Determinants of male sexual function in inflammatory bowel disease: A survey-based cross-sectional analysis in 280 men

Timmer, Antje; Bauer, Alexandra; Kemptner, Daniela; Fürst, Alois; Rogler, Gerhard

doi:10.1002/ibd.20182

Cited by 81 publications

(94 citation statements)

References 22 publications

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“…[1][2][3] This study revealed that physicians infrequently addressed issues relating to sexual function. Increasing physicians' sensitivity and awareness of sexual concerns and the potential for sexual dysfunction in IBD patients is essential.…”

Section: To the Editormentioning

confidence: 88%

Physicians may inadequately address Sexuality in women with inflammatory bowel disease

Borum

Igiehon

Shafa

2010

Inflammatory Bowel Diseases

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We read with interest the manuscript written by Timmer and Bauer entitled ''Determinants of male sexual function in inflammatory bowel disease: a survey-based cross-sectional analysis in 280 men,'' 1 which revealed that sexual desire was markedly affected by depression while erectile and orgasmic function were both significantly affected by inflammatory bowel disease (IBD) activity. In this study, 44% of the patients reported that their sexual lives were severely affected by the disease. Other studies have similarly revealed that women with IBD indicate that sexual function is significantly impacted by their disease.2 Considering the profound morbidities and quality of life issues in patients with IBD, particularly its effect on sexuality, it is imperative that physicians play an integral role in addressing issues related to IBD patients' sexual health.A survey of all women with IBD attending an educational seminar was conducted to determine the frequency at which physicians discuss issues related to IBD and sexuality/sexual functioning with women. All 64 of the women with IBD reported that they received medical care from a primary care provider, gastroenterologist, and obstetrician/gynecologist. Of these, 12 (18.8%) reported that their gastroenterologists more frequently addressed these issues compared to a primary care provider (0%, P ¼ 0.0002) or obstetrician/gynecologist (0%, P ¼ 0.0002). In the patients who had discussions with their gastroenterologists, all of them reported that they (rather than the physician) initiated the discussion.It is critical for physicians to acknowledge that IBD can have an impact on self-image, social relationships, and sexual function.1-3 This study revealed that physicians infrequently addressed issues relating to sexual function. Increasing physicians' sensitivity and awareness of sexual concerns and the potential for sexual dysfunction in IBD patients is essential. Physicians should be encouraged to initiate and address issues related to sexual health and provide disease-specific information as necessary. A multidisciplinary approach to counseling patients on their sexuality and sexual functioning can enhance the likelihood that all issues regarding sexual health are addressed.

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Section: To the Editormentioning

confidence: 88%

Physicians may inadequately address Sexuality in women with inflammatory bowel disease

Borum

Igiehon

Shafa

2010

Inflammatory Bowel Diseases

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“…Final number of studies included: n=14 8 On the other hand, depression was also the most consistent predictor factor for low sexual function among females in Timmer et al 2008. 9 Other predictors were frequent relapses and anxiety [intercourse frequency domain OR 2.3, 95% CI: 1.4-4.7 and OR 2.0, 95% CI: 1.1-3.…”

Section: Resultsmentioning

confidence: 99%

“…Therefore the International Index for Erectile Function [IIEF] for males and the Female Sexual Function Index [FSFI] for femaleswere used in the majority of the studies. 7,8,11,13,14,15,16,17,19,20 The majority of the studies examined sexual function in both males and females and thus the results are not presented based on sex. Instead the results are presented based on participant selection.…”

Section: Resultsmentioning

confidence: 99%

“…Instead the results are presented based on participant selection. Thus six studies examined the sexual function among male and/or female patients with IBD registered on various national database or presented in a clinical setting, 7,8,9,10,11,12 whereas eight studies included only male and/or female patients who had undergone a surgery and examined their sexual function. 13,14,15,16,17,18,19,20 Potentially relevant studies identi ed through the initial search of the literature: n=165…”

Section: Resultsmentioning

confidence: 99%

“…8 In fact, only a small proportion seems willing to discuss sexuality with their treating physician, and the majority expressed the opinion that information about the impact of IBD on intimacy and sexuality should be given at IBD diagnosis and that the IBD specialist is appropriate for clarifying doubts. 9,13 On the other hand, physicians may also overlook identifying sexual dysfunction among their patients.…”

Section: Discussionmentioning

confidence: 99%

See 2 more Smart Citations

Inflammatory Bowel Disease and Sexual Function in Male and Female Patients: An Update on Evidence in the Past Ten Years

Mantzouranis

Fafliora

Glanztounis

et al. 2015

ECCOJC

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Background and Aims: Inflammatory bowel diseases [IBD] are a group of chronic, debilitating inflammatory intestinal conditions. The aim of this review was to assess the recent data regarding the impact of IBD in sexual function of male and female patients. Methods: A literature search was conducted on MEDLINE using, among others, the following search terms or their combinations: ulcerative colitis; Crohn's disease; sexual function; sexual health; relationship status; erectile dysfunction; surgery. All English-language studies published in the past 10 years which provided data evaluating the sexual function in IBD patients were included. Results: Fourteen studies were identified; six included IBD patients registered on a national database or presented in a clinical setting, whereas eight evaluated sexual function after a surgical intervention for IBD. The majority of the studies used the validated for general populations International Index for Erectile Function [IIEF] and the Female Sexual Function Index [FSFI] for the assessment of sexual function among males and females, respectively. An impaired sexual function has been reported in general cohorts of IBD patients; females seemed to experience worse sexual dysfunction than males. Furthermore, depression was a consistent negative predictive factor across studies. Surgery did not seem to affect sexual function in the majority of studies, except a prospective one which reported a significant improvement in male sexual function [IIEF, p < 0.05] but not female [FSFI, p = 0.6]. Conclusions: Sexual function among IBD patients may be impaired, thus more studies are needed in order to develop the appropriate instruments and proper and effective management strategies.

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Long-term health outcomes in pediatric inflammatory bowel disease: A population-based study

Turunen

Ashorn

Auvinen

et al. 2009

Inflammatory Bowel Diseases

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Determinants of male sexual function in inflammatory bowel disease: A survey-based cross-sectional analysis in 280 men

Abstract: Sexual function was relatively better with longer disease duration and was not affected by the long-term severity of the disease.

Cited by 81 publications

References 22 publications

Physicians may inadequately address Sexuality in women with inflammatory bowel disease

Physicians may inadequately address Sexuality in women with inflammatory bowel disease

Inflammatory Bowel Disease and Sexual Function in Male and Female Patients: An Update on Evidence in the Past Ten Years

Long-term health outcomes in pediatric inflammatory bowel disease: A population-based study

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