The association between fibromyalgia and female sexual dysfunction: a systematic review and meta-analysis of observational studies

  title={The association between fibromyalgia and female sexual dysfunction: a systematic review and meta-analysis of observational studies},
  author={Mehmet Besiroglu and Merve Dursun},
  journal={International Journal of Impotence Research},
  • M. Besiroglu, M. Dursun
  • Published 13 November 2018
  • Medicine, Psychology
  • International Journal of Impotence Research
Female sexuality in patients with fibromyalgia has received little attention in the literature, and published data have mainly relied upon a small sample size with evident heterogeneity. Our aim was to pool the observational studies on the association between fibromyalgia and sexual dysfunction in female patients to reach a more comprehensive and reliable result. The literature search comprised of Pubmed-Medline, Cochrane, and Embase databases. The relevant studies that met the inclusion… 
Impact of Fibromyalgia Syndrome on Female Sexual Function
Women with FMS showed a significant sexual dysfunction and other related sexual difficulties, such as increase in sexual pain and a decreased sexual desire or sexual satisfaction, compared with healthy women.
Sexual performance and pelvic floor muscle strength in patients with fibromyalgia: a controlled cross-sectional study
Sexual performance showed a positive association with absence of fibromyalgia and higher pelvic floor muscle strength, and a negative association with age, and the correlation between these variables among women without FM was not observed in women with FM.
Association Between Sexual Dysfunction, Sleep Impairment and Depression in Women with Fibromyalgia
Physicians who investigate the fibromyalgia syndrome in their routine practice to take the negative effects of sexual dysfunction on female patients into consideration.
Sexuality in male partners of women with fibromyalgia syndrome: A qualitative study
Gadamerian hermeneutic phenomenology and the Roy Adaptation Model provided the overall framework for this research study and two main themes were extracted: "facing a new sex life" and "resisting the loss of the couple’s sexuality".
Experiences of Sexual Health in Persons with Hip and Knee Osteoarthritis from A Physiotherapeutic Perspective: A Qualitative Study
Painful hip and knee OA limits sexual health and individuals make adjustments or develop strategies to maintain sexual life and patients with OA may have unmet needs regarding their sexual health.
Experiences of sexual health in persons with hip and knee osteoarthritis: a qualitative study
Painful hip and knee OA limit sexual health to varying degrees, and individuals make adjustments or develop strategies to maintain sexual life and further research is needed on how to provide support and information about sexual health in OA.
Fibromyalgia and Associated Disorders: From Pain to Chronic Suffering, From Subjective Hypersensitivity to Hypersensitivity Syndrome
It is possible to define fibromyalgia as a cognitive disorder of cortical integration of chronic pain, with amplification of painful and sensory nociception, decrease in the threshold for the perception of pain, and persistence of a stimulus that maintains the process in chronicity.
Chronic Primary or Secondary Noninflammatory Musculoskeletal Pain and Disrupted Sexual Function and Relationships: A Systematic Review
Evidence points to the impact of chronic musculoskeletal pain conditions on sexual function, yet there is little systematic appraisal and synthesis of evidence examining these associations across


Fibromyalgia and sexual problems.
It is of the utmost importance to recognise the problem of sexuality and sexual dysfunction in a more complex form of its expression and undertake a multidisciplinary therapeutic intervention to improve the quality of FM patients' life.
Sexual dysfunction in fibromyalgia patients.
Sexual function was very frequently and severely affected in patients with fibromyalgia and this impairment appeared to be particularly associated with the degree of depression.
Sexual dysfunction in female subjects with fibromyalgia.
This study demonstrates that female patients with FM have distinct sexual dysfunction compared with healthy controls and coexistent major depression has no additional negative effect on sexual function.
Sexual functioning in women and men with fibromyalgia.
The results show that sexual dysfunction is common in patients with fibromyalgia, and the disease seems to deeply affect all dimensions of sexual functioning in both females and males.
Assessment of sexual satisfaction in fibromyalgia patients
Fibromyalgia probably interferes in sexual function of women with this condition, and further studies are necessary to evaluate this issue.
The effects of fibromyalgia syndrome on female sexuality: a controlled study.
Fibromyalgia has negative effects on female sexual function that is aggravated by depression, and a significant negative correlation was noted between total FSFI score, and both FIQ and BDI scores.
Sexual dysfunction in patients with fibromyalgia
Recognition of sexual dysfunction and its inclusion in multidisciplinary management are needed to improve quality of life for patients with FM.
Quality of life, depression, and sexual dysfunction in spouses of female patients with fibromyalgia
Investigation of the effects of the quality of life and psychological condition of female patients with fibromyalgia and their spouses on sexual function and married couples found that being a spouse of a patient with Fibromyalgia might significantly interfere with quality oflife and lead to a high rate of sexual dysfunction.
The American College of Rheumatology 1990 Criteria for the Classification of Fibromyalgia. Report of the Multicenter Criteria Committee.
Criteria for the classification of fibromyalgia are widespread pain in combination with 2) tenderness at 11 or more of the 18 specific tender point sites, and no exclusions are made for the presence of concomitant radiographic or laboratory abnormalities.