Prevalence of Sexual Dysfunction in People With Systemic Sclerosis and the Associated Risk Factors: A Systematic Review

Introduction: The association between systemic sclerosis (SSc) and sexual dysfunction was controversial. Aim: To explore the impacts of SSc on sexual function, the prevalence of sexual dysfunction in patients with SSc and associated risk factors. Methods: A systematic review of all published studies...

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Main Authors: Rui Gao, MD, Pingying Qing, MD, PhD, Xiaochi Sun, MD, Xun Zeng, MD, PhD, Xiao Hu, MD, Sirui Zhang, MD, Yihong Yang, MD, PhD, Lang Qin, MD, PhD
Format: Article
Language:English
Published: Oxford University Press 2021-08-01
Series:Sexual Medicine
Subjects:
Online Access:http://www.sciencedirect.com/science/article/pii/S2050116121000726
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author Rui Gao, MD
Pingying Qing, MD, PhD
Xiaochi Sun, MD
Xun Zeng, MD, PhD
Xiao Hu, MD
Sirui Zhang, MD
Yihong Yang, MD, PhD
Lang Qin, MD, PhD
author_facet Rui Gao, MD
Pingying Qing, MD, PhD
Xiaochi Sun, MD
Xun Zeng, MD, PhD
Xiao Hu, MD
Sirui Zhang, MD
Yihong Yang, MD, PhD
Lang Qin, MD, PhD
author_sort Rui Gao, MD
collection DOAJ
description Introduction: The association between systemic sclerosis (SSc) and sexual dysfunction was controversial. Aim: To explore the impacts of SSc on sexual function, the prevalence of sexual dysfunction in patients with SSc and associated risk factors. Methods: A systematic review of all published studies was performed. Studies exploring the association between SSc and sexual function were retrieved from PubMed, Web of Science, and EBSCO. All retrieved papers were selected according to the inclusion and exclusion criteria. Main Outcome Measure: The impacts of SSc on sexual function, the prevalence of sexual dysfunction in males and females with SSc and associated risk factors. Results: A total 12 studies were included in this study. The prevalence of sexual dysfunction in SSc males and SSc females were 76.9–81.4% and 46.7–86.6%, respectively. But the direct impacts of SSc on sexual function were controversial. EULAR SSc activity score ≥3, the number of complications ≥2, and the presence of anticardiolipin antibody and anti U1 ribonucleoprotein antibody in males and resistive index (RI) and the systolic/diastolic (S/D) ratio of clitoral blood in females have potential to be SSc-specific risk factors for sexual dysfunction. Clinical Implications: Clinicians need to pay more attention to the impacts of SSc on sexual function of patients especially in those with risk factors. Strengths & Limitations: Systematically explored the prevalence of sexual dysfunction in SSc males and females, and the risk factors of sexual dysfunction for SSc were explored innovatively. However, there were some limitations in included studies prevented exploring the impacts of SSc on sexual function deeply. Conclusion: Sexual dysfunction may be an important symptom of SSc, many risk factors may be associated with sexual dysfunction in males and females with SSc.Gao R, Qing P, Sun X, et al. Prevalence of Sexual Dysfunction in People With Systemic Sclerosis and the Associated Risk Factors: A Systematic Review. Sex Med 2021;9:100392.
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spelling doaj.art-0a183c8fc5264f41a1a2bd917204c4d72023-09-03T02:51:29ZengOxford University PressSexual Medicine2050-11612021-08-0194100392Prevalence of Sexual Dysfunction in People With Systemic Sclerosis and the Associated Risk Factors: A Systematic ReviewRui Gao, MD0Pingying Qing, MD, PhD1Xiaochi Sun, MD2Xun Zeng, MD, PhD3Xiao Hu, MD4Sirui Zhang, MD5Yihong Yang, MD, PhD6Lang Qin, MD, PhD7The Reproductive Medical Center, Department of Obstetrics and Gynecology, West China Second University Hospital, Sichuan University, Chengdu, China; West China School of Medicine, Sichuan University, Chengdu, China; Key Laboratory of Birth Defects and Related Diseases of Women and Children, Ministry of Education, West China Second University Hospital, Sichuan University, Chengdu, ChinaDepartment of Rheumatology and Immunology, West China Hospital, Sichuan University, Chengdu, ChinaWest China School of Medicine, Sichuan University, Chengdu, ChinaThe Reproductive Medical Center, Department of Obstetrics and Gynecology, West China Second University Hospital, Sichuan University, Chengdu, China; Key Laboratory of Birth Defects and Related Diseases of Women and Children, Ministry of Education, West China Second University Hospital, Sichuan University, Chengdu, ChinaWest China School of Medicine, Sichuan University, Chengdu, ChinaWest China School of Medicine, Sichuan University, Chengdu, ChinaThe Reproductive Medical Center, Department of Obstetrics and Gynecology, West China Second University Hospital, Sichuan University, Chengdu, China; Key Laboratory of Birth Defects and Related Diseases of Women and Children, Ministry of Education, West China Second University Hospital, Sichuan University, Chengdu, China; Corresponding Author: Yihong Yang, MD, PhD, No. 20, Section 3, South Renmin Road, Chengdu, Sichuan Province, China;The Reproductive Medical Center, Department of Obstetrics and Gynecology, West China Second University Hospital, Sichuan University, Chengdu, China; Key Laboratory of Birth Defects and Related Diseases of Women and Children, Ministry of Education, West China Second University Hospital, Sichuan University, Chengdu, China; Corresponding Author: Lang Qin, MD, PhD, No. 20, Section 3, South Renmin Road, Chengdu, Sichuan Province, China;Introduction: The association between systemic sclerosis (SSc) and sexual dysfunction was controversial. Aim: To explore the impacts of SSc on sexual function, the prevalence of sexual dysfunction in patients with SSc and associated risk factors. Methods: A systematic review of all published studies was performed. Studies exploring the association between SSc and sexual function were retrieved from PubMed, Web of Science, and EBSCO. All retrieved papers were selected according to the inclusion and exclusion criteria. Main Outcome Measure: The impacts of SSc on sexual function, the prevalence of sexual dysfunction in males and females with SSc and associated risk factors. Results: A total 12 studies were included in this study. The prevalence of sexual dysfunction in SSc males and SSc females were 76.9–81.4% and 46.7–86.6%, respectively. But the direct impacts of SSc on sexual function were controversial. EULAR SSc activity score ≥3, the number of complications ≥2, and the presence of anticardiolipin antibody and anti U1 ribonucleoprotein antibody in males and resistive index (RI) and the systolic/diastolic (S/D) ratio of clitoral blood in females have potential to be SSc-specific risk factors for sexual dysfunction. Clinical Implications: Clinicians need to pay more attention to the impacts of SSc on sexual function of patients especially in those with risk factors. Strengths & Limitations: Systematically explored the prevalence of sexual dysfunction in SSc males and females, and the risk factors of sexual dysfunction for SSc were explored innovatively. However, there were some limitations in included studies prevented exploring the impacts of SSc on sexual function deeply. Conclusion: Sexual dysfunction may be an important symptom of SSc, many risk factors may be associated with sexual dysfunction in males and females with SSc.Gao R, Qing P, Sun X, et al. Prevalence of Sexual Dysfunction in People With Systemic Sclerosis and the Associated Risk Factors: A Systematic Review. Sex Med 2021;9:100392.http://www.sciencedirect.com/science/article/pii/S2050116121000726Systemic SclerosisSScSexual DysfunctionSystematic Review
spellingShingle Rui Gao, MD
Pingying Qing, MD, PhD
Xiaochi Sun, MD
Xun Zeng, MD, PhD
Xiao Hu, MD
Sirui Zhang, MD
Yihong Yang, MD, PhD
Lang Qin, MD, PhD
Prevalence of Sexual Dysfunction in People With Systemic Sclerosis and the Associated Risk Factors: A Systematic Review
Sexual Medicine
Systemic Sclerosis
SSc
Sexual Dysfunction
Systematic Review
title Prevalence of Sexual Dysfunction in People With Systemic Sclerosis and the Associated Risk Factors: A Systematic Review
title_full Prevalence of Sexual Dysfunction in People With Systemic Sclerosis and the Associated Risk Factors: A Systematic Review
title_fullStr Prevalence of Sexual Dysfunction in People With Systemic Sclerosis and the Associated Risk Factors: A Systematic Review
title_full_unstemmed Prevalence of Sexual Dysfunction in People With Systemic Sclerosis and the Associated Risk Factors: A Systematic Review
title_short Prevalence of Sexual Dysfunction in People With Systemic Sclerosis and the Associated Risk Factors: A Systematic Review
title_sort prevalence of sexual dysfunction in people with systemic sclerosis and the associated risk factors a systematic review
topic Systemic Sclerosis
SSc
Sexual Dysfunction
Systematic Review
url http://www.sciencedirect.com/science/article/pii/S2050116121000726
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