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Öğe The Effects of Fibromyalgia Syndrome on Female Sexual Function(SPRINGER, 2012) Yilmaz, Halim; Yilmaz, Sema Dereli; Erkin, GultenThe objective of the study was to investigate the effects of fibromyalgia syndrome (FMS) on female sexual function. Sexuality is a complex aspect in lives of humans and means more than intercourse alone. Normal sexual function consists of sexual activity via stages, including desire, arousal, orgasm and relaxation and with a feeling of pleasure, fulfillment and satisfaction. Studies evaluated show that FMS is associated with sexual dysfunction in women. The major findings are as follows: decreased sexual desire, arousal, orgasm and increased pain with intercourse. In FMS, sexual dysfunction and depression are suggested to be linked to depressive mood involved in desire and arousal problems. Further, the threshold where sensory input becomes painful in FMS patients is lower than normal, which can explain pain on intercourse. Additional studies are needed to evaluate the casual relationship and mechanism of association between FMS and sexual dysfunction in women.Öğe The Effects of Fibromyalgia Syndrome on Female Sexuality: A Controlled Study(ELSEVIER SCI LTD, 2012) Yilmaz, Halim; Yilmaz, Sema Dereli; Polat, Halime Almula Demir; Salli, Ali; Erkin, Gulten; Ugurlu, HaticeIntroduction. Fibromyalgia may have negative effects on sexual function in women. Aims. To evaluate the sexuality of women with fibromyalgia and healthy control subjects, and to investigate the relation between sexuality and clinical parameters of fibromyalgia. Main Outcome Measures. Female Sexual Function Index (FSFI), Tender Points Count (TPC), Beck Depression Inventory (BDI), Fibromyalgia Impact Questionnaire (FIQ), and Visual Analog Scale (VAS). Methods. Clinical evaluation and surveys were done with 126 women with fibromyalgia and 132 healthy women. Results. Patients with fibromyalgia had higher BDI scores and lower frequency of sexual intercourse than control subjects. The mean FSFI scores (total and all domains) were significantly lower in patients with fibromyalgia than control subjects. Mean FSFI scores (total and most domains) were significantly lower in patients with fibromyalgia who had BDI score >= 17 than those who had BDI score < 17. In women with fibromyalgia, a significant negative correlation was noted between total FSFI score, and both FIQ and BDI scores. Conclusions. Fibromyalgia has negative effects on female sexual function that are aggravated by depression. Yilmaz H, Yilmaz SD, Polat HAD, Salli A, Erkin G, and Ugurlu H. The effects of fibromyalgia syndrome on female sexuality: a controlled study. J Sex Med 2012; 9: 779-785.Öğe Evaluation of Sexual Dysfunction in Women with Rheumatoid Arthritis: A Controlled Study(ELSEVIER SCI LTD, 2012) Yilmaz, Halim; Polat, Halime Almula Demir; Yilmaz, Sema Dereli; Erkin, Gulten; Kucuksen, Sami; Salli, Ali; Ugurlu, HaticeObjective. To evaluate sexual function in women with rheumatoid arthritis (RA) and compare them with healthy controls. Materials and Methods. Ninety-five patients with RA and 108 healthy controls were included in the study. Depression levels and sexual functions of all participants were evaluated by the Beck Depression Inventory (BDI) and Index of Female Sexual Function (IFSF), respectively. Morning stiffness in women with RA, pain (Visual Analog ScaleVAS), disability rate (Health Assessment QuestionnaireHAQ), and disease activity score (DAS-28) were defined. Results. Total IFSF and mean of IFSF subgroup scores and significance of sexual life score were lower in patients with RA than controls, whereas mean BDI score was higher. The mean of the total IFSF scores was significantly lower in patients with RA with BDI =17 than that of patients with BDI <17. The mean of the total IFSF score decreased as disease severity increased. There was a strong negative correlation between total IFSF and DAS-28 scores, a moderate negative correlation between total IFSF score and HAQ, BDI, VAS score, age, and morning stiffness, and weak negative correlation between total IFSF and body mass index. Conclusion. RA is observed to have negative effects on sexual functions of women. Presence of depressive symptoms with RA and increased disease severity increase the degree of sexual dysfunction. Women patients with RA should also be asked about their sexual lives while being evaluated. Yilmaz H, Polat HAD, Yilmaz SD, Erkin G, Kucuksen S, Salli A, and Ugurlu H. Evaluation of sexual dysfunction in women with rheumatoid arthritis: A controlled study. J Sex Med **;**:****.