etki alanında yaşam kalitesinde FP hastalarına göre daha olumsuz etkilenmenin olduğu gözlenmiştir.…”

Psychoneuroimmunology and impact of stress in chronic skin conditions

“…Furthermore, there is no irrefutable evidence that stress affects the normal functions of the body. The diathesis-stress model is the basis of the biopsychological model and focuses on the relationship between the predisposition to disease, the diathesis, and the environment and the stress (27).…”