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N799 Inflammatory bowel disease affects sexual female desire and sexual female excitement

Barros J., Baima J., Renosto F., Silva R., Farineli E., Batista G., Dorna M., Saad-Hossne R., Sassaki L.

Paulista State University - Botucatu Medical School, Botucatu, Brazil

Background

Sexual Dysfunction (SD) is a multidimensional problem, characterized by lack, excess, discomfort and/or pain during sexual intercourse, affecting one or more phases of sexual response (desire, excitement, orgasm and resolution). A specialized nurse for the assistance of Inflammatory Bowel Disease patients must recognize, identify possible dysfunctions and intervene in problems and act with sense of social responsibility and commitment to citizenship as a promoter of health. Objectives: The aims of this study were to evaluate the prevalence of female sexual dysfunction in IBD patients and identify clinical and psychological factors associated with it.

Methods

It was an observational study with 56 IBD outpatients and 70 controls paired by age. The control group consisted of healthy individuals who were companions of the patients, not spouses. The Short Medical Outcomes Study Questionnaire (SF 36) was used to measure the healthy related quality of life. The women's sexual response assessment was done through the Female Sexual Function Index (FSFI). Statistical analysis: descriptive statistics, Chi-square test (χ2).

Results

The mean age was 38.8y (±10.19) in IBD group and 38.4y (±10.15) in control group. Among the IBD group 55% had Crohn's Disease (CD), 45% with perianal disease, 42% in disease activity and 3% had stoma. Twenty-five women had Ulcerative Colitis (UC), 72% presented pancolitis and 16% were in disease activity. SD was prevalent among the IBD group, although without difference when compared to the control group (45.6% vs 32.8%; p=0.14). Impairment was observed in all evaluated domain, with statistical difference between the domain desire (3.17±1.21 vs 3.79±1.11; p=0.003) and excitement (2.76±2.09 vs 3.5±1.94; p=0.04) between patients and controls. There was no statistical difference in the domain lubrification (3.27±2.37 vs 3.96±2.23; p=0.19), orgasm (3.1±2.32 vs 3.82±2.2; p=0.16), satisfaction (3.3±2.46 vs 4.04±2.25; p=0.15) and pain (8.3±6.17 vs 9.57±5.91, p=0.65). Alcoholism (p=0.05) was associated with SD in the women with IBD. In the control group the associated variables were dyspareunia (p=0.001), low self-steem (p=0.001), sex life satisfaction (p=0.037) and sexual abstinence (p≤0001). There were no association among quality of life, presence of anxiety or depression and SD in IBD group. On the other hand, there was correlation among SF-36 physical aspects (p=0.009) and SF-36 emotional aspects (p=0.006) and the presence of SD.

Conclusion

Female sexual dysfunction was a common finding in our study. Impairment in desire and sexual female excitement domains were more prevalent in IBD patients when compared to control group.