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- Title
Frequency of and Factors Associated With Sexual Dysfunction in Patients With Inflammatory Bowel Disease.
- Authors
Rivière, P.; Zallot, C.; Desobry, P.; Sabaté, J. M.; Vergniol, J.; Zerbib, F.; Peyrin-Biroulet, L.; Laharie, D.; Poullenot, F.
- Abstract
Background: Improvement of quality of life is a main objective in inflammatory bowel disease [IBD] management. Data on sexual dysfunction [SD] in IBD are scarce. This study compared rates of SD between IBD patients and healthy controls [HC], and searched for predictors of SD. Methods: All consecutive IBD patients seen in two tertiary centres during 2 months were invited to fill an anonymous validated questionnaire on their sexual function [Female Sexual Index Function and International Index of Erectile Function]. The same questionnaires were filled by HC and by patients with irritable bowel syndrome [IBS] enrolled as a second comparative group. Results: In all, 358 IBD patients filled the questionnaire [192 women]--including 238 with Crohn's disease and 120 with ulcerative colitis--and 110 HC [54 women] and 107 IBS patients [54 women]. In women, SD rates were 53.6% in IBD vs 28% in HC [p < 0.01] and 77.5% in IBS [p = 0.10] patients; in men, figures were 16.9% in IBD, 7.4% in HC [p = 0.64], and 26.4% in IBS [p = 0.60]. An erectile dysfunction [ED] was reported by 43% of IBD patients, 13% of HC [p < 0.01] and 55% of IBS patients [p = 0.60 vs IBD]. Predictors of SD and ED were social and emotional functioning, anxiety in women and depression in men. IBD activity was not associated with SD. Conclusions: In IBD, 54% of women have an SD and 43% of men an ED. These rates are significantly higher than in HC, mostly driven by psychological factors, and independent from disease severity.
- Publication
Journal of Crohn's & Colitis, 2017, Vol 11, Issue 11, p1347
- ISSN
1873-9946
- Publication type
Article
- DOI
10.1093/ecco-jcc/jjx100