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Sexual dysfunction and its determinants in patients with rheumatoid arthritis / Hala Ahmed Hussein Sayed ; Supervised Ghada Mahmoud Khafagy , Hassan Omar Ghareb , Hatem Hamdy Eleishi

By: Contributor(s): Material type: TextTextLanguage: English Publication details: Cairo : Hala Ahmed Hussein Sayed , 2020Description: 111 P. : charts , facsimiles ; 25cmOther title:
  • الخلل الجنسى ومحدداته فى المرضى الذين يعانون من مرض الروماتويد المفصلى [Added title page title]
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Dissertation note: Thesis (Ph.D.) - Cairo University - Faculty of Medicine - Department of Family Medicine Summary: Introduction: Since rheumatoid arthritis (RA) is a chronic systemic inflammatory disease affects about 0.5 and 1% of adults in the developed world and sexuality is an important part of human quality of life, as it is one of those responsible for our individual welfare, study the association between them is important. Aim: To determine the possible different risk factors for sexual dysfunction(SD) in RA and study the frequency of SD among RA patients Methods: This is a case -control study carried on 302 participant (60 males and 242 females) according to the prevalence ratio of the disease , aged between 18-45 years- attending Family Medicine and Rheumatology clinic in Kasr alainy, Cairo University, Egypt. All participants were evaluated for socio demographic characters, medical data regarding disease duration, complication, drugs used, sexual dysfunction, psychological state, disease activity, quality of life and males were tested for free and total testosterone. Results: Both groups were matched regarding all socio demographic domains.There was statistically significant difference between both groups regarding PHQ9 (p value<.005) There was statistically significant difference between both groups regarding sexual dysfunction (73.7%of females with RA had sexual dysfunction, Mean total IIEF score in cases was 42.73± 25.65 versus 61.2 ±14.41 in control group)).There was statistically significant difference between both male groups regarding Free and Total testosterone(43.3% of cases have low serum level while in control group only 6.7% had low lever) and there was highly statistically significant relation between sexual dysfunction and serum testosterone level, depression, disease severity, disease caused disability and drugs used, logistic regression of the associated risk factors showed that only depression was the significant risk factor and after controlling its effect ,no risk factors was detected to affect SD
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Thesis Thesis قاعة الرسائل الجامعية - الدور الاول المكتبة المركزبة الجديدة - جامعة القاهرة Cai01.11.35.Ph.D.2020.Ha.S (Browse shelf(Opens below)) Not for loan 01010110082419000
CD - Rom CD - Rom مخـــزن الرســائل الجـــامعية - البدروم المكتبة المركزبة الجديدة - جامعة القاهرة Cai01.11.35.Ph.D.2020.Ha.S (Browse shelf(Opens below)) 82419.CD Not for loan 01020110082419000

Thesis (Ph.D.) - Cairo University - Faculty of Medicine - Department of Family Medicine

Introduction: Since rheumatoid arthritis (RA) is a chronic systemic inflammatory disease affects about 0.5 and 1% of adults in the developed world and sexuality is an important part of human quality of life, as it is one of those responsible for our individual welfare, study the association between them is important. Aim: To determine the possible different risk factors for sexual dysfunction(SD) in RA and study the frequency of SD among RA patients Methods: This is a case -control study carried on 302 participant (60 males and 242 females) according to the prevalence ratio of the disease , aged between 18-45 years- attending Family Medicine and Rheumatology clinic in Kasr alainy, Cairo University, Egypt. All participants were evaluated for socio demographic characters, medical data regarding disease duration, complication, drugs used, sexual dysfunction, psychological state, disease activity, quality of life and males were tested for free and total testosterone. Results: Both groups were matched regarding all socio demographic domains.There was statistically significant difference between both groups regarding PHQ9 (p value<.005) There was statistically significant difference between both groups regarding sexual dysfunction (73.7%of females with RA had sexual dysfunction, Mean total IIEF score in cases was 42.73± 25.65 versus 61.2 ±14.41 in control group)).There was statistically significant difference between both male groups regarding Free and Total testosterone(43.3% of cases have low serum level while in control group only 6.7% had low lever) and there was highly statistically significant relation between sexual dysfunction and serum testosterone level, depression, disease severity, disease caused disability and drugs used, logistic regression of the associated risk factors showed that only depression was the significant risk factor and after controlling its effect ,no risk factors was detected to affect SD

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