Abstract :
[en] - OBJECTIVE: To assess the consequences of aneurysmal
subarachnoid hemorrhage (aSAH) on sexual pleasure
in patients with an otherwise favorable neurologic
outcome.
- METHODS: Anonymous, standardized questionnaires
concerning sexual function, including the International
Index of Erectile Function (IIEF), Female Sexual Function
Index (FSFI), and a statement on subjective change in
sexual pleasure after aSAH, were completed by 33 patients
treated at the Cantonal Hospital St Gallen between 2005
and 2013. All had favorable neurologic outcomes (Glasgow
Outcome Scale score 4 or 5).
- RESULTS: Ten patients (31.3%) reported a subjective
worsening of sexual pleasure after aSAH. Sexual
dysfunction according to FSFI criteria affected 9 of the 19
female patients (47.4%). All 19 women had a hypoactive
sexual desire disorder. Erectile dysfunction was present in
7 of the 14 male patients (50%). Patients with World
Federation of Neurosurgical Societies (WFNS) grade 2
aSAH were significantly more likely to report a subjective
worsening of sexual experience after hemorrhage than
those with WFNS grade 1.
- CONCLUSIONS: This is the first known evaluation of
sexual health following aSAH with otherwise favorable
neurologic outcomes, and confirms that sexual dysfunction
is common in this population. Sexual health should be
explored during follow-up with these patients.
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