Sexual Quality Of Life Questionnaire-Female Research Articles

THE RELATIONSHIP BETWEEN MARITAL ADJUSTMENT AND SEXUAL QUALITY OF LIFE OF WOMEN OF REPRODUCTIVE AGE: EFFECT OF USE FAMILY PLANNING METHODS

The aim of this study is to determine the relationship between women's marital adjustment and sexual quality of life, and their use of family planning methods. This is a descriptive study. The sample size was calculated as 349 women. Data were collected using the personal information form, the Dyadic Adjustment Scale, and the Sexual Quality of Life Questionnaire-Female. The data obtained were analyzed using the SPSS 23.0 software by creating the database. The stat൴st൴cal s൴gn൴f൴cance level was set at 0.05. The mean scores the participants obtained from the Dyadic Adjustment Scale and Sexual Quality of Life Questionnaire-Female were 106.27±22.21 and 77.46±21.85 respectively. Of the participating women, 36.7% used an intrauterine device for birth control, 27.8% used condoms, 13.8% used hormonal drugs. No statistically significant differences were determined between the mean scores obtained from the Dyadic Adjustment Scale and between the mean scores obtained from the Sexual Quality of Life Questionnaire-Female in terms of the family planning methods the participants used (p>0.05). However, differences between the mean scores the participants obtained from the affectional expression subscale of Dyadic Adjustment Scale were found to be statistically significant in terms of the family planning methods they used (p<0.05). While the marital adjustment was high among the participating women their quality of life level was moderate. It was determined that the sexual quality of life increased as the marital adjustment increased. It was also determined that family planning methods the participants preferred affected not their sexual quality of life and marital adjustment but the affectional expression subscale. Family planning methods the participating women used did not affect their marital adjustment and sexual quality, but hormonal drugs and intra uterin device affected their scores for the affectional expression subscale of the DyadicAdjustment Scale.

Effect of sexual counseling on sexual function and sexual quality of life for women undergoing open heart surgery: a pilot randomized controlled trial.

Sexual counseling can improve or may have benefit to patients' sexual function after open heart surgery. The study aims to determine the effect of sexual counseling on sexual function and quality of sexual life with the PLISSIT model (ie, permission, limited information, specific suggestions, intensive therapy) for women undergoing open heart surgery. The study was a pilot randomized controlled trial. Seventy women who planned open heart surgery were randomly divided into the control group or the sexual counseling group between November 2020 and November 2021. In addition to routine care, sexual counseling with the PLISSIT model was given to women in the sexual counseling group for 12weeks after the operation. During the research, 6 PLISSIT sessions were conducted. Women in the control group received routine postoperative care, which included hospital-provided postoperative home care practices (medication, nutrition, physical activity). Data were obtained with an information form, the Beck Depression Inventory, the Female Sexual Function Index, and the Sexual Quality of Life Questionnaire-Female. The women in the sexual counseling and control groups were similar in terms of sociodemographic, obstetric, gynecologic, general health, current heart disease, and sexual function data (P > .05). After sexual counseling with the PLISSIT model, scores on the Female Sexual Function Index and Sexual Quality of Life Questionnaire-Female significantly increased in the sexual counseling group while Beck Depression Inventory scores decreased (P < .05). Comparisons were made within and between groups. Sexual counseling with the PLISSIT model is a useful and effective model for health professionals to improve the sexual function and sexual quality of life of women's who will undergo open heart surgery. The limitations of the study were as follows: only 1 assessment after the intervention ended, no short- or long-term follow-up, and a small sample size. Other limitations include the absence of controls for therapeutic context or positive expectations in the experimental group. Sexual counseling with the PLISSIT model after open heart surgery increased the sexual function and sexual quality of life of women while reducing the symptoms of depression.

Effect of Stem Cell Infusion Therapy on Sexual Function in Women with Type 2 Diabetes and Metabolic Syndrome: Post-Hoc Analysis of Randomized Controlled Trials

ABSTRACT Introduction There is a growing interest in restorative therapies for sexual function, yet there exists a paucity of human research into potential therapeutic applications of stem cell therapy (SCT). Mesenchymal Stem Cells (MSCs) and their effect on sexual function have not yet been explored in women with Type 2 Diabetes Mellitus (DM) and Metabolic Syndrome (MetS). Objective To determine the safety and efficacy of intravenous mesenchymal stem cell infusion therapy on sexual function in women with DM or MetS. Methods Female participants enrolled in the ACESO (NCT02886884) and CERES (NCT03059355) clinical trials completed the Sexual Quality of Life Questionnaire-Female (SQOL-F). SQOL-F is a validated 18-item self-assessment questionnaire rated on a six-point scale ranging from “completely agree” to “completely disagree” in which higher scores reflect better sexual quality of life. Participants were enrolled in the trials based on diagnosis of DM or MetS, respectively. Intervention in both trials was peripheral intravenous infusion of allogeneic MSCs. Follow-up was for 1 year. Questionnaires were collected at baseline and 1-, 3-, 6-, and 12-months post-infusion. Participants received 20 or 100 million MSCs from either bone marrow (n=5) or umbilical cord (n=2). Results Data was pooled from 7 women who participated in the two trials; 5 were from ACESO and 2 were from CERES. Three received high dose MSCs (100 million) and four received low dose (20 million) MSCs. The women in the ACESO trial received MSCs derived from healthy allogeneic donor bone marrow, and both women in the CERES trial received umbilical cord tissue derived MSCs. Median age was 73 [IQR=55-74] years. Six of the seven (86%) had past medical history of hypertension. Median SQOL score among all women at baseline was 30 [IQR=19-50], 25 [IQR=23-36] at 1 month, 34 [IQR=19-46] at 3 months, 29 [IQR=21-32] at 6 months, and 34 [IQR=26-49] at the end of 12 months. Improvements in SQOL from baseline through follow up did not meet level of statistical significance. Limitations of this study include the absence of a placebo-control group, the small sample size, and that sexual function was not a primary endpoint of the original trials. Conclusions SQOL did not appear to improve following peripheral infusion of MSCs in women with DM or MetS, but nevertheless appears to be safe with no decline in sexual function over the following 1 year. Larger clinical trials with placebo-controls are needed to further investigate the optimal dose, source, and route administration of SCT to enact a meaningful change in sexual function in women with DM or MetS. Disclosure Yes, this is sponsored by industry/sponsor: This work was supported by National Institutes of Health Grant R01 DK130991 and Clinician Scientist Development Grant from the American Cancer Society to RR. JMH is supported by National Institutes of Health grants 1R01 HL137355, 1R01 HL107110, 1R01 HL134558, 5R01 CA136387, and 5UM1 HL113460 and Soffer Family Foundation. Clarification Industry funding only - investigator initiated and executed study Any of the authors act as a consultant, employee or shareholder of an industry for: JMH discloses a relationship with Vestion Inc. that includes equity, board membership, and consulting. Neither Longeveron, Vestion, or any other companies participated in the funding of this work. All other authors indicated no potential conflicts of interest.

Effect of Stem Cell Infusion Therapy on Sexual Function in Men and Women with Type 2 Diabetes and Metabolic Syndrome: Results from the ACESO & CERES Clinical Trials

ABSTRACT Introduction Despite growing interest in restorative therapies for sexual function, there exists a paucity of human research into potential therapeutic applications of stem cell therapy (SCT). Mesenchymal Stem Cells (MSCs) and its effects on sexual function have not yet been explored in patients with Type 2 Diabetes Mellitus (DM) and Metabolic Syndrome (MetS) Objective To determine the effect of stem cell infusion therapy on sexual function in men and women with DM or MetS. Methods We used International Index of Erectile Function (IIEF-15) collected from men and Sexual Quality of Life Questionnaire-Female (SQOL-F) collected from women enrolled in the ACESO (NCT02886884) and CERES (NCT03059355) pilot/phase I clinical trials. Participants were enrolled in the trials based on diagnosis of DM or MetS, respectively, and endothelial dysfunction - defined as Brachial Artery Flow Mediated Vasodilation (FMD) &amp;lt;7%. Intervention in both trials was peripheral intravenous infusion of allogeneic MSCs. Follow-up was for 1 year. Questionnaires were collected at baseline and at 1-, 3-, 6-, and 12-months post-infusion. Participants received 20 or 100 million MSCs from either bone marrow (n=21) or umbilical cord (n=6). We performed subgroup analyses evaluating dose, source, and study diseases. Descriptive and analytic statistics were used to analyze the data. Results Data was pooled from 20 men and 7 women from the two trials. Overall, 14 received 100 million MSCs and 13 received 20 million MSCs. Median age was 61 [IQR=55-73] years. Incidence of hypertension, coronary artery disease, smoking and alcohol use were similar among each trial. Erectile dysfunction (ED) was defined by an IIEF-Erectile Function (IIEF-EF) sub-domain score ≤24 at baseline (n=16). Among men with ED, median IIEF-EF score at baseline was 5 [IQR=2-17], 6 [IQR=3-17] at 1 month, 3 [IQR=2-8] at 3 months, 4 [IQR=3-13] at 6 months, and 5.5 [IQR=2-16] at the end of 12 months (p=0.8127). Subgroup analyses revealed no changes in erectile function in either treatment dose. Similar patterns were found in other IIEF sub-domains, except median sexual desire score which increased among all men from 1-3 months post-infusion, then subsided from 6-12 months (p=0.4723). SQOL-f is a validated self-assessment questionnaire rated on a six-point scale in which higher scores reflect better female sexual quality of life. Median SQOL score among all women at baseline was 30 [IQR=19-50], 25 [IQR=23-36] at 1 month, 34 [IQR=19-46] at 3 months, 29 [IQR=21-32] at 6 months, and 34 [IQR=26-49] at the end of 12 months (p=0.8866). Main limitations of this study include the small sample size, sexual function was not a primary endpoint, and the absence of a placebo comparison arm. Conclusions Neither ED or SQOL appears to have improved following peripheral infusion of MSCs in patients with DM and MetS, but nevertheless appears to be safe with no decline in sexual function over 1 year. The optimal route, source, and dose of SCT to enact a meaningful change in sexual function in different patient populations has yet to be determined and deserves further research in future larger randomized clinical trials. Disclosure Any of the authors act as a consultant, employee or shareholder of an industry for: Longeveron LLC

Perception of genital self-image, sexual quality of life and marital adjustment in infertile women

This study was conducted to determine the perception of genital self-image, sexual quality of life and marital adjustment in infertile women. The sample of this descriptive study consisted of 135 infertile women who applied to a university hospital in a provincial center in the east of Turkey between November 2020-January 2021. Data were collected using Personal Information Form, Female Genital Self-Image Scale (FGSIS),Marital Adjustment Test (MAT) and Sexual Quality of Life Questionnaire-Female (SQoL-F). Data analysis was performed using descriptive statistics, independent-samples t-test, one-way analysis of variance(ANOVA), Kruskal-Wallis test, Tamhane’s T2 test, and Pearson’s correlation analysis. FGSIS, SQoL-F, and MAT were found at moderate levels in the women who participated in the study (17.99 ± 4.87, 65.58 ± 26.77, 37.77 ± 14.16, respectively). There was a moderate positive correlation between the total scores of FGSIS and SQoL-F, and a moderate and weak positive correlation between FGSIS and MAT and its sub-dimensions (p < 0.01).A moderate and weak positive correlation was found between SQoL-F and MAT and its sub-dimensions(p < 0.01).An increase in a positive genital self-image was associated with an increase in sexual life quality, marital adjustment, and agreement and positive relationship with the spouse. In addition, an increase in sexual quality of life was also associated with an increase in marital adjustment and agreement and positive relationship with the spouse. The vice versa could also be valid.

Does Infertility Affect the Sexual Function and Sexual Quality of Life of Women? A Case Control Study

Objectives: The study aimed to determine the effect of infertility on women’s sexual function and sexual quality of life. Methods: In this case-control study, 316 infertile and 316 fertile women were interviewed in a hospital using the Index of Female Sexual Function and the Sexual Quality of Life Questionnaire-Female. Results: Sexual function scores of infertile women were lower than fertile women; however, the groups were similar in terms of sexual quality of life. Conclusion: The findings suggest a difference between fertile and infertile women in terms of sexual function, while the sexual quality of life was similar in both groups.

General and sex profile of women with partner affected by premature ejaculation: results of a large observational, non-interventional, cross-sectional, epidemiological study (IPER-F).

Couple distress is a crucial point in premature ejaculation (PE). PE has been associated with significant bother, interpersonal problems, and dissatisfaction with sexual intercourse for both men and their partners. The primary objective of this study was to assess the effect of PE on female sexuality in female partners of men affected from PE. Secondary objectives were to assess the impact of PE on female sexual quality of life, to assess the presence of sexual problems of the male partner, and to evaluate the prevalence and characteristics of comorbidities. Adult women aged 18 to 80years old, sexually active, were randomly sampled from the patient lists of General Practitioners in Italy and were included in this observational, non-interventional, cross-sectional epidemiological study. Subjects were asked to fill: a general questionnaire regarding anthropometric data, lifestyle, marital status, education, occupation, economic conditions, general health status, comorbidities, and sexual habits; the Sexual Quality of Life Questionnaire-Female (SQoL-F); the Female Sexual Distress Scale (FSDS-R-PE); the Self-rating Depression Scale (SDS); and Self-rating Anxiety Scale (SAS). In addition, females reported about their partner's ejaculation time and the presence of sexual dysfunctions. A total of 3,104 women were included. Mean age was 45.1years. Woman with PE partners presented a higher percentage of sexual dysfunction and reported more anxiety compared with female partners of men not affected from PE (42.69% vs. 20.56% and 30.95% vs. 15,34%, respectively). In addition, they referred more sexual dysfunction in their partners. Hypertension, hypercholesterolemia, arthritis, heart diseases, thyroid disease, a history of menopause, or hysterectomy resulted in significantly more prevalence in women with PE partners. Female partners of PE patients present an increased prevalence of sexual distress, a reduced quality of sexual life, and an increased anxiety score when compared to women whose partners are not affected from PE.

Sexual Quality of Life, Sexual Knowledge, and Attitudes of Older Adults on the Example of Inhabitants Over 60s of Bialystok, Poland.

Introduction: Aging has a strong influence on the quality of relationships and sexual functioning, but in itself does not cause a lack of sexual desire.Objectives: The aim of this study was to assess the quality of sexual life and define sexual knowledge and attitudes of older people on the example of residents of Bialystok, Poland at the age of 60 and over.Methods: The study included 170 people, inhabitants of Bialystok, Poland aged over 60: 85 students of the University of Healthy Senior and the University of Psychogeriatric Prophylaxis and 85 students of the University of the Third Age. The study used three standardized psychometric scales: Sexual Quality of Life Questionnaire-Male (SQoL-M), Sexual Quality of Life Questionnaire-Female (SQoL-F), and Aging Sexual Knowledge and Attitudes Scale (ASKAS).Results: The overall mean score for the ASKAS scale for knowledge was 65.21 ± 12.32 and for attitudes −124.65 ± 22.00. The overall mean SQOL score was 62.92 ± 18.18. Taking into account the gender of the respondents, the knowledge of men on sexuality of seniors was at the level of 63.48 ± 12.63, while in the female group −65.74 ± 12.23. The attitudes of men on sexuality of seniors was at the level of 128.80 ± 21.56, while in the female group −123.38 ± 22.05. Satisfaction with sex life among men (72.36 ± 27.49) was significantly higher than among women (60.02 ± 12.88).Discussion: The seniors were characterized by moderate knowledge and attitudes to sexuality of older people and the average level of sexual satisfaction. There was no significant relationship between knowledge on sexuality and sexual satisfaction in the study groups, and there was a positive correlation between attitudes toward sexuality and the satisfaction of sex life outside the group of men. In addition, a significant positive relationship was found between attitudes toward sexuality and sexual satisfaction. In order to improve the knowledge of senior citizens about sexuality of old age and to overcome the taboos that are prevalent in this topic, a structured training should be provided in this field. Such training should be carried out by specialists in the field of sexology. It is desirable to conduct in-depth studies in the assessment of knowledge, attitudes, and quality of sexual life in a larger research group, in order to get results for the population of the whole country.

The Effects of Outside-in Versus Inside-out Transobturator Tapes, for Stress Urinary Incontinence, on Sexual Function and Quality of Life: A Prospective Study

Objective: To assess the effects of outside-in versus inside-out transobturator tapes for stress urinary incontinence on sexual function, quality of life and psychosocial state. Material and Methods: The study was performed on a total of 101 females, who underwent transobturator tape outside-in or inside-out procedures for stress urinary incontinence with no concomitant prolapse repair, between September 2014 and October 2015 at the clinic in Istanbul, and completed a validated quality of life, sexual function, and psychosocial state questionnaires before and after surgery. The scales used for the assessment included the Hospital Anxiety and Depression Scale, Pelvic Organ Prolapse/Urinary Incontinence Sexual Questionnaire-12 and Sexual Quality of Life Questionnaire-Female. Results: The HADS scores showed a statistically significant decrease (an indicator of improvement of anxiety and depression) in the postoperative period in both the groups (p<0.05). The PISQ-12 scores increased in both the groups in the postoperative period, indicating improvement (p<0.05). The preoperative sexual and partner relationship SQoL-F scores were significantly higher in the inside-out group than in the outside-in group (p<0.05). Conclusion: The results of this study suggest that transobturator tape procedures for stress urinary incontinence have a positive outcome on female sexual function and quality of life. However, further prospective studies, with more participants, are warranted to support these preliminary findings to be able to compare the impact of transobturator tape outside-in or inside-out routes on female sexual function, quality of life and psychosocial state more precisely.

Effect of Pelvic Floor Muscle Training on Female Sexual Function During Pregnancy and Postpartum: A Randomized Controlled Trial

Background: Current evidence on the effect of pelvic floor muscle (PFM) training for promoting sexual function is limited. Recent reviews indicate need for high quality trials in this area. Objectives: To examine the effect of PFM training on sexual function (primary outcome), sexual quality of life, and PFM strength (secondary outcomes) in pregnant and postpartum women. Methods: This was an assessor-blind two parallel arm superiority trial. A total of 84 nulliparous women with a singleton pregnancy at 17 - 20 weeks, aged 18 - 35 years, were recruited using purposive sampling among clients of five public health centers or two governmental maternity clinics in Sari-Iran. The recruitment was done from May to November 2014 and follow up ended on July 2015. Participants were equally allocated into either PFM training or routine care groups using block randomization. Women allocated to the PFM group received 4 sessions of supervised training, with practical, oral, and written instructions on how to continue performing regular PFM exercises at home. Female sexual function index, sexual quality of life questionnaire-female, and Oxford scoring were used to assess the outcomes at 28 - 30 weeks gestation and 80 - 90 days following birth. Results: There was one loss to follow-up from each group. A total of 6 women had not exercised regularly. Compared with the control group, the mean total sexual function score was significantly greater in the PFM training group during both pregnancy (29.3 vs 21.1; adjusted difference 9.4, 95%CI 7.7 to 11.0, P < 0.001) and postpartum (28.7 vs 16.0; adjusted difference 13.0, 95%CI 12.1 to 13.9, P < 0.001). Also, almost all domains of sexual function, sexual quality of life, and PFM strength during both periods improved significantly in women who received the PFM training compared with the controls. Conclusions: Based on the results, PFM training during pregnancy and postpartum could improve sexual function in nulliparous women. Therefore, it should be recommended to all of the women.

Assessment of Body Image and Quality of Sexual Life of Women Using Intraoral Prosthesis: A Follow-Up Study

The objective of this study was to determine the effects of using intraoral prosthesis on women’s body image and sexual quality of life. This study was performed as a crosssectional study. The study sample included 60 women who presented to a prosthodontics department in Turkey. The study data were collected with the Personal Information Form, The Multidimensional Body-Self Relations Questionnaire (MBSRQ) and Sexual Quality of Life Questionnaire-Female (SQLQ-F). After filling in the forms, they were examined by a dentist. Prostheses were made in approximately 15 days and placed (inserted) into the patient’s mouth. The SQLQ-F and MBSRQ were readministered to the women 6 months after they started with their prostheses. The participants’ sexual quality of life changed for the better after they used fixed or removable prostheses. While perceived body image of the participants using fixed prostheses changed positively, there was no change in the body image perception of the participants using removable prostheses. The mean scores obtained from the Appearance Evaluation and the Body-Areas Satisfaction subscales by the participants using fixed and removable prostheses at baseline significantly increased at the sixth-month follow-up.

Effect of sexual dysfunction and sexual quality of life in type 2 diabetes women: a pilot study from Turkey

In women, it is clinically difficult to measure the sexual functions. Partner’s sexual performance, quality of the relationship, cultural-ethnic, educational and socio-economic status of the patient, psychological changes, chronic diseases such as diabetes and its complications affect the sexual functions. This study was conducted in order to determine the sexual dysfunction (SD) and sexual quality of life of women with type 2 diabetes. This cross-sectional and descriptive study was conducted at nine family health centers located in the city center of Kars. We used a questionnaire for data collection, and the Sexual Quality of Life Questionnaire-Female (SQLQ-F) and Female Sexual Function Index (FSFI) were used as the data collection tool. Sexual dysfunction and sexual quality of life of women with type 2 diabetes. The mean total FSFI was 67.36 ± 10.25 and the mean score for sexual desire was 3.28 ± 2.58, arousal 8.42 ± 4.33, lubrication 12.57 ± 4.89, orgasm 7.25 ± 3.52, satisfaction 9.06 ± 2.18, and pain 9.28 ± 4.45. The most common problem was sexual desire (3.28 ± 2.58), while the least common one was lubrication (12.57 ± 4.89). The mean total SQLQ-F score was 38.56 ± 10.89 which is considered to indicate low. Results showed that as the level of sexual quality of life increased, the sexual desire, arousal, lubrication, orgasm, satisfaction and total FSFI increased and a statistically positive significant difference between SD. Sexual quality of life level and pain, increased, indicating a statistically negative significant difference between SD and sexual quality of life level.

Quality of Female Sexual Function After Conventional Abdominal Hysterectomy - Three Month' Observation

Summary Introduction. Many medical and conservative surgical treatment options are available but still hysterectomy remains the most common gynecological procedure performed worldwide. These procedures are performed because of actual and possible malignant diseases, and benign conditions including pelvic pain, dyspareunia, uterine myomas, adenomyosis, endometriosis, and menometrorrhagia. The impact of hysterectomy on sexual function has always been a great concern to women and is a major source of preoperative anxiety. Data regarding the impact of hysterectomy on women's sexual functioning are not clear and consistent, many women report improvement of sexual functioning after hysterectomy, which may be due to relief of symptoms, while others complain of sexual dysfunction as a result of hysterectomy. Also discussion about advantages of cervix sparing operations is still controversial. Aim of the study. Aim was to assess and compare pre- and post-operative quality of sexual life of gynecological patients undergoing planned hysterectomy, and to find out opinions of patients and their partners about expected impact of operation and changes after surgery. Material and methods. Questionnaire method was used to survey gynecologic patients undergoing planned subtotal / total hysterectomy due to benign indication. Sexual Quality of Life Questionnaire – Female (SQoL-F) was used to assess quality of sexual life before and after surgery. Questions about other influencing factors and patients' opinions before and after operation were added. 38 completed questionnaires were used for data analysis. Results. Only 55% of subtotal hysterectomy group and 38.9% of total hysterectomy group told their partners completely about planned surgery. Mean period of beginning sexual activities after operation was 5.15 weeks after surgery in subtotal hysterectomy and 5.78 weeks in total hysterectomy group. SQoL-F after three months post-operation period was 6.50 points less in total hysterectomy group, which was not statistically significant. There was a slight statistically insignificant decrease of SQoL-F points within each group after three months observation period: -0.44 points in subtotal hysterectomy group and -2.47 points in total hysterectomy group. Although patients of total hysterectomy more frequently (22.2% vs. 5%) indicated negative impact on sexual function after operation, differences were not statistically significant. There were no differences in co-morbidities, concomitant medications, hormone use history and post-operative complications between groups. Conclusions. Patients before hysterectomy are worried about possible negative impact of surgery on their sexual function, they do not talk to their partners candidly about planned surgery. There were no statistically significant changes of sexual quality of life found after subtotal and total abdominal hysterectomy operation after three months observation period.

Quality of Sexual Life and Its Effect on Marital Adjustment of Turkish Women In Pregnancy

Pregnancy is an important period of a woman's life that can affect marital relationships because of decrease in the sexual function. This study aimed to examine the effect of sexual life on the marital adjustment of 607 healthy, pregnant women using the self-administered Sexual Quality of Life Questionnaire-Female and the Marital Adjustment Scale. Results showed that 30% of the pregnant women experienced problems during sexual intercourse and 50% had painful intercourse. The median total score of the Sexual Quality of Life Questionnaire-Female for pregnant women was 35.5, and the median total score of the Marital Adjustment Scale was 41.0. The authors found a positive moderate level correlation between the sexual quality of life for women and their marital adjustment for being pregnant (r = 0.468, p =.001). The results imply that the variance in the sexual activity during the childbearing period does occur and pregnant women need to be assessed regularly with regards to their sexuality by health care providers in a professional atmosphere.

The Relationship Between Sexual Quality of Life, Happiness, and Satisfaction with Life in Married Turkish Women

The quality of sexual life is based on a physical, relational, and emotional assessment of an individual. This study aimed to analyze the relationship between sexual quality of life, happiness, and satisfaction with life. The research comprised of 204 women, aged between 18 and 63. The average age of participants was 31.98. In this study, the sexual quality of life questionnaire-female, Oxford happiness questionnaire-short form, and satisfaction with life scale were used as data collection tools. The findings indicated that the sexual quality of life in women has a positive relationship with happiness and satisfaction with life. Therefore, sexual quality of life is a significant predictor of happiness and satisfaction with life. It also explains 19 % of the variance concerning happiness and 25 % of the variance regarding satisfaction with life. As a result, the findings obtained from the present study show that the sexual quality of life in women is important in relation to happiness and satisfaction with life.

Psychometric Properties of the Iranian Version of the Sexual Quality of Life Scale among Women

INTRODUCTION.: Female sexual dysfunction has a known impact on the quality of life. AIM.: The purpose of this study was the translation and validation of an Iranian version of the Sexual Quality of Life questionnaire-Female (SQOL-F) in Iranian women. METHODS.: A population sample of N = 2,675 women aged 17-67 years from Qazvin City of Iran and two clinical population samples (women with sexual dysfunctions N = 295 and women with type 2 diabetes N = 449) participated in the study. A self-constructed demographic questionnaire, the SQOL-F, the Short Form Health Survey (SF-36), and the Female Sexual Function Index (FSFI) were used for data collection. MAIN OUTCOME MEASURES.: Internal consistency and test-retest reliability were examined. Correlations between the SQOL-F, SF-36, and FSFI were assessed with convergent validity. Furthermore, known-groups comparison analysis was conducted to compare differences in SQOL-F scores between healthy women and those with sexual problems and diabetes. Confirmatory factor analysis assessed the factor structure of the SQOL-F. RESULTS.: Cronbach's alpha ranged from 0.84 to 0.98. Significant correlations between the SQOL-F, SF-36, and FSFI scores were found (ranging from r = 0.4 to r = 0.72). The SQOL-F scores were significantly different between women with and without a clinical condition (P < 0.05). A unifactorial model provided the best fit to the data. CONCLUSION.: The questionnaire represents a suitable measure to assess sexuality-related quality of life to sexual function in healthy women, as well as in women suffering from a chronic medical condition. Application of the scale to other clinical samples needs to be further explored.

Sildenafil in women with sexual arousal disorder following spinal cord injury

Double-blind, placebo-controlled, flexible-dose study. To evaluate the efficacy, safety and tolerability of oral sildenafil in women with female sexual arousal disorder as a result of SCI (paraplegia/tetraplegia). The study was conducted at clinical practice sites in North America (n =23), 11 European countries (n =23), Australia (n =4) and South Africa (n =2). 129 women were randomized and treated with sildenafil or matching placebo. A 4-week baseline period was followed by 12 weeks of treatment, which could be increased from 50 to 100 mg or decreased to 25 mg once during the treatment period, depending on efficacy and tolerability. By use of an event log, sexual activity was monitored between screening and the end of treatment. The Sexual Function Questionnaire, the Sexual Quality of Life Questionnaire-Female, a global efficacy question and Sexual Distress Question were also assessed. Sildenafil-treated women and placebo-treated women had an increase in their percentage of sexual activities throughout the course of the study, with no statistically significant difference between groups in the percentage of successful sexual activities at end of treatment versus baseline. There were also no statistically significant differences between sildenafil- and placebo-treated women on the aforementioned measures. The most common adverse events included headache and vasodilatation. The results of this study are similar to other reports regarding a lack of clinically meaningful benefit of sildenafil in other populations of women. This study was sponsored by Pfizer Inc.

Cinsel Yaşam Kalitesi Ölçeği - Kadın Türkçe versiyonunun geçerlik ve güvenirlik çalışması

Ozet Amac. Calisma Sexual Quality of Life Questionnaire-Female [Cinsel Yasam Kalitesi Olcegi-Kadin (CYKO-K)] olceginin Turkiye’deki gecerlik ve guvenilirligini test etmek amaciyla metadolojik olarak gerceklestirildi. Yontem. Arastirma cesitli nedenlerle iki ayri saglik ocagina basvuran, evli, okur-yazar olan ve arastirmaya katilmayi kabul eden 180 kadin ile yapildi. Veriler kisisel bilgi formu ve CYKO-K kullanarak toplandi. CYKO-K gecerliligine yonelik olarak dil / icerik gecerliligi ve yapi gecerliligi incelendi. Icerik gecerliligine yonelik olarak konu alaninda uzman kisilerden gorus alindi, yapi gecerliligine yonelik faktor analizi yapildi. Olcegin guvenirligine yonelik olarak ic tutarlilik, madde toplam puan iliskileri ve iki yari test guvenilirligi incelendi. Bulgular. Yas ortalamasi 33,6±10,4 olan kadinlarin, %44,4’u ilkokul mezunu olup, %77,8’i cekirdek ailede yasamaktadir Olcegin madde toplam puan guvenirlik katsayisi r=0,32-0,67 arasinda degistigi ve ic tutarlilik icin Cronbach α katsayisinin 0.83 oldugu bulundu. Olcegin iki yari test guvenilirlik katsayisini hesaplamak amaciyla yapilan Spearman-Brown, Guttman split-half ve Cronbach α guvenirlik katsayilari yeterli duzeyde bulundu. Sonuc. Turkce CYKO-K’nin Turk kadinlarinda cinsel yasam kalitesini degerlendirmede gecerli ve guvenilir bir olcum araci oldugu soylenebilir. Anahtar sozcukler: Kadin, cinsellik, yasam kalitesi, gecerlik, guvenirlik Abstract Aim. The research was performed methodically to test the validity and reliability of Sexual Quality of Life Questionnaire-Female (SQLQ-F) scale in Turkey. Method. The research was conducted with 180 married literate women who applied to two separate health care centers due to various reasons and who agreed to participate to the research. The data were collected by personal information form and SQLQ-F Regarding the SQLQ-F validity, language / content validity and structure validity was examined. Regarding the content validity, opinions of experts were taken and factor analysis for structure validity was made. Regarding the scale validity, internal consistency, relationship of dimension scores, and two half test reliability was examined. Result. The age of the participants was 33.6±10.4. Of the women, 44.4% of the women was graduated from primary school, and 77.8% live in immediate family. Total point reliability coefficient of the scale was found to be r = 0.32-0.67 and for internal consistency, Cronbach was found to be α=0.83. Spearman-Brown, Guttman split-half ve Cronbach α reliability coefficients which were applied to calculate the two half test reliability coefficient of the scale were found to be sufficient. Conclusion. SQLQ-F in Turkish can be considered as a valid and reliable scale to evaluate the sexual life quality of Turkish women. Key words: Women, sexuality, quality of life, validity, reliability

Efficacy of tolterodine on overactive bladder symptoms and sexual and emotional quality of life in sexually active women

We evaluated overactive bladder (OAB) symptoms and sexual and emotional health in sexually active women with OAB/urgency urinary incontinence (UUI) treated with tolterodine extended release (ER). Sexually active women with OAB symptoms were randomized to placebo or tolterodine ER. Five-day bladder diaries, Sexual Quality of Life Questionnaire-Female (SQOL-F), Pelvic Organ Prolapse/Urinary Incontinence Sexual Questionnaire (PISQ), and Hospital Anxiety and Depression Scale (HAD) were completed at baseline and week 12. Tolterodine ER (n = 201; mean +/- SD age, 49 +/- 12 years) reduced UUI episodes (P = 0.0029), total (P = 0.0006) and OAB (P < 0.0001) micturitions, and pad use per 24 h (P = 0.0024), and was associated with improvements in SQOL-F (P = 0.004), PISQ total (P = 0.009), and HAD Anxiety (P = 0.03) scores versus placebo (n = 210; mean +/- SD age, 47 +/- 12 years). OAB symptoms improved with tolterodine ER as did the scores of sexual health and anxiety measures in sexually active women with OAB.

Efficacy of tolterodine extended release (TER) for patient-reported outcomes (PROs) in sexually active postmenopausal women with overactive bladder (OAB) and urgency urinary incontinence (UUI)

To evaluate the efficacy of TER on PROs in sexually active, postmenopausal women with OAB. Double-blind, placebo (PBO)–controlled trial of TER. This was a post hoc analysis of data from the subset of postmenopausal women with self-reported OAB (≥8 voids, ≥3 urgency-related voids, and a mean ≥0.6 UUI episodes per 24 h) for ≥3 mo. Subjects were sexually active (self defined) and in a relationship with a man for ≥6 mo. Subjects were randomized to TER (4 mg) or PBO for 12 weeks. At baseline and week 12, subjects completed the Patient Perception of Bladder Condition (PPBC) and Overactive Bladder Questionnaire (OAB-q), which has a Symptom Bother scale and a health-related quality of life (HRQL) scale comprising 4 domains. Subjects also completed the Sexual Quality of Life Questionnaire-Female (SQOL-F) and Pelvic Organ Prolapse/Urinary Incontinence Sexual Function (PISQ). Of the safety population, 51% (n = 211) of women were postmenopausal. After 12 weeks, intent-to-treat postmenopausal women who received TER showed statistically significantly greater improvements on the PPBC vs. PBO; twice as many TER vs. PBO-treated subjects showed major improvement (Figure). Subjects who received TER also showed significant improvements on all scales/domains of the OAB-q except Social Interaction. The treatment difference was significant for the PISQ but not the SQOL-F (Table 1); the SQOL-F may be less sensitive to the OAB-specific impact on sexual quality of life in these women.TableOAB-q, SQOL-F, and PISQ Results∗InstrumentTreatment Difference¶P ValueQAB-q Symptom Bother−10.9 (3.2)0.0008 Total HRQL9.3 (2.8)0.001 Concern12.3 (3.3)0.0003 Coping10.6 (3.2)0.001 Sleep7.4 (3.6)0.0424 Social Interaction3.9 (2.1)0.0613SQOL-F Total4.2 (2.5)0.0898PISO Total2.9 (1.3)0.0237∗One outlier was excluded from the analysis based on the UUI endpoint after statistical and clinical evaluation.†Lease squares mean (SD): positive score changes indicate improvement for all items except Symptom Bother. Open table in a new tab ∗One outlier was excluded from the analysis based on the UUI endpoint after statistical and clinical evaluation. †Lease squares mean (SD): positive score changes indicate improvement for all items except Symptom Bother. In sexually active postmenopausal women, TER improved patients' perceptions of the extent of their bladder problems and improved other measures of OAB symptom bother, HRQL, and sexual quality of life.