Obstructive sleep apnea syndrome as a potential cause of sexual dysfunction in women Sexual dysfunction in women

• Published in: Sleep & breathing Vol. 25; no. 3; pp. 1511 - 1517
• Main Authors: Kabak, Mehmet, Akbudak, Mahir
• Format: Journal Article
• Language: English
• Published: Cham Springer International Publishing 01.09.2021; Springer Nature B.V
• Subjects: Anxiety; Apnea; Body mass index; Dentistry; Hypoxemia; Internal Medicine; Medicine; Medicine & Public Health; Mental depression; Neurology; Otorhinolaryngology; Pediatrics; Pneumology/Respiratory System; Quality of life; Sleep; Sleep apnea; Sleep Breathing Physiology and Disorders • Original Article; Sleep disorders; Depression; Anxiety; OSA; Sexual dysfunction
• ISSN: 1520-9512; 1522-1709
• DOI: 10.1007/s11325-020-02275-y

Background Obstructive sleep apnea (OSA) is defined as the cessation of respiration due to recurrent and partial or complete blockade of the upper airways during sleep. Nocturnal hypoxemia due to OSA may accompany these conditions, with significant negative impact on the life quality of patients leading to mental and/or sexual dysfunction. OSA as a cause of sexual dysfunction in women has been subject to very little research. The goal of this study was to examine the effect of OSA on sexual functions in women suffering from this disorder. Methods Patients with OSA were categorized into two groups, those with and those without sexual dysfunction. Results When women with OSA and healthy women were compared, age ( p  < 0.001), body mass index (BMI) ( p  < 0.001), Beck Anxiety Inventory (BAI) ( p  < 0.001), Beck Depression Inventory (BDI) ( p  = 0.001), there was a significant difference in the Arizona Sexual Experience Scale (ASEX), ( p  = 0.02). When women with OSA were compared in terms of sexual dysfunction, a significant difference was found in apnea-hypopnea index (AHI) ( p  = 0.01) and ASEX ( p  < 0.001). There were no significant differences in hormonal parameters between the two groups. Conclusion Sexual dysfunction in females is a largely under-recognized but important condition. Symptoms caused by OSA may include sexual dysfunction which may increase the prevalence of depression and anxiety, further reducing the quality of life.