AI Article Synopsis
- A pilot study investigated sexual functioning in Indian women with epilepsy, focusing on those aged 18-45 who were in stable relationships and free of anxiety or depression.
- Results showed that these women scored significantly lower in all areas of sexual functioning compared to healthy controls, with over 70% rated as dysfunctional in various aspects.
- Factors such as specific medications and time since the last seizure positively impacted sexual functioning, while a longer duration of epilepsy negatively affected it, indicating a need for greater awareness and better management of sexual health in this population.
Article Abstract
Background: Sexual functioning and variables that influence sexual functioning have not been studied in Indian women with epilepsy.
Materials And Methods: In a pilot study, female (age, 18-45 years) outpatients with epilepsy who were in a stable sexual relationship for at least 1-year were screened using the mini international neuropsychiatric interview. Those without anxiety or depressive disorders (n = 60) were studied using the female sexual function index (FSFI; higher scores indicate better functioning). Findings were compared with age- and sex- matched sample of healthy control women drawn from the same sociodemographic population.
Results: Women with epilepsy had significantly poorer sexual functioning on all FSFI subscales (desire, arousal, lubrication, orgasm, satisfaction, pain), as well as on the total scale scores, and >70% of these women were rated as dysfunctional on individual FSFI subscales and on the total scale. In multivariate analysis, use of clobazam and phenobarbitone, and longer time after the last seizure were each associated with significantly higher FSFI scores; and longer duration of epilepsy was associated with significantly lower FSFI scores.
Conclusion: There is a substantial impairment of sexual functioning in women with epilepsy. This study demonstrates the need for increased awareness of the problem, better case identification, and improved seizure control.
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| http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4623651 | PMC |
| http://dx.doi.org/10.4103/0019-5545.166616 | DOI Listing |
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