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Research ArticleOriginal Article
Open Access

Body shape concerns, sexual satisfaction, and associated factors among patients with polycystic ovarian syndrome

A cross-sectional study in Western Saudi Arabia

Aseel A. Alsaidan, Ashokkumar Thirunavukkarasu and Hani H. Alsulami
Saudi Medical Journal January 2025, 46 (1) 94-101; DOI: https://doi.org/10.15537/smj.2025.46.1.20240797
Aseel A. Alsaidan
From the Department of Family and Community Medicine (Alsaidan, Thirunavukkarasu), College of Medicine, Jouf University, Aljouf; and from the Department of Public Health (Alsulami), Maternity and Children Hospital, Makkah, Kingdom of Saudi Arabia.
MBBS
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  • ORCID record for Aseel A. Alsaidan
  • For correspondence: [email protected]
Ashokkumar Thirunavukkarasu
From the Department of Family and Community Medicine (Alsaidan, Thirunavukkarasu), College of Medicine, Jouf University, Aljouf; and from the Department of Public Health (Alsulami), Maternity and Children Hospital, Makkah, Kingdom of Saudi Arabia.
MBBS, MD
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Hani H. Alsulami
From the Department of Family and Community Medicine (Alsaidan, Thirunavukkarasu), College of Medicine, Jouf University, Aljouf; and from the Department of Public Health (Alsulami), Maternity and Children Hospital, Makkah, Kingdom of Saudi Arabia.
BSc, MPH
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Article Figures & Data

Tables

    • View popup
    Table 1

    - Background profiles of polycystic ovarian syndrome patients (N=432).

    Variablesn (%)
    Age groups (years)
    18-30144 (33.4)
    31-40185 (42.9)
    41 and above103 (23.8)
    Occupation
    Government170 (39.4)
    Private177 (44.7)
    Unemployed85 (22.5)
    Education status
    No formal education64 (14.8)
    Up to high school117 (27.1)
    University/graduate studies251 (58.1)
    Income
    <5000 Saudi Riyals142 (32.9)
    5000-7000 Saudi Riyals193 (44.7)
    >7000 Saudi Riyals97 (22.5)
    Smoking
    No375 (86.8)
    Yes57 (13.2)
    BMI status
    Normal141 (32.6)
    Overweight93 (21.5)
    Obese198 (45.8)
    Duration of PCOD
    <1 year142 (32.9)
    1-5 years171 (39.6)
    >5 years119 (27.5)
    Regular follow-ups
    No142 (32.9)
    Yes290 (67.1)
    Presence of other disease (s)
    No231 (53.5)
    Yes201 (46.5)

    Values are presented as numbers and percentages (%).

    BMI: body mass index, PCOD: polycystic ovary disease

      • View popup
      Table 2

      - Patients’ responses in sexual function assessment items (N=432).

      VariablesNeverRarelySometimesOftenUsuallyAlways
      Desire79 (18.0)108 (25.0)174 (40.0)49 (11.0)16 (4.0)6 (2.0)
      Arousal32 (7.0)169 (39.0)94 (22.0)48 (11.0)85 (20.0)4 (1.0)
      Lubrication75 (17.0)93 (22.0)131 (30.0)104 (24.0)24 (6.0)5 (1.0)
      Orgasm75 (17.0)144 (34.0)117 (27.0)62 (14.0)31 (7.0)3 (1.0)
      Satisfaction66 (15.0)136 (32.0)116 (27.0)79 (18.0)23 (5.0)12 (3.0)
      Pain108 (25.0)144 (34.0)89 (20.0)70 (16.0)14 (3.0)7 (2.0)

      Values are presented as numbers and percentages (%).

        • View popup
        Table 3

        - Sexual function assessment categories (N=432).

        Variablesn (%)
        Low score (sexual dysfunction) (≤14)218 (50.5)
        High score (normal sexual function) (>14)214 (49.5)
        Total432 (100)

        Values are presented as numbers and percentages (%).

          • View popup
          Table 4

          - Body shape concerns categories (N=432).

          Categoriesn (%)
          No (<19)212 (49.1)
          Mild (19-25)65 (15.0)
          Moderate (26-33)140 (32.4)
          Severe (>33)15 (3.5)
          Total432 (100)

          Values are presented as numbers and percentages (%).

            • View popup
            Table 5

            - Body shape concerns and associated factors identified by binomial regression analysis.

            VariablesTotal (N=432)Multivariable analysis
            No BSC (n=212)Yes BSC (n=220)Adjusted (B)95% CIP-values
            Age (in years)
            18-30144 (33.3)93 (43.9)51 (23.2)Ref  
            31-40185 (42.8)90 (42.5)95 (43.2)0.622(0.47-1.96)0.411
            41 and above103 (23.8)29 (13.6)74 (33.6)0.290(0.15-0.56)0.001
            Occupation
            Government170 (39.3)55 (25.9)115 (52.3)Ref  
            Private177 (41.0)90 (42.5)87 (39.5)3.338(1.41-4.89)0.005
            Unemployed85 (19.7)67 (31.6)18 (8.2)2.198(0.97 – 3.99)0.060
            Education status
            No formal education64 (14.8)51 (24.1)13 (5.9)Ref  
            Up to high school117 (27.1)85 (40.1)32 (14.5)0.091(0.40-3.23)0.572
            University/graduate studies251 (58.1)76 (35.8)175 (79.6)1.614(1.26-2.86)0.017
            Income
            <5000 Saudi Riyals142 (32.9)95 (44.8)47 (21.4)Ref  
            5000-7000 Saudi Riyals193 (44.7)68 (32.1)125 (56.8)2.256(0.88-4.25)0.651
            >7000 Saudi Riyals97 (22.4)49 (23.1)48 (21.8)2.479(1.83-4.01)0.027
            Smoking
            No375 (86.8)174 (82.1)201 (91.4)Ref  
            Yes57 (13.238 (17.9)19 (8.6)1.74(1.12-3.39)0.019
            BMI
            Normal141 (32.6)83 (39.2)58 (26.3)Ref  
            Overweight93 (21.5)46 (21.7)47 (21.4)0.690(0.38-1.25)0.262
            Obese198 (45.8)83 (39.2)115 (52.3)2.148(1.52-3.39)0.003
            Duration of PCOD
            <1 year142 (32.9)95 (44.8)47 (21.4)Ref  
            1-5 years171 (39.6)65 (30.7)106 (48.2)1.479(0.87-2.52)0.151
            >5 years119 (27.5)52 (24.5)67 (30.5)0.687(0.59-3.61)0.239
            Regular follow-ups
            No142 (32.9)95 (44.8)47 (21.4)Ref  
            Yes290 (67.1)117 (55.2)173 (78.6)0.443(0.25-0.78)0.005
            Presence of other comorbidity (s)
            No231 (53.5)115 (54.2)116 (52.7)Ref  
            Yes201 (46.5)97 (45.8)104 (47.3)0.600(0.38-1.25)0.485
            Sexual dysfunction
            No218 (50.5)60 (28.3)158 (71.8)Ref  
            Yes214 (49.5)152 (71.7)62 (28.2)5.960(3.45-7.29)0.001

            Values are presented as numbers and percentages (%), please add percentages.

            BSC: body shape concern, CI: confidence interval, BMI: body mass index, PCOD: polycystic ovary disease, Ref: reference

              • View popup
              Table 6

              - Sexual dysfunctions and associated factors identified by binomial regression analysis.

              VariablesTotal (N=432)Multivariable analysis
              Sexual dysfunction (n=214)No sexual dysfunction (n=218)Adjusted (B)95% CIP-values
              Age (in years)
              18-30144 (33.3)76 (35.5)68 (31.2)Ref  
              31-40185 (42.8)95 (44.4)90 (41.3)0.789(0.39-1.56)0.495
              41 and above103 (23.8)43 (20.1)60 (27.5)1.034(0.57-1.88)0.913
              Occupation
              Government170 (39.3)74 (34.6)96 (44.0)Ref  
              Private177 (41.0)101 (47.2)76 (34.9)2.042(0.89-4.67)0.077
              Unemployed85 (19.7)39 (18.2)46 (21.1)1.195(0.57-2.53)0.606
              Education status
              No formal education64 (14.8)49 (22.9)15 (6.9)Ref  
              Up to high school117 (27.1)77 (36.0)40 (18.3)3.849(1.58-5.40)0.003
              University/graduate studies251 (58.1)88 (41.1)163 (74.8)2.062(1.46-4.48)0.002
              Income
              <5000 Saudi Riyals142 (32.9)86 (40.2)56 (25.7)Ref  
              5000-7000 Saudi Riyals193 (44.7)88 (41.1)105 (48.2)0.713(0.29-1.73)0.719
              >7000 Saudi Riyals97 (22.4)40 (18.7)57 (26.1)1.543(0.51-4.72)0.447
              Smoking
              No375 (86.8)171 (79.9)204 (93.6)Ref  
              Yes57 (13.2)43 (20.1)14 (6.4)0.411(0.19-0.91)0.028
              BMI
              Normal141 (32.6)88 (41.1)53 (24.3)Ref  
              Overweight93 (21.5)55 (25.7)38 (17.4)2.466(1.46-4.17)0.001
              Obese198 (45.8)71 (33.2)127 (58.3)2.762(1.53-4.98)0.001
              Duration of PCOD
              <1 year142 (32.9)86 (40.2)56 (25.7)Ref  
              1-5 years171 (39.6)80 (37.4)91 (41.7)1.521(0.87-2.67)0.143
              >5 years119 (27.5)48 (22.4)71 (32.6)1.452(0.87-2.51)0.154
              Regular follow-ups
              No142 (32.9)86 (40.2)56 (25.7)Ref  
              Yes290 (67.1)128 (59.8)162 (74.3)1.823(1.32-2.61)0.001
              Presence of comorbidity (s)
              No2231 (53.5)104 (48.6)127 (58.3)Ref  
              Yes201 (46.5)110 (51.4)91 (41.7)1.513(1.03-1.86)0.011
              BSC
              No212 (49.1)152 (71.0)60 (27.5)Ref  
              Yes220 (50.9)62 (29.0)158 (72.5)6.709(4.31-8.44)0.001

              Values are presented as numbers and percentages (%), please add percentages.

              BSC: body shape concern, CI: confidence interval, BMI: body mass index, PCOD: polycystic ovary disease, Ref: reference

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              1 Jan 2025
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              Body shape concerns, sexual satisfaction, and associated factors among patients with polycystic ovarian syndrome
              Aseel A. Alsaidan, Ashokkumar Thirunavukkarasu, Hani H. Alsulami
              Saudi Medical Journal Jan 2025, 46 (1) 94-101; DOI: 10.15537/smj.2025.46.1.20240797

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              Body shape concerns, sexual satisfaction, and associated factors among patients with polycystic ovarian syndrome
              Aseel A. Alsaidan, Ashokkumar Thirunavukkarasu, Hani H. Alsulami
              Saudi Medical Journal Jan 2025, 46 (1) 94-101; DOI: 10.15537/smj.2025.46.1.20240797
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              Keywords

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              • Makkah
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