Body image and sexual function in women with polycystic ovary syndrome: a case-control study

Aba, Yılda Arzu; Aytek Şik, Bulat

doi:10.1590/1806-9282.20220367

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Revista da Associação Médica Brasileira

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Original Article • Rev. Assoc. Med. Bras. 68 (9) • Sept 2022 • https://doi.org/10.1590/1806-9282.20220367 copy

Body image and sexual function in women with polycystic ovary syndrome: a case-control study

Authorship SCIMAGO INSTITUTIONS RANKINGS

SUMMARY

OBJECTIVES:

The study aimed to determine the impact of polycystic ovary syndrome on women’s body image and sexual function.

METHODS:

In this case-control study, 97 women with polycystic ovary syndrome and 95 healthy women were interviewed in a hospital using the Personal Information Form, Body Image Scale, and Female Sexual Function Index.

RESULTS:

The total score of body image of women in the polycystic ovary syndrome group was found to be 132.11±19.44 and it was 133.35±21 in the control group; there was no statistically significant difference between them (p>0.05). In this study, 74.23% of the women with polycystic ovary syndrome (+) experienced sexual dysfunction. Sex drive, arousal, lubrication, orgasm, and averages of pain subscales and female sexual function index total score were found to be significantly lower in the polycystic ovary syndrome group than in the control group (p<0.05).

CONCLUSION:

The findings suggest a difference between women with polycystic ovary syndrome and healthy women in terms of sexual function, while body image was similar in both groups. Our data suggest that the polycystic ovary syndrome has a negative effect on the sexuality.

KEYWORDS:
polycystic ovary syndrome; body image; sexual dysfunction; Turkish women

Demographic and clinical characteristics		PCOS group n=97		Control group n=95		Test
Age		Mean±SD		Mean±SD		t: 6.92 p=0.085^* * Independent t-test and χ² test.
Age		28.23±4.56		29.33±5.61		t: 6.92 p=0.085^* * Independent t-test and χ² test.
BMI		25.08±4.3		22.34±3.74		t: 2.98 p=0.003^* * Independent t-test and χ² test.
		n (%)		n (%)		χ²: 1.36 p=0.054+
Level of education	Elementary	18	18.55	15	15.79
	Secondary	64	65.98	47	49.47
	University	15	15.46	33	34.74
Employment status	Employed	75	77.32	84	88.42	χ²: 0.55 p=0.162+
Employment status	Unemployed	22	22.68	11	11.58	χ²: 0.55 p=0.162+
Income level	Poor	5	5.15	18	18.95	χ²: 1.83 p=0.040+
	Moderate	57	58.76	56	58.95
	Good	35	36.08	21	22.11
Marital status	Married	43	44.33	56	58.95	χ²: 1.22p=0.092+
Marital status	Single	54	55.67	39	41.05	χ²: 1.22p=0.092+
Cigarette smoking	Yes	38	39.18	28	29.47	χ²: 2.00 p=0.157+
Cigarette smoking	No	59	60.82	67	70.53	χ²: 2.00 p=0.157+
Alcohol consumption	Yes	17	17.53	14	14.73	χ²: 1.22 0.269+
Alcohol consumption	No	80	82.47	81	85.26	χ²: 1.22 0.269+
Menstrual irregularity	Yes	50	51.55	18	18.95	χ²: 22.29 p=0.001+
Menstrual irregularity	No	47	48.45	77	81.05	χ²: 22.29 p=0.001+
Acne	Yes	28	28.87	21	22.11	χ²: 1.15 p=0.283+
Acne	No	69	71.13	74	77.89	χ²: 1.15 p=0.283+
Hirsutism	Yes	29	29.90	12	12.63	χ²: 8.51 p=0.004+
Hirsutism	No	68	70.10	83	87.37	χ²: 8.51 p=0.004+
Belly fat	Yes	40	41.24	21	22.11	χ²: 9.26 p=0.002+
Belly fat	No	57	58.76	74	77.89	χ²: 9.26 p=0.002+
Hair loss	Yes	18	18.56	27	28.42	χ²: 2.60 p=0.107+
Hair loss	No	79	81.44	68	71.58	χ²: 2.60 p=0.107+
Oily skin	Yes	24	24.74	15	15.79	χ²: 2.37 p=0.123+
Oily skin	No	73	75.26	80	84.21	χ²: 2.37 p=0.123+

Body Image Scale and Female Sexual Function Index	PCOS group n=97 Mean±SD	Control group n=95 Mean±SD	t-test	p-value^* * Independent t-test.
Total Score Body Image Scale	132.11±19.44	133.35±21	-0.42	0.670
Total Score FSFI	16.65±5.93	18.89±6.53	3.26	0.001
Desire	3.41±1.15	3.85±1.13	3.65	0.009
Arousal	2.53±1.21	3.19±1.16	3.30	0.002
Lubrication	2.36±0.95	3.5±0.69	-3.11	0.001
Orgasm	2.49±0.67	3.51±0.66	-4.16	0.003
Satisfaction	2.37±1.07	2.43±1.14	-0.39	0.299
Pain	3.31±1.37	4.97±1.17	3.31	0.001

(n=97)		β	SE	AOR (95%CI)	p-value^* * p-values derived from Wald test for each variable overall.
Age
	<30	0.04	0.09	1.04 (0.88–1.22)	0.683
	>30			Ref	0.683
BMI
	< 24.9	-0.15	0.12	0.86 (0.68–1.09)	0.216
	≥ 25.0			Ref	0.216
Irregular menstruation
	Yes	1.09	0.82	2.99 (0.60–14.98)	0.018
	No			Ref	0.018
Acne
	Yes	0.30	0.96	1.35 (0.21–2.92)	0.999
	No			Ref	0.999
Hirsutism
	Yes	1.50	0.94	2.43 (0.01–4.58)	0.011
	No			Ref	0.011
Alopecia
	Yes	1.37	0.57	0.34 (0.23–1.99)	0.590
	No			Ref	0.590
Belly Fat
	Yes	0.43	0.79	0.95 (0.20–2.61)	0.892
	No			Ref	0.892

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[1] *Corresponding author: yildaarzum@hotmail.com