PD44-07 FEMALE SEXUAL DYSFUNCTION: A WEST VIRGINIA UNIVERSITY CLINICAL EXPERIENCE

Abstract

You have accessJournal of UrologySexual Function/Dysfunction: Female1 Apr 2017PD44-07 FEMALE SEXUAL DYSFUNCTION: A WEST VIRGINIA UNIVERSITY CLINICAL EXPERIENCE Tyler Overholt, Dale Riggs, Barbara Jackson, Alex Battin, Henry Fooks, Mohammad Salkini, Adam Luchey, Stanley Kandzari, and Stanley Zaslau Tyler OverholtTyler Overholt More articles by this author , Dale RiggsDale Riggs More articles by this author , Barbara JacksonBarbara Jackson More articles by this author , Alex BattinAlex Battin More articles by this author , Henry FooksHenry Fooks More articles by this author , Mohammad SalkiniMohammad Salkini More articles by this author , Adam LucheyAdam Luchey More articles by this author , Stanley KandzariStanley Kandzari More articles by this author , and Stanley ZaslauStanley Zaslau More articles by this author View All Author Informationhttps://doi.org/10.1016/j.juro.2017.02.2064AboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissionsReprints ShareFacebookTwitterLinked InEmail INTRODUCTION AND OBJECTIVES 40% of women in the United States experience concern with regard to sexual function. Female sexual function (FSF) can be broken down into different categories based on the domain involved, including desire, arousal, orgasm, and pain. There are multiple causes for FSF including physical, hormonal, and psychological etiologies, and patients may have additional risk factors that contribute to the dysfunction experienced including depression, obesity, and hypertension. This is especially relevant in West Virginia, which ranks among the highest for several of these risk factors. The presence of sexual dysfunction in patients with interstitial cystitis (IC) is significant and well documented. Herein, we report the data on 362 subjects indexed by the presence or absence of IC and compare the degree of sexual dysfunction associated with the disease. METHODS Domain values were obtained by employing the Female Sexual Function Index (FSFI), developed by Rosen, et. al,. This 19-item questionnaire evaluates FSD in six domains. Data was analyzed on an item-for-item basis and by the six domains of sexual dysfunction for our patients and compared to two control groups. The first consisted of 131 healthy volunteers (Rosen, 2000) and the second consisted of 127 patients with Female Sexual Arousal Disorder (FSAD). Statistical significance was determined with one-way ANOVA testing (P<0.05). RESULTS The table below compares our data with two comparison groups across the 6 domains measured by the FSFI. WVU patients with IC scored the lowest in arousal, lubrication, and orgasm, and had the lowest scores in each category compared with all other groups (P < 0.001). WVU patients without IC scored the lowest in arousal and desire, and had worse scores than the control in all categories. CONCLUSIONS This study is the first exploration of the Urologic patients in West Virginia with regard to FSF, and it highlights a vastly significant amount of sexual dysfunction within this population. West Virginia in 2015 had the 47th worst health ranking in the United States, with especially high prevalence of smoking, obesity, physical inactivity, heart disease and diabetes. Understanding the physical and psychological causes of female sexual dysfunction as well as the category of sexual function affected is critical for properly treating patients for their specific need. © 2017FiguresReferencesRelatedDetails Volume 197Issue 4SApril 2017Page: e882 Advertisement Copyright & Permissions© 2017MetricsAuthor Information Tyler Overholt More articles by this author Dale Riggs More articles by this author Barbara Jackson More articles by this author Alex Battin More articles by this author Henry Fooks More articles by this author Mohammad Salkini More articles by this author Adam Luchey More articles by this author Stanley Kandzari More articles by this author Stanley Zaslau More articles by this author Expand All Advertisement Advertisement PDF downloadLoading ...