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This article has been cited by other articles in PMC. Abstract Objective To evaluate whether smoking is a risk factor for female sexual dysfunction FSD and to determine the relationship between the cumulative smoking dose and FSD in premenopausal women.

Methods The study population consisted of sexually active premenopausal women. In current smokers, sexual function was also evaluated according to the cumulative smoking dose and nicotine dependency. Results A total of women were included, and the frequency of current smokers and the frequency of FSD were 62 6. In terms of nicotine dependency, the total FSFI score of moderately to heavily nicotine dependent smokers was significantly lower than that of lightly dependent smokers.

Conclusion In premenopausal women, current smoking was an independent risk factor for FSD. And cumulative smoking dose and nicotine dependency were associated with higher risk of FSD. Dose-response relationship, Female, Nicotine, Sexual dysfunctions, Smoking Introduction Female sexual dysfunction FSD is defined as recurrent or persistent deficiency in sexual desire and arousal, difficulty or absence of reaching orgasm and genital pain [ 1 ].

FSD is affected by multiple factors such as anatomical, physiological, psychological and social factor, and in consequence, it can lead to decreased quality of life [ 2 ]. The prevalence of FSD in to year-old Korean women is reported as Cigarette smoking is a worldwide public health problem, which is related to cardiovascular disease e. In terms of sexual dysfunction, smoking is well known as one of the risk factors of male sexual dysfunction [ 6 , 8 , 9 ]. In men, the association between smoking and impairment of sexual function, especially erectile dysfunction, has been extensively studied, and the positive dose-dependent relationship between smoking and erectile dysfunction has been consistently reported [ 10 , 11 ].

However, relatively few studies have addressed the relationship between smoking and sexual dysfunction in women, and the results were inconsistent [ 12 , 13 , 14 ]. In addition, there is a paucity of information on dose-dependent relationship between cigarette smoking and FSD.

The objective of this study was to evaluate whether smoking is a risk factor for FSD and to determine the relationship between the cumulative smoking dose and sexual dysfunction in Korean premenopausal women. Materials and methods 1. Study population The study population consisted of consecutive women who visited Seoul National University Hospital Center for Health Promotion and Optimal Aging for medical check-up, from January to December The inclusion criteria of this study were as follows: The institutional review board of Seoul National University Hospital approved the study no.

Alcohol consumption status was divided into two subgroups as never never drank before or former had drank in the past but not currently drinking and current drinking at present. The highest level of educational attainment of each individual was regarded as the academic career status and the individual's monthly household income as the financial status. Household income was collected in Korean won. Smoking status The female sexual function was compared according to the smoking status, and the smoking status was categorized into two groups: The smoking status was determined according to the response to the questionnaire.

In current smokers, the sexual function was also evaluated according to the cumulative smoking dose and nicotine dependency. The cumulative smoking dose was calculated in pack-years by multiplying the number of packs smoked per day by the number of years of smoking.

Nicotine dependence was assessed using Heaviness Smoking Index HSI, range ,which is calculated by the sum of two categorical score: The level of nicotine dependency was divided into two groups based on HSI score: Female sexual dysfunction Female sexual function was assessed using Korean version of female sexual function index FSFI, range [ 18 ].

A well-structured questionnaire, FSFI is comprised of 19 items, in which sexual function or problems are evaluated. Sexual function or problem is categorized into 6 domains desire, arousal, lubrication, orgasm, satisfaction, and pain and the subjects are allowed to answer in the base of sexual activity within 4 weeks.

In each domain, the score ranges from 1 to 5 or 0 to 5, and the sum of score is multiplied by the domain factor 0. Statistical analysis The proportions were compared with Fisher's exact test or chi-square test, and the comparison of continuous variables between each groups were performed with Mann-Whitney U-test. Logistic regression was conducted for multivariate analysis. Cases were divided into two groups according to the smoking status: Table 1 demonstrates the demographics and characteristics of study population according to the smoking status.

The median body mass index, the frequency of diabetes and hypertension, and the level of education or income were not different between the two groups.

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This article has been cited by other articles in PMC. Abstract Objective To evaluate whether smoking is a risk factor for female sexual dysfunction FSD and to determine the relationship between the cumulative smoking dose and FSD in premenopausal women.

Methods The study population consisted of sexually active premenopausal women. In current smokers, sexual function was also evaluated according to the cumulative smoking dose and nicotine dependency.

Results A total of women were included, and the frequency of current smokers and the frequency of FSD were 62 6. In terms of nicotine dependency, the total FSFI score of moderately to heavily nicotine dependent smokers was significantly lower than that of lightly dependent smokers. Conclusion In premenopausal women, current smoking was an independent risk factor for FSD.

And cumulative smoking dose and nicotine dependency were associated with higher risk of FSD. Dose-response relationship, Female, Nicotine, Sexual dysfunctions, Smoking Introduction Female sexual dysfunction FSD is defined as recurrent or persistent deficiency in sexual desire and arousal, difficulty or absence of reaching orgasm and genital pain [ 1 ].

FSD is affected by multiple factors such as anatomical, physiological, psychological and social factor, and in consequence, it can lead to decreased quality of life [ 2 ]. The prevalence of FSD in to year-old Korean women is reported as Cigarette smoking is a worldwide public health problem, which is related to cardiovascular disease e.

In terms of sexual dysfunction, smoking is well known as one of the risk factors of male sexual dysfunction [ 6 , 8 , 9 ]. In men, the association between smoking and impairment of sexual function, especially erectile dysfunction, has been extensively studied, and the positive dose-dependent relationship between smoking and erectile dysfunction has been consistently reported [ 10 , 11 ]. However, relatively few studies have addressed the relationship between smoking and sexual dysfunction in women, and the results were inconsistent [ 12 , 13 , 14 ].

In addition, there is a paucity of information on dose-dependent relationship between cigarette smoking and FSD. The objective of this study was to evaluate whether smoking is a risk factor for FSD and to determine the relationship between the cumulative smoking dose and sexual dysfunction in Korean premenopausal women. Materials and methods 1. Study population The study population consisted of consecutive women who visited Seoul National University Hospital Center for Health Promotion and Optimal Aging for medical check-up, from January to December The inclusion criteria of this study were as follows: The institutional review board of Seoul National University Hospital approved the study no.

Alcohol consumption status was divided into two subgroups as never never drank before or former had drank in the past but not currently drinking and current drinking at present. The highest level of educational attainment of each individual was regarded as the academic career status and the individual's monthly household income as the financial status. Household income was collected in Korean won. Smoking status The female sexual function was compared according to the smoking status, and the smoking status was categorized into two groups: The smoking status was determined according to the response to the questionnaire.

In current smokers, the sexual function was also evaluated according to the cumulative smoking dose and nicotine dependency. The cumulative smoking dose was calculated in pack-years by multiplying the number of packs smoked per day by the number of years of smoking.

Nicotine dependence was assessed using Heaviness Smoking Index HSI, range ,which is calculated by the sum of two categorical score: The level of nicotine dependency was divided into two groups based on HSI score: Female sexual dysfunction Female sexual function was assessed using Korean version of female sexual function index FSFI, range [ 18 ].

A well-structured questionnaire, FSFI is comprised of 19 items, in which sexual function or problems are evaluated. Sexual function or problem is categorized into 6 domains desire, arousal, lubrication, orgasm, satisfaction, and pain and the subjects are allowed to answer in the base of sexual activity within 4 weeks.

In each domain, the score ranges from 1 to 5 or 0 to 5, and the sum of score is multiplied by the domain factor 0. Statistical analysis The proportions were compared with Fisher's exact test or chi-square test, and the comparison of continuous variables between each groups were performed with Mann-Whitney U-test.

Logistic regression was conducted for multivariate analysis. Cases were divided into two groups according to the smoking status: Table 1 demonstrates the demographics and characteristics of study population according to the smoking status. The median body mass index, the frequency of diabetes and hypertension, and the level of education or income were not different between the two groups.

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  2. In each domain, the score ranges from 1 to 5 or 0 to 5, and the sum of score is multiplied by the domain factor 0. This article has been cited by other articles in PMC.

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