Sexual behaviors of female adolescents with Anorexia Nervosa before and after complete weight restoration
ESC Congress Library. Karountzos V. May 10, 2018; 208219; ESC172
Dr. Vasileios Karountzos
Dr. Vasileios Karountzos
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Abstract
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Objective(s): The aim of this study is to assess the role of complete weight restoration in sexual behaviors of adolescents diagnosed with Anorexia Nervosa (AN). Design and methods: Prospective study of 60 adolescents presented with secondary amenorrhea and diagnosed with AN based on DSM-IV criteria. Anthropometrics, body composition by dual-energy X-ray absorptiometry, hormonal studies, responses to mental health screens (EAT-26) and Structured Interview for Anorexic and Bulimic Disorders-psychopathology scale  (SIABP) concerning intimacy, libido, sexual anxiety, sexual behaviors, partner and sexual relationships were obtained at the beginning and at complete weight restoration, in all adolescents. Results: Adolescents with AN reported in statistically significant degree (p < 0 .01) fewer normative sexual experiences and sexual relationships at time of first attendance compared to time of complete weight restoration. Before complete weight restoration these girls reported as much as 75% of less frequently intercourse and 65% of less sexual desire and willingness for sex. A statistically significant (p < 0 .01) lower frequency of masturbation was also reported at the beginning of the study compared to time of complete weight restoration. Conclusions: AN is associated with sexual dysfunction, fewer sexual experiences and sexual relationships and impaired sexual behaviors. On the other hand, the sexual behaviors of adolescents with AN seem to be improved after complete weight restoration and proper treatment of disease.
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