Objectives Ankylosing Spondylitis (AS) is a chronic, systemic and inflammatory disease affecting spine, peripheral joints and periarticular area causing movement restriction in axial joints. AS itself does not affect sexual functions but it can lead to sexual problems due to pain and stiffness in active stages, movement restriction and disability in advanced stages. Also psychological problems caused by its chronic nature can lead to sexual problems. In this study, we investigated sexual disfunctions in AS patients.
Methods Patients were divided into two groups - each involving 100 patients – as AS group and control group. AS group consisted of patients diagnosed according to Modified New York Criteria for AS. In control group, patients with extremity pain evaluated in physical medicine polyclinic and diagnosed as tendinitis, bursitis and epicondylitis were included. Patients having waist and back pain and patiens with a history of rheumatologic inflammatory disease were excluded.
Demographic data of patients were recorded. All patients filled ASEX and BDI forms. In AS group, patients were also asked for disease duration and medication history and they were asked to fill BASDAI and BASFI forms.
Results Sexsual function disorder was detected in 66% and 30% patients in AS and control group, respectively. In AS group, statistically significant correlation was detected between sexsual function disorder and BASDAI and BASFI scores. So that it was suggested that disease activity could affect sexual function. According to BDI, depression was detected in 33% of AS group and in 5% of control group. This difference between two groups was thought to be related to disease activity and functional movement restriction. In AS group, no statistically correlation between sexual function disorder and disease duration and anti-TNF therapy was detected.
Conclusions In this study, it was detected that prevalence of sexual function disorder is statistically higher in AS patients when it is compared with normal population. Also prevalance of depression was higher in AS group suggesting that psychological problems related to disease could affect the frequency and severity of sexual function disorder.
Disclosure of Interest None Declared
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