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Published in: International Urology and Nephrology 11/2016

01-11-2016 | Urology - Original Paper

Vitamin D3 deficiency is associated with female sexual dysfunction in premenopausal women

Authors: Masum Canat, Lütfi Canat, Feyza Yener Öztürk, Hatice Eroğlu, Hasan Anıl Atalay, Yüksel Altuntaş

Published in: International Urology and Nephrology | Issue 11/2016

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Abstract

Purpose

To assess female sexual functions in women who were affected by vitamin D3 deficiency.

Methods

A total of 50 women with FSD and 58 healthy women controls were included in the study, according to the Female Sexual Function Index (FSFI) questionnaire using a 26.55 cutoff value. Detailed medical histories were obtained from all sexual active women, and all women were evaluated in terms of possible presence of depression with the Beck Depression Inventory (BDI). Serum 25-hydroxyvitamin D3, follicle-stimulating hormone (FSH), luteinizing hormone (LH), prolactin, total and free testosterone, estradiol, dehydroepiandrosterone-SO4 (DHEA-SO4), sex hormone-binding globulin (SHBG), free thyroxine (fT4), and thyroid-stimulating hormone (TSH) levels were measured.

Results

Mean age of premenopausal women was 34.9 ± 6.3 years. The level of serum 25-hydroxyvitamin D3 was significantly lower in women with FSD compared with the controls (15.9 ± 8.4 and 26.3 ± 11.7 nmol/L, respectively). Desire (p = 0.0001), arousal (p = 0.0001), lubrication (p = 0.002), orgasm (p = 0.0001), satisfaction (p = 0.018), and pain (p = 0.010) domain scores were also correlated with the levels of serum 25-hydroxyvitamin D3. The BDI score showed a significant negative correlation with the total FSFI score (r = −0.492, p = 0.0001). The FSFI score not showed a significant correlation with the hormones (p > 0.05).

Conclusion

There is a relationship with FSD and deficiency of vitamin D3. Also, increased depressive symptoms were associated with FSD.
Literature
1.
go back to reference Bargiota A, Dimitropoulos K, Tzortzis V, Koukoulis GN (2011) Sexual dysfunction in diabetic women. Hormones (Athens) 3:196–206CrossRef Bargiota A, Dimitropoulos K, Tzortzis V, Koukoulis GN (2011) Sexual dysfunction in diabetic women. Hormones (Athens) 3:196–206CrossRef
2.
go back to reference Cayan S, Akbay E, Bozlu M, Canpolat B, Acar D, Ulusoy E (2004) The prevalance of female sexual dysfunction and potential risk factors that may impair sexual dysfunction in Turkish woman. Urol Int 72:52–57CrossRefPubMed Cayan S, Akbay E, Bozlu M, Canpolat B, Acar D, Ulusoy E (2004) The prevalance of female sexual dysfunction and potential risk factors that may impair sexual dysfunction in Turkish woman. Urol Int 72:52–57CrossRefPubMed
3.
go back to reference Salonia A, Zanni G, Nappi RE, Briganti A, Deho F, Fabbri F, Colombo R, Guazzoni G, Di Girolamo V, Rigatti P, Montorsi F (2004) Sexual dysfunction is common in women with lower urinary tract symptoms and urinary incontinence: results of a crosssectional study. Eur Urol 45:642–648CrossRefPubMed Salonia A, Zanni G, Nappi RE, Briganti A, Deho F, Fabbri F, Colombo R, Guazzoni G, Di Girolamo V, Rigatti P, Montorsi F (2004) Sexual dysfunction is common in women with lower urinary tract symptoms and urinary incontinence: results of a crosssectional study. Eur Urol 45:642–648CrossRefPubMed
4.
go back to reference Basson R, Rees P, Wang R, Montejo AL, Incrocci L (2010) Sexual function in chronic illness. J Sex Med 7:374–388CrossRefPubMed Basson R, Rees P, Wang R, Montejo AL, Incrocci L (2010) Sexual function in chronic illness. J Sex Med 7:374–388CrossRefPubMed
5.
go back to reference Berman JR, Bassuk J (2002) Physiology and pathophysiology of female sexual function and dysfunction. World J Urol 20:111–118CrossRefPubMed Berman JR, Bassuk J (2002) Physiology and pathophysiology of female sexual function and dysfunction. World J Urol 20:111–118CrossRefPubMed
6.
go back to reference Kadioglu P, Yalin AS, Tiryakioglu O, Gazioglu N, Oral G, Sanli O, Onem K, Kadioglu A (2005) Sexual dysfunction in women with hyperprolactinemia: a pilot study report. J Urol 174:1921–1925CrossRefPubMed Kadioglu P, Yalin AS, Tiryakioglu O, Gazioglu N, Oral G, Sanli O, Onem K, Kadioglu A (2005) Sexual dysfunction in women with hyperprolactinemia: a pilot study report. J Urol 174:1921–1925CrossRefPubMed
7.
go back to reference Atis G, Dalkilinc A, Altuntas Y, Atis A, Caskurlu T, Ergenekon E (2010) Sexual dysfunction in women with clinical hypothyroidism and subclinical hypothyroidism. J Sex Med 7:2583–2590CrossRefPubMed Atis G, Dalkilinc A, Altuntas Y, Atis A, Caskurlu T, Ergenekon E (2010) Sexual dysfunction in women with clinical hypothyroidism and subclinical hypothyroidism. J Sex Med 7:2583–2590CrossRefPubMed
8.
go back to reference Veronelli A, Mauri C, Zecchini B, Peca MG, Turri O, Valitutti MT, Dall’ Asta C, Pontiroli AE (2009) Sexual dysfunction is frequent in premenopausal women with diabetes, obesity, and hypothyroidism, and correlates with markers of increased cardiovascular risk. A preliminary report. J Sex Med 6:1561–1568CrossRefPubMed Veronelli A, Mauri C, Zecchini B, Peca MG, Turri O, Valitutti MT, Dall’ Asta C, Pontiroli AE (2009) Sexual dysfunction is frequent in premenopausal women with diabetes, obesity, and hypothyroidism, and correlates with markers of increased cardiovascular risk. A preliminary report. J Sex Med 6:1561–1568CrossRefPubMed
9.
go back to reference Bhasin S, Enzlin P, Coviello A, Basson R (2007) Sexual dysfunction in men and women with endocrine disorders. Lancet 369:597–611CrossRefPubMed Bhasin S, Enzlin P, Coviello A, Basson R (2007) Sexual dysfunction in men and women with endocrine disorders. Lancet 369:597–611CrossRefPubMed
10.
go back to reference Atis G, Dalkilinc A, Altuntas Y, Atis A, Gurbuz C, Ofluoglu Y, Cil E, Caskurlu T (2011) Hyperthyroidism: a risk factor for female sexual dysfunction. J Sex Med 8:2327–2333CrossRefPubMed Atis G, Dalkilinc A, Altuntas Y, Atis A, Gurbuz C, Ofluoglu Y, Cil E, Caskurlu T (2011) Hyperthyroidism: a risk factor for female sexual dysfunction. J Sex Med 8:2327–2333CrossRefPubMed
11.
go back to reference Dicken CL, Israel DD, Davis JB, Sun Y, Shu J, Hardin J, Neal-Perry G (2012) Peripubertal vitamin D(3) deficiency delays puberty and disrupts the estrous cycle in adult female mice. Biol Reprod 87(2):51CrossRefPubMedPubMedCentral Dicken CL, Israel DD, Davis JB, Sun Y, Shu J, Hardin J, Neal-Perry G (2012) Peripubertal vitamin D(3) deficiency delays puberty and disrupts the estrous cycle in adult female mice. Biol Reprod 87(2):51CrossRefPubMedPubMedCentral
12.
go back to reference Lerchbaum E, Obermayer-Pietsch B (2012) Vitamin D and fertility: a systematic review. Eur J Endocrinol 166(5):765–778CrossRefPubMed Lerchbaum E, Obermayer-Pietsch B (2012) Vitamin D and fertility: a systematic review. Eur J Endocrinol 166(5):765–778CrossRefPubMed
13.
go back to reference Krishnan AV, Swami S, Peng L, Wang J, Moreno J, Feldman D (2010) Tissue-selective regulation of aromatase expression by calcitriol: implications for breast cancer therapy. Endocrinology 151(1):32–42CrossRefPubMed Krishnan AV, Swami S, Peng L, Wang J, Moreno J, Feldman D (2010) Tissue-selective regulation of aromatase expression by calcitriol: implications for breast cancer therapy. Endocrinology 151(1):32–42CrossRefPubMed
14.
go back to reference Halloran BP, DeLuca HF (1980) Effect of vitamin D deficiency on fertility and reproductive capacity in the female rat. J Nutr 110(8):1573–1580PubMed Halloran BP, DeLuca HF (1980) Effect of vitamin D deficiency on fertility and reproductive capacity in the female rat. J Nutr 110(8):1573–1580PubMed
15.
go back to reference Kwiecinksi GG, Petrie GI, DeLuca HF (1989) 1, 25-Dihydroxyvitamin D3 restores fertility of vitamin D-deficient female rats. Am J Physiol 256:483–487 Kwiecinksi GG, Petrie GI, DeLuca HF (1989) 1, 25-Dihydroxyvitamin D3 restores fertility of vitamin D-deficient female rats. Am J Physiol 256:483–487
16.
go back to reference Sun W, Xie H, Ji J, Zhou X, Goltzman D, Miao D (2011) Defective female reproductive function in 1, 25(OH)2D-deficient mice results from indirect effect mediated by extracellular calcium and/or phosphorus. Am J Physiol Endocrinol Metab 299:928–935CrossRef Sun W, Xie H, Ji J, Zhou X, Goltzman D, Miao D (2011) Defective female reproductive function in 1, 25(OH)2D-deficient mice results from indirect effect mediated by extracellular calcium and/or phosphorus. Am J Physiol Endocrinol Metab 299:928–935CrossRef
17.
go back to reference Johnson LE, DeLuca HF (2002) Reproductive defects are corrected in vitamin ddeficient female rats fed a high calcium, phosphorus and lactose diet. J Nutr 132(8):2270–2273PubMed Johnson LE, DeLuca HF (2002) Reproductive defects are corrected in vitamin ddeficient female rats fed a high calcium, phosphorus and lactose diet. J Nutr 132(8):2270–2273PubMed
18.
go back to reference Kinuta K, Tanaka H, Moriwake T, Aya K, Kato S, Seino Y (2000) Vitamin D is an important factor in estrogen biosynthesis of both female and male gonads. Endocrinology 141(4):1317–1324PubMed Kinuta K, Tanaka H, Moriwake T, Aya K, Kato S, Seino Y (2000) Vitamin D is an important factor in estrogen biosynthesis of both female and male gonads. Endocrinology 141(4):1317–1324PubMed
19.
go back to reference Yoshizawa T, Handa Y, Uematsu Y et al (1997) Mice lacking the vitamin D receptor exhibit impaired bone formation, uterine hypoplasia and growth retardation after weaning. Nat Genet 16(4):391–396CrossRefPubMed Yoshizawa T, Handa Y, Uematsu Y et al (1997) Mice lacking the vitamin D receptor exhibit impaired bone formation, uterine hypoplasia and growth retardation after weaning. Nat Genet 16(4):391–396CrossRefPubMed
21.
go back to reference Rosen R, Brown C, Heiman J, Leiblum S, Meston C, Shabsigh R, Ferguson D, D’Agostino R (2000) The female sexual function index (FSFI): a multidimensional self-report instrument for the assessment of female sexual function. J Sex Marital Ther 26:191–208CrossRefPubMed Rosen R, Brown C, Heiman J, Leiblum S, Meston C, Shabsigh R, Ferguson D, D’Agostino R (2000) The female sexual function index (FSFI): a multidimensional self-report instrument for the assessment of female sexual function. J Sex Marital Ther 26:191–208CrossRefPubMed
22.
go back to reference Cayan F, Dilek S, Akbay E, Cayan S (2008) Sexual function after surgery for stress urinary incontinence: vaginal sling versus Burch colposuspension. Arch Gynecol Obstet 277:31–36CrossRefPubMed Cayan F, Dilek S, Akbay E, Cayan S (2008) Sexual function after surgery for stress urinary incontinence: vaginal sling versus Burch colposuspension. Arch Gynecol Obstet 277:31–36CrossRefPubMed
23.
go back to reference Wiegel M, Meston C, Rosen R (2005) The female sexual function index (FSFI): cross-validation and development of clinical cutoff scores. J Sex Marital Ther 31:1–20CrossRefPubMed Wiegel M, Meston C, Rosen R (2005) The female sexual function index (FSFI): cross-validation and development of clinical cutoff scores. J Sex Marital Ther 31:1–20CrossRefPubMed
24.
go back to reference Turunc T, Deveci S, Guvel S, Peskircioglu L (2007) The assessment of Turkish validation with 5 question version of ınternation index of erectile function (IIEF-5). Turk J Urol 33:45–49 Turunc T, Deveci S, Guvel S, Peskircioglu L (2007) The assessment of Turkish validation with 5 question version of ınternation index of erectile function (IIEF-5). Turk J Urol 33:45–49
25.
go back to reference Rosen RC, Cappelleri JC, Smith MD, Lipsky J, Pena BM (1999) Development and evaluation of an abridged, 5-item version of the International Index of Erectile Function (IIEF-5) as a diagnostic tool for erectile dysfunction. Int J Impot Res 11:319–326CrossRefPubMed Rosen RC, Cappelleri JC, Smith MD, Lipsky J, Pena BM (1999) Development and evaluation of an abridged, 5-item version of the International Index of Erectile Function (IIEF-5) as a diagnostic tool for erectile dysfunction. Int J Impot Res 11:319–326CrossRefPubMed
26.
go back to reference Onem K, Erol B, Sanli O, Kadioglu P, Yalin AS, Canik U, Cuhadaroglu C, Kadioglu A (2008) Is sexual dysfunction in women with obstructive sleep apnea-hypopnea syndrome associated with the severity of the disease? A pilot study. J Sex Med 5:2600–2609CrossRefPubMed Onem K, Erol B, Sanli O, Kadioglu P, Yalin AS, Canik U, Cuhadaroglu C, Kadioglu A (2008) Is sexual dysfunction in women with obstructive sleep apnea-hypopnea syndrome associated with the severity of the disease? A pilot study. J Sex Med 5:2600–2609CrossRefPubMed
27.
go back to reference Beck AT, Ward CH, Mendelson M, Mock J, Erbaugh J (1961) An inventory for measuring depression. Arch Gen Psychiatry 4:561–571CrossRefPubMed Beck AT, Ward CH, Mendelson M, Mock J, Erbaugh J (1961) An inventory for measuring depression. Arch Gen Psychiatry 4:561–571CrossRefPubMed
28.
go back to reference Hahn S, Haselhorst U, Tan S, Quadbeck B, Schmidt M, Roesler S, Kimmig R, Mann K, Janssen OE (2006) Low serum 25-hydroxyvitamin D concentrations are associated with insulin resistance and obesity in women with polycystic ovary syndrome. Exp Clin Endocrinol Diabetes 114(10):577–583CrossRefPubMed Hahn S, Haselhorst U, Tan S, Quadbeck B, Schmidt M, Roesler S, Kimmig R, Mann K, Janssen OE (2006) Low serum 25-hydroxyvitamin D concentrations are associated with insulin resistance and obesity in women with polycystic ovary syndrome. Exp Clin Endocrinol Diabetes 114(10):577–583CrossRefPubMed
29.
go back to reference Shifren JL (2004) The role of androgens in female sexual dysfunction. Mayo Clin Proc 79(Suppl 4):19–24 Shifren JL (2004) The role of androgens in female sexual dysfunction. Mayo Clin Proc 79(Suppl 4):19–24
30.
go back to reference Sherwin BB, Gelfand MM, Brender W (1985) Androgen enhances sexualmotivation in females: a prospective, crossover study of sex steroid administration in the surgical menopause. Psychosom Med 47:339–351CrossRefPubMed Sherwin BB, Gelfand MM, Brender W (1985) Androgen enhances sexualmotivation in females: a prospective, crossover study of sex steroid administration in the surgical menopause. Psychosom Med 47:339–351CrossRefPubMed
31.
go back to reference Davis S, McCloud P, Strauss B, Burger H (1996) Testosterone enhancesestradiol’s effects on postmenopausal bone density and sexuality. Maturitas 21:227–236CrossRef Davis S, McCloud P, Strauss B, Burger H (1996) Testosterone enhancesestradiol’s effects on postmenopausal bone density and sexuality. Maturitas 21:227–236CrossRef
32.
go back to reference Zanatta L, Zamoner A, Zanatta AP, Bouraima-Lelong H, Delalande C, Bois C, Carreau S, Silva FR (2011) Nongenomic and genomic effects of 1alpha,25(OH)2 vitamin D3 in rat testis. Life Sci 89:515–523CrossRefPubMed Zanatta L, Zamoner A, Zanatta AP, Bouraima-Lelong H, Delalande C, Bois C, Carreau S, Silva FR (2011) Nongenomic and genomic effects of 1alpha,25(OH)2 vitamin D3 in rat testis. Life Sci 89:515–523CrossRefPubMed
33.
go back to reference Hofer D, Munzker J, Schwetz V, Ulbing M, Hutz K, Stiegler P, Zigeuner R, Pieber TR, Müller H, Obermayer-Pietsch B (2014) Testicular synthesis and vitamin D action. J Clin Endocrinol Metab 99(10):3766–3773CrossRefPubMed Hofer D, Munzker J, Schwetz V, Ulbing M, Hutz K, Stiegler P, Zigeuner R, Pieber TR, Müller H, Obermayer-Pietsch B (2014) Testicular synthesis and vitamin D action. J Clin Endocrinol Metab 99(10):3766–3773CrossRefPubMed
34.
go back to reference Laumann EO, Nicolosi A, Glasser DB, Paik A, Gingell C, Moreira E, Wang T, GSSAB Investigators’ Group (2005) Sexual problems among women and men aged 40–80 y: prevalence and correlates identified in the Global Study of Sexual Attitudes and Behaviors. Int J Impot Res 17:39–57CrossRefPubMed Laumann EO, Nicolosi A, Glasser DB, Paik A, Gingell C, Moreira E, Wang T, GSSAB Investigators’ Group (2005) Sexual problems among women and men aged 40–80 y: prevalence and correlates identified in the Global Study of Sexual Attitudes and Behaviors. Int J Impot Res 17:39–57CrossRefPubMed
35.
go back to reference Oksuz E, Malhan S (2006) Prevalence and risk factors for female sexual dysfunction in Turkish women. J Urol 175:654–658CrossRefPubMed Oksuz E, Malhan S (2006) Prevalence and risk factors for female sexual dysfunction in Turkish women. J Urol 175:654–658CrossRefPubMed
36.
go back to reference Clayton AH (2007) Epidemiology and neurobiology of female sexual dysfunction. J Sex Med 4(Suppl. 4):260–268CrossRefPubMed Clayton AH (2007) Epidemiology and neurobiology of female sexual dysfunction. J Sex Med 4(Suppl. 4):260–268CrossRefPubMed
37.
go back to reference Garcia S, Moreno S, Aponte H (2008) Prevalence of sexual dysfunction in female outpatients and personnel at a Colombian hospital: correlation with hormonal profile. J Sex Med 5:1208–1213CrossRefPubMed Garcia S, Moreno S, Aponte H (2008) Prevalence of sexual dysfunction in female outpatients and personnel at a Colombian hospital: correlation with hormonal profile. J Sex Med 5:1208–1213CrossRefPubMed
38.
go back to reference Davis SR, Guay AT, Shifren JL, Mazer NA (2004) Endocrine aspects of female sexual dysfunction. J Sex Med 1:82–86CrossRefPubMed Davis SR, Guay AT, Shifren JL, Mazer NA (2004) Endocrine aspects of female sexual dysfunction. J Sex Med 1:82–86CrossRefPubMed
39.
go back to reference Althof SE, Leiblum SR, ChevretMeasson M, Hartmann U, Levine SB, McCabe M, Plaut M, Rodrigues O, Wylie K (2005) Psychological and interpersonal dimensions of sexual function and dysfunction. J Sex Med 2:793–800CrossRefPubMed Althof SE, Leiblum SR, ChevretMeasson M, Hartmann U, Levine SB, McCabe M, Plaut M, Rodrigues O, Wylie K (2005) Psychological and interpersonal dimensions of sexual function and dysfunction. J Sex Med 2:793–800CrossRefPubMed
40.
go back to reference Kadioglu P, Yetkin DO, Sanli O, Yalin AS, Onem K, Kadioglu A (2010) Obesity might not be a risk factor for female sexual dysfunction. BJU Int 106(9):1357–1361CrossRefPubMed Kadioglu P, Yetkin DO, Sanli O, Yalin AS, Onem K, Kadioglu A (2010) Obesity might not be a risk factor for female sexual dysfunction. BJU Int 106(9):1357–1361CrossRefPubMed
41.
go back to reference Yaylali GF, Tekekoglu S, Akin F (2010) Sexual dysfunction in obese and overweight women. Int J Impot Res 22(4):220–226CrossRefPubMed Yaylali GF, Tekekoglu S, Akin F (2010) Sexual dysfunction in obese and overweight women. Int J Impot Res 22(4):220–226CrossRefPubMed
42.
go back to reference Pasquali D, Maiorino MI, Renzullo A, Bellastella G, Accardo G, Esposito D, Barbato F, Esposito K (2013) Female sexual dysfunction in women with thyroid disorders. J Endocrinol Invest 36(9):729–733PubMed Pasquali D, Maiorino MI, Renzullo A, Bellastella G, Accardo G, Esposito D, Barbato F, Esposito K (2013) Female sexual dysfunction in women with thyroid disorders. J Endocrinol Invest 36(9):729–733PubMed
43.
go back to reference von Känel R, Fardad N, Steurer N, Horak N, Hindermann E, Fischer F, Gessler K (2015) Vitamin D deficiency and depressive symptomatology in psychiatric patients hospitalized with a current depressive episode: a factor analytic study. PLoS ONE 10(9):e0138550CrossRef von Känel R, Fardad N, Steurer N, Horak N, Hindermann E, Fischer F, Gessler K (2015) Vitamin D deficiency and depressive symptomatology in psychiatric patients hospitalized with a current depressive episode: a factor analytic study. PLoS ONE 10(9):e0138550CrossRef
44.
go back to reference Kerr DC, Zava DT, Piper WT, Saturn SR, Frei B, Gombart AF (2015) Associations between vitamin D levels and depressive symptoms in healthy young adult women. Psychiatry Res 227(1):46–51CrossRefPubMedPubMedCentral Kerr DC, Zava DT, Piper WT, Saturn SR, Frei B, Gombart AF (2015) Associations between vitamin D levels and depressive symptoms in healthy young adult women. Psychiatry Res 227(1):46–51CrossRefPubMedPubMedCentral
45.
go back to reference Annweiler C, Schott AM, Allali G, Bridenbaugh SA, Kressig RW, Allain P, Herrmann FR, Beauchet O (2010) Association of vitamin D deficiency with cognitive impairment in older women: cross-sectional study. Neurology 74(1):27–32CrossRefPubMed Annweiler C, Schott AM, Allali G, Bridenbaugh SA, Kressig RW, Allain P, Herrmann FR, Beauchet O (2010) Association of vitamin D deficiency with cognitive impairment in older women: cross-sectional study. Neurology 74(1):27–32CrossRefPubMed
Metadata
Title
Vitamin D3 deficiency is associated with female sexual dysfunction in premenopausal women
Authors
Masum Canat
Lütfi Canat
Feyza Yener Öztürk
Hatice Eroğlu
Hasan Anıl Atalay
Yüksel Altuntaş
Publication date
01-11-2016
Publisher
Springer Netherlands
Published in
International Urology and Nephrology / Issue 11/2016
Print ISSN: 0301-1623
Electronic ISSN: 1573-2584
DOI
https://doi.org/10.1007/s11255-016-1396-7

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