Sexuality in teenagers with epilepsy

Vincentiis, Silvia; Febrônio, Marília Vieira; Silva, Clóvis A.; Saito, Maria Ignez; Takiuti, Albertina Duarte; Valente, Kette D.

doi:10.1016/j.yebeh.2008.05.017

Cited by 10 publications

(5 citation statements)

References 19 publications

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“…22 The same was observed in adolescents with other chronic diseases, as we evidenced in patients with epilepsy (median of 15 years). 23 We also observed that male preservative use in routine sexual relations happened only in half of SLE men in this study, similarly to the 59% use of contraceptives by SLE American adolescents. 10 This risk behavior can lead, undoubtedly, to a greater risk of sexually transmitted diseases, including acquired immunodeficiency syndrome (AIDS) 2 and human papillomavirus (HPV).…”

Section: Discussionsupporting

confidence: 75%

Saúde reprodutiva em homens com lúpus eritematoso sistêmico

Silva

Bonfá²,

Borba³

et al. 2009

Rev. Bras. Reumatol.

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Objective: To assess reproductive health in male systemic lupus erythematosus (SLE) patients and compare them with controls. Methods: Twenty-five male SLE patients were evaluated for demographic data, urologic evaluation (including pubertal parameters, sexual/erectile function), testicular Doppler ultrasound, hormone profile, semen analysis, clinical features and treatment. The control group included 25 healthy men. Results: The current median age was similar in SLE patients compared with controls (26 versus 27 years, P = 0.756). The frequencies of sexual/erectile disfunction were significantly higher (20% versus 0%, P = 0.0001) and the number of spontaneous pregnancies were lower in SLE patients than in controls (20% versus 60%, P = 0.0086). A trend to low contraceptive use was observed in SLE patients compared with controls (48% versus 76%, P = 0.079). Moreover, the frequencies of gonadal dysfunction parameters, such as testicular atrophies measured by ultrasound (36% versus 8%, P = 0.037), elevated FSH and/or LH levels (36% versus 0%, P = 0.002), and sperm abnormalities (48% versus 0%, P = 0.0001), were statistically higher in SLE patients versus controls. SLE patients with sexual/erectile disfunction had no sexual activity in the last month versus 95% of SLE patients without dysfunction (P = 0.0001). On the other hand, no differences were evidenced in SLE patients with or without sexual/erectile disfunction according to demographic data, disease activity, cumulative damage and treatment. Conclusion: This is the first study to identify sexual/erectile and gonadal disfunction in male SLE patients. A multidisciplinary approach is essential in order to offer preventive measures for these patients.

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Section: Discussionsupporting

confidence: 75%

Saúde reprodutiva em homens com lúpus eritematoso sistêmico

Silva

Bonfá²,

Borba³

et al. 2009

Rev. Bras. Reumatol.

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“…A previous study indicated that only 8% of male PWE had SD as compared with 13% of the non-epilepsy control [16]. In line with this finding, de Vincentiis et al failed to find a relationship between epilepsy and SD in the female subjects [17].…”

Section: Introductionmentioning

confidence: 89%

Association between epilepsy and risk of sexual dysfunction: A meta-analysis

Zhao

Tang

Xie

et al. 2019

Seizure

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A B S T R A C TPurpose: Sexual functioning is an important factor influencing quality of life. Mounting evidence suggests that both male and female patients with epilepsy (PWE) have an increased risk of developing sexual dysfunction (SD). The aim of this meta-analysis was to quantify the association between epilepsy and the risk of SD. Methods: PubMed, Embase, and Cochrane Library database were systematically searched to identify the pertinent studies focusing on the association between epilepsy and SD. Relative risk (RR) for SD with 95% confidence interval (CI) was calculated. The overall quality of the evidence was generated by applying the GRADE-profiler. This meta-analysis was registered on the PROSPERO (ID: CRD42018103572, http://www.crd.york.ac.uk/ PROSPERO). Results: Nine studies (3 cross-sectional, 5 case-control, and 1 cohort) were included in this meta-analysis, for a total of 1556 subjects and 599 cases of epilepsy. Synthetic results demonstrated that epilepsy was associated with an increased risk of female SD (6 studies, pooled RR = 2.69, 95%CI: 1.48-4.89, P = 0.001; heterogeneity: I 2 = 88.9%, P < 0.001) as well as male SD (3 studies, pooled RR = 4.85, 95%CI: 2.01-11.7, P < 0.001; heterogeneity: I 2 = 74.2%, P = 0.021). The GRADE-profiler showed that the rate of events of SD on average in the PWE and the controls were 383/659 (58.1%) and 168/1017 (16.5%), respectively. The quality of evidence across outcomes was MODERATE. Conclusions: Epilepsy is significantly associated with an increased risk of SD in both sexes. These findings suggest that both clinicians and patients should recognize that epilepsy has a potential hazardous effect on sexual functioning.

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“…Figure details how we identified 54 articles for inclusion within the review . Another 62 articles were included in the addendum . Agreement between the two reviewers on study inclusion or exclusion was calculated using Cohen's kappa statistic ( κ =0.96 [standard error=0.014]).…”

Section: Resultsmentioning

confidence: 99%

Life quality and health in adolescents and emerging adults with epilepsy during the years of transition: a scoping review

Thomson

Fayed

Sedarous

et al. 2013

Develop Med Child Neuro

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ABBREVIATIONS ICFInternational Classification of Functioning, Disability and Health QOL Quality of life AIMS The aims of this study were to (1) search the literature in order to identify the challenges facing adolescents and emerging adults with epilepsy; and (2) categorize these issues within both the framework of the International Classification of Functioning, Disability and Health (ICF) and an empirical model of quality of life (QOL) in childhood epilepsy.METHOD We systematically searched PsycINFO, Ovid MEDLINE and Web of Science for studies reporting on QOL and health identified in people with epilepsy aged 12 to 29 years. Studies were limited to those that were published in the last 20 years in English, presenting the patient perspective. Data were extracted and charted using a descriptive analytical method. Identified issues were classified according to the ICF and QOL frameworks.RESULTS Fifty four studies were identified. Another 62 studies with potentially useful information were included as an addendum. The studies highlight a range of psychosocial issues emphasizing peer acceptance, social isolation, and feelings of anxiety, fear, and sadness.INTERPRETATION The ICF and QOL constructs represent useful starting points in the analytical classification of the potential challenges faced by adolescents with epilepsy. Progress is needed on fully classifying issues not included under these frameworks. We propose to expand these frameworks to include comorbidities, impending medical interventions, and concerns for future education, employment, marriage, dignity, and autonomy.Epilepsy can have a profound effect on health and quality of life (QOL). It may hinder the development of independence, social functioning, peer relationships, and self-esteem, all of which are particularly important during adolescence. [1][2][3] In this developmental period, individuals form a sense of identity and autonomy, relying heavily on peer relationships. 4 Adolescents begin to make educational, career, and intimate relationship decisions. 4 The challenges facing young people with epilepsy persist into adulthood; for example, marriage and employment rates are reported to be lower in adults with childhood-onset epilepsy than in the rest of the population. 5 Biomedical diagnosis alone does not accurately predict health outcomes, the level of care required by patients, work performance, or social integration. 6 To better examine these outcomes, life and health challenges must be identified, analysed, and categorized. Recognition and conceptual classification of these issues may provide insight into the life-course trajectory of individuals with epilepsy and help mitigate long-term outcomes. It is of critical importance to examine these issues from the patient perspective, as the views of patients, parents, and clinicians may differ regarding the value placed on health outcomes and QOL. 7,8 In this review we have used the following operational definitions for the key concepts. Health status is defined as a snapshot of functioning, at ...

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Sexuality in teenagers with epilepsy

Cited by 10 publications

References 19 publications

Saúde reprodutiva em homens com lúpus eritematoso sistêmico

Saúde reprodutiva em homens com lúpus eritematoso sistêmico

Association between epilepsy and risk of sexual dysfunction: A meta-analysis

Life quality and health in adolescents and emerging adults with epilepsy during the years of transition: a scoping review

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