COVID-19'lu Kadınların İyileşme Sonrası Cinsel İşlevleri ve İlişkili Faktörler

Öz

Bu çalışma, COVID-19 hastalığı sonrası kadınların cinsel işlev durumunu ve ilişkili faktörleri incelemek amacıyla gerçekleştirilmiştir. Çalışmaya COVID-19 enfeksiyonu geçiren 261 kadın dahil edilmiştir. Veriler Kişisel Bilgi Formu, Kadın Cinsel İşlev Ölçeği ve Durumluk-Süreklilik Kaygı Envanteri kullanılarak toplanmıştır. Kadınların istek (3,80 ± 1,16, 3,66 ± 1,17), uyarılma (4,25 ± 1,40, 4,11 ± 1,41), orgazm (4,36 ± 1,25, 4,29 ± 1,26) ve cinsel doyum (4,50 ± 1,49, 4,40 ± 1,49) alt boyut puanları ile Kadın Cinsel İşlev Ölçeği toplam puanı (26,50 ± 6,79, 26,00 ± 6,93) COVID-19 sonrası azalmıştır. Ayrıca haftalık ilişki sıklığı (2,78 ± 0,90; 2,60 ± 0,92) enfeksiyon öncesine göre azalmış, cinsel işlev bozukluğu sıklığı (FSFI < 26 = %38,7, %46,0) artmıştır. Çalışmada ileri yaş, yüksek beden kitle indeksi (BKİ) değeri, düşük eğitim seviyesi, gelir düzeyi, çalışmama, sigara içme, spor yap-mama, anksiyete, azalmış cinsel ilişki sıklığı ve COVID-19 enfeksiyonu cinsel işlev bozukluğu için risk faktörleri olarak belirlenmiştir. COVID-19'dan iyileştikten sonra geçen süre ile cinsel işlev arasında anlamlı bir ilişki bu-lunmamaktadır. Bu araştırmanın sonucuna göre, COVID-19 enfeksiyonu kadınlarda cinsel işlev bozukluğuna yol açabilir. Bu araştırma sonuçlarına dayanarak, sağlık çalışanları COVID-19 enfeksiyonunu geçirmiş olan kadın hastaların cinsel sağlığını değerlendirmeli ve kadınların cinsel sağlık sorunlarını rahatça konuşmalarını sağlama-lı, gerektiğinde uygun tedavi ve danışmanlık hizmetlerine yönlendirmelidir.

Anahtar Kelimeler

• COVID-19
• cinsel işlev
• kadın cinsel sağlığı
• kaygı

Post-Recovery Sexual Function of Women with COVID-19 and Associated Factors

Abstract

This study was conducted to investigate the sexual function status and related factors in women after contracting COVID-19. The study comprised 261 women who had been infected with COVID-19. Data were collected using the Personal Information Form, the Female Sexual Function Scale, and the State-Trait Anxiety Inventory. Sub-dimension scores for desire (3.80 ± 1.16, 3.66 ± 1.17), arousal (4.25 ± 1.40, 4.11 ± 1.41), orgasm (4.36 ± 1.25, 4.29 ± 1.26), and sexual satisfaction (4.50 ± 1.49, 4.40 ± 1.49) in women, as well as the Female Sexual Function Scale total score (26.50 ± 6.79, 26.00 ± 6.93), decreased following COVID-19 infection. Moreover, the frequency of weekly intercourse decreased (2.78 ± 0.90; 2.60 ± 0.92) compared to the pre-infection levels, and the frequency of sexual dysfunction increased (FSFI < 26 = 38.7%, 46.0%). In this study, advanced age, high body mass index (BMI) value, low education, income level, unemployment, smoking, lack of physical activity, anxiety, decreased coital frequency, and COVID-19 infection were identified as risk factors for sexual dysfunction. There was no significant relationship between the time elapsed after recovery from COVID-19 and sexual function. In conclusion, this research suggests that COVID-19 infection may lead to sexual dysfunction in women. Based on these research findings, health practitioners should assess the sexual health of female patients who have had COVID-19 infections, ensuring that women feel comfortable discussing their sexual health issues and referring them to appropriate treatment and counseling services when needed.

Keywords

• COVID-19
• sexual function
• women sexual health
• anxiety

Kaynakça

1. Alpalhão M, Filipe P (2020) The impacts of isolation measures against SARS-CoV-2 infection on sexual health. AIDS Behav, 24:2258-2259.
2. Aygin D, Aslan FE (2005) The Turkish adaptation of the female sexual function index. Turkiye Klinikleri J Med Sci, 25:393-399.
3. Bareeqa SB, Ahmed SI, Samar SS, Yasin W, Zehra S, Monese GM et al. (2021) Prevalence of depression, anxiety ve stress in china during COVID-19 pandemic: A systematic review with meta-analysis. Int J Psychiatry Med, 56:210-227.
4. Basson R, Gilks T (2018) Women’s sexual dysfunction associated with psychiatric disorders and their treatment. Womens Health, 14:1745506518762664.
5. Bavel JJ, Baicker K, Boggio PS, Capraro V, Cichocka A, Cikara M, ve ark. (2020) Using social and behavioural science to support COVID-19 pandemic response. Nat Hum Behav, 4:460-471.
6. Bekaroğlu E, Yılmaz T (2020) COVID-19 ve psikolojik etkileri: Klinik psikoloji perspektifinden bir derleme. Nesne Psikoloji Dergisi, 8:573-584.
7. Bilgi K, Bilge Ç (2021) Postpartum dönemin görünmeyen yüzü: Cinsel işlev bozukluğu. Karya Journal of Health Science, 22:88-92.
8. Bradford A, Meston CM (2006) The impact of anxiety on sexual arousal in women. Behav Res Ther, 44:1067-1077.

9. Cheng VC, Wong SC, To KK, Ho PL, Yuen KY (2020) Preparedness and pro‐active infection control measures against the emerging novel corona‐virus in China. J Hops Infect, 104:254-255.
10. Ding T, Wang T, Zhang J, Cui P, Chen Z, Zhou S et al. (2021) Analysis of ovarian injury associated with COVID-19 disease in reproductive-aged women in Wuhan, China: An observational study. Front Med, 8:635255.
11. Flynn KE, Lin L, Bruner DW, Cyranowski JM, Hahn EA, Jeffery DD et al. (2016) Sexual satisfaction and the importance of sexual health to quality of life throughout the life course of US adults. J Sex Med, 13:1642-1650.
12. Forbes MK, Baillie AJ, Schniering CA (2016) A structural equation modeling analysis of the relationships between depression, anxiety, and sexual problems over time. J Sex Res, 53:942-954.
13. Ford JV, Corona Vargas E, Finotelli I, Fortenberry JD, Kismödi E, Philpott A et al. (2019) Why pleasure matters: its global relevance for sexual health, sexual rights and wellbeing. Int J Sex Health, 31:217-230.
14. Fuchs A, Matonog A, Pilarska J, Sieradzka P, Szul M, Czuba B et al. (2020) The impact of COVID19 on female sexual health. Int J Environ Res Public Health, 17:7152.
15. Gillespie BJ (2017) Correlates of sex frequency and sexual satisfaction among partnered older adults. J Sex Marital Ther, 43:403-423.
16. Grabovac I, Smith L, Yang L, Soysal P, Veronese N, Işık AT et al. (2020) The relationship between chronic diseases and number of sexual partners: An exploratory analysis. BMJ Sex Reprod Health, 46:100-107.
17. Hensel DJ, Rosenberg M, Luetke M, Fu T, Herbenick D (2020) Changes in solo and partnered sexual behaviors during the COVID-19 pandemic: Findings from a US probability survey. medRxiv, doi: 10.1101/2020.06.09.20125609
18. Hessami K, Sayegh N, Abdolmaleki A S, Bakht S, Qaderi S, Darabi M et al. (2022) Women's sexual function before and during COVID‐19 pandemic: A systematic review and meta‐analysis. J Obstet Gynaecol Res, 48:2285-2295.
19. Kaplan A, Kaplan Ö, Cetin S (2022) The symptoms experienced by COVID-19 patients following the recovery., Genel Sağlık Bilimleri Dergisi, 4:142-151.
20. Lagha M, Hamdi G, Dhaouadi N, Chebli S, Ridha R (2022) Sexuality in women recovered from COVID-19. Eur Psychiatry, 65:306-306.
21. McCabe MP, Sharlip ID, Lewis R, Atalla E, Balon R, Fisher AD, et al. (2016) Incidence and prevalence of sexual dysfunction in women and men: A consensus statement from the Fourth International Consultation on Sexual Medicine 2015. J Sex Med, 13:153-167.
22. McCool ME, Zuelke A, Theurich MA, Knuettel H, Ricci C, Apfelbacher C (2016) Prevalence of female sexual dysfunction among premenopausal women: A systematic review and meta-analysis of observational studies. Sex Med Rev, 4:197-212.
23. McCool-Myers M, Theurich M, Zuelke A, Knuettel H, Apfelbacher C (2018) Predictors of female sexual dysfunction: A systematic review and qualitative analysis through gender inequality paradigms. BMC Women's Health, 18:108.
24. Omar SS, Dawood W, Eid N, Eldeeb D, Munir A, Arafat W (2021) Psychological and sexual health during the COVID-19 pandemic in Egypt: Are women suffering more? Sex Med, 9:100295.
25. Ossola A, Frost N (2020) Why you’re probably having less (or more) sex right now, https://qz,com/1832058/how-coronavirus-is-changing-yoursex-life/ (Accessed 21.06.2021),
26. Öner N, Le Compte A (1998) Süreksiz Durumluk/Sürekli Kaygı Envanteri El Kitabı (2, Baskı), İstanbul, Boğaziçi Üniversitesi Yayınevi.
27. Palha-Fernandes E, Alves P, Lourenço M (2019) Sexual satisfaction determinants and its relation with perfectionism: A cross-sectional study in an academic community. Sex Relatsh Ther, 37:100-114.
28. Panzeri M, Ferrucci R, Cozza A, Fontanesi L (2020) Changes in sexuality and quality of couple relationship during the Covid-19 lockdown. Front Psychol, 11:565823..
29. Resmi Gazete (2010) Hemşirelik Yönetmeliği sayı: 275015, 08.03.2010. Ankara, TC Başbakanlık.
30. Rosen R, Brown C, Heiman J, Leiblum S, Meston C, Shabsigh R, et al. (2020) The Female Sexual Function Index (FSFI): A multidimensional self-report instrument for the assessment female sexual Function. J Sex Marital Ther 26:191-208.
31. Shaeer O, Skakke D, Giraldi A, Shaeer E, Shaeer K (2020) Female orgasm and overall sexual function and habits: A descriptive study of a cohort of U.S. women. J Sex Med, 17:1133-1143.
32. Shivananda MJ, Rao TS (2016) Sexual dysfunction in medical practice. Curr Opin Psychiatry 29:331-335.
33. Spielberger CD, Gorsuch RL, Lushene RE (1970) STAI Manual, Palo Alto, CA, Consulting Psychologists Press.
34. Şimşir Z, Koç H, Seki T, Griffiths MD (2022) The relationship between fear of COVID-19 and mental health problems: A meta-analysis. Death Stud, 46:515-523.
35. Van Lankveld J, Jacobs N, Thewissen V, Dewitte M, Verboon P (2018) The associations of intimacy and sexuality in daily life: Temporal dynamics and gender effects within romantic relationships. J Soc Pers Relat, 35:557-576.
36. WHO (2022) Coronavirus (COVID-19) Dashboard. https://covid19,who,int/ (Accessed 15.12.2022)
37. Wiegel M, Meston C, Rosen R (2005) The female sexual function index (FSFI): Cross-validation and development of clinical cutoff scores. J Sex Marital Ther, 31:1-20.
38. Yuksel B, Ozgor F (2020) Effect of the COVID‐19 pandemic on female sexual behavior. Int J Gynecol Obstet, 150:98-102.