Coşkun KAYA, YELİZ KAYA, Serkan CEYHAN

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Obstruktif uyku apne sendromu’nun kadın cinsel fonksiyonu ve memnuniyete olan etkisi

AMAÇ: Obstruktif uyku apne sendromu (OUAS)’nun mevcudiyeti ve şiddetinin kadın cinsel fonksiyonuna ve cinsel memnuniyeti üzerine et- kisi olup olmadığını göstermeye çalıştık. GEREÇ ve YÖNTEM: Ocak-Haziran 2018 tarihleri arasında Eskişehir Devlet Hastanesi Uyku Bozukluğu Laboratuarı’na horlama ve gece ne- fes tıkanıklığı nedeniyle başvuran kadın hastalar çalışmaya dahil edil- di. Hastalara cinsel fonksiyonlarını değerlendirmek için Kadın Cinsel Fonksiyon İndeksi (KCFİ), cinsel memnuniyetlerini değerlendirmek için Kadın Cinsel Memnuniyet Ölçeği (KCMÖ) ve Epworth Uykululuk Ölçeği doldurtulduktan sonra, tüm gece polisomnografi testi uygulandı. Hastalar Apne-Hipopne İndeksi’ne (AHİ) göre normal (15) olarak üçe ayrıldı, OUAS saptanmayan kadın hasta- lar kontrol grubuna dahil edildi. BULGULAR: Çalışmaya katılmayı kabul eden, kriterlere uyan 18 has- ta kontrol grubu (grup 1); hafif OUAS olan 8 hasta grup 2, orta-ağır OUAS olan 16 hasta grup 3 olarak tespit edildi. Grup 1’in ortalama yaşı 39,27±7,84 yıl iken grup 2 ve 3’te sırası ile ortalama yaş 44±6,27 ve 41,81±4,57 yıl bulundu (p>0,05). Grup 1, 2 ve 3’teki hastaların KCFİ toplam puanları sırasıyla 19,64±7,78, 15,87±8,34 ve 19,08±9,56 bulun- muş, toplam puanlar arasında anlamlı bir fark bulunmamıştır (p>0,05). Hem 3 grup birlikte hem de ayrı ayrı birbiriyle karşılaştırıldıklarında cinsel disfonksiyon sıklığı ve KCFİ alt parametre puanları açısından istatistiksel bir fark saptanmamıştır (p>0,05). Grup 1’deki hastaların KCMÖ toplam puanları 76,11±18,97, grup 2 için 68,5±18,59 ve grup 3 için 80,65±18,03 olduğu tespit edildi. Toplam puanlar ve alt paramet- re puanları hem 3 grup birlikte hem de ayrı ayrı birbiriyle karşılaştırıl- dıklarında istatistiksel olarak anlamlı fark bulunamamıştır. OUAS tanısı konan 24 hastanın KCFİ toplam ve alt parametre puanları ile KCMÖ toplam ve alt parametre puanları korelasyon analizi ile değerlendirildi- ğinde KCMÖ’nin endişe parametreleri haricinde iki ölçeğin hem top- lam hem de alt parametre puanları arasında istatistiksel olarak birbiri ile ilişkili olduğu saptanmıştır (p

The Effect of Obstructive Sleep Apnea Syndrome to the Female Sexual Function and Satisfaction

OBJECTIVE: To investigate the relation with the existence and severity of obstructive sleep apnea syndrome (OSAS) and sexual functions and satisfactions of females who have been diagnosed with OSAS. MATERIAL and METHODS: Female patients who have been investigated with a complaint of snoring and apnea and scheduled to undergo full night polysomnography in Eskisehir State Hospital between January and June 2018 were the subjects of this study. Patients were asked to fill Epworth Sleepiness Scale (ESS), Female Sexual Function Index (FSFI) and The Sexual Satisfaction Scale for Women (SSS-W) before sleep study in order to assess their sleepiness, sexual functions and sexual satisfaction respectively. Patients were grouped as: simple snorers (control group; group 1), mild OSA (apnea-hypopnea index (AHI): 5–15; group 2) and moderate/severe OSA (AHI >15; group 3) according to their AHI. RESULTS: 18, 8 and 16 patients, who were willing to participate to the study and met the inclusion criteria, were groups as control, mild OSA and moderate/severe OSA respectively. Age distributions of groups were as 39.27±7.84, 44±6.27 and 41.81±4.57 years for group 1, 2 and 3 respectively (p>0.05). Total FSFI points of each groups were similar (p>0.05). There were no statistically differences in the prevalence of sexual dysfunction and FSFI aspects’ scores between all three groups and when the all groups compared between each other (p>0.05). Total SSS-W points of each groups were similar (p>0.05). When the total and aspects’ points of FSFI and the total and aspects’ points of SSS-W were evaluated by correlation analysis in the 24 patients diagnosed OSAS, both two scales’ total and aspects’ points were correlated between each other except the ‘concern’ aspects in the SSS-W (p
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Androloji Bülteni-Cover
  • ISSN: 2587-2524
  • Yayın Aralığı: Yılda 4 Sayı
  • Başlangıç: 1999
  • Yayıncı: Turgay Arık
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