911 SCREENING FOR HYPOACTIVE SEXUAL DESIRE DISORDER (HSDD) IN THE UROLOGY OFFICE SETTING

Abstract

You have accessJournal of UrologySexual Function/Dysfunction/Andrology: Basic Research1 Apr 2011911 SCREENING FOR HYPOACTIVE SEXUAL DESIRE DISORDER (HSDD) IN THE UROLOGY OFFICE SETTING Michael Ingber, Tianming Gao, and Howard B. Goldman Michael IngberMichael Ingber Denville, NJ More articles by this author , Tianming GaoTianming Gao Cleveland, OH More articles by this author , and Howard B. GoldmanHoward B. Goldman Cleveland, OH More articles by this author View All Author Informationhttps://doi.org/10.1016/j.juro.2011.02.802AboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissionsReprints ShareFacebookTwitterLinked InEmail INTRODUCTION AND OBJECTIVES HSDD is the most common sexual desire disorder found in women. Multiple comorbidities may contribute to low sexual desire, specifically those found in women seeking care from a urologist. Our objective was to determine the prevalence of low sexual desire in women presenting to the urology office for a variety of reasons. A secondary objective was to determine factors that may contribute to having low desire. METHODS This was a prospective study of female patients presenting to the urology office for any reason (stones, hematuria, prolapse, incontinence, etc.). Female subjects over the age of 18 were offered the Decreased Sexual Desire Screener (DSDS). Patients answering “yes” to the first 4 questions on the DSDS represented the cohort qualifying for a diagnosis of HSDD, pending physician evaluation to see if any other factors (listed in item 5 on the DSDS) can impact low desire. Demographic factors as well as diagnosis codes were recorded and analyzed. Descriptive statistics, univariate and multivariate logistic regression were used in order to determine any predictors of low desire. RESULTS Overall 339 women completed the DSDS. 273 (81%) had a decrease in sexual desire, with 95 (28%) qualifying for a possible diagnosis of HSDD by answering “yes” to items 1 through 4 on the DSDS. Women between the age of 41 and 52 were most likely to qualify for a diagnosis of HSDD with 37% of this age group qualifying. Factors such as marital status, employment status, race and BMI did not contribute to low desire, nor did diagnosis code. The presence of low sexual desire was common among women presenting with stones, incontinence, prolapse, infection, retention, pain, voiding dysfunction and malignancy. No one diagnosis code was predictive of women having low sexual desire or HSDD. CONCLUSIONS The presence of low sexual desire is common in all women presenting to the urology office. Specifically, women between the ages of 41 and 52 are at an increased likelihood of having a diagnosis of HSDD. Because many women are hesitant to bring up these complaints, urologists should be aware of sexual desire issues and question their patients on sexual function. Descriptive Statistics by HSDD status Mean (SD) or n (%) Non-HSDD n=244 HSDD n=95 p-value Age 52.2(14.1) 48.2(12.4) 0.02 Married 160(67.8%) 62(68.1%) 0.95 Employed 138(58.5%) 53(58.2%) 0.97 Caucasian 193(85.8%) 75(88.2%) 0.57 Weight (kg) 77.2(20.4) 77.5(23.1) 0.91 BMI 29.2(8.0) 29.6(10.0) 0.81 © 2011 by American Urological Association Education and Research, Inc.FiguresReferencesRelatedDetails Volume 185Issue 4SApril 2011Page: e365 Advertisement Copyright & Permissions© 2011 by American Urological Association Education and Research, Inc.MetricsAuthor Information Michael Ingber Denville, NJ More articles by this author Tianming Gao Cleveland, OH More articles by this author Howard B. Goldman Cleveland, OH More articles by this author Expand All Advertisement Advertisement PDF downloadLoading ...