Research Article
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İNFERTIL KADINLARDA CINSEL DISTRES VE CINSEL YAŞAM KALITESI ARASINDAKI İLIŞKININ BELIRLENMESI

Year 2021, Volume: 24 Issue: 3, 338 - 348, 25.09.2021
https://doi.org/10.17049/ataunihem.919064

Abstract

Amaç: Bu çalışmanın amacı infertil kadınların cinsel sıkıntılarını, cinsel yaşam kalitesini ve aralarındaki ilişkiyi değerlendirmektir.
Yöntem: Bu kesitsel çalışma, Türkiye'nin doğusunda bulunan bir üniversite hastanesinin infertilite polikliniğinde Haziran 2016-Ocak 2018 tarihleri arasında yapılmıştır. Araştırmanın örneklemini, çalışmaya katılmayı kabul eden, dahil edilme kriterlerini karşılayan ve ilgili polikliniğe 30 Haziran- 30 Eylül 2016 tarihleri arasında başvuran 198 infertil kadın oluşturmaktadır. Verilerin toplanmasında Anket Formu, Kadın Cinsel Distres Ölçeği ve Cinsel Yaşam Kalitesi Ölçeği-Kadın kullanılmıştır.
Bulgular: Kadınların, Cinsel Distres Ölçeği toplam puan ortalamasının 10.37±9.01 olduğu ve Cinsel Yaşam Kalitesi- Kadın Ölçeği toplam puan ortalamasının 71.79±19.46 olduğu belirlenmiştir. Cinsel distres yaşamayan kadınlarda Cinsel Yaşam Kalitesi- Kadın Ölçeğinin toplam puan ortalamasının 86.70±8.06 olduğu, cinsel distres yaşayanlarda ise Cinsel Yaşam Kalitesi- Kadın Ölçeğinin toplam puan ortalamasının 58.32±16.73 olduğu saptanmış ve gruplar arasındaki farkın istatistiksel olarak anlamlı olduğu bulunmuştur (p <0.05). Ayrıca Cinsel Distres Ölçeği toplam puan ortalaması ile Cinsel Yaşam Kalitesi- Kadın Ölçeği toplam puan ortalaması arasında negatif yönde anlamlı güçlü bir ilişki olduğu bulunmuştur (r:-0.827, p <0.001).
Sonuç: İnfertil kadınların yaklaşık yarısı cinsel distres yaşamasına rağmen cinsel distres düzeylerinin düşük ve cinsel yaşam kalitelerinin iyi düzeyde olduğu saptanmıştır. Cinsel distres yaşayan kadınların cinsel yaşam kalitelerinin düşük olduğu ve cinsel distres düzeyi arttıkça cinsel yaşam kalitelerinin de anlamlı derecede azaldığı belirlenmiştir. 

References

  • 1. Boivin J, Bunting L, Collins JA, Nygren KG. International Estimates of Infertility Prevalence and Treatment-seeking: Potential Need and Demand for Infertility Medical Care. Human Reproduction 2007;22 (6):1506–12.
  • 2. Denson V. Diagnosis and Management of Infertility. The Journal for Nurse Practitioners 2006;6(2):380-86.
  • 3. Terzioğlu F. Infertility and Assisted Reproduction Techniques. Inside: Taşkın L, editor. Birth and Women's Health Nursing, 12. Edition. 2016, Ankara, Özyurt Typography.
  • 4. Gökler ME, Unsal A, Arslantas D. The Prevalence of Infertility and Loneliness Among Women Aged 18-49 Years Who Are Living in Semi-rural Areas in Western Turkey. International Journal of Fertility & Sterility 2014;8(2):155-62.
  • 5. Demirci N, Potur Coşkuner D. Basic Concepts, Etiology and Risk Factors in Infertility. In Demirci N, Kızılkaya Beji N. (eds) Infertility Nursing Handbook. 2017, İstanbul, Nobel Medical Bookstore.
  • 6. Aydın S, Kurt N, Mandel S, Kaplan MA, Karaca N, Dansuk R. Female Sexual Distress in Infertile Turkish Women. Turkish Journal of Obstetrics and Gynecology 2015;12(4):205-10.
  • 7. Cousineau TM, Domar AD. Psychological Impact of Infertility. Best Practice & Research Clinical Obstetrics & Gynaecology 2007; 21(4): 293-308.
  • 8. Cwikel J, Gidron Y, Sheiner E. Psychological Interactions with Infertility Among Women. European Journal of Obstetrics, Gynecology, and Reproductive Biology 2004;117(2):126-31.
  • 9. Damti OB, Sarid O, Sheiner E, Zilberstein T, Cwikel J. Stress And Distress in Infertility Among Women. Harefuah 2008;147(3):256-60.
  • 10. Monga M, Alexandrescuseth BE, Katz SE, Stein M, Ganiats, T. Impact of Infertility on Quality of Life, Marital Adjustment, And Sexual Function. Urology 2004;63(1):126-30.
  • 11. Elliot S. The Relationship Between Fertility Issues and Sexual Problems in Men. The Canadian Journal of Human Sexuality 1998; 7(3):295-303.
  • 12. WHO. The ICD-10 Classification of Mental and Behavioural Disorders. 1993; 116-20.
  • 13. Salonia A, Zanni G, Briganti A, Fabbri F, Rigatti P, Montorsi F. The Role of The Urologist in The Management of Female Sexual Dysfunctions. Current Opinion in Urology 2004;14(6):389-93.
  • 14. Tashbulatova D. Factors Affecting Sexual Functions in Infertile Women. Health Sciences Institute, Department of Urology 2007; Expertise Thesis, Adana: Çukurova University.
  • 15. Gülsün M, Ak M, Bozkurt A. Marriage and Sexuality from A Psychiatric Point Of View. Current Approaches in Psychiatry 2009;1:68-79.
  • 16. Demirezen E, Erdoğan S, Önem K. Assessment of Sexual Function in Women Under Forty Years Who Applied to Primary Health Center. Andrology Bulletin 2006;6(17):177–80.
  • 17. Kütmeç C. Sexual Dysfunction in Women and Nursing Care. Journal of Fırat University Health Services 2009;12:112-30.
  • 18. Algül Ö, Aksu H. Investigation of Sexaul Activity Dysfunction and Quality of Life of the Couples Having Infertility Problem. Turkey Clinical J Gynecol Obst 2014;24(3):171-8.
  • 19. Kırço Çoban T, Dinç A. Studying the Effects of Infertility on Sexual Life. International Journal of Clinical Research 2013;1(2):46-53.
  • 20. Pakpour AH, Yekaninejad S, Zeidi IM, Burri A. Prevalence And Risk Factors of The Female Sexual Dysfunction in A Sample of Infertile Iranian Women. Archives of Gynecology and Obstetrics 2012;286(6):1589-96.
  • 21. Tashbulatova D, Aridogan A, Izol V, Saydaoglu G, Urunsak IF, Doran S. Sexual Dysfunction in Infertile Women: Depression and Relationship with Demographic Factors. Turkey Clinical Journal of Medical Sciences 2013;33(1):91-7.
  • 22. Alihocagil Emeç Z, Ejder Apay S, Ozorhan EY. Determination and Comparison of Sexual Dysfunctions of Women with and Without Infertility Problems. Sexuality and Disability 2017;35(1):59-72.
  • 23. Ünal S, Kargın M, Akyüz A. Factors Affecting Infertile Women Psychologically. TAF Preventive Medicine Bulletin 2010; 9:481-86.
  • 24. Erdem K, Ejder Apay S. A Sectional Study: The Relationship Between Perceived Social Support and Depression in Turkish Infertile Women. International Journal of Fertility & Sterility. 2014;8(3):303-14.
  • 25. İslimye Taşkın M, Usta A, Cüce C, Adalı E, Arslan M. Anxiety, Depression and Associated Factors in Infertile Women. European Journal of Health Sciences 2016;2(3):79-84.
  • 26. Çayan S, Akbay E, Bozlu M, Canpolat B, Acar D, Ulusoy D. The Prevalence of Female Sexual Dysfunction and Potential Risk Factors That May Impair Sexual Function in Turkish Women. Urologia Internationalis 2004;72(1):52-7.
  • 27. Yaralı S, Hacıalioğlu N. Analysis of Sexual Dysfunction and Sexual Quality of Life in Married Women. International Refereed Journal of Nursing Researches 2016;6:108-27.
  • 28. Kılıç M, Ejder Apay S, Beji N. Infertility and Culture. Florence Nightingale Nursing Journal 2011;19(2):109-15.
  • 29. Abdo CHN, Oliviera WM, Moraire ED, Fittipaldi JAS. Prevalence of Sexual Dysfunctions and Correlated Conditions in Sample of Brazilian Women-Results of Brazilian Study on Sexual Behavior. International Journal of Impotence Research 2004;16:160-6.
  • 30. Laumann EO, Paik A, Rosen RC. Sexual Dysfunction in The United States: Prevalence and Predictors. Journal of the American Medical Association 1999;281(6):537-44.
  • 31. Güleç G, Hassa H, Yalçın EG, Yenilmez C. The Effects of Infertility on Sexual Functions and Dyadic Adjustment in Couples That Present for Infertility Treatment. Turkish Journal of Psychiatry 2011;22(3):166-76.
  • 32. Öksüz E, Malhan S. Prevalence and Risk Factors for Female Sexual Dysfunction in Turkish Women. The Journal of Urology 2006; 654-8.
  • 33. Elnashar AM, İbrahim ME, Desoky MME, Ali OM, Hasan MEM. Female Sexual Dysfunction in Lower Egypt. British Journal of Obstetrics and Gynaecology 2007; 114(2): 201-6.
  • 34. Demirci H. Psychosocial and Psychosexual Effects of Infertility on Couples. Nezihe Kızılkaya Beji N, Editor. Infertility Problem, Assisted Reproductive Techniques and Nursing Approach. F.N Publishing School of Nursing, Istanbul, 2001, Emek Typography.
  • 35. Nahar P, Richters A. Suffering of Childless Women in Bangladesh: The Intersection of Social Identities of Gender and Class. Med Anthropology and Medicine 2011;18(3):327-38.
  • 36. Yanıkkerem E, Kavlak O, Sevil Ü. Infertile Couple’s Problems and Nursing Aproach. Journal of Atatürk University Nursing School 2008;11(4):112-21.
  • 37. Sezgin H, Hocaoğlu Ç. Psychiatric Aspects of Infertility. Current Approaches in Psychiatry 2014;6(2):165-84.
  • 38. Iris A, Aydoğan Kırmızı D, Taner CE. Effects of Infertility and Infertility Duration on Female Sexual Functions. Archives of Gynecology and Obstetrics 2013;287(4):809-12.
  • 39. Tokmak A, Çınar M. The Impact of Age Difference Between Couples on Sexual Dysfunction in Infertile Females. Medeniyet Medical Journal 2016;31(2):88-93.
  • 40. Küçükdurmaz F, Taşkıran M, Akbulut MF, Gökçe A. Male Infertility and Sexual Function Relation. Andrology Bulletin 2015;17(63):285-8.
  • 41. Saleh RA, Ranga GM, Raina R, Nelson DR, Agarwal A. Sexual Dysfunction in Men undergoing Infertility Evaluation: A Cohort Observational Study. Fertility and Sterility 2003;79(4):909-12.
  • 42. Webb R, Daniluk JC. The End of The Line: Infertile Men’s Experiences of Being Unable to Produce a Child. Men And Masculinities 1999; 2(1):6-25.
  • 43. Derogatis LR, Rosen R, Leiblum S, Burnett A, Heiman J. The Female Sexual Distress Scale (FSDS): Initial Validation of a Standardized Scale for Assessment of Sexually Related Personal Distress in Women. Journal of Sex and Marital Therapy 2002;28(4):317-30.
  • 44. Derogatis LR, Clayton A, D’Agostino DL, Wunderlich G, Fu Y. Validation of The Female Sexual Distress Scale-Revised for Assessing Distress in Women with Hypoactive Sexual Desire Disorder. The Journal of Sexual Medicine 2008;5(2):357-64.
  • 45. Symonds T, Boolell M, Quirk F. Development of Questionnaire on Sexual Quality of Life in Women. Journal of Sex and Marital Therapy 2005;31(5):385-97.
  • 46. Tuğut N, Gölbaşı Z. A Validity and Reliability Study of Turkish Version of The Sexual Quality of Life Questionnaire-Female. Cumhuriyet Medical Journal 2010;32:172-80.

DETERMINATION OF THE RELATIONSHIP BETWEEN SEXUAL DISTRESS AND SEXUAL LIFE QUALITY IN INFERTILE WOMEN

Year 2021, Volume: 24 Issue: 3, 338 - 348, 25.09.2021
https://doi.org/10.17049/ataunihem.919064

Abstract

Aim: The aim of this study is to evaluate the sexual distress, quality of sexual life and the relationship between them in infertile women.
Method: This cross-sectional study was conducted at the infertility polyclinic of a university hospital located in an eastern city of Turkey between June 2016 and January 2018. The study sample included 198 infertile female patients who consented for participation in the study, fulfilled the inclusion criteria, and visited the polyclinic between 30th June and 30th September 2016. The Questionnaire, Female Sexual Distress Scale, and Sexual Quality of Life Scale-Female were used to collect the data.
Results: The mean score on the Sexual Distress Scale was 10.37±9.01 and mean score on the Sexual Quality of Life– Female Scale was 71.79±19.46. In women without sexual distress, the mean score on the Sexual Quality of Life– Female Scale was 86.70±8.06, whereas for women with sexual distress, the mean score on the Sexual Quality of Life– Female Scale was 58.32±16.73. The difference between the groups was found to be statistically significant (p<0.05). In addition, a significantly strong negative correlation was found between the mean scores on the Sexual Distress Scale and Sexual Quality of Life – Female Scales (r:-0.827, p<0.001).
Conclusion: Although about half of the infertile women were under sexual distress, their sexual distress levels were low, and their sexual quality of life was relatively high. Women under sexual distress were found to have low sexual quality of life. As the level of sexual distress increased, the sexual quality of life decreased significantly.

References

  • 1. Boivin J, Bunting L, Collins JA, Nygren KG. International Estimates of Infertility Prevalence and Treatment-seeking: Potential Need and Demand for Infertility Medical Care. Human Reproduction 2007;22 (6):1506–12.
  • 2. Denson V. Diagnosis and Management of Infertility. The Journal for Nurse Practitioners 2006;6(2):380-86.
  • 3. Terzioğlu F. Infertility and Assisted Reproduction Techniques. Inside: Taşkın L, editor. Birth and Women's Health Nursing, 12. Edition. 2016, Ankara, Özyurt Typography.
  • 4. Gökler ME, Unsal A, Arslantas D. The Prevalence of Infertility and Loneliness Among Women Aged 18-49 Years Who Are Living in Semi-rural Areas in Western Turkey. International Journal of Fertility & Sterility 2014;8(2):155-62.
  • 5. Demirci N, Potur Coşkuner D. Basic Concepts, Etiology and Risk Factors in Infertility. In Demirci N, Kızılkaya Beji N. (eds) Infertility Nursing Handbook. 2017, İstanbul, Nobel Medical Bookstore.
  • 6. Aydın S, Kurt N, Mandel S, Kaplan MA, Karaca N, Dansuk R. Female Sexual Distress in Infertile Turkish Women. Turkish Journal of Obstetrics and Gynecology 2015;12(4):205-10.
  • 7. Cousineau TM, Domar AD. Psychological Impact of Infertility. Best Practice & Research Clinical Obstetrics & Gynaecology 2007; 21(4): 293-308.
  • 8. Cwikel J, Gidron Y, Sheiner E. Psychological Interactions with Infertility Among Women. European Journal of Obstetrics, Gynecology, and Reproductive Biology 2004;117(2):126-31.
  • 9. Damti OB, Sarid O, Sheiner E, Zilberstein T, Cwikel J. Stress And Distress in Infertility Among Women. Harefuah 2008;147(3):256-60.
  • 10. Monga M, Alexandrescuseth BE, Katz SE, Stein M, Ganiats, T. Impact of Infertility on Quality of Life, Marital Adjustment, And Sexual Function. Urology 2004;63(1):126-30.
  • 11. Elliot S. The Relationship Between Fertility Issues and Sexual Problems in Men. The Canadian Journal of Human Sexuality 1998; 7(3):295-303.
  • 12. WHO. The ICD-10 Classification of Mental and Behavioural Disorders. 1993; 116-20.
  • 13. Salonia A, Zanni G, Briganti A, Fabbri F, Rigatti P, Montorsi F. The Role of The Urologist in The Management of Female Sexual Dysfunctions. Current Opinion in Urology 2004;14(6):389-93.
  • 14. Tashbulatova D. Factors Affecting Sexual Functions in Infertile Women. Health Sciences Institute, Department of Urology 2007; Expertise Thesis, Adana: Çukurova University.
  • 15. Gülsün M, Ak M, Bozkurt A. Marriage and Sexuality from A Psychiatric Point Of View. Current Approaches in Psychiatry 2009;1:68-79.
  • 16. Demirezen E, Erdoğan S, Önem K. Assessment of Sexual Function in Women Under Forty Years Who Applied to Primary Health Center. Andrology Bulletin 2006;6(17):177–80.
  • 17. Kütmeç C. Sexual Dysfunction in Women and Nursing Care. Journal of Fırat University Health Services 2009;12:112-30.
  • 18. Algül Ö, Aksu H. Investigation of Sexaul Activity Dysfunction and Quality of Life of the Couples Having Infertility Problem. Turkey Clinical J Gynecol Obst 2014;24(3):171-8.
  • 19. Kırço Çoban T, Dinç A. Studying the Effects of Infertility on Sexual Life. International Journal of Clinical Research 2013;1(2):46-53.
  • 20. Pakpour AH, Yekaninejad S, Zeidi IM, Burri A. Prevalence And Risk Factors of The Female Sexual Dysfunction in A Sample of Infertile Iranian Women. Archives of Gynecology and Obstetrics 2012;286(6):1589-96.
  • 21. Tashbulatova D, Aridogan A, Izol V, Saydaoglu G, Urunsak IF, Doran S. Sexual Dysfunction in Infertile Women: Depression and Relationship with Demographic Factors. Turkey Clinical Journal of Medical Sciences 2013;33(1):91-7.
  • 22. Alihocagil Emeç Z, Ejder Apay S, Ozorhan EY. Determination and Comparison of Sexual Dysfunctions of Women with and Without Infertility Problems. Sexuality and Disability 2017;35(1):59-72.
  • 23. Ünal S, Kargın M, Akyüz A. Factors Affecting Infertile Women Psychologically. TAF Preventive Medicine Bulletin 2010; 9:481-86.
  • 24. Erdem K, Ejder Apay S. A Sectional Study: The Relationship Between Perceived Social Support and Depression in Turkish Infertile Women. International Journal of Fertility & Sterility. 2014;8(3):303-14.
  • 25. İslimye Taşkın M, Usta A, Cüce C, Adalı E, Arslan M. Anxiety, Depression and Associated Factors in Infertile Women. European Journal of Health Sciences 2016;2(3):79-84.
  • 26. Çayan S, Akbay E, Bozlu M, Canpolat B, Acar D, Ulusoy D. The Prevalence of Female Sexual Dysfunction and Potential Risk Factors That May Impair Sexual Function in Turkish Women. Urologia Internationalis 2004;72(1):52-7.
  • 27. Yaralı S, Hacıalioğlu N. Analysis of Sexual Dysfunction and Sexual Quality of Life in Married Women. International Refereed Journal of Nursing Researches 2016;6:108-27.
  • 28. Kılıç M, Ejder Apay S, Beji N. Infertility and Culture. Florence Nightingale Nursing Journal 2011;19(2):109-15.
  • 29. Abdo CHN, Oliviera WM, Moraire ED, Fittipaldi JAS. Prevalence of Sexual Dysfunctions and Correlated Conditions in Sample of Brazilian Women-Results of Brazilian Study on Sexual Behavior. International Journal of Impotence Research 2004;16:160-6.
  • 30. Laumann EO, Paik A, Rosen RC. Sexual Dysfunction in The United States: Prevalence and Predictors. Journal of the American Medical Association 1999;281(6):537-44.
  • 31. Güleç G, Hassa H, Yalçın EG, Yenilmez C. The Effects of Infertility on Sexual Functions and Dyadic Adjustment in Couples That Present for Infertility Treatment. Turkish Journal of Psychiatry 2011;22(3):166-76.
  • 32. Öksüz E, Malhan S. Prevalence and Risk Factors for Female Sexual Dysfunction in Turkish Women. The Journal of Urology 2006; 654-8.
  • 33. Elnashar AM, İbrahim ME, Desoky MME, Ali OM, Hasan MEM. Female Sexual Dysfunction in Lower Egypt. British Journal of Obstetrics and Gynaecology 2007; 114(2): 201-6.
  • 34. Demirci H. Psychosocial and Psychosexual Effects of Infertility on Couples. Nezihe Kızılkaya Beji N, Editor. Infertility Problem, Assisted Reproductive Techniques and Nursing Approach. F.N Publishing School of Nursing, Istanbul, 2001, Emek Typography.
  • 35. Nahar P, Richters A. Suffering of Childless Women in Bangladesh: The Intersection of Social Identities of Gender and Class. Med Anthropology and Medicine 2011;18(3):327-38.
  • 36. Yanıkkerem E, Kavlak O, Sevil Ü. Infertile Couple’s Problems and Nursing Aproach. Journal of Atatürk University Nursing School 2008;11(4):112-21.
  • 37. Sezgin H, Hocaoğlu Ç. Psychiatric Aspects of Infertility. Current Approaches in Psychiatry 2014;6(2):165-84.
  • 38. Iris A, Aydoğan Kırmızı D, Taner CE. Effects of Infertility and Infertility Duration on Female Sexual Functions. Archives of Gynecology and Obstetrics 2013;287(4):809-12.
  • 39. Tokmak A, Çınar M. The Impact of Age Difference Between Couples on Sexual Dysfunction in Infertile Females. Medeniyet Medical Journal 2016;31(2):88-93.
  • 40. Küçükdurmaz F, Taşkıran M, Akbulut MF, Gökçe A. Male Infertility and Sexual Function Relation. Andrology Bulletin 2015;17(63):285-8.
  • 41. Saleh RA, Ranga GM, Raina R, Nelson DR, Agarwal A. Sexual Dysfunction in Men undergoing Infertility Evaluation: A Cohort Observational Study. Fertility and Sterility 2003;79(4):909-12.
  • 42. Webb R, Daniluk JC. The End of The Line: Infertile Men’s Experiences of Being Unable to Produce a Child. Men And Masculinities 1999; 2(1):6-25.
  • 43. Derogatis LR, Rosen R, Leiblum S, Burnett A, Heiman J. The Female Sexual Distress Scale (FSDS): Initial Validation of a Standardized Scale for Assessment of Sexually Related Personal Distress in Women. Journal of Sex and Marital Therapy 2002;28(4):317-30.
  • 44. Derogatis LR, Clayton A, D’Agostino DL, Wunderlich G, Fu Y. Validation of The Female Sexual Distress Scale-Revised for Assessing Distress in Women with Hypoactive Sexual Desire Disorder. The Journal of Sexual Medicine 2008;5(2):357-64.
  • 45. Symonds T, Boolell M, Quirk F. Development of Questionnaire on Sexual Quality of Life in Women. Journal of Sex and Marital Therapy 2005;31(5):385-97.
  • 46. Tuğut N, Gölbaşı Z. A Validity and Reliability Study of Turkish Version of The Sexual Quality of Life Questionnaire-Female. Cumhuriyet Medical Journal 2010;32:172-80.
There are 46 citations in total.

Details

Primary Language English
Subjects Health Care Administration
Journal Section Research Article
Authors

Yağmur Turan 0000-0003-1943-5322

Aslı Sis Çelik 0000-0002-3597-7167

Publication Date September 25, 2021
Submission Date April 18, 2021
Published in Issue Year 2021 Volume: 24 Issue: 3

Cite

Vancouver Turan Y, Sis Çelik A. DETERMINATION OF THE RELATIONSHIP BETWEEN SEXUAL DISTRESS AND SEXUAL LIFE QUALITY IN INFERTILE WOMEN. Journal of Anatolia Nursing and Health Sciences. 2021;24(3):338-4.

Journal is listed in the EBSCO CINAHL Database since 2019.

Journal of Anatolian Nursing and Health Sciences is licensed under a Creative Commons Attribution-NonCommercial 4.0 (CC BY-NC 4.0)

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