Sexual Dysfunction in Alopecia Areata: A Systematic Review.

Area of Science:

• Dermatology
• Psychology
• Sexual Health

Background:

• Alopecia areata (AA) causes significant psychological distress and social impairment.
• AA negatively affects patients' self-perception of attractiveness and desirability.
• This review examines sexual disorders in AA patients and their clinical significance.

Purpose of the Study:

• To explore the development of sexual disorders in patients with alopecia areata.
• To highlight the importance of assessing sexual health in the clinical diagnosis of AA.
• To review the impact of AA on patients' sexual functioning and quality of life.

Main Methods:

• A systematic review of electronic databases (MEDLINE, Google Scholar) was performed.
• Searches included terms related to sexuality, sexual health, sexual dysfunction, and alopecia areata.
• Data from eight relevant studies were synthesized.

Main Results:

• Hair loss associated with AA significantly impairs sexual function and reduces the quality of life for patients and partners.
• Sexual dysfunction is a notable concern for individuals experiencing alopecia areata.
• The impact on the sexual sphere requires clinical attention in AA management.

Conclusions:

• Current research is limited by small sample sizes and population heterogeneity.
• Further studies with standardized diagnostic criteria for sexual dysfunction (SD) are necessary.
• Larger cohorts are essential to fully establish the prevalence and impact of psychosexual disorders in AA.