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Determinants of female sexual function in inflammatory bowel disease: a survey based cross-sectional analysis.

Timmer A, Kemptner D, Bauer A, Takses A, Ott C, Fürst A - BMC Gastroenterol (2008)

Bottom Line: Urban residency and higher socioecomic status had a protective effect.Disease activity was moderately associated with low desire (OR 1.8, 95% CI 1.0 to 3.2).Smoking is associated with lubrication problems.

View Article: PubMed Central - HTML - PubMed

Affiliation: Department of Medical Biometry and Statistics, University Hospital of Freiburg, Stefan-Meier Strasse 26, 79104, Freiburg, Germany. timmer@cochrane.de

ABSTRACT

Background: Sexual function is impaired in women with inflammatory bowel disease (IBD) as compared to normal controls. We examined disease specific determinants of different aspects of low sexual function.

Methods: Women with IBD aged 18 to 65 presenting to the university departments of internal medicine and surgery were included. In addition, a random sample from the national patients organization was used (separate analyses). Sexual function was assessed by the Brief Index of Sexual Function in Women, comprising seven different domains of sexuality. Function was considered impaired if subscores were <-1 on a z-normalized scale. Results are presented as age adjusted odds ratios with 95% CI based on multiple logistic regression.

Results: 336 questionnaires were included (219 Crohn's disease, 117 ulcerative colitis). Most women reported low sexual activity (63%; 17% none at all, 20% moderate or high activity). Partnership satisfaction was high in spite of low sexual interest in this group. Depressed mood was the strongest predictor of low sexual function scores in all domains. Urban residency and higher socioecomic status had a protective effect. Disease activity was moderately associated with low desire (OR 1.8, 95% CI 1.0 to 3.2). Severity of the disease course impacted most on intercourse frequency (OR 2.3, 95% CI 1.4 to 4.7). Lubrication problems were more common in smokers (OR 2.5, 95% CI 1.3 to 5.1).

Conclusion: Mood disturbances and social environment impacted more on sexual function in women with IBD than disease specific factors. Smoking is associated with lubrication problems.

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Related in: MedlinePlus

Results from EORTC-QLQ CR30 items, clinical sample only (n = 114). Proportions of those answering "very"/"moderate" (vs. "little"/"not at all").
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Figure 2: Results from EORTC-QLQ CR30 items, clinical sample only (n = 114). Proportions of those answering "very"/"moderate" (vs. "little"/"not at all").

Mentions: On direct questioning (EORTC-items), issues relating to feeling attractive or feminine as well as satisfaction with the bodily appearance showed an association with disease activity (p < 0.05 for all comparisons) (Figure 2, information available for clinical sample only). There was a strikingly low general interest in sexual activities in both patients with active and quiescent disease. Only 20% reported a high or moderate level of sexual activity during the preceding four weeks. The proportion not sexually active at all was 17%.


Determinants of female sexual function in inflammatory bowel disease: a survey based cross-sectional analysis.

Timmer A, Kemptner D, Bauer A, Takses A, Ott C, Fürst A - BMC Gastroenterol (2008)

Results from EORTC-QLQ CR30 items, clinical sample only (n = 114). Proportions of those answering "very"/"moderate" (vs. "little"/"not at all").
© Copyright Policy - open-access
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=PMC2571095&req=5

Figure 2: Results from EORTC-QLQ CR30 items, clinical sample only (n = 114). Proportions of those answering "very"/"moderate" (vs. "little"/"not at all").
Mentions: On direct questioning (EORTC-items), issues relating to feeling attractive or feminine as well as satisfaction with the bodily appearance showed an association with disease activity (p < 0.05 for all comparisons) (Figure 2, information available for clinical sample only). There was a strikingly low general interest in sexual activities in both patients with active and quiescent disease. Only 20% reported a high or moderate level of sexual activity during the preceding four weeks. The proportion not sexually active at all was 17%.

Bottom Line: Urban residency and higher socioecomic status had a protective effect.Disease activity was moderately associated with low desire (OR 1.8, 95% CI 1.0 to 3.2).Smoking is associated with lubrication problems.

View Article: PubMed Central - HTML - PubMed

Affiliation: Department of Medical Biometry and Statistics, University Hospital of Freiburg, Stefan-Meier Strasse 26, 79104, Freiburg, Germany. timmer@cochrane.de

ABSTRACT

Background: Sexual function is impaired in women with inflammatory bowel disease (IBD) as compared to normal controls. We examined disease specific determinants of different aspects of low sexual function.

Methods: Women with IBD aged 18 to 65 presenting to the university departments of internal medicine and surgery were included. In addition, a random sample from the national patients organization was used (separate analyses). Sexual function was assessed by the Brief Index of Sexual Function in Women, comprising seven different domains of sexuality. Function was considered impaired if subscores were <-1 on a z-normalized scale. Results are presented as age adjusted odds ratios with 95% CI based on multiple logistic regression.

Results: 336 questionnaires were included (219 Crohn's disease, 117 ulcerative colitis). Most women reported low sexual activity (63%; 17% none at all, 20% moderate or high activity). Partnership satisfaction was high in spite of low sexual interest in this group. Depressed mood was the strongest predictor of low sexual function scores in all domains. Urban residency and higher socioecomic status had a protective effect. Disease activity was moderately associated with low desire (OR 1.8, 95% CI 1.0 to 3.2). Severity of the disease course impacted most on intercourse frequency (OR 2.3, 95% CI 1.4 to 4.7). Lubrication problems were more common in smokers (OR 2.5, 95% CI 1.3 to 5.1).

Conclusion: Mood disturbances and social environment impacted more on sexual function in women with IBD than disease specific factors. Smoking is associated with lubrication problems.

Show MeSH
Related in: MedlinePlus