Hidradenitis Suppurativa Tanılı Hastalarda Cinsel Fonksiyon Bozukluğunun Değerlendirilmesi: Hastalığın Evresi ve Lezyon Yerleşim Yeri Cinsel Fonksiyonu Etkiliyor mu?

Öz

Hidradenitis süpürativa (HS), kıl folikülünün kronik, inflamatuar, tekrarlayan bir deri hastalığıdır. HS’nin hem kadın hem erkek bireylerde cinsel fonksiyonu bozduğuna dair literatürde yayınlar mevcuttur. Bu prospektif çalışmada HS’li kadın hastalarda cinsel fonksiyon bozukluğunun (seksüel disfonksiyon, SD) varlığı Kadın Cinsel İşlev Ölçeği (FSFI) kullanılarak, erkek hastalarda ise Uluslarası Erektil İşlev Formu (IIEF) kullanılarak araştırılmış ve sağlıklı kontrol grubu ile her iki cinsiyette ayrı olarak karşılaştırılmıştır. Çalışmaya toplam 46 hasta (30 erkek ve 16 kadın) ve 81 sağlıklı kontrol (44 erkek ve 37 kadın) dahil edildi. Kadın hastalarda SD %81.3 (n=13) hastada varken, kadın kontrol grubunda %29.7 (n=11) hastada vardı (p=0.001). HS tanılı kadın hastalarda, sağlıklı kadın kontrol grubuna kıyasla; cinsel istek (p<0.005), cinsel uyarılma (p<0.001), lubrikasyon (p=0.008), orgazm (p<0.001) ve memnuniyet (p<0.001) skorlarının tümünde anlamlı düşüklük saptandı. Erkek hastalarda SD %20.0 (n=6) hastada vardı. Erkek hastalarda SD gluteal bölgede tutulumu olanlarda olmayanlara göre anlamlı olarak daha fazla izlendi (p=0.005). Erkeklerde Hurley evresine göre bakıldığında; Hurley Evre 3 olanlarda cinsel istek diğer evrelere göre anlamlı olarak daha düşüktü (p=0.02). HS'li hastalarda cinsel yaşam sorunları sağlıklı bireylere göre oldukça sıktır. Çalışmamızda da SD’nin özellikle erkek hastalarda hastalığın şiddeti ve lezyon yerleşim yeri ile ilişkili olduğunu bulduk. Ayrıca çalışmamızda erkek hastalara kıyasla (%20) kadın hastalarda SD sıklığı (%81.3) sağlıklı kontrol grubuna göre (erkek kontrol grubunda 0%, kadın kontrol grubunda %29.7) daha fazlaydı. Bu durum kadınların fiziksel görünüme bağlı olarak davranışlarını değiştirme konusunda daha fazla baskı yaşayabilmeleri ve kadınlarda beden imajının cinsel yaşamla doğrudan bağlantısı olması ile açıklanabilir.

Anahtar Kelimeler

• hidradenitis suppurativa
• cinsel işlev bozukluğu
• seksüel disfonksiyon
• Kadın Cinsel Fonksiyon İndeksi
• Uluslarası Erektil İşlev Formu

Evaluation of Sexual Dysfunction in Patients with Hidradenitis Suppurativa: Do Disease Stage and Lesion Location Affect Sexual Function?

Öz

Hidradenitis suppurativa (HS) is a chronic, inflammatory, and recurrent skin disease of the hair follicle. HS disrupts sexual function in both women and men.In this prospective study, the presence of sexual dysfunction (SD) was investigated in female patients with HS using the Female Sexual Function Index (FSFI) and in male patients using the International Index of Erectile Function (IIEF). Both genders were compared with a healthy control group. A total of 46 patients (30 males and 16 females) and 81 healthy controls (44 males and 37 females) were included in the study. SD was present in 81.3% (n=13) of female patients, while it was present in 29.7% (n=11) of female controls (p=0.001). In female patients with HS compared to the healthy control group; significant decreases were found in sexual desire (p<0.005), sexual arousal (p<0.001), lubrication (p=0.008), orgasm (p<0.001), and satisfaction (p<0.001) scores. SD was present in 20.0% (n=6) of male patients. SD was significantly more common in male patients with involvement of the gluteal region than in those without (p=0.005). According to Hurley stage in males, sexual desire was significantly lower in Hurley stage 3 compared to other stages (p=0.02). Sexual life problems are quite common in patients with HS compared to healthy individuals. In our study, we found that SD was associated with disease severity and lesion location, particularly in male patients. Furthermore, the frequency of SD in female patients (81.3%) was higher in our study compared to the healthy control group (0% in the male control group and 29.7% in the female control group) compared to male patients (20%). This can be explained by the fact that women may experience more pressure to change their behavior based on physical appearance and that body image in women has a direct link to sexual life.

Anahtar Kelimeler

• hidradenitis suppurativa
• sexual dysfunction
• Female Sexual Function Index
• International Index of Erectile Function

Kaynakça

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