title: Does subjective tinnitus cause sexual disturbance?
abstract: OBJECTIVE
  Tinnitus can cause psychological problems, which can affect sexual performance. The aim of this study was to investigate sexual disturbance related to the psychological problems of patients with subjective tinnitus.
  
  
  METHODS
  The subjective tinnitus group with normal hearing levels consisted of 20 patients (10 male, 10 female) who were nonpsychiatric. The control group consisted of 20 healthy patients (10 male, 10 female) with normal hearing levels who did not have tinnitus and were nonpsychiatric. All subjects were married and had an active sexual life. Using a questionnaire, the subjective tinnitus loudness level score (STLL-Sc) was found. Using Zung Anxiety and Depression Scale, self-rating depression scale (SDS) was found in the study and control groups. Sexual function was assessed in all male subjects with the International Index of Erectile Functions (IIEF) and in all female subjects with the Female Sexual Function Index (FSFI).
  
  
  RESULTS
  In females, the satisfaction subscore was slightly lower than normal limits in both the study and control groups. In males, the IIEF showed an insignificant, negative correlation with the STLL-Sc and the SDS and a positive correlation with tinnitus duration. In females, the FSFI showed an insignificant negative correlation with the STLL-Sc and a positive correlation with tinnitus duration and the SDS.
  
  
  CONCLUSIONS
  Sexual disturbance is seen in very quiet- and intermediate-level tinnitus sufferers in the early period of the disease. Over time, they become used to living with their tinnitus, and no loss in sexual performance is seen. In the future, we plan to investigate the sexual disturbance of patients with severe STLL-Scs.
authors: Otolaryngology Department, Kirikkale University, Kirikkale, Turkey. nbayarmuluk@yahoo.com
authors: Nuray Bayar
authors: NB
authors: Muluk
authors: Mehmed Murad
authors: MM
authors: Başar
authors: Omer
authors: O
authors: Oğuztürk
authors: Oğuzhan
authors: O
authors: Dikici
mesh_terms: D000328:Adult; D003710:Demography; D003863:Depression / Q000175:diagnosis / Q000209:etiology*; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D020018:Sexual Dysfunctions, Psychological / Q000175:diagnosis / Q000209:etiology*; D011795:Surveys and Questionnaires; D014012:Tinnitus / Q000523:psychology*