Effect of myocardial infarction on female sexual function in women

• Published in: Archives of gynecology and obstetrics Vol. 291; no. 5; pp. 1127 - 1133
• Main Authors: Oskay, Umran, Can, Gulbeyaz, Camcı, Gulsah
• Format: Journal Article
• Language: English
• Published: Berlin/Heidelberg Springer Berlin Heidelberg 01-05-2015; Springer Nature B.V
• Subjects: Adult; Aged; Case-Control Studies; Coitus; Cross-Sectional Studies; Depression - complications; Depression - diagnosis; Depression - epidemiology; Endocrinology; Female; General Gynecology; Gynecology; Health risk assessment; Heart attacks; Human Genetics; Humans; Medicine; Medicine & Public Health; Middle Aged; Myocardial Infarction - complications; Myocardial Infarction - epidemiology; Obstetrics/Perinatology/Midwifery; Orgasm; Prevalence; Psychiatric Status Rating Scales; Sexual Behavior - psychology; Sexual Dysfunctions, Psychological - epidemiology; Sexual Dysfunctions, Psychological - etiology; Turkey - epidemiology; Turkey; Myocardial infarction; Female; Sexual function
• ISSN: 0932-0067; 1432-0711
• DOI: 10.1007/s00404-014-3537-5

Purpose
The aim of this study was to assess sexual function in female patients with myocardial infarction (MI).
Methods
As research instruments, an interview form of 20 questions that questioned personal characteristics was developed by researchers, Female Sexual Function Index (FSFI) that evaluated sexual dysfunction was used. The Beck Depression Inventory was used to evaluate depression.
Results
In the course of this study, 45 female patients (62.73 ± 8.55 years) with MI and 50 control women were interviewed. The total FSFI score was 16.41 ± 8.04 in the MI group versus 23.13 ± 3.95 (
P
 < 0.001) in the control group. The prevalence of sexual dysfunction is significantly higher and the mean FSFI score was significantly lower in MI group women in comparison with the control group. Subscale scores of desire, arousal, lubrication and orgasm domains were lower than the other subscale scores in the MI group. Besides, 75.6 % of the women in the MI group and 48.2 % of women in the control group had a female sexual dysfunction. The frequency of intercourse was significantly lower in women with MI (1.55 ± 0.50 times last month) compared to the control group (2.14 ± 1.04 times last month). No significant differences were detected between the mean total BDI scores. But the correlation between FSFI and BDI total scores indicates that the increasing BDI scores in MI and control groups affected the total FSFI scores negatively.
Conclusion
Sexual problems are frequent in women with MI. Sexuality should be evaluated after MI and patients’ education and counseling may contribute to a better sexual function.