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Female sexual dysfunction in chronic obstructive pulmonary disease.
Müfide Arzu Özkarafakılı1, Cemil Kutsal2
1University of Health Sciences, Sisli Hamidiye Etfal Training and Research Hospital, Department of Chest Diseases, Istanbul, Turkey.
Colombia Medica (Cali, Colombia)
|October 11, 2023
Summary
Sexual dysfunction is common in women with chronic obstructive pulmonary disease (COPD), primarily linked to fatigue rather than lung function or depression. This highlights a frequently overlooked aspect of COPD management in females.
Area of Science:
- Pulmonary Medicine
- Women's Health
- Sexual Health
Background:
- Chronic obstructive pulmonary disease (COPD) significantly impacts women's sexual lives due to symptoms like dyspnea, reduced function, fatigue, and mood changes.
- Sexual dysfunction is a prevalent yet often underrecognized issue in female COPD patients.
Purpose of the Study:
- To investigate the prevalence of sexual dysfunction in women with COPD.
- To identify potential mechanisms and correlations, including depression and physical limitations, contributing to sexual dysfunction in this population.
Main Methods:
- A comparative study involving 70 female COPD patients and 70 age-matched controls.
- Utilized the Female Sexual Functional Index (FSFI) and BECK depression inventory questionnaires.
- Spirometry and assessment of other clinical factors were performed.
Main Results:
- COPD patients exhibited significantly higher rates of sexual dysfunction (p<0.001) and lower BECK depression scores (p<0.001) compared to controls.
- No correlation was found between sexual function (FSFI) and depression scores (p=0.651).
- Fatigue during intercourse emerged as the sole significant predictor of sexual dysfunction (p=0.008) in multivariable analysis, independent of spirometry, exercise capacity, or depression.
Conclusions:
- Sexual dysfunction is frequent in women with COPD, predominantly associated with fatigue.
- Spirometric measures and exercise capacity do not appear to be direct correlates of sexual dysfunction.
- Depression is a common comorbidity, but fatigue is the key factor linked to sexual dysfunction in this cohort, underscoring the need for integrated care.
Keywords:
COPDchronic obstructive pulmonary diseasecomorbiditiesdepressiondyspneafatiguefemale sexual dysfunctionpulmonary diseaseMore Related Videos
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