Original Articles
Assessment of Sexual Quality and Sexual Dysfunction among Females with Migraine | |
Dr. Mansi Anand, Dr. Srikanth Reddy, Dr. Pawan Rathi, Dr. Hiral Kotadia, Dr. Jitendra Keshwani, Dr. Apurva Tiwari | |
Aim: Migraine is one of the most widely reported primary headaches, three times more common in women. It has a massive impact on socio-occupational functioning and personal life events. Sex is a key function of human beings with a fundamental role in reproduction. It integrates physical, emotional and psychological factors and affects quality of life in all domains. Sexual Quality is interlinked to sexual dysfunctions which is in turn interlinked to all major Physical and/or mental illnesses.In Indian settings, where Sexual life is hidden behind curtains of societal norms and taboos, many of these dysfunctions and problems go unnoticed. Methods: Study Period- October 2022-January 2023. Cross sectional study Study Centre- Sri Aurobindo Medical, College & P.G. Institute, Indore(M.P.). Sample size- 102. Inclusion- Sexually active females > 18 years, cohabiting with partner >=8 months and have a diagnosis of migraine (as per ICHD 3). Exclusion- Those with pre existing major mental & behavioral disorders and those unwilling for informed consent. Tools Used- Semi Structured proforma MIDAS*, FSFI^, SQL-F#(*Migraine Disability Assessment Scale, ^Female Sexual Function Index, #Sexual Quality of Life Female). Result: Mean Age of the patients was 35.5 (± 8.5) years. Most of our study population was from an urban background (n= 73) and belonged to Hindu religion (n=75). Education status of the study population had the highest number in the Graduation group (n=37) followed by secondary education (n=24) and post graduation (n=24). Most of them had skilled occupation(n=52) and were belonging to the upper middle socio-economic status (n=41). The Mean Age of onset of the disease was 29.2 (±8.3) years with maximum number of patients experiencing the disease between 21-25 years(n=39). The Mean Duration of illness was 5.1 (±2.9) years, and most of the patients seeked an Allopathic treatment with a mean duration of treatment being 3.2 (±2.5) years.Most patients had no comorbid diseases (n=59) and had a frequency of sexual intercourse of 1-3 times/week (n=85). The mean MIDAS scores for the study population were 27.5 (±17.2). The mean SQL-F (Sexual Quality of Life- female) Score was 56.9 (±11.2). The mean FSFI (Female Sexual Function Index) Score was 27.3 (±4.6). Conclusion: Most studies in females with migraine have looked into Quality of life and functional impairment, Sexual health and functioning usually being ignored. Our study is one of the first in Central India, trying to assess the correlation between sexual life and migraine. Positive correlation found in the study throws light on the often ignored sexual dysfunction among patients of migraine thereby leading to poor quality of life. Further studies with larger sample size in this context need to be planned. It is imperative for treating physicians to assess the sexual dysfunction and identify population needing referrals and treatment among female patients of migraine. |
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