SEX DRIVE AFTER CPAP ?

General Discussion on any topic relating to CPAP and/or Sleep Apnea.
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mommaw
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Post by mommaw » Fri Feb 23, 2007 1:29 am

My My how things have changed! And to think that EricF got FLAMED over his "sexuality pool"!

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blarg
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Post by blarg » Fri Feb 23, 2007 1:34 am

Actually, this board has been pretty receptive to posts like this in the past. Things haven't changed much.

viewtopic/t15997/Libido-vs-Therapy.html

Sleepy-eyes
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Post by Sleepy-eyes » Fri Feb 23, 2007 8:47 am

mommaw wrote:My My how things have changed! And to think that EricF got FLAMED over his "sexuality pool"!
The subject of Labido is directly pertanent to this therapy. Some "pools" have not been. Just my opinion.
Chris

I'm not a Doctor, nor am I associated with the medical profession in any way. Any comments I make are just personal opinions. Take them or leave them. (justa don't gripe at me if ya donna like 'em!)

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Post by Snooter » Fri Feb 23, 2007 6:32 pm

Sex drive?

Shwing!

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Post by Vader » Fri Feb 23, 2007 6:41 pm

Sleepy-eyes wrote:
The subject of Labido is directly pertanent to this therapy. Some "pools" have not been. Just my opinion.

Exactly!

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kavanaugh1950
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Post by kavanaugh1950 » Fri Feb 23, 2007 11:59 pm

rooster, you are too funny!!! pat

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Post by Guest » Sat Feb 24, 2007 3:58 am

Well, I want to know what JohnPaul's wife had to say about his "Swift".
She says its quieter than the comfort gel. She is very happy about that and the other positive side effects.

We're both programmers, so not to "Swift".

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Post by johnpaul » Sat Feb 24, 2007 4:00 am

See, forgot to log in before posting that last response.

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rada
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Re: SEX DRIVE AFTER CPAP ?

Post by rada » Sun Jun 20, 2010 6:14 am

The following 4 citations were obtained on June 20, 2010 from PubMed to the query "sleep apnea syndromes"[mesh] AND "sexual behavior"[mesh]:

1. J Sex Med. 2009 Dec;6(12):3415-24. Epub 2009 Sep 14.

Factors affecting self-reported sexuality in men with obstructive sleep apnea
syndrome.

Stannek T, Hürny C, Schoch OD, Bucher T, Münzer T.

Kompetenzzentrum Gesundheit und Alter-Geriatrische Klinik, St. Gallen,
Switzerland.

INTRODUCTION: Obstructive sleep apnea syndrome (OSAS) is known to induce erectile
dysfunction and to reduce overall sexual satisfaction in affected men. Data on
the effects of disease severity and other contributing factors such as the age of
the patient are missing. AIM: To compare self-reported sexuality in men with
newly diagnosed sleep apnea with a group of disease-free men, and to evaluate the
impact of disease severity and age on the response pattern. MAIN OUTCOME
MEASURES: Self-reported erectile function, desire, and frequencies for petting,
tenderness, masturbation, sexual intercourse, and overall satisfaction with
sexuality over a recall period of 3 months. METHODS: A prospective survey in men
admitted to a multidisciplinary sleep center using a standardized validated
German questionnaire. RESULTS: One hundred-sixteen men 51.1 +/- 11.4 years (mean
+/- standard deviation) with OSAS (OSAS+) and 42 men age 46.6 +/- 13.7 years
without OSAS (OSAS-) completed the survey. OSAS+ men were older (P = 0.01) and
more often divorced (P = 0.048). OSAS was significantly associated with erection
problems (P = 0.024) and decreased overall sexual satisfaction (P = 0.04). In
contrast disease severity did affect masturbation frequency only (P = 0.02),
whereas patient age affected erection (P = 0.001), and the desire for tenderness
(P = 0.02) and intercourse (P = 0.0003). CONCLUSION: Patient age might be a more
important factor affecting sexuality in men with sleep apnea than the disease
severity. Future studies assessing sexuality in men with OSAS should include age
as an additional variable.

PMID: 19751387 [PubMed - indexed for MEDLINE]


2. Sleep. 2007 Jun 1;30(6):683-702.

Sleep and sex: what can go wrong? A review of the literature on sleep related
disorders and abnormal sexual behaviors and experiences.

Schenck CH, Arnulf I, Mahowald MW.

Minnesota Regional Sleep Disorders Center, Hennepin County Medical Center, USA.
schen010@umn.edu

STUDY OBJECTIVES: To formulate the first classification of sleep related
disorders and abnormal sexual behaviors and experiences. DESIGN: A computerized
literature search was conducted, and other sources, such as textbooks, were
searched. RESULTS: Many categories of sleep related disorders were represented in
the classification: parasomnias (confusional arousals/sleepwalking, with or
without obstructive sleep apnea; REM sleep behavior disorder); sleep related
seizures; Kleine-Levin syndrome (KLS); severe chronic insomnia; restless legs
syndrome; narcolepsy; sleep exacerbation of persistent sexual arousal syndrome;
sleep related painful erections; sleep related dissociative disorders; nocturnal
psychotic disorders; miscellaneous states. Kleine-Levin syndrome (78 cases) and
parasomnias (31 cases) were most frequently reported. Parasomnias and sleep
related seizures had overlapping and divergent clinical features. Thirty-one
cases of parasomnias (25 males; mean age, 32 years) and 7 cases of sleep related
seizures (4 males; mean age, 38 years) were identified. A full range of sleep
related sexual behaviors with self and/or bed partners or others were reported,
including masturbation, sexual vocalizations, fondling, sexual intercourse with
climax, sexual assault/rape, ictal sexual hyperarousal, ictal orgasm, and ictal
automatism. Adverse physical and/or psychosocial effects from the sleepsex were
present in all parasomnia and sleep related seizure cases, but pleasurable
effects were reported by 5 bed partners and by 3 patients with sleep related
seizures. Forensic consequences were common, occurring in 35.5% (11/31) of
parasomnia cases, with most (9/11) involving minors. All parasomnias cases
reported amnesia for the sleep-sex, in contrast to 28.6% (2/7) of sleep related
seizure cases. Polysomnography (without penile tumescence monitoring), performed
in 26 of 31 parasomnia cases, documented sexual moaning from slow wave sleep in 3
cases and sexual intercourse during stage 1 sleep/wakefulness in one case (with
sex provoked by the bed partner). Confusional arousals (CAs) were diagnosed as
the cause of "sleepsex" ("sexsomnia") in 26 cases (with obstructive sleep apnea
[OSA] comorbidity in 4 cases), and sleepwalking in 2 cases, totaling 90.3%
(28/31) of cases being NREM sleep parasomnias. REM behavior disorder was the
presumed cause in the other 3 cases. Bedtime clonazepam therapy was effective in
90% (9/10) of treated parasomnia cases; nasal continuous positive airway pressure
therapy was effective in controlling comorbid OSA and CAs in both treated cases.
All five treated patients with sleep related sexual seizures responded to
anticonvulsant therapy. The hypersexuality in KLS, which was twice as common in
males compared to females, had no reported effective therapy. CONCLUSIONS: A
broad range of sleep related disorders associated with abnormal sexual behaviors
and experiences exists, with major clinical and forensic consequences.

PMCID: PMC1978350
PMID: 17580590 [PubMed - indexed for MEDLINE]


3. J Sex Med. 2007 Jul;4(4 Pt 2):1153-62. Epub 2006 Nov 1.

Sexual function and obstructive sleep apnea-hypopnea: a randomized clinical trial
evaluating the effects of oral-appliance and continuous positive airway pressure
therapy.

Hoekema A, Stel AL, Stegenga B, van der Hoeven JH, Wijkstra PJ, van Driel MF, de
Bont LG.

Department of Oral and Maxillofacial Surgery, University Medical Center
Groningen, University of Groningen, Groningen, The Netherlands.
a.hoekema@kchir.umcg.nl

INTRODUCTION: The obstructive sleep apnea-hypopnea syndrome (OSAHS) is associated
with sexual dysfunction. Although successful treatment with continuous positive
airway pressure (CPAP) has been demonstrated to improve sexual function, the
effects of oral-appliance therapy are unknown. AIM: The aims of this study were
to determine to what extent untreated male OSAHS patients experience sexual
dysfunctions compared with control subjects, and second, to evaluate the effects
of oral-appliance and CPAP therapy on sexual functioning. METHODS: Sexual
functioning was determined in 48 OSAHS patients with the Golombok Rust inventory
of sexual satisfaction (GRISS) and a testosterone measurement. GRISS outcomes
were compared with 48 age-matched male controls without any sexual problems.
Patients were randomized for either oral-appliance or CPAP therapy. After 2-3
months of treatment, the GRISS and testosterone measurements were repeated. MAIN
OUTCOME MEASURE: The outcomes on the GRISS were used as the main outcome measure.
RESULTS: Compared with controls, OSAHS patients had significantly more erectile
dysfunction (mean +/- standard deviation; OSAHS 8.7 +/- 3.8 vs. controls 6.8 +/-
2.6) and sexual dissatisfaction (mean +/- standard deviation; OSAHS 9.7 +/- 4.2
vs. controls 8.1 +/- 2.6) as indicated by the GRISS. No significant changes in
the GRISS or testosterone levels were observed in the 20 and 27 patients
completing the follow-up review for oral-appliance and CPAP therapy. A
correlation was demonstrated between the extent of erectile dysfunction at
baseline and improvements in erectile function following treatment (r = -0.547, P
= 0.000). CONCLUSIONS: This study confirms that male OSAHS patients show more
sexual dysfunctions compared with age-matched control subjects. Although
significant improvements in sexual functioning in neither the oral-appliance nor
CPAP-treated group could be established, our findings suggest that untreated
OSAHS patients with pronounced erectile dysfunction experience some improvement
following treatment.

PMID: 17081222 [PubMed - indexed for MEDLINE]


4. J Sex Med. 2007 Sep;4(5):1352-7. Epub 2006 Aug 14.

Sexual function status in women with obstructive sleep apnea syndrome.

Köseoğlu N, Köseoğlu H, Itil O, Oztura I, Baklan B, Ikiz AO, Esen AA.

Department of Chest, Dokuz Eylül University Hospital, Izmir, Turkey.

INTRODUCTION: Several co-morbid diseases have been shown to affect sexual
functions in both genders. In the literature, sexual function status in men with
obstructive sleep apnea syndrome (OSAS) has been studied; however, sexual
functions in women with OSAS have not yet been studied. AIMS: In this prospective
study, we aimed to determine sexual function status in women with OSAS and its
relationship with the disease parameters of OSAS. METHODS: Women, who were
diagnosed with OSAS with polysomnography performed in the sleep center of our
university hospital, formed the study population. Women with any genital
deformity, postmenopausal women, and women without a regular partner were
excluded from the study. General demographic properties, medical histories,
polysomnography parameters, and frequency of intercourse per month were noted for
each patient. Patients completed the Sexual Function Questionnaire Version 2
(SFQ-V2) and Epworth Sleepiness Scale. The patients were grouped as mild,
moderate, and severe OSAS according to the level of respiratory disturbance index
(RDI). MAIN OUTCOME MEASURES: Scores of sexual function domains were determined
from SFQ, and their relationships with parameters of polysomnography and
demographics were studied. RESULTS: Twenty-five patients were included in the
study. Mean age was 48.1 +/- 2.7 years. All were married with a mean marriage
duration of 25.6 +/- 3.3 years. Mean frequency of intercourse per month was 3.3
+/- 1.8. All domains of sexual functions except pain and enjoyment significantly
decreased with increasing severity of OSAS. When we controlled for factors of age
and co-morbid diseases, correlation analyses showed significant negative
correlation between levels of RDI and all domains of sexual functions except pain
and enjoyment (P < 0.05). CONCLUSIONS: Obstructive sleep apnea syndrome
negatively impacts sexual function in women independent of age and associated
co-morbid diseases.

PMID: 16907954 [PubMed - indexed for MEDLINE]
Roy Rada. Obstructive Sleep Apnea since 2004. Non-compliant with CPAP in 2004. Trying again as new radiation neuropathy conflicts with OSA.

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Re: SEX DRIVE AFTER CPAP ?

Post by OceanGoingGal » Sun Jun 20, 2010 7:24 am

Sooooo why do you think I started "Love in the forum"?

Laura

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Re: SEX DRIVE AFTER CPAP ?

Post by STL Mark » Sun Jun 20, 2010 9:10 am

My machine didn't come with that attachment. Screwed by the DME again...

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Re: SEX DRIVE AFTER CPAP ?

Post by Stormynights » Sun Jun 20, 2010 9:16 am

OceanGoingGal wrote:Sooooo why do you think I started "Love in the forum"?

Laura
I think if you get 2 cpapers together that have been a lone for too long and they get their hoses tangled and someone gets a hose around their neck and is choked you might be in for a law suite.

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Re: SEX DRIVE AFTER CPAP ?

Post by Jaylee » Sun Jun 20, 2010 10:33 am

Stormynights wrote:
OceanGoingGal wrote:Sooooo why do you think I started "Love in the forum"?

Laura
I think if you get 2 cpapers together that have been a lone for too long and they get their hoses tangled and someone gets a hose around their neck and is choked you might be in for a law suite.

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Re: SEX DRIVE AFTER CPAP ?

Post by torontoCPAPguy » Sun Jun 20, 2010 11:00 am

Most definitely!
My problem now is that after chasing her around the house and finally catching her I forget what I was chasing her for.
So I started taking Viagra - and no longer have to cut the lawn or take out the garbage! Still forget what I chase her around for though, but the neighbors seem agitated if I walk around the yard when the kids are out playing.
Ba da dum.

Better sleep = better mood = more interest in the things we used to be interested in and more energy to accomplish them. Invest in life. It's worth every penny.

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Re: SEX DRIVE AFTER CPAP ?

Post by sunnyway » Sun Jun 20, 2010 11:53 am

Ummm, I don't think you're supposed to do it while WEARING the mask. Eeeek!

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