Tuğba GÜRBÜZ, Nefise TANRIDAN OKCU, Oya GÖKMEN

İnfertil kadınların seksuel fonksiyon farklılıklarının değerlendirilmesi

Amaç: Bu çalışmada, infertil kadınlar arasındaki cinsel işlev bozukluğu sıklığı araştırıldı ve FSFI skoruna göre menstrüel ağrı, disparoni, sigara içme ve gece vardiyası değişkenleri açısından primer ve sekonder infertilite grupları arasındaki fark değerlendirildi. Gereç ve Yöntemler: Çalışmanın primer grubuna 70 kadın ve sekonder grubuna 29 kadın katılmıştır. Tüm katılımcılardan geçerli ve güvenilir bir kadın cinsel işlev indeksi (FSFI) doldurmaları istendi. Katılımcılara evlilik süresi, toplam FSF1 skoru, adet ağrısı, disparoni, sigara ve gece vardiyası değişkenlerinin yanı sıra hastaların yaş, kısırlık süresi ve Vücut kitle indeksi (VKİ) gibi demografik özelliklerini içeren anket yapıldı. Veri istatistiksel analizi için SPSS 23.0 programı kullanıldı. Kategorik değişkenlerin karşılaştırılmasında Pearson ki-kare testi kullanıldı. Gruplar arası sürekli değişkenleri karşılaştırmak için ikili değişkenler üzerinde bağımsız t-testi analizi yapılmıştır. Bulgular: Her iki grubun %19.2'si 1-3 yıl evlilik süresine, %54.5'i 4-6 yıl evlilik süresine ve % 26.3'ü 7 yıl yukarıda evlilik süresine sahiptir. Çalışmadaki hastaların yaş ortalaması 34,58 ± 4,25 idi. Primer infertil ve sekonder infertil kadınlarda kadınlar arasında cinsel işlev bozukluğu prevalansı sırasıyla %32.9 (n = 23/70) ve %55.2 (n = 16/29) idi, ancak iki grup arasında istatistiksel olarak anlamlı bir fark tespit edilmemiştir. Sonuç: Her iki grup arasında menstrüel ağrı, disparoni, sigara içme ve gece vardiyası değişkenleri açısından anlamlı fark yoktu, ancak bu fark evlilik süresi açısından istatistiksel olarak anlamlı olarak tespit edilmiştir. FSFI oranlarında iki grup arasında anlamlı olarak fark yoktur. Her iki grubun yaş, infertilite zamanı ve vücut kitle indeksi (VKİ) ile cinsel işlev bozukluğu arasında anlamlı bir ilişki yoktur.

Anahtar Kelimeler:

Kısırlık, Kadın Cinsel İşlev Ölçeği, Kadın Cinsel İşlev Bozukluğu

Evaluating the sexual function differences among the infertile women

Aim: This study aimed to investigate the frequency of sexual dysfunction among infertile women and evaluate the difference between the primary and secondary infertility groups in terms of menstrual pain, dyspareunia, smoking and night shift variables based on the Female Sexual Function Index (FSFI) score. Material and Methods: Seventy women in the primary group and 29 women in the secondary group participated in this study. All participants were asked FSFI. The questionnaire containing the marriage duration, total FSF1 score, menstrual pain, dyspareunia, smoking and night shift variables and also the demographic characteristics of patients such as age, infertility time and BMI was given to the subjects. SPSS 23.0 program was used for data statistical analysis. Pearson's Chi-squared test was used to compare categorical variables. Independent student t-test analysis was performed on binary variables to compare continuous variables between the groups. Results: 19.2% of both groups had marriage duration of 1-3 years, 54.5% of them had marriage duration of 4-6 years and 26.3% of them had marriage duration of 7 years above. The mean age of the patients in the study was 34,58±4,25 years. The prevalence of sexual dysfunction among the women was 32.9 (n = 23 of 70) and 55.2% (n = 16 of 29) in primary infertile and secondary infertile women, respectively, but it did not show a statistically significant difference between the two groups. Conclusion: There was no significant difference between both groups in terms of menstrual pain, dyspareunia, smoking and night shift variables but the difference was statistically significant in terms of marriage duration. The mean FSFI domains were not also significantly different between the two groups. There was also no significant relationship between age, infertility time and Body mass index (BMI) of both groups and sexual dysfunction.

Keywords:

Infertility, Female Sexual Function Index, Female Sexual Dysfunction,

PDF

___

1. Omani-Samani R, Amini P, Navid B, Sepidarkish M, Maroufizadeh S, Almasi-Hashiani A. Prevalence of sexual dysfunction among infertile women in Iran: a systematic review and meta-analysis. Int J Fertil Steril 2019; 12: 278-83.
2. Iris A, Aydogan Kirmizi D, Taner CE. Effects of infertility and infertility duration on female sexual functions. Arch Gynecol Obstet 2013; 287: 809–812.
3. Monga M, Alexandrescu B, Katz SE, Stein M, Ganiats T. Impact of infertility on quality of life, marital adjustment, and sexual function. Urology 2004; 63: 126–30.
4. Aggarwal RS, Mishra VV, Jasani AF. Incidence and prevalence of sexual dysfunction in infertile females. Middle East Fertility Society Journal 2013; 18: 187–190.
5. Wischmann TH. Sexual disorders in infertile couples. J Sex Med. 2010; 7: 1868–76.
6. Daniluk JC, Koert E, Breckon E. Sexuality and infertility. In: Binik YM, Hall KSK, eds. Principles and Practice of Sex Therapy. 5th edn. New York: The Guilford Press, 2014; 419-36.
7. Vlaisavljević V. Neplodnost. In: Borko E, Takač I, eds. Ginekologija. 2nd edn. Maribor: Visoka zdravstvena šola; 2006;307-36.
8. Starc A, Trampus M, Pavan Jukić D, Grgas-Bile C, Jukić T, Polona Mivšek A. Infertility and Sexual Dysfunctions: A Systematic Literature Review. Acta clinica Croatica 2019; 58: 508-15.
9. Zegers-Hochschild F, Adamson GD et al. International Committee for Monitoring Assisted Reproductive Technology; World Health Organization, International Committee for Monitoring Assisted Reproductive Technology (ICMART) and the World Health Organization (WHO) Revised Glossary of ART Terminology. Fertil Steril 2009; 92: 1520–4.
10. Mascarenhas MN, Flaxman SR, Boerma T, Vanderpoel S, Stevens GA. National, regional, and global trends in infertility prevalence since 1990: a systematic analysis of 277 health surveys. PLoS Med 2012; 9: 1001-356.
11. Vogler A. Obravnava neplodnega para. In: Vrtačnik Bokal E, Jančar N, eds. Sodobne oblike zdravljenja neplodnosti/IV spominski sestanek akad. prof. dr. Lidije Andolšek-Jeras. Ljubljana: Slovensko društvo za reproduktivno medicine, 2007; 10-4.
12. Zorn B. Moška neplodnost. In: Takač I, Geršak K, eds. Ginekologija in perinatologija. 1st edn. Maribor: Medicinska fakulteta. 2016; 206-16.
13. Smith JS. Couples undergoing infertility treatment: implications for counselors. Fam J 2003; 11: 383–74.
14. Meldrum DR. Infertility. In: Hacker NF, Moore JG, editors. Essentials of obstetrics and gynecology. Philadelphia: WB Saunders; 1998:610–20.
15. Keskin U, Coksuer H, Gungor S, Ercan CM, Karasahin KE, Baser I. Differences in prevalence of sexual dysfunction between primary and secondary infertile women. Fertil Steril 2011; 96: 1213–7.
16. Yaylali, G.F., Tekekoglu, S., Akin, F. Sexual dysfunction in obese and overweight women. Int J Impot Res 2010; 22: 220–6.
17. Bayar U, Basaran M, Atasoy N et al. Sexual dysfunction in infertile couples: evaluation and treatment of infertility. J Pak Med Assoc. 2014; 64: 138–45.
18. Masoumi SZ, Garousian M, Khani S, Oliaei SR, Shayan A. Comparison of quality of life, sexual satisfaction and marital satisfaction between fertile and infertile couples. Int J Fertil Steril 2016; 10: 290–6.
19. Yangin H, Kukulu K, Gulşen S, Aktaş M, Sever B. A survey on the correlation between sexual satisfaction and depressive symptoms during infertility. Health Care Women Int 2016; 37: 1082–95.
20. Davari Tanha F, Mohseni M, Ghajarzadeh M. Sexual function in women with primary and secondary infertility in comparison with controls. Int J Impot Res 2014; 26, 132–4.
21. Jain K, Radhakrishnan G, Agrawal P. Infertility and psychosexual disorders: relationship in infertile couples. Indian Journal of Medical Sciences 2000 ; 54: 1-7.
22. Shahraki Z, Tanha FD, Ghajarzadeh M. Depression, sexual dysfunction and sexual quality of life in women with infertility. BMC Womens Health 2018; 18: 92.
23. Benksim A, Elkhoudri N, Addi RA, Baali A, Cherkaoui M. Difference between Primary and Secondary Infertility in Morocco: Frequencies and Associated Factors. Int J Fertil Steril 2018; 12: 142-6.
24. Jamali S, Zarei H, Rasekh Jahromi A. The relationship between body mass index and sexual function in infertile women: A cross-sectional survey. Iran J Reprod Med 2014; 12: 189– 98.
25. Yousef, S., Mehasib, S., Ramadan, S., Saied, A. The Relationship between Sexual Function and Body Mass Index among Infertile Women. Egyptian Journal of Health Care 2017; 8: 29-42.