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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 Females With Ankylosing Spondylitis(TURKISH LEAGUE AGAINST RHEUMATISM, 2016) Akkurt, Halil Ekrem; Yilmaz, Halim; Yilmaz, Sema; Parlak, Lutfiye; Ordahan, Banu; Salli, AliObjectives: This study aims to evaluate sexual function in females with ankylosing spondylitis (AS), compare them with healthy controls, and demonstrate the effects of AS on female sexual functions. Patients and methods: Fifty-four AS patients (mean age 39.33 +/- 8.57 years; range 20 to 55 years) and 56 similar aged healthy controls were included in the study. Depression levels and sexual functions of all participants were evaluated by the Beck Depression Inventory and Female Sexual Function Index (FSFI), respectively. Other assessment methods included the visual analog scale for pain, fatigue, and importance of sexual life; Bath Ankylosing Spondylitis Disease Activity Index for disease activity, Bath Ankylosing Spondylitis Functional Index for functionality, Bath Ankylosing Spondylitis Metrology Index for spinal mobility, and Short Form-36 (SF-36) for quality of life. Results: Total FSFI and all FSFI subscale scores and number of weekly sexual intercourse were significantly lower while Beck Depression Inventory score was significantly higher in females with AS when compared to controls. In AS patients with depression, total FSFI score and FSFI subscales scores of desire and arousal were significantly lower than those without depression. In females with AS, there were negative correlations between total FSFI score and duration of complaint, Beck Depression Inventory score, Bath Ankylosing Spondylitis Metrology Index score, visual analog scale score, age, and duration of marriage while positive correlations existed between total FSFI score and visual analog scale importance of sexual life score and number of weekly sexual intercourse, SF-36 fatigue, SF-36 social function, SF-36 pain, and SF-36 mental component scores. Conclusion: Sexual dysfunction was more common in female AS patients without marked impairment in body image and hip involvement when compared to normal population. Sexual problems which are generally neglected should be handled regardless of disease activity when evaluating patients with AS and establishing a treatment plan.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 **;**:****.Öğe Relationship between handgrip strength and isokinetic shoulder abduction-adduction muscle strength in primer fibromyalgia(TURKISH LEAGUE AGAINST RHEUMATISM-T L A R, 2008) Salli, Ali; Yilmaz, Halim; Kocabas, Hilal; Ugurlu, HaticeObjective: To compare grip strength and isokinetic shoulder abduction-adduction maximal muscle strength and to assess the correlation between hand grip strength (HGS) and shoulder strength in primer fibromyalgia patients with healthy controls. Patients and Methods: One hundred patient and 50 healthy women were included in this study. The patient's complaint duration and number of tender points were recorded. The visual analog scale was used for the assessment of pain. Beck depression scale and Fibromyalgia Impact Questionnaire (FIQ) were calculated. Handgrip strength was measured using a handgrip dynamometer and the highest value of sequential 3 measurements was recorded. Isokinetic shoulder abduction-adduction maximal muscle strength was measured at 60 and 180 degrees/sec. All patients' dominant side was assessed. The strength was calculated as the mean of five consantric isokinetic repetations. Results: There was no statistical difference between patients and the control group in age and body mass index (BMI). The mean HGS was 0,41 +/- 0,10 and 0,62 +/- 0,13 in the fibromyalgia and the healthy group respectively. The mean HGS and shoulder abduction-adduction maximal muscle strength were significantly lower in the fibromyalgia group than the healthy subjects (p<0,001). Whereas a positive correlation was found between HGS and age, BMI and shoulder abduction-adduction maximal muscle strength, a negative correlation was recorded between complaint duration, VAS and FIQ. Conclusion: Hand grip strength may be a simple and effective method to determine muscle performance of the upper extremity.Öğe Sexual Life of Poststroke Women With Mild or No Disability: A Qualitative Study(ROUTLEDGE JOURNALS, TAYLOR & FRANCIS LTD, 2015) Yilmaz, Sema Dereli; Gumus, Haluk; Yilmaz, HalimThe authors investigated the perspectives and experiences of poststroke women regarding sexual issues, as well as interactions in social life. A qualitative design was adopted for the study. Individual and audio-taped interviews were carried out with 16 poststroke women (18years of age and older) that were included into the study from the Konya Education and Research Hospital, Turkey. Transcribed semi-structured interviews were qualitatively and thematically analyzed using content data analysis to code and categorize emerging themes. The authors identified 4 principal themes: physical, emotional, and spiritual changes experienced after stroke; negative effects of changes on the roles of poststroke women as housewives and mothers; changes of sexual life experienced by women in poststroke period; and support from healthcare providers in coping with emotional and sexual challenges. Findings suggest that physical, social, and emotional challenges commonly influence sexual lives of poststroke women and that such women are in need of counseling and assistance.
