عنوان المقالة:الوظيفة الجنسية والضائقة الجنسية لدي مرضي الذئبة الحمراء الايناث في مستشفي جامعة سوهاج Female sexual function and sexual distress in married systemic lupus erythematosus (SLE) women at Sohag University Hospital.
Sexuality is an important aspect of quality of life that is often neglected in research studies and is rarely assessed in routine clinical practice. Patients may feel embarrassed to mention their sexual concerns and many health care providers feel uncomfortable taking a sexual history [1]. This work aimed to estimate the prevalence of self-reported sexual problems and the sexual distress with SLE women and the correlation between them, as well as the correlation between sexual problems and associated factor.
METHODS: Descriptive design study was conducted on one hundred adult married women with systemic lupus erthematosus who were regular attendees at the outpatient clinic of the Rheumatology units of Internal Medicine and the department of Rheumatology and Rehabilitation at Sohag University Hospital, Sohag Egypt.Data was collected by a questionnaire for demographic characteristic and Female Sexual Function Index and Sexual Distress Scale. For data analysis descriptive analytic test were used.
Results: The mean age and range of patient with SLE were (33.3±10.1;19-56).The majority(56%)of these women were housewife, and secondary school education, the majority of the patient had duration of disease >2yrs (78%) and mean(4.5±2.4), ESR1mean and range ware (46.0±36.1;10-200).Among these women (82%)were knee joint affection;(42%)were hip joint affection.RAI mean and range had(9.2±6.9;1.0-34.0),CRPmean and range (13.0±17.9;.00-96).The frequency of sex activity was: (25%)had <once per month, (38%) 1-2 per month, and (37%) 3-4 per month. Also it was found (22%) of SLE was had lupus nephritis ,(10%) had DM. SLE women had more dysfunction of desire, arousal, lubrication, orgasm, satisfaction, and pain(2.9±1.1;2.0±1.3;2.1±1.4;2.2±1.5;2.5±1.7)and global sexual dysfunction (14.1±7.5) and sexual distress was (30.3±10.1). Age, education, occupation, and duration of disease did not have a significant effect on FSD, while Frequency of sexual activity, RAI, ESR1, CRP were of high statistical significant correlation with all sexual domain.
Conclusion: This is the first study to identify sexual dysfunction in women' with SLE. Sexuality-related aspects require special attention from health care professionals. Women with SLE have significantly more FSD and sexual distress. Associated factors such as frequency of sexual activity, RAI, ESR1, and CRP had high impact on the sexual function, and all respondent found difficulties to cross all sexual domains in women with SLE addition to higher indices of sexual distress.
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