Sexual function assessment in women with rheumatoid arthritis
Correlation with psychological states and hormonal profile
Keywords:
rheumatoid arthritis, sexual problems, physical disability, depression, anxietyAbstract
Background: Rheumatoid arthritis (RA) is a common disabling joint disease affecting both males and females. Sexual dysfunction (SD) is a common association with RA. Aim and objectives: The aim of this study was to assess the frequency rates of sexual problems and associated factors in a cohort of married females with Rheumatoid arthritis (RA), and to investigate the correlation between hormonal profile (serum testosterone level, estrogen and progesterone level) and female sexual function in RA patients. Subjects and methods: This cross-sectional analytical study included 100 female RA patients and 80 age matched healthy control female from Rheumatology and Rehabilitation Clinic in Qena University Hospital. Results: there were a highly statistically significant negative correlation between Female Sexual Function Index (FSFI) and each of DAS, VAS, MHAQ, HAM-A and Testosterone level while it showed statistically significant positive correlation between Female Sexual Function Index (FSFI) and each of Estrogen and Progesterone. Conclusion: Our study suggests that rheumatoid arthritis has a negative impact on patients' sexuality. Age of patients and partners, pain, and tender joints appear to be the main factors influencing sexual function.
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