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Effect of myocardial infarction on female sexual function in women

  • General Gynecology
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Archives of Gynecology and Obstetrics Aims and scope Submit manuscript

Abstract

Purpose

The aim of this study was to assess sexual function in female patients with myocardial infarction (MI).

Methods

As research instruments, an interview form of 20 questions that questioned personal characteristics was developed by researchers, Female Sexual Function Index (FSFI) that evaluated sexual dysfunction was used. The Beck Depression Inventory was used to evaluate depression.

Results

In the course of this study, 45 female patients (62.73 ± 8.55 years) with MI and 50 control women were interviewed. The total FSFI score was 16.41 ± 8.04 in the MI group versus 23.13 ± 3.95 (P < 0.001) in the control group. The prevalence of sexual dysfunction is significantly higher and the mean FSFI score was significantly lower in MI group women in comparison with the control group. Subscale scores of desire, arousal, lubrication and orgasm domains were lower than the other subscale scores in the MI group. Besides, 75.6 % of the women in the MI group and 48.2 % of women in the control group had a female sexual dysfunction. The frequency of intercourse was significantly lower in women with MI (1.55 ± 0.50 times last month) compared to the control group (2.14 ± 1.04 times last month). No significant differences were detected between the mean total BDI scores. But the correlation between FSFI and BDI total scores indicates that the increasing BDI scores in MI and control groups affected the total FSFI scores negatively.

Conclusion

Sexual problems are frequent in women with MI. Sexuality should be evaluated after MI and patients’ education and counseling may contribute to a better sexual function.

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References

  1. Hinchliff S, Gott M (2004) Perceptions of well-being in sexual ill health: what role does age play? J Health Psychol 9:649–660

    Article  PubMed  Google Scholar 

  2. Timmins F, Kaliszer M (2003) Information needs of myocardial infarction patients. Eur J Cardiovasc Nurs 2:57–65

    Article  PubMed  Google Scholar 

  3. Drory Y, Kravetz S, Weingarten M (2000) Comparison of sexual activity of women and men after a first acute myocardial infarction. Am J Cardiol 85:1283–1287

    Article  CAS  PubMed  Google Scholar 

  4. Vacanti LJ, Caramelli B (2005) Age and psychologic disorders. Variables associated to post-infarction sexual dysfunction. Arq Bras Cardiol 85:110–114

    PubMed  Google Scholar 

  5. Kriston L, Gunzler C, Agyemang A, Bengel J, Berner MM, Group SS (2010) Effect of sexual function on health- related quality of life mediated by depressive symptoms in cardiac rehabilitation. Findings of the SPARK project in 493 patients. J Sex Med 7:2044–2055

    Article  PubMed  Google Scholar 

  6. Kaya C, Yilmaz G, Nurkalem Z, Ilktac A, Karaman MI (2007) Sexual function in women with coronary artery disease: a preliminary study. Int J Impot Res 19:326–329

    Article  CAS  PubMed  Google Scholar 

  7. Papadopoulos C, Beaumont C, Shelly SI, Larrimore P (1983) Myocardial infarction and sexual activity of the female patient. Arch Intern Med 143:1528–1530

    Article  CAS  PubMed  Google Scholar 

  8. Steinke EE (2010) Sexual dysfunction in women with cardiovascular disease: what do we know? J Cardiovasc Nurs 25:151–158

    Article  PubMed  Google Scholar 

  9. Hisli N (1998) A study on the validity of the Beck Depression Inventory. J Psychol 6:118–122

    Google Scholar 

  10. Rosen R, Brown C, Heiman J, Leiblum S, Meston C, Shabsigh R (2000) The Female Sexual Function Index (FSFI): multidimensional self-report instruments for the assessment of female sexual function. J Sex Marital Ther 26:191–196

    Article  CAS  PubMed  Google Scholar 

  11. Oksuz E, Malhan S (2006) Prevalence and risk factors for female sexual dysfunction in Turkish women. J Urol 175:654–658

    Article  PubMed  Google Scholar 

  12. Ambler DR, Bieber EJ, Diamond MP (2012) Sexual function in elderly women: a review of current literature. Rev Obstet Gynecol 5:16–27

    PubMed Central  PubMed  Google Scholar 

  13. Ornat L, Martínez-Dearth R, Muñoz A, Franco P, Alonso B, Tajada M, Pérez-López FR (2013) Sexual function, satisfaction with life and menopausal symptoms in middle-aged women. Maturitas 75(3):261–269

    Article  PubMed  Google Scholar 

  14. Birkhäuser MH (2009) Quality of life and sexuality issues in aging women. Climacteric 12:52–57

    Article  PubMed  Google Scholar 

  15. Beutel ME, Stöbel-Richter Y, Brähler E (2008) Sexual desire and sexual activity of men and women across their lifespans: results from a representative German community survey. BJU Int 101:76–82

    PubMed  Google Scholar 

  16. DeLamater J, Hyde JS, Fong MC (2008) Sexual satisfaction in the seventh decade of life. J Sex Marital Ther 34:439–454

    Article  PubMed  Google Scholar 

  17. DeLamater J (2012) Sexual expression in later life: a review and synthesis. J Sex Res 49:125–141

    Article  PubMed  Google Scholar 

  18. Karraker A, Delamater J, Schwartz CR (2011) Sexual frequency decline from midlife to later life. J Gerontol B Psychol Sci Soc Sci 66:502–512

    Article  PubMed  Google Scholar 

  19. McCall-Hosenfeld JS, Jaramillo SA, Legault C et al (2008) Members of Women’s Health Initiative-Observational Study. Correlates of sexual satisfaction among sexually active postmenopausal women in the Women’s Health Initiative-Observational Study. J Gen Intern Med 23:2000–2009

    Article  PubMed Central  PubMed  Google Scholar 

  20. Yildiz H, Pinar R (2004) Sexual dysfunction in patients with myocardial infarction. Anadolu Kardiyol Derg 4:309–317

    PubMed  Google Scholar 

  21. Eyada M, Atwa M (2007) Sexual function in female patients with unstable angina or non-ST-elevation myocardial infarction. J Sex Med 4:1373–1380

    Article  PubMed  Google Scholar 

  22. Addis IB, Ireland CC, Vittinghoff E, Lin F, Stuenkel CA, Hulley S (2005) Sexual activity and function in postmenopausal women with heart disease. Obstet Gynecol 106:121–127

    Article  PubMed  Google Scholar 

  23. Günzler C, Kriston L, Agyemang A, Riemann D, Berner MM (2010) Sexual dysfunction and its consequences in patients with cardiovascular diseases. Herz 35:410–419

    Article  PubMed  Google Scholar 

  24. Søderberg LH, Johansen PP, Herning M, Berg SK (2013) Women’s experiences of sexual health after first-time myocardial infarction. J Clin Nurs 22:3532–3540

    Article  PubMed  Google Scholar 

  25. Kartal O, Tatli E, Inal V, Yamanel L (2006) Sexual activity in cardiac patients. Anadolu Kardiyol Derg 6:264–269

    PubMed  Google Scholar 

  26. DeLamater JD, Sill M (2005) Sexual desire in later life. J Sex Res 42:138–149

    Article  PubMed  Google Scholar 

  27. Moreira ED, Glasser DB, King R, Duarte F, Gingell C (2008) The Global Study of Sexual Attitudes, and Behaviors Investigators Group; Sexual difficulties and help-seeking among mature adults in Australia: results from the global study of sexual attitudes and behaviours. Sexual Health 5:227–234

    Article  PubMed  Google Scholar 

  28. Wood A, Runciman R, Wylie KR, McManus R (2012) An update on female sexual function and dysfunction in old age and its relevance to old age psychiatry. Aging Dis 3:373–384

    PubMed Central  PubMed  Google Scholar 

  29. Fabre LF, Smith LC (2012) The effect of major depression on sexual function in women. J Sex Med 9:231–239

    Article  PubMed  Google Scholar 

  30. Laumann EO, Das A, Waite LJ (2008) Sexual dysfunction among older adults: prevalence and risk factors from a nationally representative US probability sample of men and women 57–85 years of age. J Sex Med 5:2300–2311

    PubMed Central  PubMed  Google Scholar 

  31. Parashar S, Rumsfeld JS, Reid KJ, Buchanan D, Dawood N, Khizer S, Lichtman J, Vaccarino V (2009) Impact of depression on sex differences in outcome after myocardial infarction. Circ Cardiovasc Qual Outcomes 2:33–40

    Article  PubMed Central  PubMed  Google Scholar 

  32. Brody S (2010) The relative health benefits of different sexual activities. J Sex Med 7:1336–1361

    Article  PubMed  Google Scholar 

  33. Roest AM, Martens EJ, de Jonge P, Denollet J (2010) Anxiety and risk of incident coronary heart disease: a meta-analysis. J Am Coll Cardiol 56:38–46

    Article  PubMed  Google Scholar 

  34. Tecce MA, Dasgupta I, Doherty JU (2003) Heart disease in older women: gender differences affect diagnosis and treatment. Geriatrics 58:33–39

    PubMed  Google Scholar 

  35. Ivarsson B, Fridlund B, Sjöberg T (2009) Information from health care professionals about sexual function and coexistence after myocardial infarction: a Swedish national survey. Heart Lung 38:330–335

    Article  PubMed  Google Scholar 

  36. Jaarsma T, Strömberg A, Fridlund B, De Geest S, Mårtensson J, Moons P, Norekval TM, Smith K, Steinke E, Thompson DR, UNITE research group (2010) Sexual counselling of cardiac patients: nurses’ perception of practice, responsibility and confidence. Eur J Cardiovasc Nurs 9:24–29

    Article  CAS  PubMed  Google Scholar 

  37. Steinke E, Patterson-Midgley P (1995) Sexual counseling of MI patients by cardiac nurses. J Cardiovasc Nurs 10:81–87

    Article  CAS  PubMed  Google Scholar 

  38. Altıok M, Yılmaz M (2011) Opinions of individuals who have had myocardial infarction about Sex. Sex Disabil 29:263–273

    Article  Google Scholar 

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Acknowledgments

The authors would like to thank the participants of the study.

Conflict of interest

None of the authors have any conflicts of interest.

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Authors and Affiliations

  1. Department of Gynecologic and Obstetrics Nursing, Florence Nightingale Nursing Faculty of Istanbul University, Abide-i Hurriyet Street, Sisli/Mecidiyekoy, 34381, Istanbul, Turkey

    Umran Oskay

  2. Department of Medical Nursing, Florence Nightingale Nursing Faculty of Istanbul University, Abide-i Hurriyet Street, Sisli/Mecidiyekoy, 34381, Istanbul, Turkey

    Gulbeyaz Can

  3. Coronary Intensive Care Unit, Kocaeli University, Izmit, Kocaeli, Turkey

    Gulsah Camcı

Authors
  1. Umran Oskay
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  2. Gulbeyaz Can
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  3. Gulsah Camcı
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Correspondence to Umran Oskay.

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Oskay, U., Can, G. & Camcı, G. Effect of myocardial infarction on female sexual function in women. Arch Gynecol Obstet 291, 1127–1133 (2015). https://doi.org/10.1007/s00404-014-3537-5

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  • DOI: https://doi.org/10.1007/s00404-014-3537-5

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