Introduction: Female sexual dysfunction (FSD) is a serious problem that affects
negatively the quality of life, interpersonal relationships and female self- confidence and might be a
direct cause of psychopathological disturbances. Female pattern hair loss
(FPHL) is a common cosmetically disturbing condition affecting many women with
social and psychological consequences. Aim of the Work: Assessment of
the relationship between female sexual dysfunction
and Female pattern hair loss in premenopausal females. Methods: A case-control study was carried on 47 female patients with FPHL and 43 age- matched control women
without FPHL among premenopausal women attending dermatology and Andrology
outpatient’s clinics, Suez Canal University hospital during the period from May
2018 to January 2019. History taking, clinical examination and hormonal
investigation (Free Testosterone, Total Testosterone, and SHBG) were performed
to all participants in the study. Main Outcome Measures: The Female
Sexual Function Index (FSFI) was used to assess the key aspects of female
sexual function in patients and controls. FPHL was diagnosed and graded by
Ludwig’s classification. Results: Mean age of patients group was 30.12 ±
5.49 years, Regarding
FPHL grading, 55.3%, 42.6% & 2.1% of patients were grades 1, 2 and 3
Ludwig’s classification
respectively. FSD was
found in 44.7% of patients while it was 44.2% in control group (P > 0.05).
FSFI score in patients group was 26.40 ± 4.61 and in control group was 27.05 ±
3.12 (P > 0.05). Correlation between FSD prevalence and grade of FPHL by
Ludwig’s classification was statistically insignificant. FSD was significantly
compromised by increasing age and parity in patients and control groups (P <
0.05). Conclusions: The present study suggests that FSD was not
significantly related to FPHL. Increased age and parity may have strong impact
on sexual function in premenopausal women, while androgen hormones levels were
not determinant factor.
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