Sexual quality of life and female sexual function in women after fetal death

Białek, Katarzyna; Szwabowicz, Karol; Świercz, Anna

doi:10.5603/gp.a2022.0089

Cited by 3 publications

(4 citation statements)

References 23 publications

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“…The vast majority of women who come for follow-up gynecological visits presented high SQOL (82% of SQOL total score > 84), which is consistent with other authors considering a generally healthy, premenopausal population (29)(30)(31).…”

Section: Discussionsupporting

confidence: 90%

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Women’s sexual health improvement: sexual quality of life and pelvic floor muscle assessment in asymptomatic women

Baszak-Radomańska,

Wańczyk-Baszak,

Paszkowski

2024

Front. Med.

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IntroductionProblems related to the quality of sexual life in gynecological practice are usually neglected. This study aimed to highlight the significance of this area of concern and evaluate the usefulness of tools, such as patient-reported outcomes (PROs) and pelvic floor examination, to improve women’s sexual wellbeing and to identify predictors of poor quality of sexual life during the well-woman annual visit.MethodsA cross-sectional study was designed to examine 300 healthy women to determine whether the sexual quality of life (SQOL) questionnaire (on electronic devices) and pelvic floor muscle assessment (the vulva, anus, muscles, and periurethral (VAMP) protocol) of asymptomatic women during the annual bimanual examination (BME) help differentiate patients who would benefit from discussing sexual problems with a gynecologist. Dyspareunia was an exclusion criterion.ResultsThe majority of subjects experienced high sexual wellbeing (82.0% with SQOL score of ≥84), with a mean of 85.7 points. SQOL scores were lower for psychiatric disorders or symptoms (37.0% of subjects), although they did not correlate with age, BMI, parity, contraception use, history of vulvovaginal symptoms, neurosurgical/orthopedic problems, and rectal, bowel, or bladder symptoms. Patients with dyspareunia (16.0% of participants, although they denied it during the face-to-face consultation) had a 3.6 times higher prevalence of low or moderate quality of sexual life. The VAMP protocol score was low in asymptomatic women, 33.0% met positive criteria (VAMP+, NRS ≥3) for pelvic floor dysfunction (overactivity), although at borderline levels. VAMP+ was positively correlated with chronic pain and genitourinary symptoms, but neither with dyspareunia nor incontinence, and was unrelated to the SQOL score (p = 0.151).ConclusionWomen’s sexual health is a global health priority. Finding a way to start a discussion with an asymptomatic patient is crucial to increasing patients’ interest in disclosing a sexual health problem to be resolved. PROs or simple questions about sexual wellbeing direct the discussion mainly toward the at-risk group for sexual deterioration: those with mental health problems and women with dyspareunia. Dyspareunia is considered a predictor of decreased quality of sexual life, a major sexual disorder that should not be overlooked. Gynecological consultation should resolve concerns, identify the problem, and refer for professional sexual care if still needed.

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Section: Discussionsupporting

confidence: 90%

“…The SQOL questionnaire was chosen for this study because it does not in itself impose sexual problems. A Polish version of the SQOL questionnaire has been used ( 30 , 31 ).…”

Section: Methodsmentioning

confidence: 99%

Women’s sexual health improvement: sexual quality of life and pelvic floor muscle assessment in asymptomatic women

Baszak-Radomańska,

Wańczyk-Baszak,

Paszkowski

2024

Front. Med.

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“…The sexual function of women who have experienced 1 pregnancy loss and those who experienced more than 1 pregnancy loss were also compared, indicating poorer sexual function scores in the latter. 18 In our study, we assessed the sexual function of participants by the FSFI tool, which was abundantly used in the investigation of female sexual function, and found poorer sexual function scores in RPL patients than in healthy women, too. These results indicated that the influence of RPL on sexual dysfunction should be heavily focused by both patients and clinicians.…”

Section: Discussionmentioning

confidence: 86%

The risk of sexual dysfunction in Chinese women with recurrent pregnancy loss and the associated factors: a multicenter cross-sectional study

Liu,

Zhang,

et al. 2024

Sexual Medicine

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Background Recurrent pregnancy loss (RPL) is a severe traumatic event for women of childbearing age. However, the association between RPL and female sexual dysfunction was unknown. Aim The study sought to investigate the association between RPL and sexual dysfunction, and to explore the risk factors of sexual dysfunction for RPL patients. Methods A multicenter cross-sectional study involving both RPL patients and healthy women was performed in 3 different hospitals in West China from May 2021 to January 2023. Baseline information including sociodemographic data and disease histories were collected. The Female Sexual Function Index (FSFI) was used to assess the sexual function of participants. Outcomes The main outcome was the proportion of women at increased risk of sexual dysfunction (total FSFI scores <26.55), and the secondary outcome was risk factors of sexual dysfunction in RPL patients. Results A total of 233 RPL patients and 185 healthy women were included in this study. RPL patients had significantly lower total FSFI scores (median 31.7 [interquartile range, 26.6-33.5] vs 33.0 [interquartile range, 31.2-34.1]; P < .001) and a significantly higher risk of sexual dysfunction than healthy women (24.9% vs 8.6%; P < .001). Body mass index >24 kg/m2 (adjusted odds ratio [OR], 4.132; 95% confidence interval [CI], 1.902-8.976, P < .001), working >8 h/d (adjusted OR, 2.111; 95% CI, 1.020-4.369, P = .044), and unexplained RPL (adjusted OR, 3.785; 95% CI, 1.967-7.280, P < .001) were independent risk factors of sexual dysfunction for RPL patients. Clinical Implications RPL patients, especially those patients with the previously mentioned risk factors, should be focused on the risk of sexual dysfunction, and appropriate preventions could be applied. Strength and Limitations We explored the association between RPL and sexual dysfunction and explored the risk factors of sexual dysfunction among RPL patients for the first time, and the multicenter data increased the generalizability of results. However, the cross-sectional design did not provide an exact causal relationship between RPL and sexual dysfunction, and potential risk factors related to mental health were not investigated. Conclusion RPL patients were at an increased risk of sexual dysfunction. Overweight, fatigue caused by work, and unexplained RPL were risk factors of sexual dysfunction for RPL patients.

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“…Pregnancy loss is associated with an increased risk of all-cause mortality, especially cardiovascular mortality [ 12 ] and other health problems, such as sleep quality [ 13 ] and sexual and marital health [ 14 ]. It can also influence decisions about future pregnancy [ 15 ].…”

Section: Introductionmentioning

confidence: 99%

The role of art therapy on quality of life of women with recent pregnancy loss: A randomized clinical trial

Zahmatkesh,

Faal Siahkal,

Alahverdi

et al. 2024

PLoS ONE

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Background Pregnancy loss and mourning can lead to psychological adverse effects on women’s quality of life. This study aimed to evaluate the effect of art therapy on the quality of life of women with pregnancy loss. Methods This study was a randomized clinical trial performed on 60 women who recently experienced abortion or stillbirth. After randomization in two groups (30 in each group), women in the intervention group received four session art therapy. In the control group, routine care was performed. The Perinatal Grief Scale and World Health Organization quality of life questionnaire, short version 26, was used to collect data before and eight weeks after intervention, and the result was compared before and after the intervention in both groups. Results The mean age of participants was 26.5±4.75 years. Eight weeks after the intervention, the mean score of the total quality of life was significantly different between the two groups (348.64±13.12 vs.254.46±58.35; P>0.01). Also, all physical, psychological, social, and environmental dimensions of quality of life improved in the art therapy group compared to the control group (P>0.01). Conclusions Art therapy could improve the quality-of-life following pregnancy loss, and can be recommended as a complementary method next to routine care. Trial registration IRCT20200104046002N1.

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Sexual quality of life and female sexual function in women after fetal death

Cited by 3 publications

References 23 publications

Women’s sexual health improvement: sexual quality of life and pelvic floor muscle assessment in asymptomatic women

Women’s sexual health improvement: sexual quality of life and pelvic floor muscle assessment in asymptomatic women

The risk of sexual dysfunction in Chinese women with recurrent pregnancy loss and the associated factors: a multicenter cross-sectional study

The role of art therapy on quality of life of women with recent pregnancy loss: A randomized clinical trial

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