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Sexual dysfunctions in a sample of female Egyptians diagnosed with obsessive compulsive disorder

Saad, A1; Fekry, M1Reda, M2; Elkholy, H1; Ali, M1

1: Institute of psychiatry, Egypt; 2: Faculty of Medicine, Egypt

Objective: to compare of the rate of sexual dysfunctions in female patients with Obsessive Compulsive Disorder to a healthy control group.

 Material and Methods: 70 married female patients selected from outpatient clinic at the Institute of Psychiatry, Faculty of Medicine, Ain Shams University (Cairo, Egypt) diagnosed with Obsessive Compulsive Disorder according to DSM-IV TR using the Arabic version of Structured Clinical Interview for DSM-IV-TR Axis I Disorders (SCID-I). The selected age group was 18-45years old of newly diagnosed patients or patients who stopped treatment for at least 6 months, with exclusion of any past medical, psychiatric, surgical or medications, substance abuse history. The control group was 70 healthy married females matched with the cases group regarding age, social class and educational level. Informed consent was obtained from all subjects, then screening for thyroid diseases (serum TSH), Diabetes Mellitus (fasting blood sugar and 2 hours postprandial) and hyperprolactinemia (serum prolactin level) was done. Further assessment was done by The Arabic version of Female Sexual Function Index (FSFI).

Results: In the patients group 57 females of patients group (81.4%) had sexual dysfunctions while only 18 females of the control group had sexual dysfunctions (25.7%). In comparison between cases and control group there was a significant statistical difference regarding FSFI total scores and subscales (arousal, orgasm, satisfaction, pain, lubrication) in patient group but there was no statistical difference regarding FSFI desire.

 Conclusion: Sexual dysfunctions in females with obsessive compulsive disorder were more common than healthy females especially (arousal, orgasm, satisfaction, pain and lubrication problems) but not regarding FSFI desire.


Work supported by industry: no.

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