Sexual Dysfunction and Associated Risk Factors in Women with End-Stage Renal Disease

Kettaş, Elife; Çayan, Filiz; Akbay, Erdem; Kıykım, Ahmet; Çayan, Selahíttín

doi:10.1111/j.1743-6109.2007.00664.x

Cited by 40 publications

(37 citation statements)

References 23 publications

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“…Studies reporting female sexual dysfunction in CKD are small (each with ,150 participants) and report a wide variation in the prevalence of sexual difficulties (30%-100%) in these women (10)(11)(12)(13)(14)(15)(16). No randomized trial has evaluated interventions for female sexual dysfunction in CKD so far.…”

Section: Introductionmentioning

confidence: 99%

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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Section: Introductionmentioning

confidence: 99%

Sexual Dysfunction in Women with ESRD Requiring Hemodialysis

Strippoli

Depression

2012

Clinical Journal of the American Society of Nephrology

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“…These two studies and others measured sexual function with the Female Sexual Function Index (FSFI), a 19-item questionnaire that evaluates six discrete domains of sexual function (17,(20)(21)(22)(23)(24). Despite its widespread use, the scoring scheme of the FSFI does not effectively distinguish sexual inactivity from sexual dysfunction; all sexually inactive women who complete the FSFI have scores indicating the presence of sexual dysfunction (25).…”

Section: Introductionmentioning

confidence: 99%

Sexual Function, Activity, and Satisfaction among Women Receiving Maintenance Hemodialysis

Mor

Sevick

Shields

et al. 2014

Clinical Journal of the American Society of Nephrology

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SummaryBackground and objectives Past studies that demonstrated that sexual dysfunction is common among women receiving chronic hemodialysis did not distinguish sexual dysfunction/difficulty from sexual inactivity. This study sought to differentiate these in order to elucidate the prevalence of true "sexual dysfunction" in this population.Design, setting, participants, & measurements As part of a clinical trial of symptom management strategies in patients receiving chronic hemodialysis, female sexual function was prospectively assessed monthly for 6 months and quarterly thereafter using the Female Sexual Function Index, to which questions were added differentiating sexual dysfunction/difficulty from sexual inactivity. Beginning in month 7, patients were asked three questions about sexual activity, difficulty, and satisfaction monthly.Results Of the women enrolled in the clinical trial,125 participants completed 1721 assessments between 2009 and 2011. Scores on 574 of 643 (89%) quarterly Female Sexual Function Index assessments were consistent with sexual dysfunction, due largely to sexual inactivity, which was reported on 525 (82%) quarterly assessments. When reported (n=1663), the most frequently described reasons for sexual inactivity were lack of interest in sex (n=715; 43%) and lack of a partner (n=647; 39%), but rarely sexual difficulty (n=36; 2%). When reported (n=1582), women were moderately to very satisfied with their sexual life on 1020 (64%) assessments and on 513 of 671 (76%) assessments in which lack of interest was cited as a reason for sexual inactivity. Women indicated an interest in learning about the causes of and treatment for sexual dysfunction on just 5% of all assessments.Conclusions Although many women receiving chronic hemodialysis are sexually inactive, few describe sexual difficulty. Most, including those with a lack of interest in sex, are satisfied with their sexual life and few wish to learn about treatment options. These findings suggest that true sexual dysfunction is uncommon in this population and that treatment opportunities are rare.

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“…In the morbidly obese, we find high levels of comorbitities that may directly cause sexual dysfunction. It is established that illnesses such as diabetes mellitus, high blood pressure (8), psychiatric problems such as depression and anxiety as well as medication used all have an effect on sexual functions (16). There are also studies that report no relation between BMI and female sexual function (17).…”

Section: Discussionmentioning

confidence: 99%

“…Just as the effect of female sexual function on the quality of life, a decrease in the quality of life will also lead to sexual dysfunction. Studies indicate that female sexual dysfunction occurs particularly with patients suffering from chronic illness (8). This study aims to research sexual function disorder in morbidly obese women and the effects of BMI on sexual functions.…”

Section: Introductionmentioning

confidence: 99%

The effect of body mass index on the sexual functions of morbidly obese female patients

Erbay¹,

Özlü²,

Şahin³

et al. 2017

Dusunen Adam

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The effect of body mass index on the sexual functions of morbidly obese female patientsObjective: The aim of this study is to investigate whether morbidly obese female patients are suffering sexual dysfunction, in addition to analyzing the effect of body mass index (BMI) on sexual functions. Method: A total of 72 morbidly obese women admitted to the Endocrinology Department, whose BMI scores were 40 or over, and 28 healthy women age-matched with the morbidly obese group, whose BMI scores were under 30 were included in this study. Considering the effects on sexual functioning, the patients and the control group were evaluated by a psychiatric specialist. women with a psychiatric disorder according to DSM-5, taking medicines that could affect sexual functions, and those with a chronic physical or any neurological disease or being pregnant or breastfeeding were excluded from the study. A sociodemographic data form and the Arizona Sexual Experiences Scale (ASEX) were administered to both the treatment and control group. Results: Statistical analyses revealed that morbidly obese female patients more frequently suffered from sexual dysfunction compared to the control group. The Arizona Sexual Experiences Scale (ASEX) and all subscale scores except the sexual satisfaction rate were significantly higher in morbidly obese female patients than in the control group. There was no correlation found between the BMI and sexual function in the analyses conducted. Conclusion: In our study, morbidly obese female patients were found to show more impairments in all areas of sexual functions except sexual satisfaction rate when compared to the control group. Previous studies have suggested that obesity is the cause of sexual dysfunction in men; however, the same relationship could not be demonstrated in women. In a limited study of female patients, conflicting results were attributed to the inability to control variables. The fact that variables such as depression, anxiety, and chronic physical illness, which may affect sexual function, had been assessed in our study is important for accurately interpreting the findings. The data in our study reveals the importance of investigating sexual functions in morbidly obese female patients. Keywords: Arizona Sexual Experiences Scale, morbid obesity, sexual dysfunctions ÖZET Morbid obez kadın hastalarda vücut kitle indeksinin cinsel işlevler üzerine etkisiAmaç: Bu çalışmanın amacı morbid obez kadın hastalarda cinsel işlev bozukluğu olup olmadığının araştırılması ve vücut kitle indeksinin (VKİ) cinsel işlevler üzerine etkisinin incelenmesidir. Yöntem: Bu çalışmaya İnönü Üniversitesi Tıp Fakültesi Endokrinoloji Bilim Dalı'na başvuran ve VKİ'si en az 40 olan 72 kadın morbid obezite hastası ve bu hastalarla yaş olarak eşleştirilmiş VKİ'si 30'un altında olan 28 sağlıklı kadın dâhil edilmiştir. Cinsel işlevleri etkileyebildiği bilindiğinden hasta ve kontrol grubu bir psikiyatri uzmanı tarafından değerlendirilerek DSM 5'e göre bir psikiyatrik hastalığı olanlar, cinsel işlevleri etkileyebile...

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Sexual Dysfunction and Associated Risk Factors in Women with End-Stage Renal Disease

Cited by 40 publications

References 23 publications

Sexual Dysfunction in Women with ESRD Requiring Hemodialysis

Sexual Dysfunction in Women with ESRD Requiring Hemodialysis

Sexual Function, Activity, and Satisfaction among Women Receiving Maintenance Hemodialysis

The effect of body mass index on the sexual functions of morbidly obese female patients

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