Department of Pneumonology, School of Medicine in Katowice, Medical University of Silesia, Katowice, Poland.
Department of Physiotherapy, Medical School in Opole, Opole, Poland.
Adv Med Sci. 2020 Mar;65(1):189-196. doi: 10.1016/j.advms.2019.12.003. Epub 2020 Jan 27.
We aimed to assess sexual function, sexual distress and the prevalence of female sexual dysfunction (FSD) among women with obstructive sleep apnea syndrome (OSA), and to assess if the presence of OSA and dyspnea influences the prevalence of FSD, body image during sexual activity and sexual function.
We assessed 23 women with new OSA diagnosis and 23 healthy age and body mass index (BMI) matched controls. Sexual functions were evaluated by Changes in Sexual Functioning Questionnaire (CSFQ), sexual dysfunction was diagnosed based on DSM-5 criteria during the semi-structured sexual interview, whereas body image was evaluated by Body Exposure during Sexual Activities Questionnaire (BESAQ). New York Heart Association score (NYHA) and Visual Analogue Scale (VAS) were used to assess dyspnea.
OSA women had worse general sexual function and lower frequency of desire assessed by CSFQ (37.0 vs. 42 and 5 vs. 6), were at higher risk for FSD (CSFQ; 80% vs. 48%) and had a higher NYHA score (II vs. I). The prevalence of FSD did not differ in both groups, nor did sexual dysfunctions or body image (BESAQ). The multiple regression analysis revealed that OSA was associated with lower desire/frequency, higher NYHA scores with decreased desire/interest and worse body image during sexual activity, whereas higher VAS scores with worse desire/frequency.
OSA probably does not influence the prevalence of sexual dysfunction in females. However, OSA, as well as the higher level of dyspnea assessed by NYHA, may decrease sexual body image and sexual performance in females.
评估阻塞性睡眠呼吸暂停综合征（OSA）女性的性功能、性困扰以及女性性功能障碍（FSD）的患病率，并评估 OSA 和呼吸困难的存在是否影响 FSD 的患病率、性行为期间的身体形象和性功能。
我们评估了 23 例新诊断为 OSA 的女性和 23 例年龄和体重指数（BMI）匹配的健康对照组。通过性变化问卷（CSFQ）评估性功能，根据半结构化性访谈中的 DSM-5 标准诊断性功能障碍，通过性活动期间身体暴露问卷（BESAQ）评估身体形象。纽约心脏协会评分（NYHA）和视觉模拟量表（VAS）用于评估呼吸困难。
OSA 女性的一般性功能更差，CSFQ 评估的欲望和频率更低（37.0 比 42 和 5 比 6），FSD 的风险更高（CSFQ；80%比 48%），NYHA 评分更高（II 比 I）。两组的 FSD 患病率无差异，性功能障碍或身体形象（BESAQ）也无差异。多元回归分析显示，OSA 与欲望/频率降低、NYHA 评分升高与欲望/兴趣降低和性活动期间身体形象较差相关，而 VAS 评分升高与欲望/频率降低相关。
OSA 可能不会影响女性性功能障碍的患病率。然而，OSA 以及 NYHA 评估的更高水平的呼吸困难，可能会降低女性的性身体形象和性功能。
