FEMALE SEXUAL DYSFUNCTION (FSD) AMONG WOMEN WITH INFERTILITY -- DOES HUSBAND PLAY A ROLE?

1. FEMALE SEXUAL DYSFUNCTION (FSD) AMONG WOMEN WITH INFERTILITY -- DOES HUSBAND PLAY A ROLE? Yeoh SH, Rosdinom Razali, Nik Ruzyanei Nik Jaafar, Hazli Zakaria, Hatta Sidi Department of Psychiatry, Universiti Kebangsaan Malaysia , 56000, Kuala Lumpur, Malaysia. OPTIONALLOGO HERE OPTIONALLOGO HERE Methods Results Conclusions Introduction In Malaysia, infertility affects one out of seven couples (1). The presence of Female Sexual Dysfunction (FSD) in infertile couples further complicates its clinical management (2). FSD has been linked to infertility in several ways (3,4). This include: the infertility itself may cause psychosexual problems, psychosexual problems may masquerade cases of infertility, sexual problems might be resulting from the stresses or effects of medical treatment. The objective of this study is to determine the factors associated with FSD among infertile women. Identifying these risk factors could assist in strategizing measures in the prevention and management of FSD in relation to infertility. Every one in ten women visited fertility clinic suffered from FSD. Interestingly, the significant associated factors (longer duration of marriage,perceived pressure from husbands to conceive and lower husband’s sexual function – IIEF score) indicate clearly the importance of involving husbands in the management of FSD among women with infertility. Study design, Setting , Sample & Instruments Variables being measured: Respondent rate: 77.3% Mean age 32.3 years old. 84% Malays 66% tertiary education Duration of marriage 5.3 years References 1. AFP Asian Edition. Malaysia's fertility rate falls: report [Internet]. 2009 [cited 2010]. Available from: http://infoaboutinfertility.com/malaysias-fertility-rate-falls-report-590920a 2. Wischmann TH. Sexual disorders in infertile couples. J Sex Med. 2010;7(5):1868-76. 3. Elstein M. Effect of Infertility on Psychosexual Function. Br Med J. 1975;3:296-9. 4. Linda H. Chapter 13: Sexual Counseling and Infertility. Infertility counseling. 2nd ed. Cambridge Univ Pr; 2006. p. 212-35. Multiple logistic regression analysis between independent variables and Female Sexual Dysfunction (FSD) ___________________________________________________ β p -value Adjusted OR 95% CI ___________________________________________________ *Duration 0.27 0.016 1.31 1.05-1.63 of marriage __________________________________________________ *Pressure 2.61 0.014 3.60 1.7– 107.9 from husband ___________________________________________________ *IIEF score -0.185 <0.001 0.831 0.77– 0.90 ___________________________________________________ *Only those statistically significant variables are shown