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Polycystic Ovarian Syndrome Elevates the Distress of Sexual Pain in Iranian Women With Infertility Publisher Pubmed



Tahmasbi B1 ; Eshraghi R2 ; Aminitehrani M3, 4 ; Zamanian H3, 5, 6 ; Ilami A3, 7
Authors
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Authors Affiliations
  1. 1. Shahid Akbarabadi Clinical Research Development Unit (ShACRDU), Iran University of Medical Sciences (IUMS), Tehran, Iran
  2. 2. School of Medicine, Kashan University of Medical Sciences, Qotbe Ravandi St, Kashan, 8715981151, Iran
  3. 3. Health Psychology and Behavior Medicine Research Group, Students’ Scientific Research Center (SSRC), Exceptional Talents Development Center (ETDC), Tehran University of Medical Sciences (TUMS), Tehran, Iran
  4. 4. School of Psychological Science, University of Western Australia (UWA), Perth, Australia
  5. 5. School of Public Health, Qom University of Medical Sciences, Lavasani St, Qom, 3713649373, Iran
  6. 6. School of Psychology, Charles Sturt University, Victoria, Australia
  7. 7. Kish International Campus, Tehran University of Medical Sciences, Tehran, Iran

Source: BMC Women's Health Published:2024


Abstract

Background: Sexual dysfunction may lead to sexual distress in women with infertility, while polycystic ovarian syndrome (PCOS) may escalate this distress. This study aimed to investigate the role of PCOS in the relationship between sexual dysfunction and sexual distress in Iranian women with infertility. Methods: The Female Sexual Function Index (FSFI), Female Sexual Distress Scale-Revised (FSDS-R), and Depression and Anxiety modules of the DASS-21 were cross-sectionally investigated in 190 women with infertility (103 women with PCOS and 87 women without PCOS). Results: There were negative correlations between sexual function domains and sexual distress (P <.001) in the total sample. Moderation analysis revealed that higher levels of impaired desire, arousal, and pain elevated sexual distress in the PCOS group. After adjusting for depression and anxiety, only the association between sexual pain and sexual distress was moderated by PCOS condition (P =.008). Conclusions: The findings suggest that impaired sexual function is associated with increased levels of sexual distress in infertile female patients. Importantly, comorbid PCOS renders patients susceptible to sexual distress where sexual pain is increased. Further research may shed light on the physiological, psychological, and relational aspects of sexual pain and associated distress in infertile female patients with comorbid PCOS. © The Author(s) 2024.
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