PMID- 32000113 OWN - NLM STAT- MEDLINE DCOM- 20210202 LR - 20210202 IS - 1898-4002 (Electronic) IS - 1896-1126 (Linking) VI - 65 IP - 1 DP - 2020 Mar TI - Sexual disorders and dyspnoea among women with obstructive sleep apnea. PG - 189-196 LID - S1896-1126(19)30020-3 [pii] LID - 10.1016/j.advms.2019.12.003 [doi] AB - PURPOSE: We aimed to assess sexual function, sexual distress and the prevalence of female sexual dysfunction (FSD) among women with obstructive sleep apnea syndrome (OSA), and to assess if the presence of OSA and dyspnea influences the prevalence of FSD, body image during sexual activity and sexual function. METHODS: We assessed 23 women with new OSA diagnosis and 23 healthy age and body mass index (BMI) matched controls. Sexual functions were evaluated by Changes in Sexual Functioning Questionnaire (CSFQ), sexual dysfunction was diagnosed based on DSM-5 criteria during the semi-structured sexual interview, whereas body image was evaluated by Body Exposure during Sexual Activities Questionnaire (BESAQ). New York Heart Association score (NYHA) and Visual Analogue Scale (VAS) were used to assess dyspnea. RESULTS: OSA women had worse general sexual function and lower frequency of desire assessed by CSFQ (37.0 vs. 42 and 5 vs. 6), were at higher risk for FSD (CSFQ; 80% vs. 48%) and had a higher NYHA score (II vs. I). The prevalence of FSD did not differ in both groups, nor did sexual dysfunctions or body image (BESAQ). The multiple regression analysis revealed that OSA was associated with lower desire/frequency, higher NYHA scores with decreased desire/interest and worse body image during sexual activity, whereas higher VAS scores with worse desire/frequency. CONCLUSIONS: OSA probably does not influence the prevalence of sexual dysfunction in females. However, OSA, as well as the higher level of dyspnea assessed by NYHA, may decrease sexual body image and sexual performance in females. CI - Copyright (c) 2020 Medical University of Bialystok. Published by Elsevier B.V. All rights reserved. FAU - Skoczynski, Szymon AU - Skoczynski S AD - Department of Pneumonology, School of Medicine in Katowice, Medical University of Silesia, Katowice, Poland. Electronic address: simon.mds@poczta.fm. FAU - Nowosielski, Krzysztof AU - Nowosielski K AD - Department of Physiotherapy, Medical School in Opole, Opole, Poland. FAU - Minarowski, Lukasz AU - Minarowski L AD - 2nd Department of Lung Diseases and Tuberculosis, Medical University of Bialystok, Bialystok, Poland. FAU - Brozek, Grzegorz AU - Brozek G AD - Department of Epidemiology, School of Medicine in Katowice, Medical University of Silesia, Katowice, Poland. FAU - Oraczewska, Aleksandra AU - Oraczewska A AD - Department of Pneumonology, School of Medicine in Katowice, Medical University of Silesia, Katowice, Poland. FAU - Glinka, Klaudia AU - Glinka K AD - Department of Pneumonology, School of Medicine in Katowice, Medical University of Silesia, Katowice, Poland; Department of Epidemiology, School of Medicine in Katowice, Medical University of Silesia, Katowice, Poland. FAU - Ficek, Karolina AU - Ficek K AD - Department of Pneumonology, School of Medicine in Katowice, Medical University of Silesia, Katowice, Poland. FAU - Kotulska, Beata AU - Kotulska B AD - Department of Pneumonology, School of Medicine in Katowice, Medical University of Silesia, Katowice, Poland. FAU - Tobiczyk, Ewelina AU - Tobiczyk E AD - Department of Pneumonology, School of Medicine in Katowice, Medical University of Silesia, Katowice, Poland. FAU - Skomro, Robert AU - Skomro R AD - Division of Respiratory, Critical Care and Sleep Medicine, University of Saskatchewan, Saskatoon, Saskatchewan, Canada; Division of Angiology, Wroclaw Medical University, Wroclaw, Poland. FAU - Mroz, Robert AU - Mroz R AD - 2nd Department of Lung Diseases and Tuberculosis, Medical University of Bialystok, Bialystok, Poland. FAU - Barczyk, Adam AU - Barczyk A AD - Department of Pneumonology, School of Medicine in Katowice, Medical University of Silesia, Katowice, Poland. LA - eng PT - Journal Article DEP - 20200127 PL - Netherlands TA - Adv Med Sci JT - Advances in medical sciences JID - 101276222 SB - IM MH - Adolescent MH - Adult MH - Aged MH - *Body Mass Index MH - Case-Control Studies MH - Dyspnea/*epidemiology/etiology MH - Female MH - Follow-Up Studies MH - Humans MH - Middle Aged MH - Poland/epidemiology MH - Prevalence MH - Prognosis MH - Risk Factors MH - *Severity of Illness Index MH - Sexual Dysfunction, Physiological/*epidemiology/etiology MH - Sleep Apnea, Obstructive/*complications MH - Surveys and Questionnaires MH - Young Adult OTO - NOTNLM OT - Dyspnea OT - OSA OT - Sexual function determinants COIS- Declaration of competing interest The authors declare no conflict of interests. EDAT- 2020/01/31 06:00 MHDA- 2021/02/03 06:00 CRDT- 2020/01/31 06:00 PHST- 2018/12/21 00:00 [received] PHST- 2019/09/10 00:00 [revised] PHST- 2019/12/04 00:00 [accepted] PHST- 2020/01/31 06:00 [pubmed] PHST- 2021/02/03 06:00 [medline] PHST- 2020/01/31 06:00 [entrez] AID - S1896-1126(19)30020-3 [pii] AID - 10.1016/j.advms.2019.12.003 [doi] PST - ppublish SO - Adv Med Sci. 2020 Mar;65(1):189-196. doi: 10.1016/j.advms.2019.12.003. Epub 2020 Jan 27.