Skip to main content
Top
Published in: BMC Women's Health 1/2018

Open Access 01-12-2018 | Research article

Depression, sexual dysfunction and sexual quality of life in women with infertility

Authors: Zahra Shahraki, Fatemeh Davari Tanha, Mahsa Ghajarzadeh

Published in: BMC Women's Health | Issue 1/2018

Login to get access

Abstract

Background

Women suffering from infertility are at higher risk of experiencing psychological problems. Sexual function and sexual related quality of life is not considered as it should be. We designed this study to assess depression, sexual function and sexual quality of life in Iranian women with infertility.

Methods

Two hundred and sixty four individuals participated in the study (115 healthy controls, 78 with primary and 71 with secondary infertility). All participants were asked to fill a valid and reliable Persian versions of BDI (Beck depression inventory), FSFIS (Female Sexual Function Index) and sexual quality of life-Female (SQOL-F) questionnaires.

Results

Mean BDI score was significantly lower in healthy individuals.Individuals with primary infertility suffered more from sexual dysfunction, while BDI score was significantly higher and SQOL-F was significantly lower in cases with sexual dysfunction. There was significant positive correlation between SQOL-F and total FSFI score (r = 0.59, p < 0.001). Linear regression analysis by considering SQOL-F as dependent and age, BDI, duration of marriage, sexual dysfunction (FSFI ≤26.55 or > 26.55) showed that BDI and sexual dysfunction were independent predictors of SQOL-F.

Conclusion

Sexual function and quality of life related to sexual life should be considered in Iranian infertile ones. Depression as a crucial factor should be focused more in infertile women.
Appendix
Available only for authorised users
Literature
1.
go back to reference Tanha FD, Mohseni M, Ghajarzadeh M. Sexual function in women with primary and secondary infertility in comparison with controls. Int J Impot Res. 2014;26(4):132–4.CrossRef Tanha FD, Mohseni M, Ghajarzadeh M. Sexual function in women with primary and secondary infertility in comparison with controls. Int J Impot Res. 2014;26(4):132–4.CrossRef
2.
go back to reference Baldur-Felskov B, Kjaer S, Albieri V, Steding-Jessen M, Kjaer T, Johansen C, et al. Psychiatric disorders in women with fertility problems: results from a large Danish register-based cohort study. Hum Reprod. 2012;28(3):683–90.CrossRefPubMed Baldur-Felskov B, Kjaer S, Albieri V, Steding-Jessen M, Kjaer T, Johansen C, et al. Psychiatric disorders in women with fertility problems: results from a large Danish register-based cohort study. Hum Reprod. 2012;28(3):683–90.CrossRefPubMed
3.
go back to reference Kjaer TK, Jensen A, Dalton SO, Johansen C, Schmiedel S, Kjaer SK. Suicide in Danish women evaluated for fertility problems. Hum Reprod. 2011;26(9):2401–7.CrossRefPubMed Kjaer TK, Jensen A, Dalton SO, Johansen C, Schmiedel S, Kjaer SK. Suicide in Danish women evaluated for fertility problems. Hum Reprod. 2011;26(9):2401–7.CrossRefPubMed
4.
go back to reference Monga M, Alexandrescu B, Katz SE, Stein M, Ganiats T. Impact of infertility on quality of life, marital adjustment, and sexual function. Urology. 2004;63(1):126–30.CrossRefPubMed Monga M, Alexandrescu B, Katz SE, Stein M, Ganiats T. Impact of infertility on quality of life, marital adjustment, and sexual function. Urology. 2004;63(1):126–30.CrossRefPubMed
5.
go back to reference Millheiser LS, Helmer AE, Quintero RB, Westphal LM, Milki AA, Lathi RB. Is infertility a risk factor for female sexual dysfunction? A case-control study. Fertil Steril. 2010;94(6):2022–5.CrossRefPubMed Millheiser LS, Helmer AE, Quintero RB, Westphal LM, Milki AA, Lathi RB. Is infertility a risk factor for female sexual dysfunction? A case-control study. Fertil Steril. 2010;94(6):2022–5.CrossRefPubMed
6.
go back to reference Ercan C, Coksuer H, Aydogan U, Alanbay I, Keskin U, Karasahin K, et al. Sexual dysfunction assessment and hormonal correlations in patients with polycystic ovary syndrome. Int J Impot Res. 2013;25(4):127–32.CrossRefPubMed Ercan C, Coksuer H, Aydogan U, Alanbay I, Keskin U, Karasahin K, et al. Sexual dysfunction assessment and hormonal correlations in patients with polycystic ovary syndrome. Int J Impot Res. 2013;25(4):127–32.CrossRefPubMed
7.
go back to reference Ghassemzadeh H, Mojtabai R, Karamghadiri N, Ebrahimkhani N. Psychometric properties of a Persian-language version of the Beck depression inventory-second edition: BDI-II-PERSIAN. Depress Anxiety. 2005;21(4):185–92.CrossRefPubMed Ghassemzadeh H, Mojtabai R, Karamghadiri N, Ebrahimkhani N. Psychometric properties of a Persian-language version of the Beck depression inventory-second edition: BDI-II-PERSIAN. Depress Anxiety. 2005;21(4):185–92.CrossRefPubMed
8.
go back to reference Fakhri A, Pakpour AH, Burri A, Morshedi H, Zeidi IM. The female sexual function index: translation and validation of an Iranian version. J Sex Med. 2012;9(2):514–23.CrossRefPubMed Fakhri A, Pakpour AH, Burri A, Morshedi H, Zeidi IM. The female sexual function index: translation and validation of an Iranian version. J Sex Med. 2012;9(2):514–23.CrossRefPubMed
9.
go back to reference Pakpour AH, Zeidi IM, Saffari M, Burri A. Psychometric properties of the Iranian version of the sexual quality of life scale among women. J Sex Med. 2013;10(4):981–9.CrossRefPubMed Pakpour AH, Zeidi IM, Saffari M, Burri A. Psychometric properties of the Iranian version of the sexual quality of life scale among women. J Sex Med. 2013;10(4):981–9.CrossRefPubMed
10.
go back to reference Keskin U, Coksuer H, Gungor S, Ercan CM, Karasahin KE, Baser I. Differences in prevalence of sexual dysfunction between primary and secondary infertile women. Fertil Steril. 2011;96(5):1213–7.CrossRefPubMed Keskin U, Coksuer H, Gungor S, Ercan CM, Karasahin KE, Baser I. Differences in prevalence of sexual dysfunction between primary and secondary infertile women. Fertil Steril. 2011;96(5):1213–7.CrossRefPubMed
11.
go back to reference Aduloju OP, Olaogun OD, Aduloju T. Quality of life in women of reproductive age: a comparative study of infertile and fertile women in a Nigerian tertiary Centre. J Obstet Gynaecol. 2017;18:1–5. Aduloju OP, Olaogun OD, Aduloju T. Quality of life in women of reproductive age: a comparative study of infertile and fertile women in a Nigerian tertiary Centre. J Obstet Gynaecol. 2017;18:1–5.
12.
go back to reference Sezgin H, Hocaoglu C, Guvendag-Guven ES. Disability, psychiatric symptoms, and quality of life in infertile women: a cross-sectional study in Turkey. Shanghai Arch Psychiatry. 2016;28(2):86–94.PubMedPubMedCentral Sezgin H, Hocaoglu C, Guvendag-Guven ES. Disability, psychiatric symptoms, and quality of life in infertile women: a cross-sectional study in Turkey. Shanghai Arch Psychiatry. 2016;28(2):86–94.PubMedPubMedCentral
13.
go back to reference Lo SS, Kok WM. Sexual functioning and quality of life of Hong Kong Chinese women with infertility problem. Hum Fertil. 2016;19(4):268–74.CrossRef Lo SS, Kok WM. Sexual functioning and quality of life of Hong Kong Chinese women with infertility problem. Hum Fertil. 2016;19(4):268–74.CrossRef
14.
go back to reference Malouf MA, Inman AG, Carr AG, Franco J, Brooks LM. Health-related quality of life, mental health and psychotherapeutic considerations for women diagnosed with a disorder of sexual development: congenital adrenal hyperplasia. Int J Pediatr Endocrinol. 2010;2010(1):253465.CrossRefPubMedPubMedCentral Malouf MA, Inman AG, Carr AG, Franco J, Brooks LM. Health-related quality of life, mental health and psychotherapeutic considerations for women diagnosed with a disorder of sexual development: congenital adrenal hyperplasia. Int J Pediatr Endocrinol. 2010;2010(1):253465.CrossRefPubMedPubMedCentral
15.
go back to reference Naeinian MR, Shaeiri MR, Hosseini FS. General health and quality of life in patients with sexual dysfunctions. Urol J. 2011;8(2):127–31.PubMed Naeinian MR, Shaeiri MR, Hosseini FS. General health and quality of life in patients with sexual dysfunctions. Urol J. 2011;8(2):127–31.PubMed
16.
go back to reference Tepavcevic D, Kostic J, Basuroski I, Stojsavljevic N, Pekmezovic T, Drulovic J. The impact of sexual dysfunction on the quality of life measured by MSQoL-54 in patients with multiple sclerosis. Mult Scler J. 2008;14(8):1131–6.CrossRef Tepavcevic D, Kostic J, Basuroski I, Stojsavljevic N, Pekmezovic T, Drulovic J. The impact of sexual dysfunction on the quality of life measured by MSQoL-54 in patients with multiple sclerosis. Mult Scler J. 2008;14(8):1131–6.CrossRef
17.
go back to reference Di Fabio F, Koller M, Nascimbeni R, Talarico C, Salerni B. Long-term outcome after colorectal cancer resection. Patients' self-reported quality of life, sexual dysfunction and surgeons' awareness of patients' needs. Tumori. 2008;94(1):30.CrossRefPubMed Di Fabio F, Koller M, Nascimbeni R, Talarico C, Salerni B. Long-term outcome after colorectal cancer resection. Patients' self-reported quality of life, sexual dysfunction and surgeons' awareness of patients' needs. Tumori. 2008;94(1):30.CrossRefPubMed
18.
go back to reference Symonds T, Boolell M, Quirk F. Development of a questionnaire on sexual quality of life in women. J Sex Marital Ther. 2005;31(5):385–97.CrossRefPubMed Symonds T, Boolell M, Quirk F. Development of a questionnaire on sexual quality of life in women. J Sex Marital Ther. 2005;31(5):385–97.CrossRefPubMed
19.
go back to reference Wallach EE, Seibel MM, Taymor ML. Emotional aspects of infertility. Fertil Steril. 1982;37(2):137–45.CrossRef Wallach EE, Seibel MM, Taymor ML. Emotional aspects of infertility. Fertil Steril. 1982;37(2):137–45.CrossRef
Metadata
Title
Depression, sexual dysfunction and sexual quality of life in women with infertility
Authors
Zahra Shahraki
Fatemeh Davari Tanha
Mahsa Ghajarzadeh
Publication date
01-12-2018
Publisher
BioMed Central
Published in
BMC Women's Health / Issue 1/2018
Electronic ISSN: 1472-6874
DOI
https://doi.org/10.1186/s12905-018-0584-2

Other articles of this Issue 1/2018

BMC Women's Health 1/2018 Go to the issue