Long-Term Effects of Continuous Positive Airway Pressure Treatment on Sexuality in Female Patients with Obstructive Sleep Apnea

Petersen, Marian; Kristensen, Ellids; Berg, Sören; Midgren, Bengt

doi:10.1002/sm2.18

Cited by 12 publications

(7 citation statements)

References 34 publications

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“…In a prospective study, Jara et al [13] reported that, in severe OSA patients, CPAP treatment was associated with improved sexual quality of life, but not in men. Similarly, Peterson et al [14] also reported that, after 1 year of CPAP treatment, female patients with OSA reported reduced sexual dysfunction. We determined a significant negative correlation between the severity of OSAS and both sexual health and quality of life scores and all scores were improved after 6 months of effective CPAP treatment.…”

Section: Discussionmentioning

confidence: 85%

The Effect of Positive Airway Pressure Therapy on Sexual Life and Quality of Life in Women with Moderate or Severe Obstructive Sleep Apnea Syndrome

2020

Signa Vitae

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Background and Aim: Obstructive sleep apnea syndrome (OSAS) negatively affects quality of life and causes erectile dysfunction in men. However, there are few studies examining the effects of OSAS on women’s sexual health. This study used validated measurement tools to evaluate whether the presence and severity of OSAS had an impact on female sexual function and if there was a change after 6 months of CPAP treatment. Scores were compared before and after CPAP in the same and between groups. Material and Method: The patients were divided into moderate and severe groups based on the Apnea-Hypopnea Index (AHI). The female patients included in the study were administered the Female Sexual Function Index (FSFI), and the Calgary sleep apnea quality of life index (SAQLI) questionnaires to evaluate their sexual function. After CPAP treatment for 6 months, FSFI, and SAQLI questionnaires were compared with the results before treatment. Results: Among study participants, 72 had severe and 76 had moderate OSAS. The mean age (standard deviation or SD) in the severe OSAS group was 40.97±5.65 years and in the moderate OSAS group was 35.46 ± 5.43 years (p < 0.001). Body mass indexes of the severe and moderate OSAS groups were 33.10 ± 3.33 kg/m2and 31.04 ± 3.42 kg/m2, respectively (p < 0.001). The mean Epworth scores (SD) of the severe and moderate OSAS groups were 11.45 ± 3.27 and 9.52 ± 3.31, respectively (p = 0.001). Based on FSFI scores, in the pre-treatment period, desire, lubrication, and satisfaction were significantly better in the moderate OSAS group. After treatment, only desire and satisfaction were significantly better in the moderate OSAS group. In both groups, after treatment, all parameters of the FSFI score were significantly better compared with the pretreatment values (p = 0.001). When SAQLI scores were compared, in the pre-treatment period, all parameters were significantly better in the moderate OSAS group. In both groups, after treatment, all parameters of the SAQLI score were significantly better compared with the pre-treatment values (p = 0.001). Conclusion: In women with severe and moderate OSAS, sexual functions and satisfaction levels were negatively associated with OSAS severity. Sexual functions and quality of life were significantly improved with effective treatment of OSAS.

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Section: Discussionmentioning

confidence: 85%

The Effect of Positive Airway Pressure Therapy on Sexual Life and Quality of Life in Women with Moderate or Severe Obstructive Sleep Apnea Syndrome

2020

Signa Vitae

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“…Petersen et al. [53] showed that OSA patients with sexual dysfunction treated with CPAP had significant improvement as compared with the controls. Conceivably, the beneficial effect of CPAP on the male sexual function with OSA could also be extrapolated to women.…”

Section: Discussionmentioning

confidence: 99%

Sexual Dysfunction in Patients with Obstructive Sleep Apnea: A Systematic Review and Meta-Analysis

Liu

Kang²,

Zhao³

et al. 2015

The Journal of Sexual Medicine

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Introduction Sexual dysfunction is an under-recognized problem in men and women with obstructive sleep apnea (OSA). Epidemiologic findings were inconclusive regarding the risk for sexual dysfunction associated with OSA. Aim The aim of this study was to examine the association between OSA and sexual dysfunction. Methods The PubMed, Cochrane Library, and Embase databases were searched for observational studies on the OSA and the risk of sexual dysfunction. The methodologic quality of the case–control and cohort studies was assessed with Newcastle–Ottawa Scale (NOS). The cross-sectional study quality methodology checklist was used for cross-sectional study. Data were pooled for the random-effects model. Sensitivity analyses were conducted to assess potential bias. Main Outcome Measure The association between OSA and sexual dysfunction was summarized using relative risk (RR) with a 95% confidence interval (CI). Results This meta-analysis included 1,275 participants from nine studies. Five studies reported the incidence of erectile dysfunction (ED); the remaining four studies reported the incidence of female sexual dysfunction (FSD). Pooled results demonstrated that OSA was associated with increased risk of ED (pooled RR = 1.82, 95% CI: 1.12–2.97) as well as FSD (pooled RR = 2.00, 95% CI: 1.29–3.08). Estimates of the total effects were generally consistent in the sensitivity analysis. No evidence of publication bias was observed. Conclusions Evidence from the observational studies suggested that OSA individuals might have an increased incidence of sexual dysfunction despite significant heterogeneity. More researches are warranted to clarify the relationship between OSA and the increased risk of sexual dysfunction.

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“…Improving lifestyle can improve nocturnal hypoxia, which can allow glucose homeostasis [96]. It has been reported that female patients with OSA have seen improvements in sexual dysfunction after a year of CPAP treatment [97]. Post menopause stages and waist size are correlated with the severity of OSA.…”

Section: Femalesmentioning

confidence: 99%

Urological Manifestations of Obstructive Sleep Apnea Syndrome: A Review of Current Literature

Dagur¹,

Warren²,

Ambroise³

et al. 2015

Transl Biomed

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Sleep apnea syndrome is a common health issue that is frequently found in patients with obesity associated cardiovascular and respiratory disorders. Patients with sleep apnea suffer from hypoxia during sleep, resulting in metabolic dysfunction of various organ specific symptoms. Obstructive sleep apnea syndrome results in critical psychological symptoms, which include depression and suicidal tendencies. Sleep apnea syndrome carries significant morbidity and mortality that is frequently ignored by healthcare providers. A high percentage of sleep apnea patients suffer from genitourinary symptoms, such as frequency, nocturia, erectile dysfunction, enuresis, and overactive bladder. Current concepts of sleep apnea, as related to urological health issues, are discussed to facilitate treatment options of sleep apnea syndrome. Current literature is reviewed related to genitourinary symptoms.

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Long-Term Effects of Continuous Positive Airway Pressure Treatment on Sexuality in Female Patients with Obstructive Sleep Apnea

Cited by 12 publications

References 34 publications

The Effect of Positive Airway Pressure Therapy on Sexual Life and Quality of Life in Women with Moderate or Severe Obstructive Sleep Apnea Syndrome

The Effect of Positive Airway Pressure Therapy on Sexual Life and Quality of Life in Women with Moderate or Severe Obstructive Sleep Apnea Syndrome

Sexual Dysfunction in Patients with Obstructive Sleep Apnea: A Systematic Review and Meta-Analysis

Urological Manifestations of Obstructive Sleep Apnea Syndrome: A Review of Current Literature

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