Sexual Dysfunction in Partner of Patients With Ankylosing Spondylitis

Study Overview
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Brief Summary
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The adverse effects of rheumatologic diseases, especially Ankylosing Spondylitis (AS), on sexual functions are known. The causes of sexual dysfunction in rheumatologic diseases are due to factors such as pain, weakness, fatigue, stiffness, functional disability, anxiety, depression, hormonal deficiency, drug use, decreased libido and poor body image. Depending on these factors, sexual intercourse and frequency of sexual intercourse may decrease. Sexual dysfunction may be seen in AS due to physical and emotional problems caused by the disease.

Detailed Description
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There are many studies in the literature that determine sexual satisfaction and sexual dysfunction in individuals with AS and compare individuals with AS to healthy individuals . In the light of these studies, the investigators thought that the sexual function of partner of individuals with AS may also be affected negatively. In the literature, no previous study examines the sexual function of partner of individuals with AS. Therefore, the aim was to determine the sexual function of partner of individuals with AS and to compare with healthly adults of the same sex.

Official Title
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Evaluation of Sexual Satisfaction and Sexual Dysfunction in Partner of Patients With Ankylosing Spondylitis

Conditions
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Ankylosing Spondylitis, Sexual Dysfunction

Intervention / Treatment
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* Other: Sexual dysfunction


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: Being diagnosed with AS for individuals with AS, No additional disease (comorbid and psychiatric disease, hypothyroidism, hypopituitarism, hypogonadism or hyperprolactinemia) Having a partner (relationship status in a monogamous sexual relationship), Not smoking and drinking, Non-AS partner have not been diagnosed with AS and their partner is AS. Exclusion Criteria: Overweight or obesity (BMI <28 kg / m2) Having had a pelvic injury, urological or gynecological operation in the last 3 months Hypogonadism; penile abnormalities such as hypospadias, congenital curvature or Peyronie's disease with preserved penis stiffness Prostatic disorder Use of drugs that may affect erectile function (steroids, antihistamines, ß-blockers or SSRIs)

Ages Eligible for Study
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Minimum Age: 18 Years
Maximum Age: 65 Years

Sexes Eligible for Study
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All

Accepts Healthy Volunteers
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Accepts Healthy Volunteers

Study Plan
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How is the study designed?
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Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Group of Ankylosing Spondylitis<br>Patient with ankylosing spondylitis diagnosed by a rheumatologist | Other: Sexual dysfunction<br>* Sexual dysfunction will be determined with separate scales for women and men<br>|
| Group of control<br>Healthy volunteers of the same age and gender as patients | Other: Sexual dysfunction<br>* Sexual dysfunction will be determined with separate scales for women and men<br>|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Female Sexual Function Scale | It is a Likert-type scale that evaluates sexual dysfunction in women consisting of 19 items. The validity and reliability study of FSFI was performed by Rosen et al. (8). The scale consists of six items: desire, arousal, lubrication, orgasm, sexual satisfaction and pain. Each title is scored between 0 or 1 to 6. The lowest score is two (2) and the highest score is thirty-six (36). A higher score means better function. Rosen et al. (2000) in their study of functional status; The FSFI score was classified as good if> 30, moderate between 23-29, and poor if <23 . | 1 week | 
| International Erectile Function Form | The questionnaire, which consists of 15 questions in total, determines the participants' erectile function, orgasmic function, sexual desire, sexual satisfaction and overall satisfaction and these 5 different sexual function areas are scored according to the answers received. It is a Likert type scale. As the score increases, it means that each area is good. | 1 week | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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Ankylosing spondylitis, sexual dysfunction