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Authors

Background:
The sexual life of women with chronic obstructive pulmonary disease (COPD) can be affected by breathing difficulties, decreased functional status, depressive mood and fatigue.


Objective:
To evaluate the sexual dysfunction in female COPD patients and the possible explanatory mechanisms or correlations between these conditions.


Methods: The study included 70 female patients with COPD aged between 36-65 and 70 age-matched controls. All the subjects completed questionnaires for the Female Sexual Functional Index (FSFI), BECK depression inventory and spirometry.


Results:
Statistically significant sexual dysfunction was noted in COPD patients compared to the non-COPD group (p<0.001). BECK depression inventory scores of the COPD patients were also significantly lower (p><0.001). no correlation between FSFI and BECK depression scores in 'patients' characteristics (r=-0.055, p=0.651). No significant difference was found in age, forced expiratory volume (FEV)1%, and exacerbation history of the previous year according to severity of depression (p>0.005). In linear regression analysis determining depression, no statistically significant factor was found among age, number of comorbidities, and FEV1/ forced vital capacity (FVC) % predicted (p>0.05). In multivariable analysis, only fatigue during intercourse was found to be a statistically significant factor in predicting sexual dysfunction among factors like age, presence of comorbidities, duration of the disease, smoking status, FEV1%, m MRCpoints, 6-minutes walk test, BECK depression scores (p=0.008).


Conclusions:
Sexual dysfunction is reported in many COPD females and seems to be related not to spirometric measures or exercise capacity but to fatigue. Depression is also a common comorbidity, of which both disorders are often neglected.

Müfide Arzu Özkarafakılı, University of Health Sciences

orcid_id14.png https://orcid.org/0000-0002-8345-4539

Cemil Kutsal, University of Health Sciences, Sisli Hamidiye Etfal Training and Research Hospital, Department of Urology, Istanbul Turkey

orcid_id14.png https://orcid.org/0000-0003-4788-3798

 

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Received 2023-06-03
Accepted 2023-09-18
Published 2024-04-12