Sexual Dysfunctions and Psychiatric Correlates among a Sample of Egyptian Female Patients with Ischemic Heart Diseases Following Percutaneous Coronary Intervention

Abstract

Abstract Background Female sexual dysfunction is a wide range of illnesses that can affect a patient's capacity to respond to or enjoy sexual activity in orgasm, interest/arousal, or Genito-pelvic pain/penetration which occurs most of the time and represents a problem to the patient (in DSM5 TR). Aim of the Work To assess the correlation between ischemic heart disease and female sexual function in patients who underwent percutaneous female intervention in the last year. To study the risk factors of female sexual dysfunction after percutaneous coronary angiography in group 1. To assess the correlation between ischemic heart disease and depression, anxiety and post-traumatic stress disorder in patients who underwent percutaneous female intervention in the last year Patients and Methods This study is a comparative cross-sectional study. This study conducted at cardiology outpatient Clinics at Ain Shams University Hospital. Ain Shams University is in Cairo and serves a catchment area of about the third of Greater Cairo. It serves both urban and rural areas, including areas around Greater Cairo as well. The Study period from March 2023 till end of the study. Results Both groups showed 100% of cases have sexual dysfunction regardless undergoing intervention or not with no statistical difference between both group neither regarding the total score or each domain score and this may be explained by presence of worsening factors in both groups like presence of chest pain, most of patients are menopausal (60% in each group) with the most important factors seen in our study is the cultural concepts among women to have sexual relation in presence of chronic disease like ischemic heart disease and this has been shown when looking deeply in the patients we will found 7 patients (23.3%) who underwent the intervention scored only 2 in FSFI total score which is the minimal (indicating lack of any sexual activity in spite of presence of partner) with the same number seen in the group which didn’t undergo the intervention this rate of having sexual activity. Conclusion Comprehensive examination of the impact of sexual dysfunction, PTSD, depression, and anxiety in patients with ischemic heart disease, and how these factors interrelate with each other as well as with the intervention of stenting or angioplasty. The finding that sexual dysfunction is universally present across your study groups, regardless of intervention, underscores the complexity of sexual health in the context of chronic diseases.