Sexual Dysfunction in Patients with Irritable Bowel Syndrome and Non-Ulcer Dyspepsia
Abstract
The prevalence and type of sexual dysfunction in patients with functional gastrointestinal (GI) disorders involving the upper (functional dyspepsia) or lower GI tract (irritable bowel syndrome) were studied in 683 patients seen at a tertiary referral center and a comparison group of 247 community volunteers. Associations between sexual dysfunction and type and severity of GI symptoms, and psychological symptoms were examined. All subjects were evaluated with a validated bowel syndrome questionnaire, which included questions about sexual function. Psychological symptom severity was assessed by SCL-90R. The prevalence of self-reported sexual dysfunction in patients with functional GI disorders was 43.3% and did not differ by gender, age stratification or disease subtype: irritable bowel syndrome (IBS); non-ulcer dyspepsia (NUD), and IBS + NUD. In the comparison subjects without IBS symptoms and those with IBS symptoms but not seeking health care (IBS non-patients), the reported sexual dysfunction prevalence was significantly lower (16.1 and 24.4%, respectively, p < 0.005). Decreased sexual drive was the symptom most commonly reported by both male (36.2%) and female (28.4%) patients. Dyspareunia was reported by 16.4% of females and 4% of males with IBS, but was rarely observed in patients with NUD. Report of sexual dysfunction was positively associated with perceived GI symptom severity, but not with psychological symptom severity. Sexual dysfunction should be incorporated into…
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Among women with IBS with a sexual problem over the previous six months, 36% reported a decreased sexual drive, 32% reported dyspareunia, 32% reported that bowel symptoms directly prevented them from engaging in intercourse, and 15% reported that sexual dysfunction worsened directly in relation to the severity of their bowel problems.
“Among women with IBS with a sexual problem over the previous six months, 36% reported a decreased sexual drive, 32% reported dyspareunia, 32% reported that bowel symptoms directly prevented them from engaging in intercourse, and 15% reported that sexual dysfunction worsened directly in relation to the severity of their bowel problems.”
From Irritable Bowel Syndrome and Co-morbid Gastrointestinal and Extra-gastrointestinal Functional Syndromes (2010) · cites this paper as [43]
The most common sexual dysfunction in IBS patients may be decreased libido.
“The most common sexual dysfunction in IBS patients may be decreased libido.”
From Irritable Bowel Syndrome and Co-morbid Gastrointestinal and Extra-gastrointestinal Functional Syndromes (2010) · cites this paper as [43]
The prevalence of any reported sexual dysfunction among male and female IBS patients was 40.6%, significantly higher than among controls (OR, 4.33; 95% CI, 2.69-7.25; p < 0.001).
“The prevalence of any reported sexual dysfunction among male and female patients was 40.6%, which was significantly higher than among controls (OR, 4.33; 95% CI, 2.69-7.25; p < 0.001).”
From Irritable Bowel Syndrome and Co-morbid Gastrointestinal and Extra-gastrointestinal Functional Syndromes (2010) · cites this paper as [43]
Fass et al. reported decreased sexual drive in 36.2% of male patients and 28.4% of female patients.
“Fass et al.43 reported decreased sexual drive in 36.2% of male patients and 28.4% of female patients.”
From Irritable Bowel Syndrome and Co-morbid Gastrointestinal and Extra-gastrointestinal Functional Syndromes (2010) · cites this paper as [43]
Several studies have reported an increased prevalence of sexual dysfunction among IBS patients, including reduced sexual drive, increased dyspareunia, and more severe IBS symptoms following intercourse.
“Several studies have reported an increased prevalence of sexual dysfunction among IBS patients, including reduced sexual drive,43 increased dyspareunia,39,44 and more severe IBS symptoms following intercourse.”
From Irritable Bowel Syndrome and Co-morbid Gastrointestinal and Extra-gastrointestinal Functional Syndromes (2010) · cites this paper as [43]
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- Authors
- Fass, R., Fullerton, S., Naliboff, B., Hirsh, T., & Mayer, E. A.
- Affiliations
- University of California, Los Angeles (US)
- Venue
- Digestion
- Publisher
- S. Karger AG
- Published
- 1998
- Volume
- 59
- Issue
- 1
- Pages
- 79-85
- ISSN
- 0012-2823 (ISSN-L)
- 1421-9867
- OpenAlex
- W2082117507
- Cited by
- 103
- References
- 4
- Citations by year
- 2026: 1 · 2025: 3 · 2024: 5 · 2023: 3 · 2022: 3 · 2021: 4 · 2020: 2 · 2019: 6 · 2018: 5 · 2017: 2 · 2016: 1 · 2015: 1 · 2014: 9 · 2013: 1 · 2012: 4
- FWCI
- 6.43
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Digestion (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Health Sciences › Medicine › Gastroenterology › Gastrointestinal motility and disorders
- Health Sciences › Medicine › Psychiatry and Mental health › Sexual function and dysfunction studies
- Health Sciences › Medicine › Psychiatry and Mental health › Psychosomatic Disorders and Their Treatments
- Keywords
- sexual dysfunction, irritable bowel syndrome, functional dyspepsia, functional gastrointestinal disorders, dyspareunia, sexual drive, symptom severity, psychological symptoms, quality of life, prevalence
- MeSH terms
- Adult, Aged, Aged, 80 and over, Colonic Diseases, Functional, Dyspareunia, Dyspepsia, Female, Humans, Male, Middle Aged, Quality of Life, Surveys and Questionnaires, Sexual Dysfunctions, Psychological
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