Advertisement

Management of Sexual Dysfunction in Gastrointestinal Disorders

  • Alyse Bedell
    Correspondence
    Corresponding author.
    Affiliations
    Department of Psychiatry & Behavioral Neuroscience, The University of Chicago, 5841 South Maryland Avenue, MC 3077, Chicago, IL 60637, USA
    Search for articles by this author
  • Alana Friedlander
    Affiliations
    Department of Psychiatry & Behavioral Neuroscience, The University of Chicago, 5841 South Maryland Avenue, MC 3077, Chicago, IL 60637, USA

    Department of Psychology, Roosevelt University, 430 South Michigan Avenue, Chicago, IL 60605, USA
    Search for articles by this author

      Keywords

      To read this article in full you will need to make a payment

      Purchase one-time access:

      Academic & Personal: 24 hour online accessCorporate R&D Professionals: 24 hour online access
      One-time access price info
      • For academic or personal research use, select 'Academic and Personal'
      • For corporate R&D use, select 'Corporate R&D Professionals'

      Subscribers receive full online access to your subscription and archive of back issues up to and including 2002.

      Content published before 2002 is available via pay-per-view purchase only.

      Subscribe:

      Subscribe to Gastroenterology Clinics
      Already a print subscriber? Claim online access
      Already an online subscriber? Sign in
      Institutional Access: Sign in to ScienceDirect

      References

        • Rivière P.
        • Zallot C.
        • Desobry P.
        • et al.
        Frequency of and factors associated with sexual dysfunction in patients with inflammatory bowel disease.
        J Crohns Colitis. 2017; 11: 1347-1352
        • Marín L.
        • Mañosa M.
        • Garcia-Planella E.
        • et al.
        Sexual function and patients' perceptions in inflammatory bowel disease: a case-control survey.
        J Gastroenterol. 2013; 48: 713-720
        • Romano L.
        • Granata L.
        • Fusco F.
        • et al.
        Sexual dysfunction in patients with chronic gastrointestinal and liver diseases: a neglected issue.
        Sex Med Rev. 2021; https://doi.org/10.1016/j.sxmr.2021.02.002
      1. Organization WH. Working Together for Health: The World Health Report. 2006.

        • Jedel S.
        • Hood M.M.
        • Keshavarzian A.
        Getting personal: a review of sexual functioning, body image, and their impact on quality of life in patients with inflammatory bowel disease.
        Inflamm Bowel Dis. 2015; 21: 923-938
        • Zhao S.
        • Wang J.
        • Liu Y.
        • et al.
        Inflammatory bowel diseases were associated with risk of sexual dysfunction in both sexes: a meta-analysis.
        Inflamm Bowel Dis. 2019; 25: 699-707
        • Shmidt E.
        • Suárez-Fariñas M.
        • Mallette M.
        • et al.
        A longitudinal study of sexual function in women with newly diagnosed inflammatory bowel disease.
        Inflamm Bowel Dis. 2019; 25: 1262-1270
        • Leenhardt R.
        • Rivière P.
        • Papazian P.
        • et al.
        Sexual health and fertility for individuals with inflammatory bowel disease.
        World J Gastroenterol. 2019; 25: 5423-5433
        • de Silva P.S.
        • O'Toole A.
        • Marc L.G.
        • et al.
        Development of a sexual dysfunction scale for women with inflammatory bowel disease.
        Inflamm Bowel Dis. 2018; 24: 2350-2359
        • Shmidt E.
        • Suárez-Fariñas M.
        • Mallette M.
        • et al.
        Erectile dysfunction is highly prevalent in men with newly diagnosed inflammatory bowel disease.
        Inflamm Bowel Dis. 2019; 25: 1408-1416
        • O'Toole A.
        • de Silva P.S.
        • Marc L.G.
        • et al.
        Sexual dysfunction in men with inflammatory bowel disease: a new IBD-specific scale.
        Inflamm Bowel Dis. 2018; 24: 310-316
        • Sørensen J.
        • Schantz Laursen B.
        • Drewes A.M.
        • et al.
        The incidence of sexual dysfunction in patients with irritable bowel syndrome.
        Sex Med. 2019; 7: 371-383
        • Eugenio M.D.
        • Jun S.E.
        • Cain K.C.
        • et al.
        Comprehensive self-management reduces the negative impact of irritable bowel syndrome symptoms on sexual functioning.
        Dig Dis Sci. 2012; 57: 1636-1646
        • Fass R.
        • Fullerton S.
        • Naliboff B.
        • et al.
        Sexual dysfunction in patients with irritable bowel syndrome and non-ulcer dyspepsia.
        Digestion. 1998; 59: 79-85
        • Guthrie E.
        • Creed F.H.
        • Whorwell P.J.
        Severe sexual dysfunction in women with the irritable bowel syndrome: comparison with inflammatory bowel disease and duodenal ulceration.
        Br Med J (Clin Res Ed). 1987; 295: 577-578
        • Sławik P.
        • Szul M.
        • Fuchs A.
        • et al.
        Could problems in the bedroom come from our intestines? A preliminary study of IBS and its impact on female sexuality.
        Psychiatr Danub. 2019; 31: 561-567
        • Bouchoucha M.
        • Devroede G.
        • Mary F.
        • et al.
        Both men and women with functional gastrointestinal disorders suffer from a high incidence of sexual dysfunction.
        Clin Res Hepatol Gastroenterol. 2017; 41: e93-e96
        • Iovino P.
        • Pascariello A.
        • Limongelli P.
        • et al.
        The prevalence of sexual behavior disorders in patients with treated and untreated gastroesophageal reflux disease.
        Surg Endosc. 2007; 21: 1104-1110
        • Traa M.J.
        • De Vries J.
        • Roukema J.A.
        • et al.
        Sexual (dys)function and the quality of sexual life in patients with colorectal cancer: a systematic review.
        Ann Oncol. 2012; 23: 19-27
        • Prott G.
        • Shim L.
        • Hansen R.
        • et al.
        Relationships between pelvic floor symptoms and function in irritable bowel syndrome.
        Neurogastroenterol Motil. 2010; 22: 764-769
        • Suttor V.P.
        • Prott G.M.
        • Hansen R.D.
        • et al.
        Evidence for pelvic floor dyssynergia in patients with irritable bowel syndrome.
        Dis Colon Rectum. 2010; 53: 156-160
        • Bharucha A.E.
        • Lacy B.E.
        Mechanisms, evaluation, and management of chronic constipation.
        Gastroenterology. 2020; 158: 1232-1249.e3
        • Kasman A.M.
        • Bhambhvani H.P.
        • Wilson-King G.
        • et al.
        Assessment of the association of cannabis on female sexual function with the female sexual function index.
        Sex Med. 2020; 8: 699-708
        • Shiff B.
        • Blankstein U.
        • Hussaen J.
        • et al.
        The impact of cannabis use on male sexual function: a 10-year, single-center experience.
        Can Urol Assoc J. 2021; 15: E652-E657
        • Wiebe E.
        • Just A.
        How cannabis alters sexual experience: a survey of men and women.
        J Sex Med. 2019; 16: 1758-1762
        • Davies R.J.
        • O'Connor B.I.
        • Victor C.
        • et al.
        A prospective evaluation of sexual function and quality of life after ileal pouch-anal anastomosis.
        Dis Colon Rectum. 2008; 51: 1032-1035
        • Wang J.Y.
        • Hart S.L.
        • Wilkowski K.S.
        • et al.
        Gender-specific differences in pelvic organ function after proctectomy for inflammatory bowel disease.
        Dis Colon Rectum. 2011; 54: 66-76
        • Berndtsson I.
        • Oresland T.
        • Hultén L.
        Sexuality in patients with ulcerative colitis before and after restorative proctocolectomy: a prospective study.
        Scand J Gastroenterol. 2004; 39: 374-379
        • Hueting W.E.
        • Buskens E.
        • van der Tweel I.
        • et al.
        Results and complications after ileal pouch anal anastomosis: a meta-analysis of 43 observational studies comprising 9,317 patients.
        Dig Surg. 2005; 22: 69-79
        • Morrison G.
        • Van Langenberg D.R.
        • Gibson S.J.
        • et al.
        Chronic pain in inflammatory bowel disease: characteristics and associations of a hospital-based cohort.
        Inflamm Bowel Dis. 2013; 19: 1210-1217
        • Choung R.S.
        • Herrick L.M.
        • Locke G.R.
        • et al.
        Irritable bowel syndrome and chronic pelvic pain: a population-based study.
        J Clin Gastroenterol. 2010; 44: 696-701
        • Williams R.E.
        • Hartmann K.E.
        • Sandler R.S.
        • et al.
        Prevalence and characteristics of irritable bowel syndrome among women with chronic pelvic pain.
        Obstet Gynecol. 2004; 104: 452-458
        • Han C.J.
        • Yang G.S.
        Fatigue in irritable bowel syndrome: a systematic review and meta-analysis of pooled frequency and severity of fatigue. review article.
        Asian Nurs Res. 2016; 10: 1-10
        • Nocerino A.
        • Nguyen A.
        • Agrawal M.
        • et al.
        Fatigue in inflammatory bowel diseases: etiologies and management.
        Adv Ther. 2020; 37: 97-112
        • Brotto L.
        • Atallah S.
        • Johnson-Agbakwu C.
        • et al.
        Psychological and interpersonal dimensions of sexual function and dysfunction.
        J Sex Med. 2016; 13: 538-571
        • Kendurkar A.
        • Kaur B.
        Major depressive disorder, obsessive-compulsive disorder, and generalized anxiety disorder: do the sexual dysfunctions differ?.
        Prim Care Companion J Clin Psychiatry. 2008; 10: 299-305
        • Shah E.
        • Rezaie A.
        • Riddle M.
        • et al.
        Psychological disorders in gastrointestinal disease: epiphenomenon, cause or consequence?.
        Ann Gastroenterol. 2014; 27: 224-230
        • Mikocka-Walus A.
        • Knowles S.R.
        • Keefer L.
        • et al.
        Controversies revisited: a systematic review of the comorbidity of depression and anxiety with inflammatory bowel diseases.
        Inflamm Bowel Dis. 2016; 22: 752-762
        • Bel L.G.
        • Vollebregt A.M.
        • Van der Meulen-de Jong A.E.
        • et al.
        Sexual dysfunctions in men and women with inflammatory bowel disease: the influence of IBD-related clinical factors and depression on sexual function.
        J Sex Med. 2015; 12: 1557-1567
        • Timmer A.
        • Bauer A.
        • Dignass A.
        • et al.
        Sexual function in persons with inflammatory bowel disease: a survey with matched controls.
        Clin Gastroenterol Hepatol. 2007; 5: 87-94
        • Yanartas O.
        • Kani H.T.
        • Bicakci E.
        • et al.
        The effects of psychiatric treatment on depression, anxiety, quality of life, and sexual dysfunction in patients with inflammatory bowel disease.
        Neuropsychiatr Dis Treat. 2016; 12: 673-683
        • Yehuda R.
        • Lehrner A.
        • Rosenbaum T.Y.
        PTSD and sexual dysfunction in men and women.
        J Sex Med. 2015; 12: 1107-1119
        • Taft T.H.
        • Bedell A.
        • Craven M.R.
        • et al.
        Initial assessment of post-traumatic stress in a US cohort of inflammatory bowel disease patients.
        Inflamm Bowel Dis. 2019; 25: 1577-1585
        • Pothemont K.
        • Quinton S.
        • Jayoushe M.
        • et al.
        Patient perspectives on medical trauma related to inflammatory bowel disease.
        J Clin Psychol Med Settings. 2021; https://doi.org/10.1007/s10880-021-09805-0
        • Ramseyer Winter V.
        • O'Neill E.A.
        • Cook M.
        • et al.
        Sexual function in hook-up culture: the role of body image.
        Body Image. 2020; 34: 135-144
        • Woertman L.
        • van den Brink F.
        Body image and female sexual functioning and behavior: a review.
        J Sex Res. 2012; 49: 184-211
        • Muller K.R.
        • Prosser R.
        • Bampton P.
        • et al.
        Female gender and surgery impair relationships, body image, and sexuality in inflammatory bowel disease: patient perceptions.
        Inflamm Bowel Dis. 2010; 16: 657-663
        • Benedict C.
        • Philip E.J.
        • Baser R.E.
        • et al.
        Body image and sexual function in women after treatment for anal and rectal cancer.
        Psychooncology. 2016; 25: 316-323
        • Ayaz-Alkaya S.
        Overview of psychosocial problems in individuals with stoma: A review of literature.
        Int Wound J. 2019; 16: 243-249
        • Masters W.
        • Johnson V.
        Human sexual inadequacy.
        Little, Brown, Boston1970
        • McCabe M.P.
        • Connaughton C.
        Psychosocial factors associated with male sexual difficulties.
        J Sex Res. 2014; 51: 31-42
        • Maunder R.G.
        • de Rooy E.C.
        • Toner B.B.
        • et al.
        Health-related concerns of people who receive psychological support for inflammatory bowel disease.
        Can J Gastroenterol. 1997; 11: 681-685
        • Carlsson E.
        • Berndtsson I.
        • Hallén A.M.
        • et al.
        Concerns and quality of life before surgery and during the recovery period in patients with rectal cancer and an ostomy.
        J Wound Ostomy Continence Nurs. 2010; 37: 654-661
        • Palace E.M.
        • Gorzalka B.B.
        Differential patterns of arousal in sexually functional and dysfunctional women: physiological and subjective components of sexual response.
        Arch Sex Behav. 1992; 21: 135-159
        • Ter Kuile M.M.
        • Vigeveno D.
        • Laan E.
        Preliminary evidence that acute and chronic daily psychological stress affect sexual arousal in sexually functional women.
        Behav Res Ther. 2007; 45: 2078-2089
        • Hamilton L.D.
        • Meston C.M.
        Chronic stress and sexual function in women.
        J Sex Med. 2013; 10: 2443-2454
        • Basson R.
        The recurrent pain and sexual sequelae of provoked vestibulodynia: a perpetuating cycle.
        J Sex Med. 2012; 9: 2077-2092
        • Waldinger M.D.
        • Quinn P.
        • Dilleen M.
        • et al.
        A multinational population survey of intravaginal ejaculation latency time.
        J Sex Med. 2005; 2: 492-497
        • Herbenick D.
        • Fu T.J.
        • Arter J.
        • et al.
        Women's experiences with genital touching, sexual pleasure, and orgasm: results from a U.S. probability sample of women ages 18 to 94.
        J Sex Marital Ther. 2018; 44: 201-212
        • King B.M.
        Average-size erect penis: fiction, fact, and the need for counseling.
        J Sex Marital Ther. 2021; 47: 80-89
        • Meston C.M.
        • Buss D.M.
        Why humans have sex.
        Arch Sex Behav. 2007; 36: 477-507
        • Perez de Arce E.
        • Quera R.
        • Ribeiro Barros J.
        • et al.
        Sexual dysfunction in inflammatory bowel disease: what the specialist should know and ask.
        Int J Gen Med. 2021; 14: 2003-2015
        • Rivière P.
        • Poullenot F.
        • Zerbib F.
        • et al.
        Quality of sex life in patients with inflammatory bowel disease: the gastroenterologists' perspective.
        Inflamm Bowel Dis. 2017; 23: E51-E52
        • Annon J.
        The PLISSIT model: a proposed conceptual scheme for the behavioral treatment of sexual problems.
        J Sex Educ Ther. 1976; 2: 1-15
        • Hafeez H.
        • Zeshan M.
        • Tahir M.A.
        • et al.
        Health care disparities among lesbian, gay, bisexual, and transgender youth: a literature review.
        Cureus. 2017; 9: e1184
        • Kattari S.K.
        • Bakko M.
        • Langenderfer-Magruder L.
        • et al.
        Transgender and nonbinary experiences of victimization in health care.
        J Interpers Violence. 2021; 36: NP13054-NP13076
        • Dibley L.
        • Norton C.
        • Schaub J.
        • et al.
        Experiences of gay and lesbian patients with inflammatory bowel disease: a mixed methods study.
        Gastrointest Nurs. 2014; 12: 19-30
        • Rosen R.
        • Brown C.
        • Heiman J.
        • et al.
        The Female Sexual Function Index (FSFI): a multidimensional self-report instrument for the assessment of female sexual function.
        J Sex Marital Ther. 2000; 26: 191-208
        • Rosen R.C.
        • Riley A.
        • Wagner G.
        • et al.
        The international index of erectile function (IIEF): a multidimensional scale for assessment of erectile dysfunction.
        Urology. 1997; 49: 822-830
        • Flynn K.E.
        • Lindau S.T.
        • Lin L.
        • et al.
        Development and validation of a single-item screener for self-reporting sexual problems in U.S. adults.
        J Gen Intern Med. 2015; 30: 1468-1475
        • Patrick D.L.
        • Drossman D.A.
        • Frederick I.O.
        • et al.
        Quality of life in persons with irritable bowel syndrome: development and validation of a new measure.
        Dig Dis Sci. 1998; 43: 400-411