title: Sexuality of men with fibromyalgia: what are the factors that cause sexual dysfunction?
abstract: The purpose of the present study is to compare male patients with the fibromyalgia syndrome (FMS) with healthy individuals in terms of the sexual function. For the purposes of this study, 37 sexually active male FMS patients and 30 healthy controls were enrolled. The demographic data of the patients were recorded, and the widespread pain observed in FMS was graded with the help of the visual analogue scale (VAS 0-100 mm). Sexual function was assessed according to the international index of erectile function (IIEF) scoring system. The disease-related quality of life was measured with the help of the Short Form-36 quality of life questionnaire (SF-36 QoL). Levels of anxiety and depression observed in the patients were graded through the Hospital Anxiety and Depression Scale (HADS). Patients with FMS had significantly lower scores in each of the five domains of the IIEF in comparison with the healthy control group (p < 0.001). Patients' age and widespread pain were negatively correlated with the IIEF scores (p < 0.05). The SF-36 scores (physical functioning, role limitations due to physical problems, pain and general health perception) were observed to be positively correlated with the IIEF scores (p < 0.05). No significant relationship has been observed between the scores obtained from the domains of IIEF and the psychological status (p > 0.05). FMS leads to an impairment in the sexual function in male patients, which is especially strongly associated with the age, widespread pain and the quality of life.
authors.affiliation: Department of Physical Medicine and Rehabilitation, Faculty of Medicine, Dicle University School of Medicine, Diyarbakir, Turkey. ibrahimbatmaz82@hotmail.com
authors.forename: Ibrahim
authors.initials: I
authors.lastname: Batmaz
authors.forename: Mustafa Akif
authors.initials: MA
authors.lastname: Sarıyıldız
authors.forename: Banu
authors.initials: B
authors.lastname: Dilek
authors.forename: Ahmet
authors.initials: A
authors.lastname: Inanır
authors.forename: Zeynep
authors.initials: Z
authors.lastname: Demircan
authors.forename: Namık
authors.initials: N
authors.lastname: Hatipoğlu
authors.forename: Murat
authors.initials: M
authors.lastname: Atar
authors.forename: Remzi
authors.initials: R
authors.lastname: Cevik
mesh_terms: D000328:Adult; D000367:Age Factors; D016022:Case-Control Studies; D003430:Cross-Sectional Studies; D005356:Fibromyalgia / Q000150:complications* / Q000175:diagnosis / Q000503:physiopathology / Q000523:psychology; D006801:Humans; D008297:Male; D008875:Middle Aged; D010147:Pain Measurement; D010410:Penile Erection; D011237:Predictive Value of Tests; D011788:Quality of Life; D012307:Risk Factors; D012737:Sex Factors; D012725:Sexual Behavior; D012735:Sexual Dysfunction, Physiological / Q000209:etiology* / Q000503:physiopathology / Q000523:psychology; D020018:Sexual Dysfunctions, Psychological / Q000209:etiology* / Q000503:physiopathology / Q000523:psychology; D019529:Sexuality; D011795:Surveys and Questionnaires; D014421:Turkey; D055815:Young Adult