Sexual dysfunction in patients with polycystic ovary syndrome: clinical and hormonal correlations

Veras, André Barciela; Bruno, Ricardo Vasconcellos; Ávila, Márcio Augusto Pinto de; Nardi, Antônio Egídio

doi:10.1016/j.comppsych.2010.10.013

Cited by 42 publications

(39 citation statements)

References 19 publications

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“…This is thought to lead to episodes of overeating and resultant issues with body image. The interplay between elevated, ineffective insulin concentrations with cortisol and hyperandrogenism likely alter eating behaviours . Further research to characterize these relationships as they pertain to the dietary behaviours of patients with PCOS is needed …”

Section: Discussionmentioning

confidence: 99%

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Eating, sleeping and sexual function disorders in women with polycystic ovary syndrome (PCOS): A systematic review and meta‐analysis

Thannickal

Brutocao

Alsawas

et al. 2020

Clinical Endocrinology

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Purpose We aim to evaluate the association of PCOS with eating, sleeping and sexual function disorders. Methods A comprehensive search including MEDLINE, Embase, Cochrane Central Register of Controlled Trials, Cochrane Database of Systematic Reviews, and Scopus through 01 August 2018 was conducted for studies reporting the prevalence of any eating, sleep or sexual function disorders in patients with PCOS. Independent reviewers selected studies and extracted data. A random‐effects model was utilized to generate pooled odds ratio (OR) and 95% confidence intervals (CI) for binary outcomes, and mean difference (MD) and 95% CI for continuous outcomes. Results We included 36 studies reporting on 349,529 patients. Compared to women without PCOS, women with PCOS were more likely to have bulimia nervosa (OR 1.37; %CI, 1.17 to 1.60), binge eating (OR 2.95; 95%CI, 1.61 to 5.42), or any eating disorder (OR 1.96; 95% CI 1.18 to 3.24); but not anorexia nervosa (OR 0.92; 95%CI, 0.78 to 1.10). Women with PCOS were more likely to have sleep disorders like hypersomnia (OR 4.39; %CI, 1.07 to 18.07) and obstructive sleep apnoea (OR 10.81; %CI, 2.39 to 48.83). Women with PCOS had lower sexual satisfaction as measured on a visual analogue scale (MD −29.67; 95% CI, −36.97 to −22.37), but no difference in Total Female Sexual Function Index (MD −0.06; 95% CI, −0.51 to 0.38). Conclusion PCOS can be associated with an increased risk of eating and sleeping disorders as well as decreased sexual satisfaction. Screening for these disorders in women with PCOS may allow early intervention and improve quality of life.

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Section: Discussionmentioning

confidence: 99%

“…Several psychological comorbidities are associated with PCOS. Substantial data demonstrate decreased health‐related quality of life in women with PCOS . Moreover, several recent studies have demonstrated increased frequency of both depression and anxiety in these women .…”

Section: Introductionmentioning

confidence: 99%

Eating, sleeping and sexual function disorders in women with polycystic ovary syndrome (PCOS): A systematic review and meta‐analysis

Thannickal

Brutocao

Alsawas

et al. 2020

Clinical Endocrinology

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“…Although FSD has been investigated in groups of women with various health problems, such as polycystic ovary syndrome, diabetes, HIV, and breast cancer (28-30), women with substance-related disorder represent a unique underserved and vulnerable population that continues to suffer from low detection rates and limited access to treatment (18). …”

Section: Discussionmentioning

confidence: 99%

Female sexual dysfunction in patients with substance-related disorders

Diehl¹,

Silva²,

Laranjeira³

2013

Clinics

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OBJECTIVE:To estimate the prevalence of female sexual dysfunction symptoms and the associated risk factors in a sample of patients with substance-related disorders admitted to a specialized in-patient care unit.METHODS:This study used a cross-section design, with eight months of data collection, conducted with substance-dependent women using structured questionnaires to collect socio-demographic data and identify their drug of choice. The Drug Abuse Screening Test, Short Alcohol Dependence Data questionnaire, Fagerström Test for Nicotine Dependence, and Arizona Sexual Experience Scale were also administered.RESULTS:The sample consisted of 105 women who had a mean age of 34.8 years (SD = 12.1, range = 18-65) and were predominantly heterosexual (74.3%), single (47.6%), Caucasian (50.5%), catholic (36.2%), and educated only to the level of primary education (40%), with a monthly family income of up to one minimum salary (37.5%). In 42.9% of the patients, crack was the drug of choice; 47.6% of the sample qualified for the Drug Abuse Screening Test (substantial problems related to drugs), 43.8% exhibited Short Alcohol Dependence Data (moderate or severe dependency), 47.6% exhibited Fagerström Test for Nicotine Dependence (high or very high nicotine dependence). The prevalence of sexual dysfunction symptoms was 34.2% (95% CI = [25.3, 44.1]), and a high level of nicotine dependence and low income increased the chances of having sexual dysfunction by 2.72-fold and 2.54 fold, respectively. An association was also observed between female sexual dysfunction symptoms and schooling and levels of drug dependence.CONCLUSIONS:Female sexual dysfunction symptoms were common among this sample and primarily associated with high levels of nicotine use.

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“…Nevertheless, the results of other studies showed that obesity is the main factor affecting sexual dissatisfaction and QoL [160]. However, no association between sexual functioning and obesity or infertility as well as androgen levels was found [168]. …”

Section: Sexual Dysfunction and Sexual Aspect Of Quality Of Life Imentioning

confidence: 99%

Psychological Disturbances and Quality of Life in Obese and Infertile Women and Men

Kocełak

Chudek

Naworska

et al. 2012

International Journal of Endocrinology

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Anovulatory cycles and endometriosis are the main causes of female infertility. The most frequently anovulatory cycles are related to polycystic ovary syndrome (PCOS) commonly associated with obesity and hormonal disturbances in the course of obesity. Recently published studies revealed that infertility affects about one in six couples during their lifetime and is more frequent in obese. Obesity is also associated with male infertility related to erectile dysfunction, hormonal disturbances and lower semen quality. Any of these above mentioned disorder is the important risk factor of psychological disturbances and poor quality of life among women and men in the reproductive age. On the other hand the mood disorders may exacerbate the hormonal disturbances and worsen the effectiveness of infertility management. Infertility, its therapy with accompanying psychological disturbances may also significantly affect the partners relationships. The review summarize the results described in the current literature on the association between obesity and infertility and psychological disturbances as well as their impact on quality of life and sexual functioning in women and men. Moreover, the impact of infertility and psychological disturbances on partners relationships is discussed.

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Sexual dysfunction in patients with polycystic ovary syndrome: clinical and hormonal correlations

Cited by 42 publications

References 19 publications

Eating, sleeping and sexual function disorders in women with polycystic ovary syndrome (PCOS): A systematic review and meta‐analysis

Eating, sleeping and sexual function disorders in women with polycystic ovary syndrome (PCOS): A systematic review and meta‐analysis

Female sexual dysfunction in patients with substance-related disorders

Psychological Disturbances and Quality of Life in Obese and Infertile Women and Men

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