Krajewski Piotr K, Złotowska Aleksandra, Szepietowski Jacek C, Saceda Corralo David
University Centre of General Dermatology and Oncodermatology, Wroclaw Medical University, 50-556 Wroclaw, Poland.
Department of Dermatovenereology, 4th Military Hospital, 50-981 Wroclaw, Poland.
J Clin Med. 2025 Apr 10;14(8):2602. doi: 10.3390/jcm14082602.
Alopecia areata (AA) contributes to clinically significant suffering, and impaired social functioning. Among AA patients, there is a clear impact of the disease on their sense of attractiveness and desirability as sexual partners. This review explores the development of sexual disorders among AA patients, highlighting their importance in the clinical diagnosis of comorbid health disorders with hair loss. A systematic review was conducted by searching electronic databases, including MEDLINE and Google Scholar, without date limitations, according to the PRISMA guidelines. Key search terms included "sexuality" or "sexual health" or "sexual dysfunction" or "sexual disorder" AND "alopecia areata". Data synthesis included findings from eight relevant studies. Hair loss in the course of AA has a negative impact on the sexual sphere, significantly reducing the quality of life of patients and their partners. Proper sexual functioning is an integral part of every person, so special attention should be paid to the possibility of developing sexual dysfunction in the course of AA. Small sample sizes and heterogeneous populations make it difficult to draw firm conclusions. Continued research with standardized criteria for SD diagnosis and appropriately large cohorts will be essential to fully establish psychosexual disorders among AA patients.
斑秃（AA）会导致临床上显著的痛苦和社会功能受损。在斑秃患者中，该疾病对他们作为性伴侣的吸引力和受欢迎程度有明显影响。本综述探讨了斑秃患者性功能障碍的发展情况，强调了其在伴有脱发的共病健康障碍临床诊断中的重要性。根据PRISMA指南，通过检索包括MEDLINE和谷歌学术在内的电子数据库进行了一项系统综述，检索无日期限制。关键检索词包括“性”或“性健康”或“性功能障碍”或“性障碍”以及“斑秃”。数据综合包括八项相关研究的结果。斑秃病程中的脱发对性方面有负面影响，显著降低了患者及其伴侣的生活质量。正常的性功能是每个人不可或缺的一部分，因此应特别关注斑秃病程中发生性功能障碍的可能性。样本量小和人群异质性使得难以得出确凿结论。采用标准化的性功能障碍诊断标准并进行适当大规模队列的持续研究对于全面确定斑秃患者的性心理障碍至关重要。
