Polikistik over sendromu tanısı almış hastaların benlik saygısı ve cinsel işlev düzeylerinin incelenmesi: prospektif bir çalışma

Amaç: Polikistik over sendromu (PKOS), kadınların %5-10’ununda görülürken hiperandrojenizm sonucu birçok sistemi etkilemektedir. Endokrinolojik ve metabolik sonuçlarının yanısıra, PKOS’lu kadınların beden imaj bozuklukları nedeni ile benlik saygı düzeylerinde azalma olduğu da bildirilmektedir. Ayrıca, PKOS’lu hastalarda gerek bedensel değişiklikler gerekse de emosyonel farklılıklar nedeni ile cinsel istek, orgazm, uyarılma ve cinsel doyum gibi cinsel işlev bozukluğu da ortaya çıkmaktadır. Bu çalışmadaki amacımız, PKOS tanısı olan kadınların benlik saygı düzeyleri ve benlik saygı düzeylerinin analiz edilmesi ve bunlara etki eden faktörlerin değerlendirilmesidir. Gereç ve Yöntem: Çalışmaya 18-55 yaş arasında PKOS tanısı konulan kadınlar prospektif olarak dahil edildi. Kadınların yaş, medeni durum, çalışma durumu gibi demografik özellikleri kaydedildi. Rosenberg benlik saygısı ölçeği (RBSÖ) ile hastaların benlik saygı düzeyleri analiz edildi. Çalışmaya katılan kadınların cinsel işlev bozukluklarını değerlendirmek için cinsel işlev bozukluk ölçeği (CİBÖ) kullanıldı. Tüm analizlerde p

Anahtar Kelimeler:

Polikistik over sendromu, benlik saygısı, cinsel istek, cinsel doyum, cinsel işlev bozukluğu

Investigation of self-esteem and sexual function levels of patients who diagnosed with polycystic ovary syndrome: a prospective study

Aim: Polycystic ovary syndrome (PCOS) is seen in 5-10% of women, it affects many systems as a result of hyperandrogenism. In addition to its endocrinological and metabolic results, it has been reported that women with PCOS have a decrease in their self-esteem levels due to body image disorders. Sexual dysfunction such as sexual desire, orgasm, arousal and sexual satisfaction occurs in patients with PCOS due to both physical changes and emotional differences. Our aim in this study is to analyze the self-esteem levels and self-esteem levels of women diagnosed with PCOS and to evaluate the factors affecting them. Material and Method: Women between the ages of 18-55 who were diagnosed with PCOS were prospectively included in the study. Demographic characteristics, such as age, marital status, and employment status, were recorded. The patients’ self-esteem levels were analyzed with the Rosenberg self-esteem scale (RBSS). The sexual dysfunction scale (SDS) was used to evaluate the sexual dysfunctions of the women participating in the study. The p

Keywords:

Polycystic ovary syndrome, self-esteem, sexual desire, sexual satisfaction, sexual dysfunction,

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Stein IF, Leventhal NL. Amenorrhea associated with bilateral polycystic ovaries. Am J Obstet Gynecol 1935; 29: 181.
Bozdag G, Mumusoglu S, Zengin D, Karabulut E, Yildiz BO. The prevalence and phenotypic features of polycystic ovary syndrome: a systematic review and meta-analysis. Hum Reprod 2016; 31: 2841-55.
Nasiri Amiri F, Ramezani Tehrani F, Esmailzadeh S, Tohidi M, Azizi F, Basirat Z. Sexual function in women with polycystic ovary syndrome and their hormonal and clinical correlations. Int J Impot Res 2018; 30: 54-61.
Loh HH, Yee A, Loh HS, Kanagasundram S, Francis B, Lim LL. Sexual dysfunction in polycystic ovary syndrome: a systematic review and meta-analysis. Hormones (Athens) 2020; 19: 413-23.
Nazik H, Ozdemir F, Nazik E, Arslan S.The body image and self-esteem of women with polycystic ovary syndrome. Ankara Sağlık Bilimleri Derg 2014; 3: 1-12
Pastoor H, Timman R, de Klerk C, M Bramer W, Laan ET, Laven JS. Sexual function in women with polycystic ovary syndrome: a systematic review and meta-analysis. Reprod Biomed Online 2018; 37: 750-60.
Kılıç E, Taycan O, Belli AK, Özmen M. Kalıcı ostomi ameliyatının beden algısı, benlik saygısı, eş uyumu ve cinsel işlevler üzerine etkisi. Türk Psikiyatri Derg 2010; 18: 302-10.
Jones GL, Hall JM, Lashen HL, Balen AH, Ledger WL. Health-related quality of life among adolescents with polycystic ovary syndrome. J Obstet Gynecol Neonatal Nurs 2011; 40: 577-88.
Himelein MJ, Thatcher SS. Depression and body image among women with polycystic ovary syndrome. J Health Psychol 2006; 11: 613-25.
Cayan S, Akbay E, Bozlu M, Canpolat B, Acar D, Ulusoy E. The prevalence of female sexual dysfunction and potential risk factors that may impair sexual function in Turkish women. Urol Int 2004; 72: 52-7.
Dashti S, Latiff LA, Hamid HA, et al. Sexual Dysfunction in Patients with Polycystic Ovary Syndrome in Malaysia. Asian Pac J Cancer Prev 2016; 17: 3747-51.
Diamond MP, Legro RS, Coutifaris C, et al. Sexual function in infertile women with polycystic ovary syndrome and unexplained infertility. Am J Obstet Gynecol 2017; 217: 191.e1-191.e19.
Zhao S, Wang J, Xie Q, et al. Is polycystic ovary syndrome associated with risk of female sexual dysfunction? A systematic review and meta-analysis. Reprod Biomed Online 2019; 38: 979-89.
Rosenberg M. Rosenberg Self-Esteem Scale (RSES). 1965; APA PsycTests.
Aygin D, Aslan EF. Kadın cinsel işlev ölçeği’nin türkçeye uyarlaması. Turkiye Klinikleri J Med Sci 2005; 25: 393-99.
Açmaz G, Albayrak E, Acmaz B, et al. Level of anxiety, depression, self-esteem, social anxiety, and quality of life among the women with polycystic ovary syndrome. Scientific World J 2013; 9; 2013: 851815.
Akbulut MF, Üçpınar MB, Gürbüz ZG. Kadın cinsel fonksiyon bozukluklarının sınıflaması ve tedavisi. Turkiye Klinikleri J Urology-Special Topic 2015; 8: 10-15
Laumann EO, Paik A, Rosen RC. Sexual dysfunction in the United States: prevalence and predictors. JAMA 1999; 281: 537-44.
Burri A, Spector T. Recent and lifelong sexual dysfunction in a female UK population sample: prevalence and risk factors. J Sex Med 2011; 8: 2420-30.
Blümel JE, Chedraui P, Baron G, et al. Sexual dysfunction in middle-aged women: a multicenter Latin American study using the Female Sexual Function Index. Menopause 2009; 16: 1139-48.
Kolotkin RL, Binks M, Crosby RD, Østbye T, Gress RE, Adams TD. Obesity and sexual quality of life. Obesity (Silver Spring) 2006; 14: 472-9.
Eftekhar T, Sohrabvand F, Zabandan N, Shariat M, Haghollahi F, Ghahghaei-Nezamabadi A. Sexual dysfunction in patients with polycystic ovary syndrome and its affected domains. Iran J Reprod Med 2014; 12: 539-46.
Kaneshiro B, Kessel B. “Obesity and sexuality: is there a connection?” Fem Patient 2009; 34: 38-40.
Månsson M, Norström K, Holte J, Landin-Wilhelmsen K, Dahlgren E, Landén M. Sexuality and psychological wellbeing in women with polycystic ovary syndrome compared with healthy controls. Eur J Obstet Gynecol Reprod Biol 201; 155: 161-5.
Kolukcu E, Erdemir F, Gulucu S, Yilmaz M. Association between female sexual dysfunction and polycystic ovary syndrome. Andrology Bulletin 2021; 23: 87-96.