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Sexual dysfunctions in psoriatic patients
Julia Nowowiejska1, Agata Karny1, Miłosz Nesterowicz1
1Department of Dermatology and Venereology, Medical University of Białystok, Białystok, Poland.
Psoriasis significantly impacts sexual function, with most female patients experiencing dysfunction and males reporting lower satisfaction. Dermatologists should discuss sexual health with psoriatic patients.
Area of Science:
- Dermatology
- Sexual Medicine
Background:
- Psoriasis is a common skin condition negatively affecting patients' quality of life.
- Sexual dysfunction is a potential consequence of chronic dermatological diseases.
Purpose of the Study:
- To investigate sexual dysfunctions in patients with psoriasis.
- To compare sexual function in psoriatic patients versus controls using validated questionnaires.
Main Methods:
- Anonymous online survey administered to 80 psoriatic patients and 75 controls.
- Female Sexual Function Index (FSFI) used for women.
- International Index of Erectile Function (IIEF) used for men.
Main Results:
- A higher prevalence of sexual dysfunction was observed in female psoriatic patients (62% decreased FSFI) compared to controls.
- Male psoriatic patients showed a trend towards lower IIEF scores, particularly in overall satisfaction and erectile confidence.
- Systemic treatment in women correlated with worse lubrication, satisfaction, and pain, but not in men.
Conclusions:
- Psoriasis is associated with significant sexual dysfunction, especially in women.
- Male patients, while not meeting criteria for dysfunction, reported diminished sexual satisfaction and confidence.
- Further research is warranted, and dermatologists should proactively address sexual health concerns in psoriasis management.
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