Sexual Functioning in Women and Men with Fibromyalgia

Abstract

Introduction Sexual dysfunction has been associated with several chronic pain conditions, including fibromyalgia. However, the literature on sexual functioning in patients with fibromyalgia is limited and restricted to female patients. Aim The aim of our study was to evaluate sexual functioning in female and male patients with fibromyalgia compared with healthy controls. Main Outcome Measure Sexual functioning was evaluated using the Spanish validated version of the Changes in Sexual Functioning Questionnaire (CSFQ). Methods We used baseline data from several studies performed in adult patients with fibromyalgia (American College of Rheumatology criteria) of both sexes in which sexual functioning was included in the clinical evaluation. As a control group, we selected an age-matched group of healthy subjects. We calculated the proportion of patients exhibiting sexual dysfunction (i.e., a CSFQ total score equal to or lower than 41 in females and 47 in males). CSFQ scores for patients and controls were compared, and the effect sizes for the difference of means were calculated. Results Our sample comprised 293 patients with fibromyalgia (276 females and 17 males) and 86 healthy controls (72 females and 14 males). The frequency of sexual dysfunction was significantly higher in patients with fibromyalgia than in controls for both females (86.9% vs. 23.6%; relative risk [RR] 3.7, 95% confidence interval [CI], 2.4–5.6) and males (76.5% vs. 6.7%; RR 11.5, 95% CI, 1.7–77.6). We found significantly worse sexual functioning for all dimensions in both female and male patients with fibromyalgia. Effect sizes for the difference in mean scores of the CSFQ were large overall and for all dimensions in both females and males. Conclusion Our results show that sexual dysfunction is common in patients with fibromyalgia. The disease seems to deeply affect all dimensions of sexual functioning in both females and males.

Perceptions about the sexuality of women with fibromyalgia syndrome: a phenomenological study

“…FMS affects all stages of female sexuality (Rico‐Villademoros et al . ), having a significant impact on physical and emotional functions and quality of life (Roshan et al . ).…”

“…However, it also affects sexual health (Zielinski ) and is associated with female sexual dysfunction (FSD) (Kalichman , Rico‐Villademoros et al . ) and changes in libido, pleasure (Prins et al . ) and sexual relations (Tristano ).…”

Sexual dysfunction, mood, anxiety, and personality disorders in female patients with fibromyalgia

“…5 Epidemiological studies indicate that 30%–50% of women complain of SD. 2 , 6 Female SD is composed of several medical and psychosocial components 7 and is also associated with pathological states, including chronic pain. 8 A high incidence of SD has been reported in patients with fibromyalgia (FM), compared to that in healthy controls.…”

The Effects of Fibromyalgia Syndrome on Female Sexuality: A Controlled Study

“…Fibromyalgia may have negative effects on quality of life. Associated emotional symptoms, including pain, depression, anxiety, and negative self‐image, may have negative effects on sexual function [9–12].…”