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Associations with sexual dysfunction among a Canadian cohort with inflammatory bowel disease
Adam V Weizman1, Derek M Nguyen1, Laura E Targownik1
1Division of Gastroenterology, Department of Medicine, Mount Sinai Hospital, University of Toronto, Toronto, Ontario, M5G 1X5, Canada.
Journal of the Canadian Association of Gastroenterology
|February 5, 2025
Summary
Sexual dysfunction significantly affects individuals with inflammatory bowel disease (IBD). Depression is a key factor, highlighting the need for integrated care to manage sexual health in IBD patients.
Area of Science:
- Gastroenterology
- Sexual Medicine
- Psychiatry
Background:
- Inflammatory bowel disease (IBD) frequently impacts patients' quality of life.
- Sexual dysfunction is a prevalent yet often overlooked complication in IBD management.
- Understanding the scope and contributing factors of sexual dysfunction in IBD is crucial.
Purpose of the Study:
- To characterize the prevalence and severity of sexual dysfunction in a Canadian IBD patient cohort.
- To identify factors associated with sexual dysfunction among IBD patients, stratified by sex.
- To inform clinical practice regarding sexual health in IBD.
Main Methods:
- A cross-sectional survey design was employed.
- The Female Sexual Dysfunction Scale (FSDS) and Male Sexual Dysfunction Scale (MSDS) were used for assessment.
- Multiple linear regression analyses were performed to identify associated factors.
Main Results:
- 351 IBD patients completed the survey.
- Sexual dysfunction was reported by both females (IBD-FSDS 14.1) and males (IBD-MSDS 7.2).
- Depression showed a strong association with sexual dysfunction in both sexes (β=0.92 for men, β=0.84 for women, P<.001).
Conclusions:
- Sexual dysfunction is common in IBD patients, with a greater impact observed in women.
- Depression is a significant correlate of sexual dysfunction in this population.
- Multidisciplinary care is essential for addressing sexual health concerns in individuals with IBD.
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