Faculty of Nursing & Midwifery, Midwifery and Reproductive Health Research Center, Shahid Beheshti University of Medical Sciences, International Campus, Tehran, Iran.
Faculty of Nursing & Midwifery, Midwifery and Reproductive Health Research Center, Shahid Beheshti University of Medical Sciences, Tehran, Iran.
Seizure. 2017 Nov;52:147-153. doi: 10.1016/j.seizure.2017.10.001. Epub 2017 Oct 5.
Epileptic women are faced with many sexual challenges in their life due to medical and non-medical factors. The present study was conducted to assess sexual function in epileptic women and its related factors.
The present cross-sectional study was conducted on 196 epileptic married women of reproductive age who were members of the Iranian Epilepsy Association and were selected continuously over six months through convenience sampling. The data collection tools included the Female Sexual Function Index (FSFI) and questions about the causes of sexual dysfunction. The statistical tests including: Chi-square, t-test, one-way ANOVA, linear and logistic regression.
According to the results, 74.5% of the participants suffered from sexual dysfunction and scored the lowest in terms of the orgasm and sexual satisfaction dimensions. The factors associated with sexual dysfunction included age over 40, poor education, more than 15 years of marriage, poor economic status, history of infertility and irregular menstruation, several seizures per month, nocturnal seizures, triple or multiple drug therapies and not using anticonvulsant drugs that have no effect on the liver enzymes. From participants' perspective, the most common causes of sexual dysfunction include anxiety and stress, emotional problems with the spouse, dissatisfaction with the experience of unwanted sex and the type of drugs used.
Since the incidence of sexual dysfunction in epileptic women is high and multifactorial, it is recommended for experts and health service providers to not only seek to better control the patients' seizures, but also assess them in terms sexual function.
由于医学和非医学因素的影响，癫痫女性在其生活中面临着许多性挑战。本研究旨在评估癫痫女性的性功能及其相关因素。
本横断面研究共纳入 196 名年龄在生育期的癫痫已婚女性，这些女性均为伊朗癫痫协会的成员，通过便利抽样法在六个月内连续选取。数据收集工具包括女性性功能指数（FSFI）和与性功能障碍原因相关的问题。统计检验包括卡方检验、t 检验、单因素方差分析、线性和逻辑回归。
根据研究结果，74.5%的参与者患有性功能障碍，在性高潮和性满意度方面得分最低。与性功能障碍相关的因素包括年龄超过 40 岁、教育程度低、婚姻超过 15 年、经济状况差、不孕和月经不规律的病史、每月发作次数多、夜间发作、三联或多联药物治疗以及未使用对肝酶无影响的抗癫痫药物。从参与者的角度来看，性功能障碍的最常见原因包括焦虑和压力、与配偶的情绪问题、对非意愿性行为体验的不满以及所使用药物的类型。
由于癫痫女性性功能障碍的发生率较高且具有多因素性，建议专家和卫生服务提供者不仅要寻求更好地控制患者的癫痫发作，还要评估他们的性功能。
