AI Article Synopsis
- Female sexual dysfunction (FSD) in women is linked to distress and impacts the sexual response cycle, with unclear connections to obstructive sleep apnea (OSA).
- Researchers studied 46 premenopausal obese women to determine OSA's role in FSD using sleep studies and sexual function assessments.
- Results showed that women with OSA and significant nocturnal hypoxia had higher rates of FSD, indicating a potential relationship that warrants further exploration.
Article Abstract
Background: Female sexual dysfunction (FSD) is diagnosed when an impairment in the sexual response cycle is associated with distress in women. The association between obstructive sleep apnea (OSA) and FSD has been poorly investigated with conflicting results.
Aim: To assess the role of OSA in determining FSD in pre menopausal obese women.
Methods: Forty-six women underwent standard polysomnography. Data on sexual function and sexual-related distress were obtained using the Female Sexual Function Index (FSFI) and the Female Sexual Distress Scale (FSDS). Women with both abnormal FSFI and FSDS scores were classified as having FSD.
Results: Thirty-one women were classified as having OSA. Fourteen (30.4%) women had both sexual difficulties and sexual distress resulting in FSD; they showed higher values of sleep time spent with SpO(2) <90% (T(90) 16.8 ± 24.4 vs. 3.2 ± 5.2%; p = 0.004). FSD was present in 10 women with OSA (32.2%); in this group T(90) was higher (23.5 ± 26.3) in women with FSD than in those without FSD (4.8 ± 5.8; p = 0.003). In a logistic multiple regression analysis, T(90) was the only factor associated with an increased risk for FSD (odds ratio [OR] 1.07) (confidence interval [CI]) 1.006-1.13]; p = 0.03).
Conclusions: In premenopausal obese women the presence of FSD is correlated with OSA only when nocturnal hypoxia is present.
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| http://dx.doi.org/10.1016/j.sleep.2012.11.023 | DOI Listing |
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