TY - JOUR
T1 - Associations of sleep and female sexual function
T2 - good sleep quality matters
AU - Kling, Juliana M.
AU - Kapoor, Ekta
AU - Mara, Kristin
AU - Faubion, Stephanie S.
N1 - Funding Information:
Financial disclosure/conflicts of interest: E.K. is a consultant for Mithra and Astellas Pharmaceuticals. E.K.'s time is partly funded by the NIA grant U54 AG044170—Sex-Specific Effects of Endocrine Disruption on Aging and Alzheimer's Disease. Otherwise, the other authors have no additional disclosures.
Publisher Copyright:
© 2021 The Author(s). Published by Wolters Kluwer Health, Inc. on behalf of The North American Menopause Society.
PY - 2021/6/19
Y1 - 2021/6/19
N2 - Objective:To evaluate associations between sleep and female sexual function.Methods:A cross-sectional analysis from the Data Registry on Experiences of Aging, Menopause and Sexuality (DREAMS) was performed using questionnaires in women presenting for menopause or sexual health consult at Mayo Clinic from December, 2016 to September, 2019. Female Sexual Function Index (FSFI), Female Sexual Distress Scale-Revised (FSDS-R), and the Pittsburgh Sleep Quality Index (PSQI) assessed sexual function and sleep parameters, respectively. Associations between sleep quality (PSQI score ≥ 5 poor sleep quality), sleep durations (< 5 h, 5-6 h, 6-7 h, > 7 h) and female sexual dysfunction (FSFI ≤ 26.55 and FSDS-R ≥ 11) were evaluated utilizing a multivariable logistic model adjusting for multiple factors. A secondary analysis evaluated sleep quality by sexual activity and also included sexually inactive women.Results:A total of 3,433 women were included (mean age 53). Sexually active women (N = 2,487; 72.4%) were included in the primary analysis; 75% had poor sleep quality, and 54% met criteria for female sexual dysfunction. On multivariable analysis, women with poor sleep quality were 1.48 times more likely to report female sexual dysfunction (95% CI 1.21-1.80, P < 0.001). Of women who reported sleeping < 5 hours nightly, 63.3% had female sexual dysfunction, and their Female Sexual Function Index total and domain scores were significantly lower than women sleeping > 7 hours nightly (P = 0.004); however, this was not statistically significant in multivariable analysis. Sexually active women were more likely to report good sleep quality compared with sexually inactive women (25.3% vs 20.5%, P = 0.003).Conclusions:Poor sleep quality, but not sleep duration, was associated with greater odds of female sexual dysfunction. Good sleep quality was linked to sexual activity. In addition to its myriad effects on health, poor sleep quality is associated with female sexual dysfunction.
AB - Objective:To evaluate associations between sleep and female sexual function.Methods:A cross-sectional analysis from the Data Registry on Experiences of Aging, Menopause and Sexuality (DREAMS) was performed using questionnaires in women presenting for menopause or sexual health consult at Mayo Clinic from December, 2016 to September, 2019. Female Sexual Function Index (FSFI), Female Sexual Distress Scale-Revised (FSDS-R), and the Pittsburgh Sleep Quality Index (PSQI) assessed sexual function and sleep parameters, respectively. Associations between sleep quality (PSQI score ≥ 5 poor sleep quality), sleep durations (< 5 h, 5-6 h, 6-7 h, > 7 h) and female sexual dysfunction (FSFI ≤ 26.55 and FSDS-R ≥ 11) were evaluated utilizing a multivariable logistic model adjusting for multiple factors. A secondary analysis evaluated sleep quality by sexual activity and also included sexually inactive women.Results:A total of 3,433 women were included (mean age 53). Sexually active women (N = 2,487; 72.4%) were included in the primary analysis; 75% had poor sleep quality, and 54% met criteria for female sexual dysfunction. On multivariable analysis, women with poor sleep quality were 1.48 times more likely to report female sexual dysfunction (95% CI 1.21-1.80, P < 0.001). Of women who reported sleeping < 5 hours nightly, 63.3% had female sexual dysfunction, and their Female Sexual Function Index total and domain scores were significantly lower than women sleeping > 7 hours nightly (P = 0.004); however, this was not statistically significant in multivariable analysis. Sexually active women were more likely to report good sleep quality compared with sexually inactive women (25.3% vs 20.5%, P = 0.003).Conclusions:Poor sleep quality, but not sleep duration, was associated with greater odds of female sexual dysfunction. Good sleep quality was linked to sexual activity. In addition to its myriad effects on health, poor sleep quality is associated with female sexual dysfunction.
KW - Female sexual dysfunction
KW - Menopause
KW - Sexual function
KW - Sleep duration
KW - Sleep quality
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UR - http://www.scopus.com/inward/citedby.url?scp=85107087566&partnerID=8YFLogxK
U2 - 10.1097/GME.0000000000001744
DO - 10.1097/GME.0000000000001744
M3 - Article
C2 - 33878089
AN - SCOPUS:85107087566
SN - 1072-3714
VL - 28
SP - 619
EP - 625
JO - Menopause
JF - Menopause
IS - 6
ER -