Kadın Cinsel Fonksiyonları ve Koroner Arter Hastalığı

Yıl 2017, Cilt: 9 Sayı: 4, 283 - 293, 01.12.2017

Ekrem Akdeniz , Mustafa Suat Bolat Önder Çınar Uğur Arslan

Öz

Amaç: Koroner arter hastalığı ve kadın cinsel
fonksiyonları arasında negatif bir ilişki vardır. Bu çalışmada kritik koroner
oklüzyon nedeniyle koroner stent takılan kadın hastaların seksüel
fonksiyonlarının değişiminin değerlendirilmesi amaçlanmıştır.

Gereç ve yöntem: Bu
tanımlayıcı araştırmada, kurumumuzda stabil anjina nedeniyle koroner stent
takılan kadın hastaların seksüel fonksiyonları incelenmiştir. Seksüel
fonksiyonları değerlendirmek için Kadın Seksüel Fonksiyon İndeksi (KSFİ)
kullanılmıştır.

Bulgular: Çalışmaya yaş ortalaması
47.5±1.5 yıl (44-49) olan toplam 19 orta yaş kadın hasta alınmıştır. İşlem
öncesi dönemde 10 (%52.6) hastada, işlemden 1 ay sonra 18 (%94.7) hastada ve
işlemden 6 ay sonra 14 (%73.7) hastada kadın seksüel disfonksiyon (KSD)
görülmüştür. İşlem öncesi, işlemden 1 ay sonrası ve işlemden 6 ay sonrası
toplam KSFİ skorları sırasıyla 19.7±8.9, 5.9±7.6 ve 17.1±7.8 olarak
bulunmuştur. İşlemden 1 ay sonraki toplam skor ve KSFİ’nin alt grupları
(seksüel istek, seksüel uyarılma, lubrikasyon, orgazm, seksüel doyum, ağrı)
diğer iki gruba göre anlamlı olarak düşük bulunmuştur (p<0.05).

Sonuç: Çalışmamız dakoroner stent uygulanan kadın hastalarda
oldukça sık KSD görüldüğü bulunmuştur. Cinsel fonksiyonların koroner
müdahaleden sonra ilk zamanlar ciddi şekilde etkilendiği ve zaman ilerledikçe
düzeldiği görülmüştür.

Anahtar Kelimeler

Koroner anjiyografi, Stabil anjina, Seksüel fonksiyon

Female Sexual Functions and Coronary Artery Disease

Öz

Introduction: There is
a negative relationship between coronary artery disease and female sexual
functions. In this study, it was aimed to evaluate the sexual functions in female
patients who underwent coronary stenting due to critical coronary stenosis.

Material and Methods: A total
of 19 female patients were included and female sexual dysfunction (FSD) was investigated
in this study using Female Sexual Function Index (FSFI).

Results: The mean age of 47.5±1.5 years
(44-49), and FSD was seen in 10 (52.6%), 18 (94.7%) and 14 (73.7%)of the
patients in the pre-procedure, post-procedure first month, and sixth month
periods. Total FSFI scores were 19.7±8.9, 5.9±7.6 and 17.1±7.8, respectively.
Post-procedure first month both FSFI domains (sexual desire, sexual arousal,
lubrication, orgasm, satisfaction, and pain) were significantly lower than
pre-procedure, and after sixth month periods (p <0.05). There was no
difference between total FSFI scores at pre-procedure, and post-procedure sixth
month controls (p=0.17).

Discussion: In our study,FSD is quite common in female patients with
coronary stenting. Sexual functions are severely affected during the first
month after coronary intervention in women with coronary artery disease.

Anahtar Kelimeler

Coronary angiography, Stabileangina pectoris, Female sexual function

Kaynakça

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