Sexual dysfunction in in-vitro fertilization (IVF) patients and the effect of ovarian reserve on sexual dysfunction

Aim: In this prospective study, we aimed to compare the patients scheduled for in vitro fertilization (IVF) with poor ovarian reserve to patients with unexplained infertility in the same age group in terms of sexual dysfunction.Material and Methods: In this prospective study, a total of 146 patients admitted to the IVF center of Ondokuz Mayıs University between June 2018 and December 2018 were included in the study. Fourty-eight of these patients had poor ovarian reserve and 98 were scheduled for IVF due to unexplained infertility. In these patients, the female sexual function index (FSFI) scores were calculated for the diagnosis of sexual dysfunction prior to treatment. In addition, ovarian reserve tests such as cyclic follicle stimulating hormone (FSH) and anti mullerian hormone (AMH) at the beginning of the menstrual cycle were recorded.Results: The mean age of the female patients in the study was 30.2+-5 years. The mean FSFI score was 22.36 +-3.31 and 22.44+-3.53 in the group with poor ovarian reserve and with unexplained infertility, respectively. The prevalence of sexual dysfunction (FSFI score

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1. Millheiser LS, Helmer AE, Quintero RB, et al. Is infertility a risk factor for female sexual dysfunction? A case-control study. Fertil Sterile 2010;94:2022–6.
2. Ercan C, Coksuer H, Aydogan U, et al.Sexual dysfunction assessment and hormonal correlations in patients with polycystic ovary syndrome. Int J ImpotRes 2013;25:127–32.
3. Naeimeh T, Ardakani Seyed Mojtaba Yassini. Incidence and prevalence of the sexual dysfunctions in infertile women. Eur J Gen Med 2009;6:74–7.
4. Jain K, Radhakrishnan G, Agrawal P. Infertility and psychosexual disorders: relationship in infertile couples. Indian J Med Sci 2000;54:1–7.
5. Carolina R de Mendonçaa, Jalsi T Arrudaa, Matias Nollb, et al. Sexual dysfunction in infertile women: A systematic review and meta-analysis. Eur J Obstet Gynecol Reprod Biol 2017;215:153-63.
6. Oksuz E, Malhan S. Reliabilityandvalidity of the Female Sexual Function Index in Turkish population. Syndrome 2005;17:54.
7. Yaylali GF, Tekekoglu S, Akin F. Sexual dysfunction in obese and overweight women. Int J ImpotRes 2010;22:220–6.
8. Keskin U, Coksuer H, Gungor S, et al. Differences in prevalence of sexual dysfunction between primary and secondary infertile women. Fertil Steril 2011;96:1213–7.
9. de Almeida DM1, Benetti-Pinto CL, Makuch MY. Sexual function of women with premature ovarian failure. Menopause. 2011;18:262-6.
10. Palacios S, Castaño R, Grazziotin A. Epidemiology of female sexual dysfunction. Maturitas 2009;63:119-23.
11. van der Stege JG, Groen H, van Zadelhoff SJ, et al. Decreased androgen concentrations and diminished general and sexual well-being in women with premature ovarian failure. Menopause 2008;15:23-31.
12. Kalantaridou SN, Vanderhoof VH, Calis KA, et al. Sexual function in young women with spontaneous 46,XX primary ovarian insufficiency. Fertil Sterile 2008;90:1805-11.
13. Graziottin A, Basson R. Sexual dysfunction in women with premature menopause. Menopause 2004;11:766-77.
14. Pal L, Bevilacqua K, Zeitlian G, et al. Implications of diminished ovarian reserve (DOR) extend well beyond reproductive concerns. Menopause. 2008;15:1086-94.
15. Qadir F, De Silva P, Prince M, et al. Marital satisfaction in Pakistan: a pilot investigation. Sex Relationship Therapy 2005;20:195-209.
16. Segraves KB, Segraves RT. Hypoactive sexual desire disorder: prevalence and comorbidity in 906 subjects. J Sex Marital Therapy 1991;17:55–8.
17. Talakoub L, Munarriz R, Hoag L, et al. Epidemiological characteristics of 250 women with sexual dysfunction who presented for initial evaluation. J Sex Marital Therapy 2002;28:217-24.
18. Oskay UY, Beji NK, Serdaroglu H. The issue of infertility and sexual function in Turkish women. Sex Disabil 2010;28:71-9.
19. Turan V, Kopuz A, Ozcan A, et al. Sexual dysfunction in infertile Turkish females: prevalence and risk factors. Eur J Obstet Gynecol Reprod Biol. 2014;182:128-31.