Sexual Life Of Patients Research Articles

Body Image and Sexual Life in Patients Receiving Peritoneal Dialysis Treatment: A Descriptive Study from Turkey

Body Image and Sexual Life in Patients Receiving Peritoneal Dialysis Treatment: A Descriptive Study from Turkey

Long-Term Self-Management of Vaginal Cube Pessaries Can Improve Sexual Life in Patients with Pelvic Organ Prolapse, Results from a Secondary Analysis.

Currently, little is known about how daily self-management of cube pessaries influences sexual function. We hypothesized that removing the cube pessary prior to sexual activity did not negatively influence the sexual function, and pessary self-care did not lead to a deterioration of sexual wellbeing. We conducted a planned secondary analysis of a prospective cohort study in which 214 patients with symptomatic pelvic organ prolapse (stage 2+) were enrolled (2015). Each patient was size fitted with a cube pessary and completed a questionnaire online or by phone ≥ 5years after her initial fitting. Changes in quality of life were measured using the Patient Global Impression of Improvement (PGI-I). Of the 143 women included in our analyses, 92 (64.3%) were sexually active during the study period. These patients (73.9%; 68 out of 92) described their sexual wellbeing as "better" or "much better" than their pretreatment status. Sexually active patients had a better quality of life as measured by the PGI-I than the sexually inactive patients. Of the sexually active patients, 91.3% (84 out of 92) described their condition as "better" or "much better" than their pretreatment status, whereas 84.3% (43 out of 51) of the sexually inactive patients reported the same improvement. Over 90% of sexually active patients reported that removal of the vaginal cube pessary before sexual activity is not disruptive. The overwhelming majority of the patients with symptomatic pelvic organ prolapse using daily self-management of cube pessaries reported that removal of the vaginal cube pessary before sexual activity is not disruptive, and its use was accompanied by improved sexual wellbeing.

The effect of stress incontinence and pelvic organ prolapse surgery on sexual function and quality of life.

The objective of this study was to evaluate the sexual function and quality of life in female patients diagnosed with stress urinary incontinence (SUI) and pelvic organ prolapse (POP) after undergoing transobturator tape (TOT) or TOT with POP surgery and perineoplasty. This prospective study population (n=86) consisted of sexually active women who had been diagnosed with SUI. Forty-six patients diagnosed with SUI with no POP (group 1) underwent TOT procedure only. Forty patients had a diagnosis of stage 2 and higher POP, based on POP quantification system with SUI (group 2). The second group was randomized as TOT-POP surgery (n=20) and TOT-POP surgery with perineoplasty (n=20). Prior to and six months after the surgical procedure, all female participants underwent assessment using the validated Urinary Distress Pre-Operative Inventory (UDI-6), Incontinence Impact Questionnaire (IIQ-7), and Pelvic Organ Prolapse Incontinence Sexual Questionnaire (PISQ). Post-operative IIQ-7 and UDI-6 scores were significantly lower for all three groups compared to the preoperative period, while a significant increase was observed in PISQ scores (p<0.01). The dissimilarity in preoperative and postoperative IIQ-7 and UDI-6 scores exhibited comparable results across the groups, whereas the variance in PISQ scores was notably greater in the TOT + POP surgery + perineoplasty group (p=0.03). Women with SUI or SUI with POP have better quality of life and sexual dysfunction after surgery. Perineoplasty may enhance sexual life in patients with perineal defect and vaginal enlargement.

The effect of transurethral resection of the prostate on sexual life quality in patient spouses

AbstractThe purpose of this study was to determine the effect of transurethral resection of the prostate (TURP) surgery on quality of sexual life in patients' spouses. A pre/post‐operative test, quasi‐experimental design with no control group was employed. The research was conducted in the urology clinics of two hospitals in the west of Turkey between 30 June and 30 September 2022. It was completed with 172 patient spouses recruited using non‐probability sampling. The study data were collected using an individual information form and the Sexual Quality of Life‐Female questionnaire. The preoperative test applied prior to surgery was administered by the face‐to‐face interview method, while the postoperative test was completed by telephone interviews 8 weeks after the initial data collection. The mean age of the individuals undergoing TURP surgery in this study was 62.69 ± 7.98 years (min 40, max 77), and the mean age of the spouses was 57.91 ± 7.46 (min 39, max 73). Sexual Quality of Life‐Female scores after surgery were significantly higher than the pre‐surgical values (p &lt; 0.001). A significant difference in sex life quality was determined in terms of age, education, employment status, presence of chronic disease, number of children, and ‘love marriages’ (p &lt; 0.05). The sexual life quality of the spouses of patients exposed to TURP surgery increased significantly 8 weeks after the procedure. The quality of sex life was higher among individuals with higher education levels, working individuals, and those who ‘married for love’, but decreased in line with age and number of children.

Contraceptive use and sexual quality of life of patients with thalassemia in Northern Cyprus: a descriptive cross-sectional study.

Although contraception methods are an important factor affecting sexual life, no literature has been recorded about the contraceptive methods used and the sexual life of thalassemia patients. The aim of this study is to document the effects of and preferences of contraception methods used in the sexual lives of patients with thalassemia. The descriptive and cross-sectional study took place in Northern Cyprus at a Thalassemia Center in a State Hospital. The study sample consisted of 100 thalassemia major or intermedia patients. The data includes descriptive characteristics, the preference of contraception methods used by men and women and Sexual Quality of Life Questionnaires. Participants learned about contraception methods mostly from social media/internet, and 58.3% of the women and 46.2% of the men did not use any contraception method within the last year. Women's sexual quality of life score was 70.3±19.9 and men's Sexual Quality of Life score was 78.9±20.6. Women having knowledge of contraception methods had higher scores than man (p<0.05). Male patients not having physical exercise had sexual quality of life scores significantly lower than those who followed exercise programs (p<0.05). Results indicate a significant need to include family planning and sexual health subjects that specifically address thalassemia patients.

Abdominoplasty and Lower Body Lift Surgery Improves the Quality of Life after Massive Weight Loss: A Prospective Multicenter Study.

This study was conducted to assess the impact of abdominoplasty and lower body lift surgery following massive weight loss on both the general quality of life and the sexual life of patients. The authors performed a multicenter prospective study on the quality of life after massive weight loss using three scoring questionnaires: The Short-Form 36 questionnaire, the Female Sexual Function Index questionnaire, and the Moorehead-Ardelt Quality of Life Questionnaire. Seventy-two patients who underwent lower body lift and 57 patients who underwent abdominoplasty in three centers with preoperative and postoperative evaluation were included. The mean age of the patients was 43.2 ± 13.2 years. All categories of the Medical Outcomes Study Short-Form 36 Health Status Survey questionnaire were statistically significant at 6 months, and all categories except health change were significantly improved at 12 months postoperatively. Overall, the Moorehead-Ardelt questionnaire showed a higher quality of life in general (1.78 ± 0.92 and 1.64 ± 1.03 at 6 and 12 months, respectively) and in all domains (ie, self-esteem, physical activity, social relationships, work performance, and sexual activity). Interestingly, global sexual activity improved at 6 months but not at 12 months. Some domains of sexual life improved at 6 months (ie, desire, arousal, lubrication, satisfaction), but only desire remained improved at 12 months. Abdominoplasty and lower body lift improve the quality of life of patients after massive weight loss and the sexual quality of life. This should be an additional valid reason for promoting reconstructive surgery for massive weight loss patients. Therapeutic, IV.

DOES CHRONIC URTICARIA AFFECT BODY IMAGE IN SEXUAL ACTIVITIES? A CASE-CONTROL STUDY

Sexual functions are often adversely affected in patients with chronic urticaria. There are a limited number of studies on this situation. In this study, it was aimed to evaluate and compare body image in sexual life in patients with and without chronic urticaria. The study was conducted with 70 patients with chronic urticaria as a case group and 70 healthy individuals as a control group. The data were collected using the introductory information form and the Body Exposure during Sexual Activities Questionnaire (BESAQ). In our study, the mean of the BESAQ score of the case group was found to be higher than the control group (p &amp;lt;0.05). It was determined that individuals, who reported that they had lesions in their genital areas and that their sexual life was affected by the disease, had high BESAQ scores (p &amp;lt;0.05). According to these results, it can be said that the sexual functions of individuals with chronic urticaria were affected. Furthermore, these individuals focus more on their bodies during sexual activities than the control group and avoid sexual intercourse.

Assessment of sexual life and social life in people with multiple sclerosis

Introduction: Multiple sclerosis is a debilitating condition that affects the central nervous system and is most common in young people. Over time, the relapses associated with the disease can cause damage, and within ten years of onset, half of patients may experience progressive symptoms. Unfortunately, once a patient enters a progressive stage, there is no longer any improvement or remission, though some patients may experience a longer period of stability.Objectives: The goal of this study is to examine the relationship between social and sexual life in patients with multiple sclerosis, considering the progressive nature of the disease, the fluctuating psychological impact, and the impact on their reproductive abilities.Methods: The study utilized the Multiple Sclerosis Quality of Life Questionnaire to assess the participants. This questionnaire measures quality of life by asking generic and specific questions related to multiple sclerosis, with a total of 18 items addressing specific needs such as fatigue, cognitive function, sexual function, daily activities, social interaction, and more.Results: The results indicated that most women with multiple sclerosis reported decreased lubrication, while men’s main concern was satisfying their partner. The majority of participants reported being neither satisfied nor dissatisfied with their sexual and social life. The frequency of sexual dysfunction was found to be higher in women with multiple sclerosis compared to the general population, with decreased libido being the most commonly reported issue. Individuals with primary progressive multiple sclerosis were found to have significantly increased problems with sexual function. Conclusion: This study found a correlation between social and sexual life for individuals with multiple sclerosis. As their social life worsened, their sexual life and reproductive capacity were also negatively impacted.

Záchyt, vyšetření a terapie sexuálních dysfunkcí u pacientů s diabetem

Diabetes mellitus is a disease associated with multiple complications due to ineffective diabetes management in the early period after diagnosis and especially in the long term. However, the risk of developing sexual dysfunctions, which affect both men and women, is rarely mentioned in association with diabetes (1). Sexual complications not only disrupt with the social and sexual life of patients, but are often the first symptom of other health problems. For these reasons, in people with diabetes, early detection and proper treatment of sexual dysfunctions should be of concern physicians caring for diabetic patients.

Effect of Qianlietongyu Capsule Combined with Tamsulosin Hydrochloride in the Treatment of Prostatitis Complicated with Premature Ejaculation

To discuss the clinical effect of Qianlietongyu capsule combined with tamsulosin hydrochloride in the treatment of prostatitis complicated with premature ejaculation and its impact on the sexual life of patients. We selected 70 patients with prostatitis complicated with premature ejaculation untreated in our hospital from July 2020 to July 2021 and divided them into control group (35 cases) and observation group (35 cases). Treated control group with compound lidocaine cream, after receiving the same treatment as control group, treated observation group with tamsulosin hydrochloride and Qianlietongyu capsule. After 1 mo treatment, observation group possessed lower National Institutes of Health chronic prostatitis symptom index score than control group, but it possessed higher intravaginal ejaculation latency time than control group (p<0.05); after treatment, observation group possessed lower interleukin 8 and tumor necrosis factor alpha levels, higher maximum urinary flow rate and lower bladder residual urine volume than control group (p<0.05). After treatment, the total clinical effective rate and sexual life satisfaction of observation group were 94.29 % (33/35) and 88.57 % (31/35) respectively, those in control group were 77.1 % (27/35) and 68.57 % (24/35) respectively, the differences possessed statistical significance (p<0.05). In clinical treatment of patients with prostatitis complicated with premature ejaculation, tamsulosin hydrochloride combined with Qianlietongyu capsule can significantly improve the effect of patients’ clinical symptoms and related biochemical indicators, improve the overall clinical treatment effect and promote patients to obtain more ideal sexual life satisfaction after treatment.

Research Progress on Sexual Life of Patients with Cervical Cancer after Treatment

Research Progress on Sexual Life of Patients with Cervical Cancer after Treatment

A Pilot Study on the Quality of Sexual Life of Patients Receiving Home Palliative Care in Poland

Background: Quality of life, physical, psychic, and social functioning assessments in patients suffering from chronic, progressive, and incurable diseases are one of the most significant aims of the palliative care home teams. Sexuality and intimacy can be one of the most important elements of a person’s life, even at the end of it. Unfortunately, there is very little interest in this topic among medical staff of palliative care units. The objective of the study: The aim of this study was to assess the health status, the quality of life, the quality of sexual life, and the recognition and resolution of sexual problems by the palliative care team in adult patients in the advanced stage of terminal illness, who were receiving home palliative care. Research methods: The study involved 342 adult patients in the advanced stage of incurable, progressive disease, covered by home palliative care in 15 facilities in Poland. A generic EuroQoL 5-Dimension 3-Level health and quality of life assessment questionnaire and a questionnaire developed by the researchers, including questions about sexual problems, were used in this prospective study. Results: The presented results are the part of the more extensive study. The assessment of health status and quality of life of the study patients showed that the evaluation was the lowest for performing ordinary daily activities. The quality of sexual life after diagnosis in more than half of the study patients has worsened. Almost half of the respondents felt that the palliative care team did not recognize or address their sexual concerns. Patients indicated nurses and physicians as the members of the palliative care team most helpful in identifying and addressing sexual concerns. Conclusions: Members of the palliative care team should receive training in communication with patients concerning their sexual life, their needs and expectations and have knowledge about options for obtaining specialized sexological care. It is necessary to prepare and validate simple tools that will facilitate the initiation of appropriate communication between patients and members of the medical staff. It will be important to conduct more detailed and targeted research on sexuality and intimacy in the Polish palliative care patient population.

Preservation of antegrade ejaculation after surgical relief of benign prostatic obstruction is a valid endpoint

To review the current data on retrograde ejaculation (RE) and ejaculatory dysfunction (EjD) after endoscopic and minimally invasive surgical treatment of benign prostatic obstruction (BPO) and, their perceived impact in the quality of life (QoL) and sexual life of patients and their partners. Narrative review of systematic reviews (SR) assessing comparative rates of RE, EjD or erectile dysfunction (EF) was carried out. Relevant articles on the prevalence of RE, EjD or EF and on their impact in the QoL or sexual life of patients and partners were manually selected based on relevance. Twelve SRs reporting on comparisons of different endoscopic/minimally invasive treatments of BPO were found. Data on outcomes varied widely. Overall, after conventional TURP or laser techniques 42-75% of patients present RE. Prostatic incision and ablative procedures present lowest rates of de novo RE or EjD whereas laser adenomectomy and ejaculation preservation procedures preserve antegrade ejaculation in 46-68% of patients. EjDs is associated to LUTS and present in 10% of sexualy active men before intervention. It modulates the QoL and sexual life of the couple. In spite of the scarce literature assessing patient's and partner's perception of postoperative EjD, it strongly suggests that both parties value the maintenance of the ejaculatory function. Ejaculation-preserving techniques and minimally invasive techniques successfully prevent BPO treatment-induced RE or EjD in 70-100% of the cases. While this is appealing to patients and spouses, technique selection and treatment durability are issues to be discussed with the couple.

Sexual fantasies, subjective satisfaction and quality of sexual life in patients of sexual dysfunction: A comparative study

IntroductionExploring the ways in which sexual fantasies may affect sexual experience and satisfaction is of relavence in the clinical setting involving sexual dysfuntion.ObjectivesTo observe how the sexual fantasy scores differ in their relationship with sexual satisfaction, experience and quality between sexual dysfunction cases and normal controls.MethodsScales included: Wilson’s sex fantasy questionnaire (WSFQ), Arizona Sexual Experience Scale (ASEX), Sexual Quality of life Questionnaire (SQoL), and a subjective sexual satisfaction meter. Differences in resposes of both groups on WSFQ (item-wise and domain-wise) were analysed using T-tests. Two-way ANOVA was applied to see how other scales affected sexual fantasy.ResultsCases scored significantly higher on ASEX scale, and low on satisfaction, SQoL and WSFQCases N=1OOControls N=100t-testSatisfaction Mean(sd)4.27(1.85)7.82(1.31)t=3.052;df=198,p=0.0026Asex17.52(4.73)8.28(1.34)t=15.24;df=198,p&lt;0.0001SQoL29.41(12.12)49.5(6.67)t=14.52;df=198,p&lt;0.0001WSFQ26.80(17.61)30.59(15.32)t=1.62,df=98,p=0.106Majority of WSFQ responses, both in cases and controls, fell in the intimate and impersonal domains. Sexual fantasy scores and sexual satisfaction had a strong positive and significant correlation in controls but no linear correlation in the case-subjects. sexual fantasy scores contributed to 5.7% of difference in the scores of SQoL between groups. Major variance in scores of satisfaction in our subjects depended on presence or absence of sexual dysfunction(46.5%)but sexual fantasies also contributed to 8.8% of the variance.ConclusionsThe study showed that fantasies contribute to positive sexual outcomes only in absence of sexual dysfunction. ANOVAanalysis revealed that in case-subjects sexual satisfaction briefly increases initially with increase in fantasy scores but starts to decline as fantasies increase.DisclosureNo significant relationships.

Análise da qualidade de vida sexual em pacientes submetidos à cirurgia da próstata: revisão de literatura

Com o crescimento da população idosa, houve um aumento nos casos de doenças crônicas, dentre elas o câncer de próstata. Dentre os tratamentos, a cirurgia pode ter efeitos secundários que influenciam na qualidade de vida sexual. Com isso, torna-se necessário investigar esses pacientes. O objetivo do estudo foi analisar a qualidade de vida sexual em pacientes que se submeteram a prostatectomia. O estudo se refere a uma revisão integrativa da literatura, no qual os critérios de inserção foram: artigos na íntegra que ressaltaram a qualidade de vida sexual em pacientes pós-prostatectomia publicados entre 2015 até 2020, nas bases de dados da SCIELO e LILACS. Para a construção dos achados foram selecionados 7 artigos por atenderem os criterios de elegibilidade. Tais evidências apontam que a redução da libido e a disfunção erétil podem contribuir para má qualidade de vida sexual. Informações sobre a chance de recuperação de ereções naturais dos pacientes foram frequentemente repassadas a eles para que, junto aos seus parceiros sexuais, para que se permitam encarar e se adequar à esta nova realidade. Ainda que a disfunção erétil tenha elevada prevalência entre homens que realizaram a cirurgia, em alguns casos há déficit de discussão no pré-operatório. Com isso, a qualidade de vida sexual pós prostatectomia é comprometida devido à impactos na sexualidade, repercutindo em diferentes esferas da vida. Ainda é um tema pouco abordado com pacientes e há escassez de evidência sobre o assunto. Este estudo visa abrir espaço para planejamento de mais estudos para melhor beneficiar pacientes pós prostatectomizado.

Funkcjonowanie seksualne w chorobie afektywnej dwubiegunowej

The aim of this article is an attempt to show various aspects of sexual functioning of people suffering from bipolar disorder. By reviewing the literature and currently available information on obstacles in the sexual life of patients and their partners, it gives the opportunity to gain a broader perspective on difficulties resulting from the symptoms of the disease, treatment and disease development. The following parts of the article will present how sexual life is influenced by: disease development and stage, type of intimate relationship and pharmacological treatment. This article will also describe the risks associated with sexual behavior that may occur during periods of mania. Short comments to the reviewed results, resulting from therapeutic experience of authors were added.

Evaluation of Sexual Life in Patients with Gynecologic Cancer Undergoing Radiotherapy

This study examined the sexual quality of life and associated factors in patients with gynecological cancer undergoing radiotherapy. This prospective study was conducted in the Radiation Oncology Clinic of a Training and Research Hospital between August 2018 and April 2019. The study sample consisted of 40 female patients with gynecological cancer who received radiotherapy. Data were collected using a questionnaire form, the scale of sexual quality of life, and Edmonton symptom assessment scale. The forms were completed during radiotherapy and 3 months after the completion of radiotherapy. The most frequent symptoms during radiotherapy were reported as frequent urination (97.5%) and tiredness (78.1%). Nausea, lack of appetite, wellbeing, and skin problems significantly reduced after radiotherapy (p ≤ 0.001). The mean score of the scale of sexual quality of life did not differ significantly during and after radiotherapy. Diagnosis time and symptoms of depression affected sexuality during radiotherapy. Sexual quality of life was affected by concurrent chemoradiotherapy, tiredness and wellbeing symptoms after radiotherapy (p ≤ 0.05). The majority of patients reported an influence on sexual intercourse with their spouses; however, sexual problems were not an issue because of the support given by their spouses. Radiotherapy was found to affect the sexual quality of life in patients with gynecological cancer. We suggested that practices related to improving the sexual quality of life should be included in the functions of oncology nurses.

Profile of Marital and Sexual Life of Patients With Schizophrenia and Recurrent Depressive Disorder: A Comparative Study

Aim: To evaluate the marital profile, family size, fertility rates, and perception about various aspects of marriage among the couples, with one of the partner having schizophrenia and compare the same with a group of couples, with one of the partner having recurrent depressive disorder (RDD). Methodology: A total of 76 married patients with schizophrenia and 58 married patients with RDD were evaluated by using a semistructured interview, which covered information about the duration of marriage, number of children, different aspects of marital and sexual life like perception about marriage, mental illness, sexual compatibility, and other variables. Results: A significantly higher proportion of patients with schizophrenia had onset of illness prior to marriage, when compared to the patients with RDD. There was no significant difference between the 2 groups in terms of mean number of children, number of spontaneous abortions, and medical termination of pregnancies. The mean numbers of postnatal deaths were significantly higher in the group in which one of the partners was diagnosed with schizophrenia. Compared to spouses of patients with RDD, higher proportion of the spouses of patients with schizophrenia reported sexual incompatibility since the beginning of the marriage and lack of full satisfaction with sexual life. Compared to patients with RDD, higher proportion of patients with schizophrenia were worried about their children developing mental illness and believed that people with mental illness should not marry. Conclusion: To conclude, this study demonstrates that compared to the spouses of patients with RDD, spouses of patients with schizophrenia have higher negative perception about the marriage.

MP32-20 PROSTATIC URETHRAL LIFT VS. MEDICAL THERAPY: A META-ANALYSIS EXAMINING SEXUAL FUNCTION OUTCOMES IN MEN WITH BPH

You have accessJournal of UrologyBenign Prostatic Hyperplasia: Surgical Therapy & New Technology II (MP32)1 Apr 2020MP32-20 PROSTATIC URETHRAL LIFT VS. MEDICAL THERAPY: A META-ANALYSIS EXAMINING SEXUAL FUNCTION OUTCOMES IN MEN WITH BPH Claus Roehrborn* and Daniel Rukstalis Claus Roehrborn*Claus Roehrborn* More articles by this author and Daniel RukstalisDaniel Rukstalis More articles by this author View All Author Informationhttps://doi.org/10.1097/JU.0000000000000876.020AboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissionsReprints ShareFacebookLinked InTwitterEmail Abstract INTRODUCTION AND OBJECTIVE: Erectile dysfunction and retrograde ejaculation are documented risks of surgical and medical therapy for BPH. The prostatic urethral lift (PUL), an effective minimally invasive treatment known to preserve sexual function, challenges the prevalence of medical therapy. Here we combine sexual function outcomes from multiple PUL studies and compare results to daily treatment with an alpha blocker, 5ARI, or combination drug therapy. METHODS: Sexually active men at baseline from the MTOPS study [n=849] and combined PUL studies [L.I.F.T. pivotal trial (L.I.F.T. n=107), sham crossover (Crossover, n=44), trial for obstructive median lobe (MedLift, n=39)] were used for the comparative analysis. MTOPS subjects completed the Brief Male Sexual Function Inventory, a validated questionnaire, whereas PUL subjects completed the SHIM and MSHQ-EjD. All questionnaires have distinct domains that assess erectile and ejaculatory function and sexual satisfaction. Percent change from baseline for these domains were compared among studies at 12, 24, 36 and 48 months. RESULTS: PUL significantly improved ejaculatory function at each timepoint, and erectile function at 12 and 24-months post-treatment (Fig 1). Overall satisfaction in sexual life also improved significantly (by at least 19%) through 48 months post-PUL. In contrast, none of the medical therapies significantly improved erectile or ejaculatory function at any timepoint, and some significantly reduced function. Finasteride significantly reduced erectile function at 48 months, and combination drug therapy significantly reduced ejaculatory function at 12 and 24 months. Comparatively, PUL was superior to finasteride and combination drug therapy at preserving erectile function at 12 and 24 months. Additionally, PUL significantly outperformed all three medical therapies across all timepoints at preserving ejaculatory function. CONCLUSIONS: This meta-analysis of MTOPS and PUL studies, reveals PUL is superior to 5ARIs and combination drug therapy in preserving erectile function through two years post-treatment. For ejaculatory function, PUL outperformed alpha blockers, 5ARIs and combination drug therapy. Only PUL was observed to improve overall satisfaction in sexual life for patients with BPH. Source of Funding: NetoTract, Inc. Teleflex © 2020 by American Urological Association Education and Research, Inc.FiguresReferencesRelatedDetails Volume 203Issue Supplement 4April 2020Page: e493-e493 Advertisement Copyright & Permissions© 2020 by American Urological Association Education and Research, Inc.MetricsAuthor Information Claus Roehrborn* More articles by this author Daniel Rukstalis More articles by this author Expand All Advertisement PDF downloadLoading ...

Sexual Life Under the Shadow of Multiple Sclerosis in Women: A Qualitative Study in Iran

Sexual life of patients with multiple sclerosis (MS) is a complex and challenging process that is often impaired under the influence of the disease and its neurological, physical and psychosocial complications. Nevertheless, this issue is often neglected. The present study was conducted in Iran to explain sexual life in women with MS and the perception and experience of these women with their sexual life. Eighteen subjects participating in the present qualitative study included 13 women with MS aged 18–50 years presenting to Iran MS Society and 5 key informants. Eligible candidates were selected using purposive sampling with maximum variation. The data were collected by conducting in-depth semi-structured interviews until data saturation was achieved. The data were analyzed in MAXQDA10 using the conventional content analysis based on the approach proposed by Graneheim and Lundman. Three themes and seven categories emerged from analyzing the data. The themes included (1) “declining quality and quantity of sexual relationships” with three categories of “poor sexual function”, “reductions in the frequency of sex” and “fear of recurrence of negative sexual experiences”, (2) “self-neglect in sexual relationships” with two categories of “priority of the spouse in sexual relationships” and “renouncing one’s own rights in sexual relationships” and (3) “low sexual self-efficacy” with two categories of “low sexual self-confidence” and “belief in inability in sexual relationships”. This study highlighted the concern that MS and related complications can significantly and negatively lower the quality and quantity of sexual relationships in women with MS. These women neglect themselves in their sexual life, and experience low sexual self-efficacy. Including these factors in the design and implementation of comprehensive and multidisciplinary interventions appears helpful in promoting the sexual life of these women during their treatment.