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Mood disorders and sexual functioning in women with functional hypothalamic amenorrhea
Carolyn M Dundon1, Alessandra H Rellini, Silvia Tonani
1Psychology Department, University of Vermont, Burlington, Vermont 05405, USA.
Objective:
To investigate the sexual function of women with functional hypothalamic amenorrhea (FHA) and to test the mediating effects of depression and anxiety on the sexual functioning of women with FHA.
Design:
In this cross-sectional study, participants completed questionnaires on sexual function, depression, and anxiety.
Setting:
Tertiary care university hospital.
Patient(S):
Women with (n=41) and without (n=39) FHA recruited from a gynecologic endocrinology unit.
Intervention(S):
None.
Main Outcome Measure(S):
The McCoy Female Sexuality Questionnaire assessed sexual function, and the Zung Scale measured depression and anxiety.
Result(S):
Women with FHA experienced more sexual function problems and significantly higher depression and anxiety compared to women without menstrual dysfunction. In addition, depression offered a significant explanation for the sexual problems experienced by women with FHA.
Conclusion(S):
The psychologic symptoms that contribute to the onset of FHA partially mediate the relationship between FHA and sexual dysfunction.
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