Sexual Dysfunction in Early-Onset Parkinson’s Disease: A Cross-Sectional, Multicenter Study

Article type: Research Article

Authors: Vela-Desojo, Lydia^{a; *} | Urso, Daniele^b | Kurtis-Urra, Monica^c | García-Ruiz, Pedro J.^d | Pérez-Fernández, Elia^a | Lopez-Valdes, Eva^e | Posada-Rodriguez, Ignacio^f | Ybot-Gorrin, Isabel^{g; h} | Lopez-Manzanares, Lydiaⁱ | Mata, Marina^{j; k} | Borrue, Carmen^j | Ruiz- Huete, Cristina^l | del Valle, Maria^m | Martinez-Castrillo, Juan Carlosⁿ

Affiliations: [a] Hospital Fundación Alcorcón, Alcorcón, Madrid, Spain | [b] Centro Integral de Neurociencias, HM Puerta del Sur, Móstoles, Madrid, Spain | [c] Hospital Ruber Internacional, Madrid, Spain | [d] Hospital Jiménez Díaz, Madrid, Spain | [e] Hospital Clínico San Carlos, Madrid, Spain | [f] Hospital Universitario 12 de octubre, Madrid, Spain | [g] Hospital Universitario La Paz, Madrid, Spain | [h] Hospital Vithas-Nuestra Señora de América, Madrid, Spain | [i] Hospital de la Princesa, Madrid, Spain | [j] Hospital Infanta Sofia, San Sebastian de los Reyes, Madrid, Spain | [k] Hospital Ruber Juan Bravo, Madrid, Spain | [l] Hospital Nuestra Señora del Rosario, Madrid, Spain | [m] Hospital de Fuenlabrada, Fuenlabrada, Madrid, Spain | [n] Hospital Ramón y Cajal, Madrid, Spain

Correspondence: [*] Correspondence to: Lydia Vela-Desojo, MD, PhD, Hospital U Fundación Alcorcón, Calle Budapest s/n ALCORCON, 28922, Madrid, Spain. E-mail: [email protected].

Abstract: Background:Sexual dysfunction (SD) is one of the least studied non-motor symptoms in Parkinson’s disease (PD). Objectives:To assess sexual function in a cohort of patients with early-onset PD (EOPD) and compare it to a group of healthy controls. Methods:In this cross-sectional multicenter study, SD was assessed with gender-specific multi-dimensional self-reported questionnaires: The Brief Male Sexual Function Inventory (BSFI-M) and the Female Sexual Function Index (FSFI). Scores between patients and controls were compared and associations between SD and demographical and clinical variables were studied. Results:One hundred and five patients (mean age 47.35±7.8, disease duration 6 (3–11) years, UPDRS part III 17 (10–23) and 90 controls were recruited. The BSFI-M total score was lower in EOPD men than in controls, and specific items were also significantly lower, such as drive, erections, ejaculation, and satisfaction. EOPD women had lower scores than controls in totalFSFI, and certain domains such as lubrication and pain. SD was present in 70.2% of patients and 52.5% of controls. Sexual satisfaction in 35.2% of patients and 81.2% of controls. By gender, male and female patients had more SD than controls but only male patients had more dissatisfaction than controls. Gender, higher depression scores and urinary dysfunction were associated with SD in multivariate analysis; and gender, UPDRS and urinary dysfunction with sexual satisfaction Conclusion:In this Spanish cohort, SD and sexual dissatisfaction was more prevalent in EOPD patients than in the general population. Gender and urinary disfunction were associated with SD and sexual dissatisfaction.

Keywords: Sexual dysfunction, sexual satisfaction, non-motor symptoms, Parkinson’s disease, EOPD

DOI: 10.3233/JPD-202066

Journal: Journal of Parkinson's Disease, vol. 10, no. 4, pp. 1621-1629, 2020