ABSTRACT
AIM: To study the psychopathological characteristics of infertile women with sexual disorders in assisted reproductive technologies (ART) programs to develop therapeutic and rehabilitative interventions and improve the quality of life of the couple. MATERIAL AND METHODS: An open continuous comparative descriptive study of sexual health, psychopathological features and personality characteristics of 589 women with infertility seeking treatment using ART was performed in 2013-2017. Clinical-psychopathological, sexological and psychometric methods were used. RESULTS: Non-psychotic mental disorders, predominantly anxiety disorders (28.0%), were identified in 58,9% of patients. Sexual dysfunctions of a disease level, among which prevailed disorder of libido (25.0%), were identified in 18.34% of patients. A high comorbidity of sexual dysfunctions and borderline mental disorders was detected (100% in patients with sexual dysfunctions versus 44.9% in patients without sexual disorders). an analysis of premorbid personality characteristics and severity of psychopathological symptoms based on the results of mpt, scl - 90 showed that patients with sexual disorders scored significantly lower on domains 'extroversion' and 'tolerance to frustration', while scores on 'esoteric tendencies', 'neuroticism', 'obsession', 'sensitivity', 'depression', 'anxiety', 'hostility' and 'psychoticism' were higher; significant positive and negative correlations between domains were noted. Increased or high levels of anhedonia assessed with scale SHAPS were found in 100% of patients, 43.8% had alexithymia according to TAS and 18.19% showed increased and high levels of asthenia (MFI-20). CONCLUSION: Characteristics of the psychopathological structure of sexual dysfunctions in women with infertility in ART programs should be taken into account in the development of treatment and rehabilitation options and improvement of quality of life of the couple.
Subject(s)
Infertility, Female , Mental Disorders , Sexual Dysfunction, Physiological , Anxiety , Female , Humans , Infertility, Female/complications , Infertility, Female/psychology , Mental Disorders/complications , Quality of Life , Reproductive Techniques , Sexual Dysfunction, Physiological/complications , Sexual Dysfunction, Physiological/psychologyABSTRACT
AIM: To study sexual dysfunction and assess the need in sexological care to improve quality of life of women with infertility. MATERIAL AND METHODS: Sexual functioning was studied in 329 women with infertility and 722 women who underwent an outpatient gynecological examination using a clinical interview and the Female Sexual Function Index (FSFI). RESULTS: In 24.01% of women with infertility, the total FSFI score was correlated with the presence of clinically relevant disorders. Sexual dysfunction was identified in 16.1% of women with infertility including libido disorder (84.9%), dyspareunia (30.2%) and orgasmic dysfunction (13.2%). The latent forms of sexual dysfunction were identified as well. CONCLUSION: The study showed a high need for curative and preventive sexological care to improve quality of life of women with infertility.
