T09-P-06 Sexual dysfunction in patients with temporal lobe epilepsy

Abstract

Objective the current study was carried out in order to find any possible relationships between seizure semiology, their frequency, antiepileptic drugs treatment and affective disorders and sexual disorders in epileptic patients. Design and methods Two groups of epileptic patients with (100 persons) and without (50) sexual disorders were compared in study. Munich Personality Test (MPT; SCL-90; Hamilton Depression Scale and National Hospital Scale for Severity of Seizures (NHS3) were used in study. Results Obtained results have shown that libido reduction and disharmonic sexual relationships were the most frequent complaints in epileptic patients and has occurred in 75% of patients. Patients with sexual dysfunctions were mostly characterized by temporal lobe epilepsy, concomitant depressive disorder, frequent complex partial seizures and long duration of epilepsy compared with epileptic patients without sexual disorders. Conclusion Sexual dysfunctions in patients with epilepsy seem to have interrelationship with temporal epilepsy with co-morbid depression and represents one facet of Geschwind-Gastout triad. Suggestion can be made that mesial temporal epilepsy is risk factor for possible sexual dysfunctions development. The therapy methods should be elaborated for improvement of quality of life in patients with temporal lobe epilepsy and sexual dysfunctions.