The Prevalence of Sexual Dysfunction in Iranian Women with Multiple

Ghasemi, Vida; Simbar, Masoumeh; Ozgoli, Giti; Nabavi, Seyed Massood; Majd, Hamid Alavi; Souri, Behzad Mohammad; Fakari, Farzaneh Rashidi; Naz, Marzieh Saei Ghareh

doi:10.5812/semj.83490

Cited by 5 publications

(7 citation statements)

References 36 publications

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“…These findings are consistent with previous studies that also showed that there are correlations between course of study and sexual dysfunction [3,28]. The etiology of depression in MS patient is multifactorial and the incidence of depression in MS patient increased dramatically recently especially in Iranian women [12,29]. However, the relationship between sexual dysfunction and depression in patients with multiple sclerosis remains controversial.…”

Section: Discussionsupporting

confidence: 91%

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Factors associated with intimacy and sexuality among young women with multiple sclerosis

Mohammadi

Rahnama

Rafei³

et al. 2020

Reprod Health

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Background Patients with multiple sclerosis (MS) especially those with younger age experience an alteration in physiological and emotional lifestyle that can affect intimacy and sexuality . The aim of this study was to determine demographic and disease related determinants of intimacy and sexuality in young women with MS. Methods This was a cross sectional study carried out in Tehran, Iran. A convenience sample of young women aged ≤35 years old with MS attending to outpatient clinics in a teaching hospital affiliated to Tehran University of Medical Sciences was entered into the study. The Multiple Sclerosis Intimacy and Sexuality Questionnaire-19 (MSISQ-19) was used to evaluate how the disease influences sexual function and satisfaction in these patients. Multivariable analysis using hierarchical method was performed to identify variables that are associated with intimacy and sexuality. Results In total 117 young women with confirmed diagnosis of MS were included in the study. Participants mean was 25.7 (SD = 8.07) years. A multivariable hierarchical regression analysis was performed using demographic variables entered in step one, relevant neurological variables in step two, and psychological variables in step three. Furthermore, we loaded antidepressant use in the last step. Overall, the seven variables accounted for 39% of total variance observed for the MSISQ score ( P < 0.001). At step one the demographic variables accounted for 13% of the variance in the MSISQ score ( P < 0.001). At step two the inclusion of relevant neurological variables increased the R 2 significantly and explained 27% of variance for the MSISQ (P < 0.001). However in the third step the inclusion of psychological factors increased R 2 significantly (adjusted R 2 increased to 0.39, P < 0.001). Conclusions The findings indicated that psychological, disease-related and demographic factors (education and employment status) contributed to intimacy and sexuality in young women with multiple sclerosis. Appropriate interventions, especially psychological interventions, appear to be essential immediately following a definite MS diagnosis in young women.

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Section: Discussionsupporting

confidence: 91%

“…The etiology of depression in MS patient is multifactorial and the incidence of depression in MS patient increased dramatically recently especially in Iranian women [ 12 , 29 ]. However, the relationship between sexual dysfunction and depression in patients with multiple sclerosis remains controversial.…”

Section: Discussionmentioning

confidence: 99%

Factors associated with intimacy and sexuality among young women with multiple sclerosis

Mohammadi

Rahnama

Rafei³

et al. 2020

Reprod Health

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“…Pelvic floor muscles in women with MS are usually weak. Pelvic floor muscle weakness and urinary dysfunction can cause SD related to various factors (satisfaction and orgasm) 22 . Improving pelvic floor muscle tone and circulation, pelvic floor muscle training (PFMT) contributes via improving the sexual desire, ability to reach orgasm, and awareness of the genital area 23 .…”

Section: Discussionmentioning

confidence: 99%

Evaluating the effects of transcutaneous tibial nerve stimulation or pelvic floor muscle training on sexual dysfunction in female multiple sclerosis patients reporting overactive bladder

Dünya

Tülek

Kürtüncü

et al. 2021

Neurourology and Urodynamics

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Aims: Sexual dysfunction (SD) is common in female patients with multiple sclerosis (MS) reporting overactive bladder (OAB) symptoms. The aim of the study was to evaluate the effects of transcutaneous tibial nerve stimulation (TTNS) and pelvic floor muscle training (PFMT) with biofeedback on SD in female patients with MS reporting OAB symptoms. Methods: Patients with overactive bladder and SD were allocated to receive TTNS or PFMT daily. Overactive bladder symptoms, sexual functions, and sexual quality of life were assessed at baseline and 6 th weeks. Female Sexual Function Index (FSFI), Overactive Bladder Questionnaire (OABv-8), and Sexual Quality of Life-Female (SQoL-F) questionnaires were used. Results: Thirty patients (TTNS = 10, PFMT = 20) were included in the study.Compared to baseline, total FSFIOABv-8, and SQoL-F scores improved in both TTNS (p = 0.005, p = 0.011, p = 0.444, respectively) and PFMT (p = 0.002, p = 0.001, p = 0.001, respectively) groups. Between-group comparisons did not show any significant differences. Conclusion:This study demonstrates the efficacy of both TTNS and PFMT for improving sexual function in female MS patients with OAB symptoms, but did not show superiority of any particular method. Further studies are required to investigate the differences between these two non-invasive methods.

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“…The present findings support the results of previous studies, which have shown a high prevalence for sexual dysfunction among women with MS. [1,5,7,32,33]. In a systematic Meta analytic review in Iran (2019), the prevalence of SD was reported as 62% in [34] and as 34 to 85% in a review study in Canada (2014) [35]. The difference in the results obtained may be due to the use of different tools or the differences in participants' characteristics.…”

Section: Discussionmentioning

confidence: 99%

Sexual dysfunction in women with multiple sclerosis: prevalence and impact on quality of life

et al. 2020

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Background: Sexual function is a component of quality of life, and sexual dysfunction entails reduced satisfaction with life and impaired mood and quality of relationships and affects not only the individual's quality of life, but her partner's life as well. Since Sexual Dysfunction (SD) is among the most common complaints of patients with Multiple Sclerosis (MS), this study was conducted to determine the prevalence of SD among women with MS and its effect on quality of life. Materials and methods: This cross-sectional study was conducted in 2018 on 300 women with MS aged 22-50 years in Isfahan, Iran, selected through systematic random sampling. Data were collected using the standard Female Sexual Function Index (FSFI) and MSQOL-54 and analyzed in SPSS using descriptive and analytical statistics. Results: The overall prevalence of SD was found as 69.8% in women with MS, with the dimension of sexual desire being affected in 38.6% of the cases, sexual arousal in 38.6%, lubrication in 23.7%, orgasm in 37.3%, satisfaction in 23.4% and pain in 16.9%. SD was found to have significant relationships with age, duration of marriage, fatigue, EDSS and the combined physical and mental health aspects of quality of life (P < 0.05). Moreover, logistic regression analysis revealed that there was a higher probability of a sexual dysfunction among patients with MS and a high fatigue score [1.228(1.003 to 1.504); P = 0.047]. The mean score of the combined physical and mental health aspects of quality of life was lower in the group of women with MS and SD compared to those without SD, and the difference between the two groups was statistically significant (P < 0.05). Conclusion: Sexual dysfunction is highly prevalent among women with MS and affects various dimensions of quality of life. Greater attention should be paid to the sexual problems faced by MS patients in order to improve their quality of life.

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The Prevalence of Sexual Dysfunction in Iranian Women with Multiple

Cited by 5 publications

References 36 publications

Factors associated with intimacy and sexuality among young women with multiple sclerosis

Factors associated with intimacy and sexuality among young women with multiple sclerosis

Evaluating the effects of transcutaneous tibial nerve stimulation or pelvic floor muscle training on sexual dysfunction in female multiple sclerosis patients reporting overactive bladder

Sexual dysfunction in women with multiple sclerosis: prevalence and impact on quality of life

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