Abstract
Women with epilepsy are at increased risk of sexual dysfunction. The aim of this cross-sectional study was to investigate the effect of antiepileptic drugs on sexual function and satisfaction in women with epilepsy. In this cross-sectional study, 80 married women with epilepsy who were under treatment with antiepileptic drugs for at least 1 year were evaluated. Sexual function in patients was assessed using the Female Sexual Function Index. The mean age (± standard deviation [SD]) of women was 28.8 (± 5.9) years. The mean (± SD) duration of epilepsy was 8.6 (± 4.1) years. Thirteen women (16.2%) had focal epilepsy and 67 (83.7%) had generalized epilepsy. The mean (± SD) overall sexual performance of patients was 20.5 (± 4.7). Fifteen patients (21.3%) had decreased sexual function and 78.2% had unfavorable sexual performance. Generalized epilepsy, multi-drug regimen, disease duration of more than 10 years, and age > 30 years were associated with sexual dysfunction. Due to the high prevalence of sexual dysfunction in women with epilepsy, special attention should be given to appropriate management of these patients.
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Data Availability
The analyzed data sets generated during the study are available from the corresponding author on reasonable request.
References
Atif M, Sarwar MR, Scahill S (2016) The relationship between epilepsy and sexual dysfunction: a review of the literature. Springerplus 5:2070
Baird AD, Wilson SJ, Bladin PF, Saling MM, Reutens DC (2003) Sexual outcome after epilepsy surgery. Epilepsy Behav 4:268–278
Calabro RS, Marino S, Bramanti P (2011) Sexual and reproductive dysfunction associated with antiepileptic drug use in men with epilepsy. Expert Rev Neurother 11:887–895
Demerdash A, Shaalan M, Midani A, Kamel F, Bahri M (1991) Sexual behavior of a sample of females with epilepsy. Epilepsia 32:82–85
Edwards HE, Burnham WM, Ng MM, Asa S, Maclusky NJ (1999) Limbic seizures alter reproductive function in the female rat. Epilepsia 40:1370–1377
Fakhri A, Pakpour AH, Burri A, Morshedi H, Zeidi IM (2012) The female sexual function index: translation and validation of an Iranian version. J Sex Med 9:514–523
Fiest KM, Sauro KM, Wiebe S, Patten SB, Kwon C-S, Dykeman J, Pringsheim T, Lorenzetti DL, Jetté N (2017) Prevalence and incidence of epilepsy: a systematic review and meta-analysis of international studies. Neurology 88:296–303
Harden CL (2006) Sexuality in men and women with epilepsy. CNS Spectr 11:13–18
Harden CL (2008) Sexual dysfunction in women with epilepsy. Seizure 17:131–135
Hauser WA, Annegers JF, Kurland LT (1993) Incidence of epilepsy and unprovoked seizures in Rochester, Minnesota: 1935–1984. Epilepsia 34:453–458
Hayes RD, Dennerstein L, Bennett CM, Fairley CK (2008) What is the “true” prevalence of female sexual dysfunctions and does the way we assess these conditions have an impact? J Sex Med 5:777–787
Herzog A, Drislane F, Schomer D, Pennell P, Bromfield E, Dworetzky B, Farina E, Frye C (2005) Differential effects of antiepileptic drugs on sexual function and hormones in men with epilepsy. Neurology 65:1016–1020
Jensen SB (1992) Sexuality and chronic illness: biopsychosocial approach. Seminars in neurology. © 1992 by Thieme Medical Publishers, Inc. 135–140
Karan V, Harsha S, Keshava BS, Pradeep R, Sathyanarayana Rao TS, Andrade C (2015) Sexual dysfunction in women with epilepsy. Indian J Psychiatry 57:301–304
Lambert MV (2001) Seizures, hormones and sexuality. Seizure 10:319–340
Montouris G, Morris GL III (2005) Reproductive and sexual dysfunction in men with epilepsy. Epilepsy Behav 7:7–14
Morrell MJ (2003) Reproductive and metabolic disorders in women with epilepsy. Epilepsia 44:11–20
Morrell MJ, Sperling MR, Stecker M, Dichter MA (1994) Sexual dysfunction in partial epilepsy: a deficit in physiologic sexual arousal. Neurology 44:243–243
Mula M (2013) Treatment of anxiety disorders in epilepsy: an evidence-based approach. Epilepsia 54:13–18
Neijenhuijs KI, Hooghiemstra N, Holtmaat K, Aaronson NK, Groenvold M, Holzner B, Terwee CB, Cuijpers P, Verdonck-De Leeuw IM (2019) The female sexual function index (FSFI)—a systematic review of measurement properties. J Sex Med 16:640–660
Quigg M, Kiely JM, Shneker B, Veldhuis JD, Bertram EH III (2002) Interictal and postictal alterations of pulsatile secretions of luteinizing hormone in temporal lobe epilepsy in men. Ann Neurol 51:559–566
Urso L, Zummo L, Gammino M, Fierro B, Pavone C, Daniele O (2014) Antiepileptic drugs, sexual functions and serum hormonal profile in males with epilepsy. Med Surg Urol 3:2
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This study was financially supported by Hamadan University of Medica Sciences.
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MM designed the study and performed the clinical assessment. MT and SGF wrote the draft and revised it. All authors contributed equally and fully approved of the submission.
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All procedures performed in studies involving human participants were in accordance with the ethical standards of the institutional and/or national research committee and with the 1964 Helsinki declaration and its later amendments or comparable ethical standards. Informed consent forms were obtained from all study participants. The study protocol was approved by the ethical committee of Hamadan University of Medical Sciences (IR.UMSHA.REC.1398.078). All methods were performed in accordance with the relevant guidelines and regulations.
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Mazdeh, M., Taheri, M. & Ghafouri-Fard, S. Investigation of Sexual Satisfaction in Women with Epilepsy and Its Clinical Correlates. J Mol Neurosci 71, 1193–1196 (2021). https://doi.org/10.1007/s12031-020-01744-z
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DOI: https://doi.org/10.1007/s12031-020-01744-z