|Sexual Dysfunction in Iranian Azeri Women with Multiple Sclerosis: Levels and Correlates|
|Roya Azari-Barzandig1, Niloofar Sattarzadeh-Jahdi1, Esmat Mehrabi1, Roghaiyeh Nourizadeh1, Leila Najmi1|
|1Department of Midwifery, Faculty of Nursing and Midwifery Tabriz University of Medical sciences, Tabriz, Iran|
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Keywords : Sexual dysfunction, Intimacy and sexuality, Multiple sclerosis
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Objectives: Paying attention to associated factors of sexual dysfunction is essential to promote the quality of life in Multiple Sclerosis, MS patients. The purpose of the study was to assess the sexual dysfunction, levels and correlates in women with MS.
Materials and Methods: This was a cross-sectional study in which 150 women aged 18-45 who referred to MS society of Tabriz, Iran, were recruited using convenience sampling method from March to June 2018. The data were collected using demographic characteristics questionnaire, Multiple Sclerosis Intimacy and Sexuality Questionnaire-19 (MSISQ-19), Fatigue Severity Scale (FSS), and Beck Depression Inventory-Short Form Items (BDI-13). A neurologist rated the level of disability using Expanded Disability Status Scale (EDSS). Multivariate linear regression was used to analyze the data.
Results: The age’s mean (standard deviation) of MS patients was 36.64(5.93). The mean score of Multiple Sclerosis intimacy and sexuality was 47.30(14.92), ranging from 19 to 95. Among the MS patients, 133 (88.6%) women reported SD, including 125 (83.3%) women with primary SD, 85 (56.6%) women with secondary SD, and 55 (36.6%) women with tertiary SD. Multivariate regression analyses showed that predictive variables for SD in women with MS included education, depression, and spouse cooperation in home affairs.
Conclusion: Sexual dysfunction is a common manifestation of MS. Women with MS should be screened and treated for depression. Also, the findings demonstrated that implementation of support strategies by husband could reduce SD in women with MS.
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