Abstract
to evaluate the sexual dysfunction in hypertensive patients compared to normotensive patients. this was a cross-sectional study. Samples were composed of 54 hypertensive patients and 54 normotensive patients. The female sexual dysfunction was evaluated by the Female Sexual Function Index (FSFI). the average FSFI score differed highly between hypertensive and normotensive patients (22.4± 7.4 versus 26.8 ±5.4, p< 0.001). Among hypertensive patients, 63% showed sexual dysfunction in opposition to 39% of normotensive patients (p=0.02). Hypertensive women had 1.67 more chances of showing the dysfunction than women with normal blood pressure. the sexual dysfunction prevalence is higher in hypertensive than in normotensive women hence, hypertension is a potentiator factor for female sexual dysfunction.
Highlights
According to the American Psychiatric Association, in the latest version of the Diagnostic and Statistical Manual of Mental Disorders (DSM-5), sexual dysfunctions are a heterogeneous group of general disorders characterized by a clinically significant disruption in a person’s capacity to sexually respond or experience sexual pleasure
Risk factors for cardiovascular disease (CVD) were predominant among women in the Hypertensive Group (HG), with a positive family history (p = 0.006), body mass index (BMI) p = 0.002], dyslipidemia (p =0.001) (Table 1)
Long-term relationships may appear to bring stable conditions, our study has shown a correlation between long-term relationships and decreased desire, decreased vaginal lubrication, and decreased Female Sexual Function Index (FSFI) scores in both groups of patients
Summary
According to the American Psychiatric Association, in the latest version of the Diagnostic and Statistical Manual of Mental Disorders (DSM-5), sexual dysfunctions are a heterogeneous group of general disorders characterized by a clinically significant disruption in a person’s capacity to sexually respond or experience sexual pleasure. The characteristics of Female Sexual Dysfunctions (FSD) range from instinctive alterations to the absence of stimulus concerning the phases of desire, arousal and orgasm. FSD and male dysfunction may be developed in association with comorbidities such as hypertension and cardiovascular disease[5], in addition to other non-hormonal factors that cause progressive worsening of the sexual function. Among these factors, the most frequent are diabetes, a sedentary lifestyle, cigarette smoking and age > 50 years old. It is appropriate to evaluate the sexual function of hypertensive women since, as mentioned above, studies addressing FSD related to hypertension are still scarce
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