Sexual Dysfunctions Among Female Major Depressive Disorder Patients of Reproductive Age

Abstract

Background: Depression, a pervasive public health issue, is associated with substantial morbidity and mortality. Existing literature suggests a connection between depression and female sexual dysfunction, impacting the overall quality of life. Recognizing the prevalence of sexual dysfunction in Major Depressive Disorder (MDD) patients becomes crucial for holistic patient care. Objective: This cross-sectional observational study, conducted at Sylhet MAG Osmani Medical College Hospital from September 2018 to August 2020, aimed to assess the patterns and frequencies of sexual dysfunction in female MDD patients of reproductive age. The primary objectives included evaluating the correlation between the severity of depression and sexual dysfunction, as well as exploring the association between sexual dysfunction and socio-demographic variables. Method: Sixty-eight married, reproductive-age females diagnosed with MDD were included. Diagnosis followed DSM-5 criteria, with severity assessed using the Bangla version of the Depression Anxiety and Stress Scale (DASS-21) and sexual dysfunction evaluated via the Female Sexual Function Index (FSFI) scale. Statistical analyses employed Chi-square tests and Pearson’s correlation coefficient tests. Results: Of the participants, 77.9% experienced sexual dysfunction, with 41.2% exhibiting extremely severe depression. Dysfunction in desire (72.1%), arousal (67%), and satisfaction (54.4%) were prevalent, while 51.5% reported lubrication difficulties. Dysfunction in orgasm (44.1%) and pain (45.6%) were less frequent. A significant correlation was observed between female sexual dysfunction and depression severity (p=<0.001), while no statistically significant correlation was found between the duration of MDD and sexual dysfunction (p=0.122). Conclusion: This study underscores a high prevalence of sexual dysfunction in female MDD patients, emphasizing the necessity of routine inquiry into sexual health in the clinical management ...........