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Sexual dysfunction in Huntington's Disease - a systematic review
Klaudia Szymuś1, Artur Bystrzyński2, Magdalena Kwaśniak-Butowska3,4,5
1Medical University of Gdansk, Student of Faculty of Medicine, Marii Skłodowskiej-Curie 3a, 80-210 Gdańsk, Poland. szymus.klaudia@gmail.com.
Insights
Sexual dysfunction is common in Huntington
Area of Science:
- Neurology
- Sexual Medicine
Background:
- Huntington's Disease (HD) is a progressive neurodegenerative disorder.
- HD manifests with motor, cognitive, and behavioral symptoms, often including sexual dysfunction.
Purpose of the Study:
- To comprehensively review current knowledge on sexual dysfunction in Huntington's Disease.
- To highlight the prevalence and types of sexual disorders experienced by HD patients.
Main Methods:
- Systematic literature search of PubMed and Scopus databases.
- Inclusion of original studies published after 1994 (post-genetic test diagnosis).
Main Results:
- Nine studies met the inclusion criteria.
- High prevalence of sexual disorders in HD patients: hypoactive sexual disorder (53-83%), erectile dysfunction (48-74%), lubrication issues (53-83%), and orgasmic dysfunction (35-78%).
Conclusions:
- Sexual dysfunction in HD is prevalent and likely underestimated.
- Addressing sexual health is crucial for improving the quality of life for HD patients and their caregivers.
- Potential biases include social taboos, medication effects, and methodological limitations in existing studies.
Introduction:
Huntington's Disease (HD) is a neurodegenerative disorder of which the main symptoms are motor, cognitive and behavioural problems sometimes including sexual dysfunction.
Aim:
To review the current knowledge on sexual dysfunction in HD.
Methods:
Databases of Pubmed and Scopus were searched. Only original studies performed after 1994 were included (from 1994 a genetic test = proven diagnosis).
Results:
162 publications were found, but only nine met our established criteria. The majority of patients with HD suffer from sexual disorders. The most common are: hypoactive sexual disorder (53-83% of patients), hyperactive sexual disorder (6-30%), erectile (48-74%) and ejaculatory dysfunctions (30-65%), lubrication problems (53-83%), and orgasmic dysfunction (35-78%).
Discussion:
Results may be biased for several reasons e.g.: social taboos regarding sex lives, medications that affect sexual function, impaired self-awareness of patients, small study samples, a lack of standardised questionnaires, and a focus only on the presence of sexual problems without describing them.
Conclusions:
Sexual disorders in HD are common. This is a problem that is probably underestimated, both by patients/caregivers and physicians, who should focus more on these symptoms in order to improve patient quality of life.
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