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Sexual Dysfunction in Men With Inflammatory Bowel Disease: A New IBD-Specific Scale
Aoibhlinn O'Toole1,2, Punyanganie S de Silva1,2, Linda G Marc3
1Center for Crohn's and Colitis, Brigham and Women's Hospital, Boston, Massachusetts, USA.
Men with inflammatory bowel disease (IBD) may experience sexual dysfunction. A new IBD-specific Male Sexual Dysfunction Scale (IBD-MSDS) was developed and validated to assess this impact and identify contributing factors.
Area of Science:
- Gastroenterology
- Sexual Medicine
- Psychiatry
Background:
- Inflammatory bowel disease (IBD) is associated with potential sexual dysfunction in men.
- A validated tool is needed to measure sexual dysfunction specifically in male IBD patients.
Purpose of the Study:
- To develop and validate a new IBD-specific Male Sexual Dysfunction Scale (IBD-MSDS).
- To assess the prevalence and contributing factors of sexual dysfunction in male IBD patients.
Main Methods:
- A cross-sectional survey of 175 male IBD patients was conducted.
- The 15-item IBD-MSDS was developed and validated using exploratory factor analysis.
- Sexual functioning was also assessed using the International Index of Erectile Dysfunction (IIEF) and depression using the Patient Health Questionnaire (PHQ-9).
Main Results:
- The validated 10-item IBD-MSDS demonstrated strong reliability (α = 0.90) and validity.
- The IBD-MSDS correlated significantly with IIEF subscales and PHQ-9 scores.
- Sexual dysfunction in IBD was linked to ileoanal pouch anastomosis, depression, and increased disease activity.
Conclusions:
- An IBD-specific scale (IBD-MSDS) has been developed and validated to assess the psychosexual impact of IBD in men.
- This scale can aid physicians in screening for and identifying factors related to sexual dysfunction in male IBD patients.
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