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Turkish Journal of Neurology Indexed By
  Investigation of Sexual Dysfunction in Patients with Epilepsy with Regular Follow-up in a Tertiary Neurology Clinic [Turk J Neurol]
Turk J Neurol. 2021; 27(3): 295-300 | DOI: 10.4274/tnd.2021.95695  

Investigation of Sexual Dysfunction in Patients with Epilepsy with Regular Follow-up in a Tertiary Neurology Clinic

Sibel Üstün Özek1, Zeren Öztürk Altun2
1University of Health Sciences Turkey, Prof. Dr. Cemil Tascioglu City Hospital, Clinic of Neurology, Istanbul, Turkey
2University of Health Sciences Turkey, Prof. Dr. Cemil Tascioglu City Hospital, Clinic of Psychiatry, Istanbul, Turkey

Objective: We aimed to assess potential sexual dysfunction (SD) in patients with epilepsy who have no known psychiatric disorders or disabilities.
Materials and Methods: In this study, 48 patients with epilepsy and 69 healthy controls participated. The Arizona sexual experiences scale (ASEX) was used to assess five elements of sexual function in both patients and controls, and the total ASEX score was used to screen for possible SD. Association of SD with demographic and clinical factors were analyzed.
Results: In the patient group, 54% were female and 46% were male. The mean age was 39.3±10.4 years in female patients and 40.0±7.1 years in male patients. In female patients, seizures were classified as focal in 57.7% and generalized in 42.3%, while in male patients, seizures were classified as focal in 45.5% and generalized in 54.5%. The mean duration of the disease was 25.7±11.7 years. Male patients with epilepsy had statistically lower ASEX ejaculation subscale scores compared to controls (p<0.05). However, the rates of pathological SD based on the total ASEX scores did not differ statistically between the groups (p>0.05). ASEX score was not associated with the duration of the disease and the number of antiepileptic drugs used (p>0.05).
Conclusion: There was no difference in potential SD between patients with epilepsy and controls. However, compared to controls, male patients with epilepsy potential ejaculation dysfunction. Early detection of SD using ASEX can have a role in ameliorating the quality of life in patients with epilepsy.

Keywords: Sexual dysfunction, sexual function, epilepsy, gender


Sibel Üstün Özek, Zeren Öztürk Altun. Investigation of Sexual Dysfunction in Patients with Epilepsy with Regular Follow-up in a Tertiary Neurology Clinic. Turk J Neurol. 2021; 27(3): 295-300

Corresponding Author: Sibel Üstün Özek, Türkiye


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