Influence of Sexual Function on the Social Relations and Quality of Life of Women with Premature Ovarian Insufficiency

Yela, Daniela Angerame; Soares, Patricia Magda; Benetti-Pinto, Cristina Laguna

doi:10.1055/s-0037-1615289

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Revista Brasileira de Ginecologia e Obstetrícia

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Sumário

Original Articles, Gynecological Endocrinology • Rev. Bras. Ginecol. Obstet. 40 (02) • Feb 2018 • https://doi.org/10.1055/s-0037-1615289 copy

Influence of Sexual Function on the Social Relations and Quality of Life of Women with Premature Ovarian Insufficiency

Influência da função sexual nas relações sociais e na qualidade de vida de mulheres com insuficiência ovariana prematura

Authorship SCIMAGO INSTITUTIONS RANKINGS

Abstract

Objective

To evaluate the impact of sexual function (SF) in the quality of life (QoL) of women with premature ovarian insufficiency (POI).

Methods

Case-control study in which 80women with POIwere evaluated using estrogen plus progestogen therapy, compared with 80 women matched by age (2 years) and presenting preserved gonadal function. Sexual function was evaluated using the Female Sexual Function Index (FSFI), and the QoL was evaluated using theWorld Health Organization's (WHO) QoL assessment instrument (WHOQoL-BREF).

Results

The mean age of the women with POI and of the control group was 38.4 ± 7.3 years and 38.1 ± 7.3 years respectively. The QoL, was worse among the POI group, and there were significant differences in the physical (63.4 ± 17.4 and 72.7 ± 15.2 respectively, p = 0.0004) and psychological (63.2 ± 14.6 and 69.3 ± 13.9 respectively, p = 0.0075) domains among this group when compared with the control group. Women with POI presented significantly lower arousal, lubrication, orgasm and satisfaction, more dyspareunia and a worse FSFI scores when compared with the control group. All aspects of SF correlate directly with the worsening of the QoL regarding social relationships.

Conclusion

Women with POI showed worse QoL and SF than the control group. The psychological aspects (desire, excitement, orgasm and sexual satisfaction) of SF had greater influence on the parameters of the QoL, while the physical aspects (pain and lubrication) had a low impact on the QoL. The poor SF in women with POI is directly correlated with a worsening acrossmultiple domains of the QoL; however, the negative impact is particularly important in the social domain. These results suggest that the improvement in sexuality can improve the social interactions of women with POI.

Keywords:
premature ovarian insufficiency; sexual disorders; quality of life

	POI group (n= 80)			Control group (n= 80)
Measurement	Average	SD	Mean	Average	SD	Mean	p
Age	38.4	7.3	39.0	38.1	7.3	38.0	0.7279
Quality of life
Physical	63.4	17.4	62.5	72.7	15.2	75.0	0.0004
Psychological*	63.2	14.6	62.5	69.3	13.9	70.8	0.0075
Social	67.2	20.3	70.8	69.7	17.5	75.0	0.5713
Environment*	59.1	13.8	59.4	61.5	12.6	59.4	0.2466
QoL domain	72.5	17.2	75.0	75.0	13.8	75.0	0.3782
Health	59.7	25.9	75.0	65.9	19.6	75.0	0.2505
Sexual function
Desire	3.4	1.2	3.6	3.7	1.0	3.6	0.1411
Arousal	3.8	1.1	3.6	4.4	0.9	4.5	0.0006
Lubrication	4.1	1.3	4.1	5.0	1.1	5.4	<0.0001
Orgasm	3.9	1.4	4.0	4.6	1.2	5.2	0.0006
Satisfaction	4.5	1.2	4.8	5.0	1.1	5.2	0.0061
Pain	4.3	1.3	4.4	5.1	1.0	5.2	0.0004
Total score	24.0	5.7	23.6	27.7	4.6	28.9	<0.0001

SFQoL	Desire		Arousal		Lubrification		Orgasm		Sexual satisfaction		Pain		Total FSFI
SFQoL	R	p	R	p	R	p	R	p	R	p	R	p	R	p
Physical	0.09	0.427	0.21	0.066	0.13	0.247	0.26	0.022	0.30	0.006	0.15	0.191	0.26	0.022
Psychological	0.08	0.472	0.25	0.026	0.17	0.141	0.29	0.008	0.30	0.006	0.13	0.235	0.27	0.015
Social	0.35	0.002	0.48	<0.0001	0.31	0.005	0.41	0.0001	0.63	<0.0001	0.45	<0.0001	0.37	<0.0001
Environment	0.21	0.055	0.31	0.004	0.27	0.017	0.33	0.002	0.45	<0.0001	0.09	0.402	0.37	0.0008
QoL domain	0.04	0.740	0.21	0.055	0.19	0.095	0.36	0.001	0.34	0.002	0.03	0.801	0.26	0.021
Health	0.02	0.828	0.21	0.061	0.05	0.644	0.34	0.002	0.26	0.019	0.07	0.552	0.21	0.053

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[1] Address for correspondence Daniela Angerame Yela, PhD, Universidade Estadual de Campinas, Rua Alexander Fleming 101, Campinas, SP, 13083-970, Brazil (e-mail: yela@unicamp.br).