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  2. Vol 26, No 9 (2022)
  3. Bakr Elsaid

The effects of COVID-19 pandemic and its related lockdown on female sexual function and reproductive health: An observational study in Egypt

Noha M Abu Bakr Elsaid(1), Heba S. Mohammed(2), Asmaa A. Ibrahim(3), Zeinab F Abdel-Fatah(4), Radwa El- Sayed Mahmoud Marie(5), Hanan H Soliman(6),


(1) Department of Public Health, Community, Environmental and Occupational Medicine, Faculty of Medicine, Suez Canal University, Ismailia, Egypt
(2) Department of Obstetrics and Gynecology, Faculty of Medicine, Suez Canal University, Ismailia, Egypt
(3) Department of Obstetrics and Gynecological nursing, Faculty of Nursing, Suez Canal University, Ismailia, Egypt
(4) Department of Public Health, Community, Environmental and Occupational Medicine, Faculty of Medicine, Suez Canal University, Ismailia, Egypt
(5) Department of Dermatology, Venereology and Andrology, Faculty of Medicine, Suez Canal University, Ismailia, Egypt
(6) Department of Public Health, Community, Environmental and Occupational Medicine, Faculty of Medicine, Suez Canal University, Ismailia, Egypt
Corresponding Author

Abstract


This retrospective observational online study was carried out to evaluate the effect of the COVID-19 pandemic and its related lockdown on female sexual functions and reproductive health. It included 409 sexually active females. The sexual function was assessed using the Female Sexual Function Index (FSFI). The reproductive life was assessed by a structured self-administered questionnaire modified from Egypt Demographic and Health Survey. The study revealed a significant decrease in the overall FSFI score during the pandemic lockdown compared to the pre-pandemic score (19.3 ± 6 vs. 21.3 ± 6.4, P<0.001). Below half (41.6 %) of women were using contraception methods during the pandemic, while 27.9% had stopped taking contraception during the pandemic, 30.6% (57/186) of the pregnant women only tended to get pregnant. So, the COVID-19 pandemic and its related lockdown were associated with an elevated risk for female sexual dysfunction and altered women's reproductive health quality. Heath system should therefore develop new methods to provide basic reproductive health service, family planning services, and to ameliorate the female sexual function during COVID-19 pandemic including consults with physicians, counsellors, and psychologists, as well as health education programs, either in person or virtually via telemedicine. (Afr J Reprod Health 2022; 26[9]: 64-75).

References


Zhu N, Zhang D, Wang W, Li X, Yang B, Song J, Zhao X ,

Huang B, Shi W, Lu R, Niu P, Zhan F, Ma X, Wang

D, Xu W, Wu G, Gao G, Phil D and Wenjie Tan W.

A novel coronavirus from patients with pneumonia

in China, 2019 New England Journal of Medicine.

;382(8):727-733.

Porcheddu R, Serra C, Kelvin D, Kelvin N and Rubino S.

Similarity in case fatality rates (CFR) of COVID19/SARS-COV-2 in Italy and China. The Journal of

Infection in Developing Countries.

;14(02):125-8.

Egypt Care: Corona Virus in Egypt [accessed 2020 July 15].

https://www.care.gov.eg/EgyptCare/Index.aspx.

WHO. Mental health and covid-19 [accessed 2020 July 15].

https://www.euro.who.int/en/healthtopics/healthemergencies/coronavirus-covid19/technical-guidance/mental health- and-covid-19.

World Health Organization. COVID-19: operational

guidance for maintaining essential health services

during an outbreak: interim guidance, 25 March

World Health Organization; 2020

WHO. Defining sexual health [accessed 2020 July 15].

http://www.who.int/reproductivehealth/topics/sexua

l_health/sh_definitions/en/

Pascoal PM, Narciso Ide S and Pereira NM. What is sexual

satisfaction? Thematic analysis of lay people's

definitions. J sex Res 2014;51:22-30.

Riley T, Sully E, Ahmed Z and Biddlecom A. Estimates of

the Potential Impact of the COVID-19 Pandemic on

Sexual and Reproductive Health In Low- and

Middle-Income Countries. Int Perspect Sex Reprod

Health. 2020; 46:73-76.

Schiavi MC, Spina V, Zullo MA, Colagiovanni V, Luffarelli

P, Rago R and Palazzetti P. Love in the Time of COVID-19: Sexual Function and Quality of Life

Analysis During the Social Distancing Measures in

a Group of Italian Reproductive-Age Women. J Sex

Med. 2020;17(8):1407-1413.

Fuchs A, Matonóg A, Pilarska J, Sieradzka P, Szul M,

Czuba B and Drosdzol-Cop A. The Impact of

COVID-19 on Female Sexual Health. Int J Environ

Res Public Health. 2020; 17(19):7152.

Jacob L, Smith L, Butler L, Barnett Y, Grabovac I,

McDermott D, Armstrong N, Yakkundi A and Tully

MA. Challenges in the Practice of Sexual Medicine

in the Time of COVID-19 in the United Kingdom. J

Sex Med. 2020;17(7):1229-1236.

Li W, Li G, Xin C, Wang Y and Yang S. Challenges in the

Practice of Sexual Medicine in the Time of COVID19 in China. J Sex Med. 2020;17(7):1225-1228.

Aly J, Haeger KO, Christy AY and Johnson AM.

Contraception access during the COVID-19

pandemic. Contracept Reprod Med. 2020; 5: 17.

Pratt BA and Frost L. COVID-19 and the status of

women’s, children’s, and adolescents’ health and

rights: A targeted literature review of current

evidence for action on universal health care (UHC)

and accountability. UN SG’s independent

accountability panel for every woman, Every Child,

Every Adolescent (IAP). Geneva: World Health

Organization, 2020.

Wenham C, Smith J and Morgan R. COVID-19: the

gendered impacts of the outbreak. The Lancet.

marzo 2020;395(10227):846–8.

Rasmussen SA, Smulian JC, Lednicky JA, Wen TS and

Jamieson DJ. Coronavirus Disease 2019 (COVID19) and pregnancy: what obstetricians need to know.

Am J Obstet Gynecol. maggio 2020;222(5):415–26.

Cocci A, Giunti D, Tonioni C, Cacciamani G, Tellini R,

Polloni G, Cito G, Presicce F, Di Mauro M,

Minervini A, Cimino S and Russo GI. Love at the

time of the Covid-19 pandemic: preliminary results

of an online survey conducted during the quarantine

in Italy. Int J Impot Res. 2020;32(5):556-557.

EMOHP E-Z, Demographic IJMoH, Population Cairo E,

Rockville M, USAand ICF International. Health

Survey 2014 Ministry of Health and Population

[Egypt]. 2015.

Rosen R, Brown C, Heiman J, Leiblum S, Meston C,

Shabsigh R, Ferguson D and D'Agostino R Jr. The

Female Sexual Function Index (FSFI): a

multidimensional self-report instrument for the

assessment of female sexual function. J Sex Marital

Ther. 2000;26(2):191-208.

Anis TH, Gheit SA, Saied HS and Al kherbash SA. Arabic

translation of Female Sexual Function Index and

validation in an Egyptian population. J Sex Med.

; 8(12):3370-8.

Casey SE. Evaluations of reproductive health programs in

humanitarian settings: a systematic review. Conflict

and health. 2015; 9(S1):S1.

Wiegel M, Meston C and Rosen R. The female sexual

function index (FSFI): cross-validation and

development of clinical cut-off scores. J Sex Marital

Ther. 2005;31(1):1-20.

Coombe J, Kong F, Bittleston H, Williams H, Tomnay J,

Vaisey A, Malta S, Goller J, Temple-Smith

M, Bourchier L, Lau A and Hocking J S. The

impact of COVID-19 on the reproductive health of

people living in Australia: findings from an online

survey. medRxiv. 2020 Jan 1.

Yuksel B and Ozgor F. Effect of the COVID-19 pandemic

on female sexual behavior. Int J Gynaecol Obstet.

;150(1):98-102.

Hamilton LD and Meston CM. Chronic stress and sexual

function in women. J Sex Med. 2013;10(10):2443-

Omar SS, Dawood W, Eid N, Eldeeb D, Munir A and

Arafat W. Psychological and Sexual Health During

the COVID-19 Pandemic in Egypt: Are Women

Suffering More? Sex Med. 2021;9(1):100295.

Duncan LE, Lewis C, Jenkins P and Pearson TA. Does

hypertension and its pharmacotherapy affect the

quality of sexual function in women? Am J

Hypertens. 2000;13(6 Pt 1):640-7.

Schwarz ER, Kapur V, Bionat S, Rastogi S, Gupta R and

Rosanio S. The prevalence and clinical relevance of

sexual dysfunction in women and men with chronic

heart failure. Int J Impot Res. 2008;20(1):85-91.

Abdel-Nasser AM and Ali EI. Determinants of sexual

disability and dissatisfaction in female patients with

rheumatoid arthritis. Clin Rheumatol.

;25(6):822-30.

Wang Y and Wang H. Effects of Hypothyroidism and

Subclinical Hypothyroidism on Sexual Function: A

Meta-Analysis of Studies Using the Female Sexual

Function Index. Sex Med. 2020;8(2):156-167.

Basson R. Sexual function of women with chronic illness

and cancer. Womens Health (Lond). 2010;6(3):407-

Hriday P, Bhambhvani BS, Chen T, Kasman AM, WilsonKing G, Enemchukwu and Eisenberg ML. Female

Sexual Function during the COVID-19 Pandemic in

the United States. Sexual Medicine. 2021;9(4):

Fuchs A, Matonóg A, Pilarska J, Sieradzka P, Szul M,

Czuba B and Drosdzol-Cop A. The Impact of

COVID-19 on Female Sexual Health. Int J Environ

Res Public Health. 2020;17(19):7152.

Li G, Tang D, Song B, Wang C, Qunshan S, Xu C, Geng

H, Wu H, He X and Cao Y. Impact of the COVID19 Pandemic on Partner Relationships and Sexual

and Reproductive Health: Cross-Sectional, Online

Survey Study. J Med Internet Res.

;22(8):e20961.

Cito G, Micelli E, Cocci A, Polloni G, Russo GI, Coccia

ME, Simoncini T, Carini M, Minervini A and Natali

A. The Impact of the COVID-19 Quarantine on

Sexual Life in Italy. Urology. 2021;147:37-42.

Arafat SMY, Alradie-Mohamed A, Kar SK, Sharma P and

Kabir R. Does COVID-19 pandemic affect sexual

behaviour? A cross-sectional, cross-national online

survey. Psychiatry Res. 2020;289:113050.

Camara BS, Delamou A, Diro E, Béavogui AH, El Ayadi

AM, Sidibé S, Grovogui FM, Takarinda KC,

Bouedouno P, Sandouno SD, Okumura J, BaldéMD,

Van Griensven J and Zachariah R. Effect of

the2014/2015 Ebola outbreak on reproductive health

services in a rural district of Guinea: an

ecologicalstudy. Transactions of the Royal Society of Tropical Medicine and Hygiene. 2017;111(1):

-9.

Yentür DN, Aksoy M, Şimşek Z, Gürses G, Hilali NG,

Yıldız ZF, Özek B and Yıldırımkaya G.

Investigation of the prevalence of Trichomonas

vaginalis among female Syrian refugees with the

complaints of vaginitis aged between 15-49 years[in

Turkish]. Mikrobiyol Bul. 2016;50(4):590– 97.

Kissinger P, Schmidt N, Sanders C and Liddon NJStd. The

effect of the Hurricane Katrina disaster on sexual

behavior and access to reproductive care for young

women in New Orleans. Sex Transm Dis.

;34(11):883-6


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