Sexual function, intimate relationships and Friedreich ataxia
Louise A Corben1,2,3, Mireille M Hermans4,5, Alice Marks6,7
1Bruce Lefroy Centre for Genetic Health Research, Murdoch Children's Research Institute, Royal Children's Hospital, Parkville, VIC, 3052, Australia. louise.corben@mcri.edu.au.
Journal of Neurology
|October 13, 2020
Summary
Sexual dysfunction is common in Friedreich ataxia (FRDA), affecting sexual function and relationships. Understanding these challenges is key to improving care and support for individuals with FRDA.
Area of Science:
- Neurology
- Sexual Health
- Clinical Research
Background:
- Sexual dysfunction (SD) is prevalent in neurological disorders, with anecdotal evidence suggesting its occurrence in Friedreich ataxia (FRDA).
- Understanding SD in FRDA is crucial for healthcare providers to effectively identify and manage these issues, thereby improving patient care.
- Previous reports indicate that individuals with FRDA experience SD, including erectile dysfunction and altered genital sensation.
Purpose of the Study:
- To investigate the prevalence and extent of sexual function and intimate relationship challenges in individuals with FRDA.
- To analyze primary (genital), secondary (physical), and tertiary (psychosocial) factors contributing to sexual dysfunction in FRDA.
- To provide data that can inform healthcare professionals and guide the development of targeted interventions.
Main Methods:
- An anonymous online questionnaire was utilized to gather data on sexual function and intimate relationships.
- Participants were adults aged 18 years and above diagnosed with FRDA, recruited through Ataxia UK and Friedreich Ataxia Research Alliance databases.
- Data collection was conducted between January and July 2017.
Main Results:
- 179 adults with FRDA participated; 107 reported sexual activity.
- Significant rates of sexual dysfunction were observed: 57% of males reported erectile dysfunction, 57.7% of females reported inadequate vaginal lubrication, and 47% reported reduced genital sensation.
- Physical and psychosocial challenges were also prominent, with 88% reporting movement difficulties during sexual activity and 73% experiencing reduced sexual confidence due to FRDA. Younger age of disease onset correlated with increased SD.
Conclusions:
- Friedreich ataxia significantly impacts sexual functioning, satisfaction, and the ability to form intimate relationships.
- The study highlights the multifaceted nature of SD in FRDA, encompassing physical and psychosocial aspects.
- A comprehensive understanding of SD in FRDA is essential for developing effective interventions and recommendations to enhance sexual health and relationships for affected individuals.
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