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Sexuality of men with fibromyalgia: what are the factors that cause sexual dysfunction?

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Abstract

The purpose of the present study is to compare male patients with the fibromyalgia syndrome (FMS) with healthy individuals in terms of the sexual function. For the purposes of this study, 37 sexually active male FMS patients and 30 healthy controls were enrolled. The demographic data of the patients were recorded, and the widespread pain observed in FMS was graded with the help of the visual analogue scale (VAS 0–100 mm). Sexual function was assessed according to the international index of erectile function (IIEF) scoring system. The disease-related quality of life was measured with the help of the Short Form-36 quality of life questionnaire (SF-36 QoL). Levels of anxiety and depression observed in the patients were graded through the Hospital Anxiety and Depression Scale (HADS). Patients with FMS had significantly lower scores in each of the five domains of the IIEF in comparison with the healthy control group (p < 0.001). Patients’ age and widespread pain were negatively correlated with the IIEF scores (p < 0.05). The SF-36 scores (physical functioning, role limitations due to physical problems, pain and general health perception) were observed to be positively correlated with the IIEF scores (p < 0.05). No significant relationship has been observed between the scores obtained from the domains of IIEF and the psychological status (p > 0.05). FMS leads to an impairment in the sexual function in male patients, which is especially strongly associated with the age, widespread pain and the quality of life.

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References

  1. Wilke WS (2009) New developments in the diagnosis of fibromyalgia syndrome: say goodbye to tender points? Cleve Clin J Med 76:345–352

    Article  PubMed  Google Scholar 

  2. Clauw DJ (2004) Fibromyalgia. In: Hochberg MC, Silman AJ, Smolen JS, Weinblatt ME, Weisman MH (eds) Rheumatology. Mosby, Philadelphia, pp 701–711

    Google Scholar 

  3. Wolfe F, Anderson J, Harkness D, Bennett RM, Caro XJ, Goldenberg DL et al (1997) Work and disability status of persons with fibromyalgia. J Rheumatol 24:1171–1178

    PubMed  CAS  Google Scholar 

  4. Prins MA, Woertman L, Kool MB, Geenen R (2006) Sexual functioning of women with fibromyalgia. Clin Exp Rheumatol 24:555–561

    PubMed  CAS  Google Scholar 

  5. Ryan S, Hill J, Thwaites C, Dawes P (2008) Assessing the effect of fibromyalgia on patients’ sexual activity. Nurs Stand 23:35–41

    PubMed  Google Scholar 

  6. Shaver JL, Wilbur J, Robinson FP, Wang E, Buntin MS (2006) Women’s health issues with fibromyalgia syndrome. J Womens Health (Larchmt) 15:1035–1045

    Article  Google Scholar 

  7. De Costa ED, Kneubil MC, Leao WC, The KB (2004) Assessment of sexual satisfaction in fibromyalgia patients. Einstein 2:177–181

    Google Scholar 

  8. Castro I, Barrantes F, Tuna M, Cabrera G, Garcia C, Recinos M, Espinoza LR et al (2005) Prevalence of abuse in fibromyalgia and other rheumatic disorders at a specialized clinic in rheumatic diseases in Guatemala city. J Clin Rheumatol 11:140–145

    Article  PubMed  Google Scholar 

  9. Baldwin DS (2001) Depression and sexual dysfunction. Br Med Bull 57:81–99

    Article  PubMed  CAS  Google Scholar 

  10. Orellana C, Gratacos J, Galisteo C, Larrosa M (2009) Sexual dysfunction in patients with fibromyalgia. Rheum Manifestations Other Dis 11:437–442

    Google Scholar 

  11. Derogatis LR, Burnett AL (2008) The epidemiology of sexual dysfunctions. J Sex Med 5:289–300

    Article  PubMed  Google Scholar 

  12. Lewis RW, Fugl-Meyer KS, Bosch R, Fugl-Meyer AR, Laumann EO, Lizza E et al (2004) Epidemiology/risk factors of sexual dysfunction. J Sex Med 1:35–39

    Article  PubMed  Google Scholar 

  13. Rico-Villademoros F, Calandre EP, Rodriguez-Lopez CM, Garcia-Carillo J, Ballesteros J, Hidalgo-Tallon J et al (2011) Sexual functioning in women and men with fibromyalgia. J Sex Med. doi:10.1111/j.1743-6109.2011.02513.x

    PubMed  Google Scholar 

  14. Ambler N, Williams AC, Hill P, Gunary R, Cratchley G (2001) Sexual difficulties of chronic pain patients. Clin J Pain 17:138–145

    Article  PubMed  CAS  Google Scholar 

  15. Tristano AG (2009) The impact of rheumatic diseases on sexual function. Rheumatol Int 29:853–860. doi:10.1007/s0029-009-0850-6

    Article  PubMed  Google Scholar 

  16. Shaver JL, Wilbur J, Robinson FP et al (2006) Women’s health issues with fibromyalgia syndrome. J Womens Health (Larchmt) 15:1035–1045

    Article  Google Scholar 

  17. Orellana C, Casado E, Masip M et al (2008) Sexual dysfunction in fibromyalgia patients. Clin Exp Rheumatol 26:663–666

    PubMed  CAS  Google Scholar 

  18. Kool MB, Woertman L, Prins MA et al (2006) Low relationship satisfaction and high partner involvement predict sexual problems of women with fibromyalgia. J Sex Marital Ther 32:409–423

    Article  PubMed  Google Scholar 

  19. Aydin G, Basar MM, Keles I et al (2006) Relationship between sexual dysfunction and psychiatric status in premenopausal women with fibromyalgia. Urology 67:156–161

    Article  PubMed  Google Scholar 

  20. Tikiz C, Muezzinoglu T, Pirildar T et al (2005) Sexual dysfunction in female subjects with fibromyalgia. J Urol 174:620–623

    Article  PubMed  Google Scholar 

  21. Ünlü E, Ulas UA, Gürçay E et al (2006) Genital sympathetic skin responses in fibromyalgia syndrome. Rheumatol Int 26:1025–1030

    Article  PubMed  Google Scholar 

  22. Wolfe F, Smythe HA, Yunus MB, Bennett RM, Bombardier C, Goldenberg DL et al (1990) The American college of rheumatology 1990 criteria for the classification of fibromyalgia. Arthritis Rheum 33:160–172

    Article  PubMed  CAS  Google Scholar 

  23. Zigmond AS, Snaith PR (1983) The hospital anxiety and depression scale. Acta Psychiatr Scand 67:361–370

    Article  PubMed  CAS  Google Scholar 

  24. Aydemir O, Guvenir T, Kuey L, Kultur S (1997) Validity and reliability of Turkish version of hospital anxiety and depression scale. Turk Psikiyatri Derg 8:280–287

    Google Scholar 

  25. Rosen RC, Riley A, Wagner G et al (1997) The international index of erectile function (IIEF): a multidimensional scale for assessment of erectile dysfunction. Urology 49:822–830

    Article  PubMed  CAS  Google Scholar 

  26. Validation Group of Turkish Society of Andrology (2002) International index of erectile function (IIEF) Turkish version, 4th National Sexual Dysfunction Congress Abstract Book, p 43

  27. Ware JE, Sherbourne CD (1992) The MOS 36-item short form health survey (SF-36). I. Conceptual framework and item selection. Med Care 30:473–483

    Article  PubMed  Google Scholar 

  28. Koçyiğit H, Aydemir Ö, Ölmez N, Memiş A (1999) The validity and reliability of Turkish version of the short form 36 (SF-36) Turkish. J Drugs Therap 112:102–106

    Google Scholar 

  29. Cakar E, Dincer U, Kiralp MZ, Taskaynatan MA, Yasar E, Bayman EO (2007) Sexual problems in male ankylosing spondylitis patients: relationship with functionality, disease activity, quality of life, and emotional status. Clin Rheumatol 26:1607–1613

    Article  PubMed  Google Scholar 

  30. Monga TN, Tan G, Ostermann HJ, Monga U, Grabois M (1998) Sexuality and sexual adjustment of patients with chronic pain. Disabil Rehabil 9:317–329

    Article  Google Scholar 

  31. Maruta T, Osborne D (1978) Sexual activity in chronic pain patients. Psychosomatics 20:241–248

    Google Scholar 

  32. Maruta T, Osborne D, Swanson W, Halling JM (1981) Chronic pain patients and spouses: marital and sexual adjustment. Mayo Clin Proc 51:307–310

    Google Scholar 

  33. Sjögren K, Fugl-Meyer AR (1981) Chronic back pain and sexuality. Int Rehabil Med 3:19–25

    PubMed  Google Scholar 

  34. Tajar A, O’neıll TW, Lee DM, O’connor DB, Corona G, Finn JD et al (2011) The effect of musculoskeletal pain on sexual function in middle-aged and elderly European men: results from the European male ageing study. J Rheumatol 38:2. doi:10.3899/jrheum.100604

    Article  Google Scholar 

  35. Günaydın I, Terhorst T, Eckstein A, Daikeler T, Kanz L, Kötter I (1999) Assessment of keraconjunctivitis sicca in patients with fibromyalgia: results of a prospective study. Rheumatol Int 19:7–9

    Article  PubMed  Google Scholar 

  36. Mannerkorpi K, Kroksmark T, Ekdahl C (1999) How patients with fibromyalgia experience their symptoms in everyday life. Physiother Res Int 4:110–122

    Article  PubMed  CAS  Google Scholar 

  37. Berman JR, Bassuk J (2002) Physiology and pathophysiology of female sexual function and dysfunction. World J Urol 20:111–118

    Article  PubMed  Google Scholar 

  38. Seng JS, Clark K, McCarthy AM, Ronis DL (2006) PTSD and physical comorbidity among women receiving Medicaid: results from service-use data. J Trauma Stress 19:45–56

    Article  PubMed  Google Scholar 

  39. Meyer-Lindenberg A, Gallhofer B (1998) Somatized depression as a subgroup of fibromyalgia syndrome. Z Rheumatol 57:92–93

    Article  PubMed  Google Scholar 

  40. Fietta P, Manganelli P (2007) Fibromyalgia and psychiatric disorders. Acta Biomed 78:88–95

    PubMed  Google Scholar 

  41. Kurtze N, Gundersen KT, Svebak S (1998) The role of anxiety and depression in fatigue and patterns of pain among subgroups of fibromyalgia patients. Br J Med Psychol 71:185–194

    Article  PubMed  Google Scholar 

  42. Siegel DM, Janeway D, Baum J (1998) Fibromyalgia syndrome in children and adolescents: clinical features at presentation and status at follow-up. Pediatrics 101:377–382

    Article  PubMed  CAS  Google Scholar 

  43. Wolfe F, Michaud K, Li T, Katz RS (2010) EQ-5D and SF-36 quality of life measures in systemic lupus erythematosus: comparisons with rheumatoid arthritis, noninflammatory rheumatic disorders, and fibromyalgia. J Rheumatol 37:296–304

    Article  PubMed  Google Scholar 

  44. Aguglia A, Salvi V, Maina G, Rossetto I, Aguglia E (2011) Fibromyalgia syndrome and depressive symptoms: comorbidity and clinical correlates. J Affect Disord 128:262–266

    Article  PubMed  Google Scholar 

  45. Tander B, Cengiz K, Alayli G, Ilhanli I, Canbaz S, Canturk F (2008) A comparative evaluation of health related quality of life and depression in patients with fibromyalgia syndrome and rheumatoid arthritis. Rheumatol Int 28:859–865

    Article  PubMed  Google Scholar 

  46. Ostensen M (2004) New insights into sexual functioning and fertility in rheumatic diseases. Best Pract Res Clin Rheumatol 18:219–232

    Article  PubMed  Google Scholar 

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We thank to all patients.

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Correspondence to İbrahim Batmaz.

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Batmaz, İ., Sarıyıldız, M.A., Dilek, B. et al. Sexuality of men with fibromyalgia: what are the factors that cause sexual dysfunction?. Rheumatol Int 33, 1265–1270 (2013). https://doi.org/10.1007/s00296-012-2567-1

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  • DOI: https://doi.org/10.1007/s00296-012-2567-1

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