Vol. 7, Issue 1, Part A (2025)

Background: Sexual health, as defined by WHO, encompasses physical, emotional, mental, and social well-being. Sexual dysfunctions ranging from erectile disorder to female arousal disorders can significantly impair quality of life (QOL). Global and regional studies reveal high prevalence rates, with notable differences across countries. In Bangladesh, up to 67% of mental health patients reported sexual dysfunction. Factors such as depression, stress, and relationship issues are key contributors. QOL is closely linked to sexual satisfaction, with evidence showing decreased QOL in those with sexual dysfunctions. Measuring QOL is essential in understanding the broader impacts of these conditions, with WHOQOL-BREF being a widely used tool.

Aim of the study: This study aimed to assess the socio-demographic characteristics and quality of life among patients with sexual dysfunction attending a psychiatric sex clinic and to explore the association between clinical variables and quality of life domains measured by the WHOQOL-BREF instrument.

Methods: This cross-sectional, descriptive study was conducted from September 2019 to August 2021 at Sylhet MAG Osmani Medical College Hospital. Patients aged 18 and above with newly diagnosed sexual dysfunction (per DSM-5) and active sexual life were consecutively enrolled. Exclusion criteria included medical or psychiatric comorbidities and substance use. Data were collected through face-to-face interviews using a pretested, semi-structured Bangla questionnaire and the WHOQOL-BREF. Written informed consent was obtained, and confidentiality was maintained. Physical exams, investigations, and consultations ruled out organic causes. Data were analyzed using SPSS v25, with descriptive statistics and chi-square tests; p-values <0.05 were considered statistically significant.

Results: The study found that most psychiatric sex clinic patients were young (25-30 years), male (94.59%), Muslim (91.89%), urban residents (60.81%), and employed (54.05%), with higher secondary or graduate education. Premature ejaculation (43.24%) was the most common dysfunction. Quality of Life (QoL), assessed by WHOQOL-BREF, was higher among younger patients, postgraduates, and those earning >30,000 BDT, especially in physical, psychological, and environmental domains. Family history of psychiatric illness and longer disorder duration were linked to lower QoL scores. While smokers had slightly reduced QoL, this was not statistically significant. Education, income, and disorder duration were key QoL predictors.

Conclusion: Patients with sexual dysfunction experience lower quality of life, particularly in psychological and social domains. This highlights the need for clinicians to assess these areas and involve care partners. Emphasizing quality-of-life screening can improve outcomes and guide better management strategies for individuals with sexual dysfunction.