Sexual function in women with coronary artery disease: a preliminary study

Kaya, Cevdet; Yılmaz, Gökalp; Nurkalem, Zekeriya; İlktaç, Abdullah; Karaman, Muhammet İhsan

doi:10.1038/sj.ijir.3901530

Cited by 56 publications

(45 citation statements)

References 22 publications

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“…Men were significantly more likely than women to report sexual problems. Among sexually active women, the prevalence figure for sexual problems was 37%, lower than prevalence levels found in previous studies 5, [31][32] . The most commonly reported sexual problem was lack of interest in sex.…”

Section: Sexual Problemscontrasting

confidence: 48%

The CHARMS Study: cardiac patients’ experiences of sexual problems following cardiac rehabilitation

Byrne

Doherty

Murphy

et al. 2013

European Journal of Cardiovascular Nursing

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Background: Sexual problems are common among cardiac patients. Further information is required on patients' experiences of sexuality, and preferences for, sexual counselling.Aim: To characterise sexual dysfunction and related factors among patients following cardiac rehabilitation and examine related treatment delivery.Methods: Telephone interviews with 382 patients (32% response rate) recruited from six hospital rehabilitation centres.Results: Seventy-nine percent were male; average age was 64 years (SD 9.8). Forty-seven percent of the total sample reported no sexual relations in the previous year, and nearly a half of sexually active respondents reported at least one sexual problem. Erectile dysfunction (reported by 33%) and lack of interest in sex (reported by 10%) were the most common problems for men and women respectively. Twenty-three percent reported that sex had deteriorated for them since their cardiac event, and for half of these, this was considered a serious problem. In logistic regression analysis, higher anxiety (HADS) and being male were associated with reporting a sexual problem (χ 2 = 37.85, p<0.001). Sixty-six percent reported that sex was never discussed by a health professional and satisfaction with this aspect of care was low. Patients wanted these issues to be addressed and the majority (63%) claimed they would find it easy to discuss sexual problems with a health professional.Conclusions: Sexual inactivity and sexual problems are common in this group. Health professionals should address sexual issues with their patients, ideally in a private setting and within the broader context of addressing psychological wellbeing.

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Section: Sexual Problemscontrasting

confidence: 48%

The CHARMS Study: cardiac patients’ experiences of sexual problems following cardiac rehabilitation

Byrne

Doherty

Murphy

et al. 2013

European Journal of Cardiovascular Nursing

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“…Sexual dysfunction rates in women on hemodialysis may, however, be similar to those in sexually active women of a similar age in the general population (40-59 years); of these, approximately 55% fulfill criteria for sexual dysfunction (30) and 60%, for coronary artery disease (31). The prevalence of sexual dysfunction in women who are of an age similar to that of our cohort and who have normal kidney function remains incompletely researched.…”

Section: Discussionmentioning

confidence: 65%

Sexual Dysfunction in Women with ESRD Requiring Hemodialysis

Strippoli

Depression

2012

Clinical Journal of the American Society of Nephrology

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SummaryBackground and objectives The few existing studies of sexual dysfunction in women on hemodialysis are limited by small sample size. This large, cross-sectional study evaluated the prevalence and correlates of female sexual dysfunction in advanced kidney disease.Design, setting, participants, & methods A total of 1472 women with ESRD undergoing hemodialysis were recruited to a multinational, cross-sectional study conducted within a collaborative dialysis network in Europe and South America. Sexual dysfunction was identified by the Female Sexual Function Index. Correlates of selfreported sexual dysfunction were identified by regression analyses.Results Of the 1472 women, 659 completed questionnaires (45% Conclusions This descriptive study suggests most women on hemodialysis experience sexual problems. Additional research on the relevance of sexual dysfunction to symptom burden and quality of life in these women is needed.

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“…The average FSFI total score was 26.0±4.8 in healthy controls, and 5 of 15 healthy women (33.3%) had FSD according to a cutoff value of 25. 30 These studies suggest that the prevalence of FSD in different regions of Turkey may vary widely. This might be because of the cultural and traditional differences in different parts of the country.…”

Section: Discussionmentioning

confidence: 99%

Sexual dysfunction in obese and overweight women

2010

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Both overweight and obesity have been identified as risk factors for sexual dysfunction in men, but the relationship between sexual function and amount of body fat in females is still obscure. There are few reported studies in women assessing the relationship between female sexual function index (FSFI) and body weight. The aim of this study was to identify the frequency of female sexual dysfunction (FSD) among obese and overweight women. A total of 45 obese and overweight and 30 age-matched voluntary healthy women serving as a control group were evaluated by a detailed medical and sexual history, including the FSFI questionnaire. Serum prolactin, cortisol, luteinizing hormone (LH), follicle-stimulating hormone (FSH), dehydroepiandrosterone-SO 4 (DHEA-S), testosterone, estradiol and sex hormone-binding globulin (SHBG) levels were measured. No significant difference was observed between controls and patients in terms of the FSH, LH, estradiol, free thyroxine and thyrotropin (TSH), testosterone and DHEA-S levels. The comparison of total FSFI scores between patients and controls showed no significant difference (P ¼ 0.74). As the FSFI score of p26.55 indicated FSD, 86% of obese patients and 83% of controls were considered to have sexual dysfunction. The mean total FSFI score was 22.1±4.3 for obese patients and 23.1±3.7 for healthy women. FSFI scores were not correlated with any of the anthropometric measurements (body mass index (BMI), waist-to-hip ratio (WHR) and fat percent). The levels of total testosterone and DHEA-S were not correlated with total FSFI scores. We found a significant negative correlation between BMI and orgasm (P ¼ 0.007, r ¼ À0.413). Satisfaction was also negatively correlated with BMI (P ¼ 0.05, r ¼ À0.305) and weight (P ¼ 0.03, r ¼ À0.326). Testosterone levels were negatively correlated with only satisfaction domain scores of FSFI (P ¼ 0.01, r ¼ À0.385). We found that 86% of obese women and 83% of controls had sexual dysfunction. Although obesity does not seem to be a major contributor to sexual dysfunction, it affects several aspects of sexuality.

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Sexual function in women with coronary artery disease: a preliminary study

Cited by 56 publications

References 22 publications

The CHARMS Study: cardiac patients’ experiences of sexual problems following cardiac rehabilitation

The CHARMS Study: cardiac patients’ experiences of sexual problems following cardiac rehabilitation

Sexual Dysfunction in Women with ESRD Requiring Hemodialysis

Sexual dysfunction in obese and overweight women

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