Böbrek Nakli Yapılan Kadın Hastalarda Cinsel işlev Bozukluğu’nun Arizona Cinsel Yaşantılar Ölçeği ile Değerlendirilmesi

Yıl 2025, Cilt: 51 Sayı: 2, 233 - 237, 28.08.2025

Nihal Lermi , Alparslan Ersoy

https://doi.org/10.32708/uutfd.1701735

Öz

Bu çalışma böbrek nakli (KTx) yapılan kadınlarda Arizona Sexual Experiences Scale (ASEX) ile cinsel işlev bozukluğu sıklığı (SD), SD alt başlıklarını araştırmayı ve KTx öncesi ve sonrası SD sıklığını karşılaştırmayı amaçlamıştır. Çalışmaya 70 KTx yapılan kadın hasta dahil edildi. Hastaların karakteristik özellikleri, kronik hastalıkları, kullandıkları ilaçlar elektronik kayıtlardan elde edildi. SD değerlendirilmesi için ASEX kullanıldı. Hastalarımızın median yaş değeri 39 (23-66) yıldı. Hastalarımızın %11.4’inde diabetes mellitus (DM) tanısı vardı.
Hastaların %97’si prednisolon tedavisi alıyordu. İmmünsupresif tedavi alan hastaların %58.6’i mikofenolik asit, %20’si mikofenolat mofetil, %18.6’sı azathioprin, %57.1’i takrolimus, %34.3’ü siklosporin, %2.9’u sirolimus, %4.3’ü everolimus tedavisi alıyordu. ASEX ile değerlendirilen SD oranı, %24.3 olarak saptandı. Hastalarımızın güncel ve önceki döneme ait ASEX alt grup skorları karşılaştırıldığında, alt grup skorları ve toplam skorlar arasında anlamlı fark bulunamadı. Hastalarımızda SD oranının KTx sonrası %27.4’den %24.3’e düştüğü gözlemlendi. Çalışmamızda böbrek nakli sonrası cinsel işlev bozukluğunda hafif, anlamlı olmayan bir azalma görüldü. Sonuç olarak böbrek nakli böbrek replasman tedavisi hastalarında SD insidansını azaltabilir ve hastanın iyilik halini arttırabilir.

Anahtar Kelimeler

ASEX , Böbrek nakli , Cinsel işlev bozukluğu

Assessment of Sexual Dysfunction in Female Kidney Transplant Patients Using the Arizona Sexual Experiences Scale

Öz

This study aimed to investigate the prevalence of sexual dysfunction (SD) and its subcategories using the Arizona Sexual Experiences Scale (ASEX) in women undergoing kidney transplantation (KTx) and to compare the prevalence of SD before and after KTx. This study included 70 female KTx patients. Patient characteristics, chronic diseases, and medications were obtained from electronic records. ASEX was used to assess SD. The median age of our patients was 39 (23-66) years. Diabetes mellitus was diagnosed in 11.4% of our patients. In total, 97% of patients were receiving prednisolone therapy. Among patients receiving immunosuppressive therapy, 58.6% were receiving mycophenolic acid, 20% mycophenolate mofetil, 18.6% azathioprine, 57.1% tacrolimus, 34.3% cyclosporine, 2.9% sirolimus, and 4.3% everolimus. The SD rate as assessed by the ASEX was 24.3%. No significant difference was found between the current and previous ASEX subgroup and
total scores when the scores of our patients were compared. We observed a decrease in the SD rate of 27.4% to 24.3% after KTx in our patients. In our study, sexual dysfunction showed a slight, non-significant decrease following kidney transplantation. In conclusion, kidney transplantation may reduce the incidence of SD and improve patient well-being among renal replacement therapy patients.

Anahtar Kelimeler

ASEX , Kidney transplantation , Sexual dysfunction

Kaynakça

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