Sexual Function and Depression among Reproductive Age Women with Hyperthyroidism

Document Type : Original Article

Authors

1 PhD in Woman’s health & Midwifery nursing , clinical instructor, faculty of nursing, Damietta university

2 PhD in Woman’s health & Midwifery nursing, faculty of nursing ,Mansoura university

3 PhD in Medical surgical nursing , clinical instructor, faculty of nursing,Damietta university

4 Lecturer of Medical-Surgical Nursing, Faculty of Nursing, Mansoura University, Egypt

Abstract

Background: Thyroid disease and sexual dysfunction are common conditions that can have a harmful effect on Sexual function and depression among reproductive age women. Recent reports have documented an increased prevalence of sexual dysfunction among patients with thyroid disorders. Aim of Study: Assessing sexual function and depression among reproductive age women with hyperthyroidism. Methods: A total of 44 women with clinical hyperthyroidism and 44 age-matched healthy women controls were included in the study. Design: A comparative descriptive design was utilized. Setting: The study was conducted at surgical wards  and outpatient  clinic  at  Mansoura university hospital and Alazhar university hospital New Damietta.   Tools: Three data collection tools were used: Tool 1, socio-demographic questionnaires, Tool II A Female Sexual Function Index (FSFI) questionnaire for sexual status ,Tool III, the Beck Depression Inventory (BDI) for psychiatric assessment. Results: The mean total FSFI scores were (23.54±10.76) in the hyperthyroidic group and (31.16 ± 11.65) in the control group (P < 0.000). Desire (P < 0.030), arousal (P < 0.000), lubrication (P < 0.002), orgasm (P < 0.000), satisfaction (P < 0.001), and pain (P < 0.006) domain scores were also significantly lower in women with hyperthyroidism. The mean scores of BDI for hyperthyroidic patients was significantly greater than the score for the control group (P <0.000).Conclusion: The hyperthyroidic women had sexual dysfunction and depressive symptoms compared to age matched women in the control group. There were a strong association between clinical hyperthyroidism and female sexual dysfunction. Increases depressive symptoms also were associated with hyperthyroidism and female sexual dysfunction. Recommendation: Availability of a simple and guided instruction booklet for all women with hyperthyroidism to provide all the necessary information, in particular for sexual dysfunction and depression.
Background: Thyroid disease and sexual dysfunction are common conditions that can have a harmful effect on Sexual function and depression among reproductive age women. Recent reports have documented an increased prevalence of sexual dysfunction among patients with thyroid disorders. Aim of Study: Assessing sexual function and depression among reproductive age women with hyperthyroidism. Methods: A total of 44 women with clinical hyperthyroidism and 44 age-matched healthy women controls were included in the study. Design: A comparative descriptive design was utilized. Setting: The study was conducted at surgical wards  and outpatient  clinic  at  Mansoura university hospital and Alazhar university hospital New Damietta.   Tools: Three data collection tools were used: Tool 1, socio-demographic questionnaires, Tool II A Female Sexual Function Index (FSFI) questionnaire for sexual status ,Tool III, the Beck Depression Inventory (BDI) for psychiatric assessment. Results: The mean total FSFI scores were (23.54±10.76) in the hyperthyroidic group and (31.16 ± 11.65) in the control group (P < 0.000). Desire (P < 0.030), arousal (P < 0.000), lubrication (P < 0.002), orgasm (P < 0.000), satisfaction (P < 0.001), and pain (P < 0.006) domain scores were also significantly lower in women with hyperthyroidism. The mean scores of BDI for hyperthyroidic patients was significantly greater than the score for the control group (P <0.000).Conclusion: The hyperthyroidic women had sexual dysfunction and depressive symptoms compared to age matched women in the control group. There were a strong association between clinical hyperthyroidism and female sexual dysfunction. Increases depressive symptoms also were associated with hyperthyroidism and female sexual dysfunction. Recommendation: Availability of a simple and guided instruction booklet for all women with hyperthyroidism to provide all the necessary information, in particular for sexual dysfunction and depression.

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