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Sexual dysfunction in patients with polycystic ovary syndrome in Malaysia


Dashti, Sareh and Abd Latiff, Latiffah and Abdul Hamid, Habibah and Mohamad Sani, Suriani and Akhtari-Zavare, Mehrnoosh and Abu Bakar, Azrin Shah and Sabri, Nur Amirah Inani and Ismail, Maimunah and Esfehani, Ali Jafarzadeh (2016) Sexual dysfunction in patients with polycystic ovary syndrome in Malaysia. Asian Pacific Journal of Cancer Prevention, 17 (8). pp. 3747-3751. ISSN 1513-7368; ESSN: 2476-762X


Background: Polycystic ovary syndrome (PCOS) is a combination of chronic anovulation, obesity, and hyperandrogenism and can affect sexual function in women of reproductive age. It is also associated with endometrial cancer. Our aim was to evaluate the frequency and predisposing factors of sexual dysfunction in PCOS patients. Materials and methods: In this cross-sectional study, 16 married women with a definite diagnosis of PCOS were recruited. Sexual function was assessed in the domains of desire, arousal, lubrication, orgasm, satisfaction and pain using the female sexual function index (FSFI) questionnaire. Patients were also assessed for mental health using the depression, anxiety and stress (DASS-21) questionnaire. Presence of hirsutism was assessed using the Ferriman-Gallwey (FG) scoring system. Demographic data were obtained from patients during in-person interview. Results: Sexual dysfunction was present in 62.5% of patients with the domains of arousal and lubrication particularly affected (93.8% and 87.5%, respectively). Patients with symptoms of depression and anxiety were significantly more likely to suffer sexual dysfunction than those without these symptoms (p=0.04 and p=0.03 respectively). Patients with stress symptoms reported higher orgasm dysfunction than those without (p=0.02). No significant difference in any of the FSFI score domains was observed between patients with and without hirsutism. Conclusions: PCOS patients markedly suffer from sexual dysfunction and therefore it seems appropriate to be screened for intervention. Poor mental health conditions that may be the result of infertility or other complications of PCOS should also be considered as curable causes of sexual dysfunction in these patients.

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Additional Metadata

Item Type: Article
Divisions: Faculty of Educational Studies
Faculty of Medicine and Health Science
DOI Number: https://doi.org/10.14456/apjcp.2016.164/APJCP.2016.17.8.3747
Publisher: Asian Pacific Organization for Cancer Prevention
Keywords: Polycystic ovary syndrome; Sexual dysfunction; Infertility; Libido; Arousal
Depositing User: Nurul Ainie Mokhtar
Date Deposited: 06 Feb 2018 02:06
Last Modified: 06 Feb 2018 02:06
Altmetrics: http://www.altmetric.com/details.php?domain=psasir.upm.edu.my&doi=10.14456/apjcp.2016.164/APJCP.2016.17.8.3747
URI: http://psasir.upm.edu.my/id/eprint/53806
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