Sexual function, contraception, relationship, and lifestyle in female medical students

Background: We undertook to study possible determinants of female sexual dysfunction (FSD) in a large cohort of female medical students from German-speaking countries.Methods: We conducted an online questionnaire-based anonymous survey in a cohort of >2600 female medical students enrolled at Germ...

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Hauptverfasser: Wallwiener, Christian Wilhelm (VerfasserIn) , Wallwiener, Stephanie (VerfasserIn) , Wallwiener, Markus (VerfasserIn)
Dokumenttyp: Article (Journal)
Sprache:Englisch
Veröffentlicht: 2017
In: Journal of women's health
Year: 2017, Jahrgang: 26, Heft: 2, Pages: 169-177
ISSN:1931-843X
DOI:10.1089/jwh.2015.5731
Online-Zugang:Verlag, Volltext: http://dx.doi.org/10.1089/jwh.2015.5731
Verlag, Volltext: https://www.liebertpub.com/doi/10.1089/jwh.2015.5731
Volltext
Verfasserangaben:Christian W. Wallwiener, MD, Lisa-Maria Wallwiener, MD, Harald Seeger, MD, Birgitt Schönfisch, PhD, Alfred O. Mueck, MD, Johannes Bitzer, MD, Stephan Zipfel, MD, Sara Y. Brucker, MD, Stephanie Wallwiener, MD, Florin-Andrei Taran, MD, and Markus Wallwiener, MD

MARC

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520 |a Background: We undertook to study possible determinants of female sexual dysfunction (FSD) in a large cohort of female medical students from German-speaking countries.Methods: We conducted an online questionnaire-based anonymous survey in a cohort of >2600 female medical students enrolled at German-speaking universities. The questionnaire comprised the Female Sexual Function Index (FSFI) plus additional questions regarding contraception, sexual activity, age, height, weight, lifestyle, activity at work, sexuality and emotional interaction with a steady partner, pregnancy history and plans, health problems, and self-acceptance. Data analysis employed descriptive statistics, univariate and multivariate analyses, and standard nonparametric tests.Results: Of the 2612 respondents aged ≤30 years included in the analysis (mean age [standard deviation], 23.5 [2.5] years), 38.7% of the overall cohort and 33.5% of the sexually active subcohort (91.8% of all students) were at risk for FSD (FSFI score <26.55). Multivariate analysis revealed the following significant factors to be associated with the FSFI: alcohol consumption, level of fitness, use of contraception, steady relationship, and self-acceptance (overall cohort and sexually active subcohort); smoking (overall cohort only); and body mass index and activity at work (sexually active subcohort only).Conclusions: Almost 40% of German-speaking female medical students are at risk for FSD. Contraception, smoking, alcohol, steady relationship, physical fitness, and self-acceptance are significantly associated with the FSFI total score. Being in a steady relationship, better physical fitness, higher activity at work, and subjectively positive self-acceptance, in particular, are associated with higher FSFI total scores, that is, with less risk for sexual dysfunction. 
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