Sexual Dysfunction in Infertile Women With PCOS Undergoing Fertility Treatment

Document Type : Original Article

Authors

obstetrics & Gynecology , Faculty of Medicine , Cairo University

Abstract

Background: Polycystic ovary syndrome (PCOS) is a syndrome of chronic anovulation, obesity, and androgen excess, and
can affect sexual function in reproductive age women.
Aim of the Work: To determine the prevalence of sexual dysfunction in women with primary infertility due to PCOS
undergoing fertility treatment and predisposing factors.
Patients and Methods: Observational cross-sectional study that included an Egyptian convenient sample of 186 females
with primary infertility due to polycystic ovary syndrome , aging between 18-35 , recruited from Kasr Al-Ainy infertility
Clinic.
Results: Using a cutoff score of 26.55 on the FSFI-Q, the prevalence of female sexual dysfunction (FSD) was 30.1 % among
the study subjects. The most affected domains were orgasm ( 45.7%) and satisfaction (53.8%) while the least affected in
both groups was the desire domain ( 30.1 %). Those using Clomiphene citrate , gonadotrophin & IVF had more prevalence
of sexual dysfunction( P value < 0.005). Females with bad feeling towards their husband & hairsute females had higher
prevalence of female sexual dysfunction ( P value < 0.005).
Conclusion: The present study demonstrated an association between the PCOS infertility and the prevalence female sexual
dysfunction. The scope of the problem is basically due to low self-esteem , the bad perception body image of an obese
hairsute female , the stress of delayed conception in addition to the superimposed bad relation with their husbands

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