Gila Bronner1, Oren S Cohen2, Gilad Yahalom3, Evgenia Kozlova3, Yael Orlev3, Noa Molshatzki3, Hanna Strauss3, Sharon Hassin-Baer2. 1. Sexual Medicine Center, Department of Urology, Sheba Medical Center, Tel-Hashomer 52621, Israel. Electronic address: gila.bronner@sheba.health.gov.il. 2. The Movement Disorders and Parkinson's Disease Clinic, Sagol Neuroscience Center, Department of Neurology, Sheba Medical Center, Tel-Hashomer, Israel; Sackler Faculty of Medicine, Tel-Aviv University, Tel-Aviv, Israel. 3. The Movement Disorders and Parkinson's Disease Clinic, Sagol Neuroscience Center, Department of Neurology, Sheba Medical Center, Tel-Hashomer, Israel.
Abstract
INTRODUCTION: Patients with Parkinson disease (PD) and their partners may experience a worsening of their sexual life. AIM: To assess quality of sexual life (QoSL) in male and female PD patients and their partners. MATERIALS AND METHODS: Medical, demographic and clinical data was collected regarding consecutive PD patients, including depression, and motor symptom rating. Partners' data included the short form-12 health questionnaire (SF-12). All patients and partners filled the 5-item QoSL questionnaire. RESULTS: Data from 89 PD patients (66 men) and 69 spouses (52 women) was analyzed. Male patients rejected sex significantly less than female patients and their sexual desire was higher, but female patients reported higher sexual satisfaction. Patients and partners similarly perceived their relationship which was averagely good. Analysis within couples demonstrated that better QoSL of patients could be predicted by gender (male), better QoSL of their partners and, motor severity, but not the patient's depression, age or use of l-dopa. The partner's QoSL was explained by younger age, and better motor scores of their parkinsonian partner. Treatment of the PD patient with l-dopa or dopamine agonist was associated with worse partner's QoSL. CONCLUSION: Differences in QoSL of male and female PD patients and within couples were found. These findings suggest that focusing on partner's needs may improve QoSL of patients and partners troubled by PD.
INTRODUCTION:Patients with Parkinson disease (PD) and their partners may experience a worsening of their sexual life. AIM: To assess quality of sexual life (QoSL) in male and female PDpatients and their partners. MATERIALS AND METHODS: Medical, demographic and clinical data was collected regarding consecutive PDpatients, including depression, and motor symptom rating. Partners' data included the short form-12 health questionnaire (SF-12). All patients and partners filled the 5-item QoSL questionnaire. RESULTS: Data from 89 PDpatients (66 men) and 69 spouses (52 women) was analyzed. Male patients rejected sex significantly less than female patients and their sexual desire was higher, but female patients reported higher sexual satisfaction. Patients and partners similarly perceived their relationship which was averagely good. Analysis within couples demonstrated that better QoSL of patients could be predicted by gender (male), better QoSL of their partners and, motor severity, but not the patient's depression, age or use of l-dopa. The partner's QoSL was explained by younger age, and better motor scores of their parkinsonian partner. Treatment of the PDpatient with l-dopa or dopamine agonist was associated with worse partner's QoSL. CONCLUSION: Differences in QoSL of male and female PDpatients and within couples were found. These findings suggest that focusing on partner's needs may improve QoSL of patients and partners troubled by PD.
Authors: Kate Perepezko; Jared T Hinkle; Melissa D Shepard; Nicole Fischer; Martinus P G Broen; Albert F G Leentjens; Joseph J Gallo; Gregory M Pontone Journal: Int J Geriatr Psychiatry Date: 2019-05-20 Impact factor: 3.485
Authors: R Durcan; L Wiblin; R A Lawson; T K Khoo; A J Yarnall; G W Duncan; D J Brooks; N Pavese; D J Burn Journal: Eur J Neurol Date: 2019-03-01 Impact factor: 6.089