Klinik Araştırma
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Kadın Cinsel Fonksiyonları ve Koroner Arter Hastalığı

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

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.

Kaynakça

  • 1. Khajehei M, Doherty M, Tilley PJ. An update on sexual function and dysfunction in women. Arch Womens Ment Health. 2015;18(3):423-33.
  • 2. Bancroft J, Loftus J, Long JS. Distress about sex: a national survey of women in heterosexual relationships. Arch Sex Behav. 2003; 32(11): 193-208.
  • 3. Nascimento ER, Maia AC, Pereira V, Soares-Filho G, Nardi AE, Silva AC. Sexual dysfunction and cardiovascular diseases: a systematic review of prevalence. Clinics. 2013;68(11):1462-8.
  • 4. Assari S, Ahmadi K, Kazemi Saleh D. Gender Differences in the Association between Lipid Profile and Sexual Function among Patients with Coronary Artery Disease. Int Cardiovasc Res J. 2014;8(1):9-14.
  • 5. Levine GN, Steinke EE, Bakaeen FG, et al. Sexual activity and cardiovascular disease: a scientific statement from the American Heart Association. Circulation. 2012;125(8):1058-72.
  • 6. Rosen R, Brown C, Heiman J, et al. The Female Sexual Function Index (FSFI) J Sex Marital Ther 2000;26(2):191–208.
  • 7. Direkvand-Moghadam A, Suhrabi Z, Akbari M, Direkvand-Moghadam A. Prevalence and Predictive Factors of Sexual Dysfunction in Iranian Women: Univariate and Multivariate Logistic Regression Analyses. Korean J Fam Med. 2016;37(5):293-8.
  • 8. Sharma JB, Kalra B. Female sexual dysfunction: Assessment. J Pak Med Assoc. 2016;66(5):623-6.
  • 9. Aggarwal RS, Mishra VV, Panchal NA, et al. Sexual Dysfunction in Women: An Overview of Risk Factors and Prevalence in Indian Women. J S Asian Fed Obstet Gynecol. 2012;4(1):134-136.
  • 10. Zhang H, Fan S, Yip PS.Sexual dysfunction among reproductive-aged Chinese married women in Hong Kong: prevalence, risk factors, and associated consequences. J Sex Med. 2015;12(3):738-45.
  • 11. Khajehei M, Doherty, Tilley PJ, Sauer K. Prevalence and risk factors of sexual dysfunction in postpartum Australian women. J Sex Med. 2015; 12(6): 1415-26.
  • 12. Cayan S, Akbay E, Bozlu M, Canpolat B, Acar D, Ulusoy E. The prevalence of female sexual dysfunction and potential risk factors that may impair sexual function in Turkish women. Urol Int. 2004;72(1):52-7.
  • 13. Khajehei M, Doherty M, Tilley PJ. An update on sexual function and dysfunction in women. Womens Ment Health. 2015;18(3):423-33.
  • 14. Yildiz H, Pinar R. Sexual dysfunction in patients with myocardial infarction. Anadolu Kardiyol Derg. 2004;4(4):309-17.
  • 15. Eyada M, Atwa M. Sexual function in female patients with unstable angina or non-ST-elevation myocardial infarction. J Sex Med. 2007;4(5):1373-80.
  • 16. Lindau ST, Abramsohn EM, Bueno H, et al. Sexual activity and counseling in the first month after acute myocardial infarction among younger adults in the United States and Spain: a prospective, observational study. Circulation. 2014;130(25):2302-9.
  • 17. Muller JE, Mittleman MA, Maclure M, Sherwood JB, Tofler GH. Triggering myocardial infarction by sexual activity. Low absolute risk and prevention by regular physical exertion. Determinants of Myocardial Infarction Onset Study Investigators. JAMA. 1996;275(18):1405-9.
  • 18. Djurović A, Marić D, Brdareski Z, et al. Sexual rehabilitation after myocardial infarction and coronary bypass surgery: why do we not perform our job? Vojnosanit Pregl. 2010;67(7):579-87.
  • 19. Taylor HA Jr. Sexual activity and the cardiovascular patient: guidelines. Am J Cardiol. 1999;84(5B):6-10.
  • 20. Blumenthal JA, Feger BJ, Smith PJ, Watkins LL, Jiang W, Davidson J, et al. Treatment of anxiety in patients with coronary heart disease: Rationale and design of the UNderstanding the benefits of exercise and escitalopram in anxious patients WIth coroNary heart Disease (UNWIND) randomized clinical trial. Am Heart J.. 2016;176:53-62.
  • 21. Gu G, Zhou Y, Zhang Y, Cui W. Increased prevalence of anxiety and depression symptoms in patients with coronary artery disease before and after percutaneous coronary intervention treatment. BMC Psychiatry. 2016;22;16:259.
  • 22. Özer ZC, Şenuzun F, Tokem Y. Miyokart enfarktüslü hastalarda anksiyete ve depresyonun incelenmesi. Türk Kardiyol Dern Arş - Arch Turk Soc Cardiol. 2009;37(8):557-562.

Female Sexual Functions and Coronary Artery Disease

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

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.

Kaynakça

  • 1. Khajehei M, Doherty M, Tilley PJ. An update on sexual function and dysfunction in women. Arch Womens Ment Health. 2015;18(3):423-33.
  • 2. Bancroft J, Loftus J, Long JS. Distress about sex: a national survey of women in heterosexual relationships. Arch Sex Behav. 2003; 32(11): 193-208.
  • 3. Nascimento ER, Maia AC, Pereira V, Soares-Filho G, Nardi AE, Silva AC. Sexual dysfunction and cardiovascular diseases: a systematic review of prevalence. Clinics. 2013;68(11):1462-8.
  • 4. Assari S, Ahmadi K, Kazemi Saleh D. Gender Differences in the Association between Lipid Profile and Sexual Function among Patients with Coronary Artery Disease. Int Cardiovasc Res J. 2014;8(1):9-14.
  • 5. Levine GN, Steinke EE, Bakaeen FG, et al. Sexual activity and cardiovascular disease: a scientific statement from the American Heart Association. Circulation. 2012;125(8):1058-72.
  • 6. Rosen R, Brown C, Heiman J, et al. The Female Sexual Function Index (FSFI) J Sex Marital Ther 2000;26(2):191–208.
  • 7. Direkvand-Moghadam A, Suhrabi Z, Akbari M, Direkvand-Moghadam A. Prevalence and Predictive Factors of Sexual Dysfunction in Iranian Women: Univariate and Multivariate Logistic Regression Analyses. Korean J Fam Med. 2016;37(5):293-8.
  • 8. Sharma JB, Kalra B. Female sexual dysfunction: Assessment. J Pak Med Assoc. 2016;66(5):623-6.
  • 9. Aggarwal RS, Mishra VV, Panchal NA, et al. Sexual Dysfunction in Women: An Overview of Risk Factors and Prevalence in Indian Women. J S Asian Fed Obstet Gynecol. 2012;4(1):134-136.
  • 10. Zhang H, Fan S, Yip PS.Sexual dysfunction among reproductive-aged Chinese married women in Hong Kong: prevalence, risk factors, and associated consequences. J Sex Med. 2015;12(3):738-45.
  • 11. Khajehei M, Doherty, Tilley PJ, Sauer K. Prevalence and risk factors of sexual dysfunction in postpartum Australian women. J Sex Med. 2015; 12(6): 1415-26.
  • 12. Cayan S, Akbay E, Bozlu M, Canpolat B, Acar D, Ulusoy E. The prevalence of female sexual dysfunction and potential risk factors that may impair sexual function in Turkish women. Urol Int. 2004;72(1):52-7.
  • 13. Khajehei M, Doherty M, Tilley PJ. An update on sexual function and dysfunction in women. Womens Ment Health. 2015;18(3):423-33.
  • 14. Yildiz H, Pinar R. Sexual dysfunction in patients with myocardial infarction. Anadolu Kardiyol Derg. 2004;4(4):309-17.
  • 15. Eyada M, Atwa M. Sexual function in female patients with unstable angina or non-ST-elevation myocardial infarction. J Sex Med. 2007;4(5):1373-80.
  • 16. Lindau ST, Abramsohn EM, Bueno H, et al. Sexual activity and counseling in the first month after acute myocardial infarction among younger adults in the United States and Spain: a prospective, observational study. Circulation. 2014;130(25):2302-9.
  • 17. Muller JE, Mittleman MA, Maclure M, Sherwood JB, Tofler GH. Triggering myocardial infarction by sexual activity. Low absolute risk and prevention by regular physical exertion. Determinants of Myocardial Infarction Onset Study Investigators. JAMA. 1996;275(18):1405-9.
  • 18. Djurović A, Marić D, Brdareski Z, et al. Sexual rehabilitation after myocardial infarction and coronary bypass surgery: why do we not perform our job? Vojnosanit Pregl. 2010;67(7):579-87.
  • 19. Taylor HA Jr. Sexual activity and the cardiovascular patient: guidelines. Am J Cardiol. 1999;84(5B):6-10.
  • 20. Blumenthal JA, Feger BJ, Smith PJ, Watkins LL, Jiang W, Davidson J, et al. Treatment of anxiety in patients with coronary heart disease: Rationale and design of the UNderstanding the benefits of exercise and escitalopram in anxious patients WIth coroNary heart Disease (UNWIND) randomized clinical trial. Am Heart J.. 2016;176:53-62.
  • 21. Gu G, Zhou Y, Zhang Y, Cui W. Increased prevalence of anxiety and depression symptoms in patients with coronary artery disease before and after percutaneous coronary intervention treatment. BMC Psychiatry. 2016;22;16:259.
  • 22. Özer ZC, Şenuzun F, Tokem Y. Miyokart enfarktüslü hastalarda anksiyete ve depresyonun incelenmesi. Türk Kardiyol Dern Arş - Arch Turk Soc Cardiol. 2009;37(8):557-562.
Toplam 22 adet kaynakça vardır.

Ayrıntılar

Birincil Dil İngilizce
Konular Klinik Tıp Bilimleri
Bölüm Araştırma Makalesi
Yazarlar

Ekrem Akdeniz

Mustafa Suat Bolat Bu kişi benim

Önder Çınar Bu kişi benim

Uğur Arslan Bu kişi benim

Yayımlanma Tarihi 1 Aralık 2017
Yayımlandığı Sayı Yıl 2017 Cilt: 9 Sayı: 4

Kaynak Göster

APA Akdeniz, E., Bolat, M. S., Çınar, Ö., Arslan, U. (2017). Female Sexual Functions and Coronary Artery Disease. Gaziosmanpaşa Üniversitesi Tıp Fakültesi Dergisi, 9(4), 283-293.
AMA Akdeniz E, Bolat MS, Çınar Ö, Arslan U. Female Sexual Functions and Coronary Artery Disease. Gaziosmanpaşa Tıp Dergisi. Aralık 2017;9(4):283-293.
Chicago Akdeniz, Ekrem, Mustafa Suat Bolat, Önder Çınar, ve Uğur Arslan. “Female Sexual Functions and Coronary Artery Disease”. Gaziosmanpaşa Üniversitesi Tıp Fakültesi Dergisi 9, sy. 4 (Aralık 2017): 283-93.
EndNote Akdeniz E, Bolat MS, Çınar Ö, Arslan U (01 Aralık 2017) Female Sexual Functions and Coronary Artery Disease. Gaziosmanpaşa Üniversitesi Tıp Fakültesi Dergisi 9 4 283–293.
IEEE E. Akdeniz, M. S. Bolat, Ö. Çınar, ve U. Arslan, “Female Sexual Functions and Coronary Artery Disease”, Gaziosmanpaşa Tıp Dergisi, c. 9, sy. 4, ss. 283–293, 2017.
ISNAD Akdeniz, Ekrem vd. “Female Sexual Functions and Coronary Artery Disease”. Gaziosmanpaşa Üniversitesi Tıp Fakültesi Dergisi 9/4 (Aralık 2017), 283-293.
JAMA Akdeniz E, Bolat MS, Çınar Ö, Arslan U. Female Sexual Functions and Coronary Artery Disease. Gaziosmanpaşa Tıp Dergisi. 2017;9:283–293.
MLA Akdeniz, Ekrem vd. “Female Sexual Functions and Coronary Artery Disease”. Gaziosmanpaşa Üniversitesi Tıp Fakültesi Dergisi, c. 9, sy. 4, 2017, ss. 283-9.
Vancouver Akdeniz E, Bolat MS, Çınar Ö, Arslan U. Female Sexual Functions and Coronary Artery Disease. Gaziosmanpaşa Tıp Dergisi. 2017;9(4):283-9.

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