Association between comorbidities and female sexual dysfunction: findings from the third National Survey of Sexual Attitudes and Lifestyles (Natsal-3).Citation: International Urogynecology Journal. 30(3):377-383, 2019 Mar.PMID: 30178126Institution: MedStar Health Research Institute | MedStar Washington Hospital CenterDepartment: Obstetrics and Gynecology/Female Pelvic Medicine and Reconstructive SurgeryForm of publication: Journal ArticleMedline article type(s): Journal ArticleSubject headings: *Cardiovascular Diseases/ep [Epidemiology] | *Depression/ep [Epidemiology] | *Diabetes Mellitus/ep [Epidemiology] | *Lung Diseases/ep [Epidemiology] | *Sexual Dysfunction, Physiological/ep [Epidemiology] | Adult | Age Factors | Attitude | Chronic Disease | Comorbidity | Female | Humans | Hypertension/ep [Epidemiology] | Life Style | Menopause | Middle Aged | Myocardial Infarction/ep [Epidemiology] | Nervous System Diseases/ep [Epidemiology] | Sexuality/sn [Statistics & Numerical Data] | Smoking/ep [Epidemiology] | Stroke/ep [Epidemiology] | Surveys and Questionnaires | United States/ep [Epidemiology] | Young AdultYear: 2019Local holdings: Available online through MWHC library: 2010 - presentISSN:
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Available online through MWHC library: 2010 - present
CONCLUSIONS: Comorbidities were associated with FSD and specific comorbidities associated with dysfunction in specific domains. Urogynecologists and urologists must assess for comorbidities, as women presenting with sexual dysfunction may provide an opportunity for early diagnosis of life-threatening conditions.
INTRODUCTION AND HYPOTHESIS: Although medical comorbidities are widely recognized to be associated with erectile dysfunction, less research has been done on their association with female sexual dysfunction (FSD). The purpose of this study was to assess whether FSD is associated with comorbidities; we hypothesized that there is an association.
METHODS: This is a secondary analysis of the third National Survey of Sexual Attitudes and Lifestyles (Natsal-3), a prospective stratified probability sample of individuals aged 16-74. We assessed for association between sexual function scores and heart attack, heart disease, hypertension, stroke, diabetes, chronic lung disease, depression, other mental health condition, other neurologic conditions, and incontinence, as well as menopause and smoking status. Correlation between comorbidities and specific domains of sexual function was also assessed.
RESULTS: A total of 6777 women, with an average age of 35.4 (14.1), responded to the survey and reported sexual activity in the past year. There was an association between sexual function score and age, menopause, hysterectomy, heart disease, hypertension, diabetes, obesity, smoking, depression, other mental health condition, stroke, other neurological condition, and homosexual attraction (p < 0.05). On multivariate analysis, age, sexual attraction, smoking status, depression, and other mental health conditions remained significantly correlated with sexual function (p < 0.05). Comorbidities were found to be correlated with specific domains.