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Association of Female Sexual Dysfunction and Fertility: a cross sectional study
Felix Mwembi Oindi1, Alfred Murage1, Valentino Manase Lema1
1Department of Obstetrics and Gynaecology, Aga Khan University Hospital, Nairobi, Kenya.
Fertility Research and Practice
|December 3, 2019
Summary
Female sexual dysfunction (FSD) prevalence was similar in subfertile women and those using fertility control. Higher education and maternal age may protect against FSD, while hormonal contraception use was linked to impairment.
Area of Science:
- Reproductive Health
- Sexual Medicine
- Gynecology
Background:
- Female sexual dysfunction (FSD) significantly impacts women's well-being and quality of life.
- Both FSD and subfertility are prevalent, yet the link between subfertility and sexual function, particularly in sub-Saharan Africa, is understudied.
- This study investigates FSD prevalence in women seeking fertility assessment versus those using fertility control in Kenya.
Purpose of the Study:
- To compare the prevalence of female sexual dysfunction (FSD) between women undergoing subfertility assessment and those using fertility control services.
- To identify factors associated with FSD in these distinct patient groups.
- To explore the relationship between fertility status and sexual health in a Kenyan population.
Main Methods:
- An analytical cross-sectional study was conducted with women aged 18-49 years attending gynecology clinics.
- Participants completed a demographic tool and the Female Sexual Function Index (FSFI) questionnaire.
- Prevalence of FSD was determined by FSFI scores, with statistical analyses to compare groups and identify associations.
Main Results:
- FSD prevalence was 31.2% in the subfertile group and 22.6% in the fertility control group; this difference was not statistically significant (p=0.187).
- Lower mean FSFI scores were observed in the subfertile group, but this was not statistically significant.
- Desire and arousal dysfunctions were most common; higher education was protective in the subfertile group, while hormonal contraception use was linked to impairment in the fertility control group. Alcohol use and higher maternal age showed protective effects.
Conclusions:
- No significant association was found between fertility status and the prevalence of female sexual dysfunction.
- Subfertility type did not correlate with sexual dysfunction.
- Education level and hormonal contraception use showed associations with FSD, while alcohol use and higher maternal age appeared protective.
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