COVID-19 Pandemisinde Kadın Cinsel İşlevindeki Değişikliklerin Erkek Partnerlerle Araştırılması

Öz

Amaç: Bu çalışma, koronavirüs-2019 hastalığı (COVID-19) pandemisinin Türkiye'deki kadınların cinsel davranışları üzerindeki etkilerini erkek partnerlerini de değerlendirerek incelemeyi amaçlamıştır. Yöntem: Bu çalışmaya COVID-19 pandemisinden önce evli veya son 6 ay içinde düzenli cinsel yaşamı olan ve Kadın Cinsel İşlev İndeksi (FSFI)ne göre cinsel fonksiyonel durumu belgelenmiş kadın (>18 yaş) dahil edildi. Çalışma Mayıs-Temmuz 2020 tarihlerinde gerçekleştirilmiştir. Katılımcılarla telefon veya e-posta yoluyla görüşme yapılmıştır. Kadınların cinsel işlevleri FSFI kullanılarak, erkek eşlerinin erektil işlevleri Uluslararası Erektil İşlev İndeksi-5 (IIEF-5) kullanılarak değerlendirildi. COVID-19 pandemisi öncesi ve sırasında alınan puanlar karşılaştırıldı. Bulgular: Çalışmaya yaş ortalaması 39.83±9.38 yıl olan 116 kadın alındı. Kadınların pandemi süresince toplam FSFI skoru 20.98±7.53 idi. Pandemi öncesi döneme kıyasla tüm alt ölçek puanlarında ve FSFI toplam puanında anlamlı bir iyileşme gözlendi (her biri için p<0,001). Pandemi döneminde erkek partnerlerin IIEF-5 puanlarında pandemi öncesi döneme kıyasla (12.57±3.67'ye karşı 22.57±5.43; p<0.001) önemli bir iyileşme gözlendi. Pearson korelasyon analizi, katılımcıların FSFI puanları (alt ölçek ve toplam puanlar) ile erkek partnerlerinin IIEF-5 puanları arasında (r=0.276-0.413, p<0.001) anlamlı bir pozitif korelasyon olduğunu ortaya koydu. Sonuç: Kadın cinsel işlevleri, COVID-19 pandemisi sırasında pandemi öncesi döneme kıyasla önemli ölçüde iyileşti ve erkek partnerlerinin cinsel işlevleriyle pozitif korelasyon gösterdi.

Anahtar Kelimeler

• COVID-19
• kadın cinsel işlevi
• cinsellik
• partner

Investigation of Changes in Female Sexual Function in COVID-19 Pandemic with Male Partners

Öz

Aim: This study aimed to assess the effects of coronavirus disease 2019 (COVID-19) pandemic on sexual behaviors of females in Turkey by also evaluating their male partners. Method: This study included females (>18 years of age) who were married or had a regular sexual life in the last 6 months and had documented sexual functional status based on the Female Sexual Function Index FSFI) before the COVID-19 pandemic. The study was performed on May-July 2020. The participants were interviewed via telephone call or e-mail. The sexual functions of the females were evaluated using the FSFI and erectile functions of their male partners were evaluated using the International Index of Erectile Function-5 (IIEF-5). The scores obtained before and during the COVID-19 pandemic were compared. Results: The study included 116 females with a mean age of 39.83±9.38 years. The total FSFI score of the females during the pandemic was 20.98±7.53. A significant improvement was observed in all subscale scores and in the total score of FSFI as compared with the pre-pandemic period (p<0.001 for each). A significant improvement was also observed in the IIEF-5 scores of male partners during the pandemic period as compared with the pre-pandemic period (12.57±3.67 vs. 22.57±5.43; p<0.001). Pearson’s correlation analysis revealed a significant positive correlation between the FSFI scores (subscale and total scores) of the participants and IIEF-5 scores of their male partners (r=0.276-0.413, p<0.001). Conclusion: Female sexual functions improved significantly during the COVID-19 pandemic as compared with the pre-pandemic period and were positively correlated with the sexual functions of their male partners.

Anahtar Kelimeler

• COVID-19
• female sexual function
• sexuality
• partner

Kaynakça

1. 1. Wang C, Horby PW, Hayden FG, Gao GF. A novel coronavirus outbreak of global health concern. Lancet. 2020;395(10223):470-3.
2. 2. Park SE. Epidemiology, virology, and clinical features of severe acute respiratory syndrome -coronavirus-2 (SARS-CoV-2; Coronavirus Disease-19). Clin Exp Pediatr. 2020;63(4):119-24.
3. 3. Hamilton LD, Meston CM. Chronic stress and sexual function in women. The journal of sexual medicine. 2013;10(10):2443-54.
4. 4. Meston CM, Kilimnik CD, Freihart BK, Buss DM. Why Humans Have Sex: Development and Psychometric Assessment of a Short-Form Version of the YSEX? Instrument. J Sex Marital Ther. 2020;46(2):141-59.
5. 5. Yuksel B, Ozgor F. Effect of the COVID-19 pandemic on female sexual behavior. Int J Gynaecol Obstet. 2020;150(1):98-102.
6. 6. Fuchs A, Matonóg A, Pilarska J, Sieradzka P, Szul M, Czuba B, et al. The Impact of COVID-19 on Female Sexual Health. Int J Environ Res Public Health. 2020;17(19).
7. 7. Baldassarre E. An andrologist in the front line Covid-19 team. Int J Impot Res. 2020;32(5):558-9.
8. 8. Cocci A, Presicce F, Russo GI, Cacciamani G, Cimino S, Minervini A. How sexual medicine is facing the outbreak of COVID-19: experience of Italian urological community and future perspectives. Int J Impot Res. 2020;32(5):480-2.

9. 9. Rizzo M, Liguori G, Verze P, Palumbo F, Cai T, Palmieri A. How the andrological sector suffered from the dramatic Covid 19 outbreak in Italy: supportive initiatives of the Italian Association of Andrology (SIA). Int J Impot Res. 2020;32(5):547-8.
10. 10. Rosen R, Brown C, Heiman J, Leiblum S, Meston C, Shabsigh R, et al. The Female Sexual Function Index (FSFI): a multidimensional self-report instrument for the assessment of female sexual function. J Sex Marital Ther. 2000;26(2):191-208.
11. 11. Aygin D, Aslan F. The Turkish adaptation of the Female Sexual Function Index. Turkiye Klinikleri Journal of Medical Sciences. 2005;25:393-9.
12. 12. Wiegel M, Meston C, Rosen R. The female sexual function index (FSFI): cross-validation and development of clinical cutoff scores. J Sex Marital Ther. 2005;31(1):1-20.
13. 13. Ozturk MI, Koca O, Keles MO, Gunes M, Kaya C, Karaman MI. Question for a questionnaire: the International Index of Erectile Function. Int J Impot Res. 2011;23(1):24-6.
14. 14. Rosen RC, Riley A, Wagner G, Osterloh IH, Kirkpatrick J, Mishra A. The international index of erectile function (IIEF): a multidimensional scale for assessment of erectile dysfunction. Urology. 1997;49(6):822-30.
15. 15. Kissinger P, Schmidt N, Sanders C, Liddon N. The effect of the hurricane Katrina disaster on sexual behavior and access to reproductive care for young women in New Orleans. Sex Transm Dis. 2007;34(11):883-6.
16. 16. Liu S, Han J, Xiao D, Ma C, Chen B. A report on the reproductive health of women after the massive 2008 Wenchuan earthquake. Int J Gynaecol Obstet. 2010;108(2):161-4.
17. 17. Hannoun AB, Nassar AH, Usta IM, Zreik TG, Abu Musa AA. Effect of war on the menstrual cycle. Obstet Gynecol. 2007;109(4):929-32.
18. 18. Huang Y, Zhao N. Generalized anxiety disorder, depressive symptoms and sleep quality during COVID-19 outbreak in China: a web-based cross-sectional survey. Psychiatry Res. 2020;288:112954.
19. 19. Li G, Tang D, Song B, Wang C, Qunshan S, Xu C, et al. Impact of the COVID-19 Pandemic on Partner Relationships and Sexual and Reproductive Health: Cross-Sectional, Online Survey Study. J Med Internet Res. 2020;22(8):e20961.
20. 20. Culha MG, Demir O, Sahin O, Altunrende F. Sexual attitudes of healthcare professionals during the COVID-19 outbreak. International journal of impotence research. 2020:1-8.
21. 21. Karagöz MA, Gül A, Borg C, Erihan İ B, Uslu M, Ezer M, et al. Influence of COVID-19 pandemic on sexuality: a cross-sectional study among couples in Turkey. International journal of impotence research. 2020:1-9.
22. 22. Paoli D, Pallotti F, Colangelo S, Basilico F, Mazzuti L, Turriziani O, et al. Study of SARS-CoV-2 in semen and urine samples of a volunteer with positive naso-pharyngeal swab. J Endocrinol Invest. 2020;43(12):1819-22.
23. 23. Ranawaka DS, Dewaraja R. Tsunami counselling project of the Sri Lanka National Institute of professional counsellors. International Congress Series. 2006;1287:79-81.
24. 24. Ilgen O, Kurt S, Aydin C, Bilen E, Kula H. COVID-19 pandemic effect on female sexual function. Ginekol Pol. 2021.
25. 25. De Rose AF, Chierigo F, Ambrosini F, Mantica G, Borghesi M, Suardi N, et al. Sexuality during COVID lockdown: a cross-sectional Italian study among hospital workers and their relatives. Int J Impot Res. 2021;33(1):131-6.
26. 26. Cocci A, Giunti D, Tonioni C, Cacciamani G, Tellini R, Polloni G, et al. Love at the time of the Covid-19 pandemic: preliminary results of an online survey conducted during the quarantine in Italy. Int J Impot Res. 2020;32(5):556-7.