Evaluation of sexual dysfunction in women with rheumatoid arthritis: a controlled study.
OBJECTIVE
To evaluate sexual function in women with rheumatoid arthritis (RA) and compare them with healthy controls.


METHODS
Ninety-five patients with RA and 108 healthy controls were included in the study. Depression levels and sexual functions of all participants were evaluated by the Beck Depression Inventory (BDI) and Index of Female Sexual Function (IFSF), respectively. Morning stiffness in women with RA, pain (Visual Analog Scale--VAS), disability rate (Health Assessment Questionnaire--HAQ), and disease activity score (DAS-28) were defined.


RESULTS
Total IFSF and mean of IFSF subgroup scores and significance of sexual life score were lower in patients with RA than controls, whereas mean BDI score was higher. The mean of the total IFSF scores was significantly lower in patients with RA with BDI≥17 than that of patients with BDI<17. The mean of the total IFSF score decreased as disease severity increased. There was a strong negative correlation between total IFSF and DAS-28 scores, a moderate negative correlation between total IFSF score and HAQ, BDI, VAS score, age, and morning stiffness, and weak negative correlation between total IFSF and body mass index.


CONCLUSIONS
RA is observed to have negative effects on sexual functions of women. Presence of depressive symptoms with RA and increased disease severity increase the degree of sexual dysfunction. Women patients with RA should also be asked about their sexual lives while being evaluated.
Department of Physical Medicine and Rehabilitation, Konya Education and Research Hospital, and Department of Midwifery, Health Sciences Faculty of Selcuk University, Konya, Turkey. drhalimyilmaz@hotmail.com
Halim
H
Yilmaz
Halime Almula Demir
HA
Polat
Sema Dereli
SD
Yilmaz
Gulten
G
Erkin
Sami
S
Kucuksen
Ali
A
Salli
Hatice
H
Ugurlu
D000328:Adult; D001172:Arthritis, Rheumatoid / Q000523:psychology*; D016022:Case-Control Studies; D003863:Depression / Q000523:psychology*; D005260:Female; D006801:Humans; D008875:Middle Aged; D012720:Severity of Illness Index; D012725:Sexual Behavior / Q000523:psychology*; D020018:Sexual Dysfunctions, Psychological / Q000523:psychology*; D011795:Surveys and Questionnaires; D055815:Young Adult