Kadın Cinsel Fonksiyonları ve Koroner Arter Hastalığı

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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