{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,12]],"date-time":"2026-09-12T02:23:50Z","timestamp":1789179830863,"version":"build-2803163510"},"reference-count":88,"publisher":"Oxford University Press (OUP)","issue":"5","license":[{"start":{"date-parts":[[2025,3,31]],"date-time":"2025-03-31T00:00:00Z","timestamp":1743379200000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/academic.oup.com\/pages\/standard-publication-reuse-rights"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2025,5,10]]},"abstract":"<jats:title>Abstract<\/jats:title>\n               <jats:sec>\n                  <jats:title>Background<\/jats:title>\n                  <jats:p>PCOS and its associated symptoms might be related to anxiety and depressive symptoms which may influence sexual function.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Aim<\/jats:title>\n                  <jats:p>To investigate the association between depression and anxiety with female sexual function among women with polycystic ovary syndrome (PCOS) during reproductive age.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Methods<\/jats:title>\n                  <jats:p>The study group included 268 women with PCOS and 158 women without PCOS between the ages of 18 and 35\u00a0years. Serum testosterone, androstenedione, dehydroepiandrostenedione sulfate (DHEA-S), fasting glucose, sex-hormone binding globulin, and fasting insulin levels were analyzed. The McCoy Female Sexual Questionnaire (MFSQ), and Beck Anxiety and Depression Inventories (BAI and BDI) were distributed to women with PCOS and controls.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Outcomes<\/jats:title>\n                  <jats:p>MFSQ, BDI, and BAI scores were compared between women with PCOS and controls.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Results<\/jats:title>\n                  <jats:p>There was a significant difference between the PCOS and non-PCOS groups when BDI (18.92\u2009\u00b1\u200911.09 vs 10.20\u2009\u00b1\u20098.66, p\u2009=\u20090.001) and BAI (12.45\u2009\u00b1\u20099.67 vs 8.08\u2009\u00b1\u20098.90, p\u2009=\u20090.001) subgroups were compared. A weak negative correlation was present between McCoy\u2019s sexuality domain (r\u2009=\u2009-0.304), McCoy\u2019s Sexual partner domain (r\u2009=\u2009-0.215), and BAI score among PCOS women. A moderate negative correlation between McCoy\u2019s sexuality domain (r\u2009=\u2009-0.515), and a weak correlation between McCoy\u2019s Sexual partner domain (r\u2009=\u2009-0.271) and BDI score among PCOS women were found.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Clinical Implications<\/jats:title>\n                  <jats:p>Women with PCOS report more severe depression, anxiety, and sexual dysfunction than non-PCOS women.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Strengths &amp; Limitations<\/jats:title>\n                  <jats:p>Socio-cultural identity, awareness, perceptions of body image, and interpersonal relations were not investigated in the current study. These play a role in the interactions between sexual dysfunction and mood disorder. The strength of our study was that the prevalence of PCOS features was different between the various depression and anxiety subgroups.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Conclusion<\/jats:title>\n                  <jats:p>The women with PCOS were more likely to have moderate\u2013severe anxiety and moderate\u2013severe depression while their mean total scores of the two domains of MFSQ were lower when compared to non-PCOS women.<\/jats:p>\n               <\/jats:sec>","DOI":"10.1093\/jsxmed\/qdaf050","type":"journal-article","created":{"date-parts":[[2025,3,31]],"date-time":"2025-03-31T22:21:22Z","timestamp":1743459682000},"page":"859-868","source":"Crossref","is-referenced-by-count":5,"title":["The association between depression and anxiety with female sexual function in young women with polycystic ovary syndrome"],"prefix":"10.1093","volume":"22","author":[{"given":"Meral Cevik","family":"Dogan","sequence":"first","affiliation":[{"name":"Obstetrics and Gynecology Clinic, Tuzla State Hospital , Istanbul, 34947 ,","place":["Turkey"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6925-4154","authenticated-orcid":false,"given":"Tevfik","family":"Yoldemir","sequence":"additional","affiliation":[{"name":"Obstetrics and Gynecology Department, Marmara University School of Medicine , Istanbul, 34854 ,","place":["Turkey"]}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"286","published-online":{"date-parts":[[2025,3,31]]},"reference":[{"issue":"4","key":"2025051303322997200_ref1","doi-asserted-by":"publisher","first-page":"955","DOI":"10.12740\/PP\/OnlineFirst\/93105","article-title":"Psychiatric disorders in women with polycystic ovary syndrome","volume":"53","author":"Rodriguez-Paris","year":"2019","journal-title":"Psychiatr Pol"},{"issue":"6","key":"2025051303322997200_ref2","doi-asserted-by":"publisher","first-page":"1861","DOI":"10.1210\/jc.2016-3863","article-title":"Psychological distress is more prevalent in fertile age and premenopausal women with PCOS symptoms: 15-year follow-up","volume":"102","author":"Karjula","year":"2017","journal-title":"J Clin Endocrinol Metab"},{"issue":"1","key":"2025051303322997200_ref3","doi-asserted-by":"publisher","first-page":"66","DOI":"10.4103\/0253-7176.150822","article-title":"Prevalence of psychiatric disorders in patients with a diagnosis of polycystic ovary syndrome in Kashmir","volume":"37","author":"Hussain","year":"2015","journal-title":"Indian J Psychol Med"},{"issue":"2","key":"2025051303322997200_ref4","doi-asserted-by":"publisher","first-page":"318","DOI":"10.1007\/s12020-018-1692-3","article-title":"Psychiatric disorders in women with polycystic ovary syndrome: a systematic review and meta-analysis","volume":"62","author":"Brutocao","year":"2018","journal-title":"Endocrine"},{"issue":"8","key":"2025051303322997200_ref5","doi-asserted-by":"publisher","first-page":"1229","DOI":"10.1111\/jog.12696","article-title":"Psychiatric comorbidity in women with polycystic ovary syndrome","volume":"41","author":"Annag\u00fcr","year":"2015","journal-title":"Obs gynaecology Res"},{"issue":"11","key":"2025051303322997200_ref6","doi-asserted-by":"publisher","first-page":"3106","DOI":"10.1007\/s43032-021-00765-2","article-title":"PCOS and depression: common links and potential targets","volume":"29","author":"Kolhe","year":"2022","journal-title":"Reprod Sci"},{"issue":"11","key":"2025051303322997200_ref7","doi-asserted-by":"publisher","first-page":"83","DOI":"10.1007\/s11920-017-0834-2","article-title":"Depression and anxiety in polycystic ovary syndrome: Etiology and treatment","volume":"19","author":"Cooney","year":"2017","journal-title":"Curr Psychiatry Rep"},{"issue":"7","key":"2025051303322997200_ref8","doi-asserted-by":"publisher","first-page":"597","DOI":"10.1080\/09513590.2018.1427713","article-title":"Depression, sexual satisfaction, and other psychological issues in women with polycystic ovary syndrome","volume":"34","author":"Stapinska-Syniec","year":"2018","journal-title":"Gynecol Endocrinol"},{"issue":"3","key":"2025051303322997200_ref9","doi-asserted-by":"publisher","first-page":"239","DOI":"10.4103\/IJPSYM.IJPSYM_561_17","article-title":"Anxiety, depression, and quality of life in women with polycystic ovarian syndrome","volume":"40","author":"Chaudhari","year":"2018","journal-title":"Indian J Psychol Med"},{"issue":"4","key":"2025051303322997200_ref10","doi-asserted-by":"publisher","first-page":"681","DOI":"10.5455\/ijmsph.2016.30072015110","article-title":"Prevalence of anxiety and depression in polycystic ovarian syndrome","volume":"5","author":"Upadhyaya","year":"2016","journal-title":"Int J Med Sci Public Health"},{"issue":"09","key":"2025051303322997200_ref11","doi-asserted-by":"publisher","first-page":"1510","DOI":"10.1017\/S0033291718002076","article-title":"Depression, anxiety and perceived stress in women with and without PCOS: a community-based study","volume":"49","author":"Damone","year":"2019","journal-title":"Psychol Med"},{"issue":"7","key":"2025051303322997200_ref12","doi-asserted-by":"publisher","first-page":"2809","DOI":"10.1210\/jc.2019-00234","article-title":"Depression over the lifespan in a population-based cohort of women with polycystic ovary syndrome: longitudinal analysis","volume":"104","author":"Greenwood","year":"2019","journal-title":"J Clin Endocrinol Metab"},{"issue":"6","key":"2025051303322997200_ref13","doi-asserted-by":"publisher","first-page":"1399","DOI":"10.1093\/humrep\/der071","article-title":"Is having polycystic ovary syndrome a predictor of poor psychologi- cal function including anxiety and depression?","volume":"26","author":"Deeks","year":"2011","journal-title":"Hum Reprod"},{"issue":"9","key":"2025051303322997200_ref14","doi-asserted-by":"publisher","first-page":"2442","DOI":"10.1093\/humrep\/der197","article-title":"Anxiety and depression in polycystic ovary syndrome: a systematic review and meta-analysis","volume":"26","author":"Barry","year":"2011","journal-title":"Hum Reprod"},{"issue":"5","key":"2025051303322997200_ref15","doi-asserted-by":"publisher","first-page":"1075","DOI":"10.1093\/humrep\/dex044","article-title":"High prevalence of moderate and severe depressive and anxiety symptoms in polycystic ovary syndrome: a systematic review and meta-analysis","volume":"32","author":"Cooney","year":"2017","journal-title":"Hum Reprod"},{"issue":"6","key":"2025051303322997200_ref16","doi-asserted-by":"publisher","first-page":"2116","DOI":"10.1210\/jc.2017-02667","article-title":"Polycystic ovary syndrome is associated with adverse mental health and neurodevelopmental outcomes","volume":"103","author":"Berni","year":"2018","journal-title":"J Clin Endocrinol Metab"},{"issue":"3","key":"2025051303322997200_ref17","doi-asserted-by":"publisher","first-page":"531","DOI":"10.3906\/sag-1708-131","article-title":"Anxiety and depression states of adolescents with polycystic ovary syndrome","volume":"48","author":"Emeksiz","year":"2018","journal-title":"Turk J Med Sci"},{"issue":"4","key":"2025051303322997200_ref18","first-page":"61","article-title":"Prevalence of anxiety, depression and eating disorders in women with polycystic ovarian syndrome in north Indian population of Haryana","volume":"4","author":"Kaur","year":"2019","journal-title":"Galore Int J Health Sci Res"},{"issue":"6","key":"2025051303322997200_ref19","doi-asserted-by":"publisher","first-page":"1160","DOI":"10.1016\/j.fertnstert.2019.08.005","article-title":"Symptoms of anxiety and depression among Chinese women transitioning through menopause: findings from a prospective community-based cohort study","volume":"112","author":"Tang","year":"2019","journal-title":"Fertil Steril"},{"issue":"1","key":"2025051303322997200_ref20","doi-asserted-by":"publisher","first-page":"15","DOI":"10.1093\/humupd\/dmm030","article-title":"Health-related quality of life measurement in women with polycystic ovary syndrome: a systematic review","volume":"14","author":"Jones","year":"2008","journal-title":"Hum Reprod Update"},{"issue":"2","key":"2025051303322997200_ref21","doi-asserted-by":"publisher","first-page":"461","DOI":"10.1007\/s00404-019-05202-z","article-title":"Quality of life among infertile PCOS patients","volume":"300","author":"Angin","year":"2019","journal-title":"Arch Gynecol Obstet"},{"issue":"6","key":"2025051303322997200_ref22","doi-asserted-by":"publisher","first-page":"750","DOI":"10.1016\/j.rbmo.2018.09.010","article-title":"Sexual function in women with polycystic ovary syndrome: a systematic review and meta-analysis","volume":"37","author":"Pastoor","year":"2018","journal-title":"Reprod Biomed Online"},{"issue":"6","key":"2025051303322997200_ref23","doi-asserted-by":"publisher","first-page":"638","DOI":"10.1093\/humupd\/dms029","article-title":"Emotional distress is a common risk in women with polycystic ovary syndrome: a systematic review and meta-analysis of 28 studies","volume":"18","author":"Veltman-Verhulst","year":"2012","journal-title":"Hum Reprod Update"},{"issue":"12","key":"2025051303322997200_ref24","doi-asserted-by":"publisher","first-page":"2325","DOI":"10.1038\/oby.2012.104","article-title":"Sexual functioning and obesity: a review","volume":"20","author":"Kolotkin","year":"2012","journal-title":"Obesity (Silver Spring)"},{"issue":"2","key":"2025051303322997200_ref25","doi-asserted-by":"publisher","first-page":"95","DOI":"10.1111\/j.1467-789X.2012.01053.x","article-title":"The effect of obesity on polycystic ovary syndrome: a systematic review and meta-analysis","volume":"14","author":"Lim","year":"2013","journal-title":"Obes Rev"},{"issue":"3","key":"2025051303322997200_ref26","first-page":"129","article-title":"Obesity and the polycystic ovary syndrome","volume":"32","author":"Martinez-Bermejo","year":"2007","journal-title":"Minerva Endocrinol"},{"issue":"4","key":"2025051303322997200_ref27","doi-asserted-by":"publisher","first-page":"353","DOI":"10.1038\/sj.ijir.3901548","article-title":"Association of body weight with sexual function in women","volume":"19","author":"Esposito","year":"2007","journal-title":"Int J Impot Res"},{"issue":"3","key":"2025051303322997200_ref28","doi-asserted-by":"publisher","first-page":"323","DOI":"10.1093\/humupd\/dmad034","article-title":"Sexual function in women with polycystic ovary syndrome: a systematic review and meta-analysis","volume":"30","author":"Pastoor","year":"2024","journal-title":"Hum Reprod Update"},{"issue":"6 suppl","key":"2025051303322997200_ref29","doi-asserted-by":"publisher","first-page":"739","DOI":"10.1023\/A:1008925906947","article-title":"McCoy female sexuality questionnaire","volume":"9","author":"McCoy","year":"2000","journal-title":"Qual Life Res"},{"issue":"12","key":"2025051303322997200_ref30","doi-asserted-by":"publisher","first-page":"1848","DOI":"10.1111\/jog.13455","article-title":"Does cardiovascular risk vary according to the criteria for a diagnosis of polycystic ovary syndrome?","volume":"43","author":"Ramoglu","year":"2017","journal-title":"J Obstet Gynaecol Res"},{"key":"2025051303322997200_ref31","doi-asserted-by":"publisher","first-page":"208","DOI":"10.1016\/j.ejogrb.2016.09.003","article-title":"The evaluation of endothelial function and structure in hirsute patients in reproductive age","volume":"206","author":"Atasayan","year":"2016","journal-title":"Eur J Obstet Gynecol Reprod Biol"},{"issue":"3","key":"2025051303322997200_ref32","doi-asserted-by":"publisher","first-page":"225","DOI":"10.1080\/09513590.2020.1826428","article-title":"The effect of PCOS status on atherosclerosis markers and cardiovascular disease risk factors in young women with vitamin D deficiency","volume":"37","author":"Atasayan","year":"2021","journal-title":"Gynecol Endocrinol"},{"issue":"3","key":"2025051303322997200_ref33","doi-asserted-by":"publisher","first-page":"234","DOI":"10.1080\/09513590.2016.1250256","article-title":"Determinants of low bone mineral density in premenopausal polycystic ovary syndrome patients","volume":"33","author":"Karadag","year":"2017","journal-title":"Gynecol Endocrinol"},{"issue":"8","key":"2025051303322997200_ref34","doi-asserted-by":"publisher","first-page":"1154","DOI":"10.1080\/01443615.2019.1603213","article-title":"Relation of NT-probnp levels and cardiovascular disease risk factors in lean women with polycystic ovary syndrome","volume":"39","author":"Karadag","year":"2019","journal-title":"J Obstet Gynaecol"},{"issue":"2","key":"2025051303322997200_ref35","doi-asserted-by":"publisher","first-page":"270","DOI":"10.1111\/jog.13516","article-title":"Effects of vitamin D supplementation on insulin sensitivity and androgen levels in vitamin-D-deficient polycystic ovary syndrome patients","volume":"44","author":"Karadag","year":"2018","journal-title":"J Obstet Gynaecol Res"},{"issue":"12","key":"2025051303322997200_ref36","doi-asserted-by":"publisher","first-page":"1131","DOI":"10.1080\/09513590.2020.1807503","article-title":"Comparison of depression between primary and secondary infertile couples","volume":"36","author":"Yoldemir","year":"2020","journal-title":"Gynecol Endocrinol"},{"issue":"6","key":"2025051303322997200_ref37","doi-asserted-by":"publisher","first-page":"893","DOI":"10.1037\/0022-006X.56.6.893","article-title":"An inventory for measuring clinical anxiety: psychometric properties","volume":"56","author":"Beck","year":"1988","journal-title":"J Consult Clin Psychol"},{"issue":"6","key":"2025051303322997200_ref38","doi-asserted-by":"publisher","first-page":"641","DOI":"10.1007\/s10508-005-7915-8","article-title":"Validation of the McCoy female sexuality questionnaire in an Italian sample","volume":"34","author":"Rellini","year":"2005","journal-title":"Arch Sex Behav"},{"issue":"16","key":"2025051303322997200_ref39","doi-asserted-by":"publisher","first-page":"1428","DOI":"10.1111\/j.1559-1816.1994.tb01557.x","article-title":"Minimizing intergroup contact: an urban field study","volume":"24","author":"Henderson-King","year":"1994","journal-title":"J Appl Soc Psychol"},{"issue":"12","key":"2025051303322997200_ref40","doi-asserted-by":"publisher","first-page":"3339","DOI":"10.1093\/humrep\/der338","article-title":"Depression, anxiety and cardiometabolic risk in polycystic ovary syndrome","volume":"26","author":"Cinar","year":"2011","journal-title":"Hum Reprod"},{"issue":"5","key":"2025051303322997200_ref41","doi-asserted-by":"publisher","first-page":"888","DOI":"10.1016\/j.fertnstert.2018.01.038","article-title":"Androgen excess-polycystic ovary syndrome society: position statement on depression, anxiety, quality of life, and eating disorders in polycystic ovary syndrome","volume":"109","author":"Dokras","year":"2018","journal-title":"Fertil Steril"},{"issue":"4","key":"2025051303322997200_ref42","doi-asserted-by":"publisher","first-page":"542","DOI":"10.1016\/j.jsxm.2019.01.313","article-title":"Sexual dysfunction in women with polycystic ovary syndrome: systematic review and meta-analysis","volume":"16","author":"Firmino Murgel","year":"2019","journal-title":"J Sex Med"},{"issue":"6","key":"2025051303322997200_ref43","doi-asserted-by":"publisher","first-page":"979","DOI":"10.1016\/j.rbmo.2018.11.030","article-title":"Is polycystic ovary syndrome associated with risk of female sexual dysfunction? A systematic review and meta-analysis","volume":"38","author":"Zhao","year":"2019","journal-title":"Reprod Biomed Online"},{"issue":"12","key":"2025051303322997200_ref44","doi-asserted-by":"publisher","first-page":"2886","DOI":"10.1111\/j.1743-6109.2008.01010.x","article-title":"PCOS, sexuality, and clitoral vascularisation: a pilot study","volume":"5","author":"Battaglia","year":"2008","journal-title":"J Sex Med"},{"issue":"1","key":"2025051303322997200_ref45","doi-asserted-by":"publisher","first-page":"33","DOI":"10.1016\/S1083-3188(02)00205-X","article-title":"Fertility concerns and sexual behavior in adolescent girls with polycystic ovary syndrome: implications for quality of life","volume":"16","author":"Trent","year":"2003","journal-title":"J Pediatr Adolesc Gynecol"},{"issue":"11","key":"2025051303322997200_ref46","doi-asserted-by":"publisher","first-page":"2752","DOI":"10.1111\/jsm.12284","article-title":"Body imaging and sexual behavior in lean women with polycystic ovary syndrome","volume":"10","author":"Morotti","year":"2013","journal-title":"J Sex Med"},{"issue":"1","key":"2025051303322997200_ref47","doi-asserted-by":"publisher","first-page":"224","DOI":"10.1111\/j.1743-6109.2011.02539.x","article-title":"Sexual function in women with polycystic ovary syndrome","volume":"9","author":"Stovall","year":"2012","journal-title":"J Sex Med"},{"issue":"2","key":"2025051303322997200_ref48","doi-asserted-by":"publisher","first-page":"96","DOI":"10.1080\/09513590.2019.1670788","article-title":"Quality of life and sexual function in women with polycystic ovary syndrome: a comprehensive review","volume":"36","author":"Castelo-Branco","year":"2020","journal-title":"Gynecol Endocrinol"},{"issue":"3","key":"2025051303322997200_ref49","doi-asserted-by":"publisher","first-page":"413","DOI":"10.1007\/s42000-020-00210-0","article-title":"Sexual dysfunction in polycystic ovary syndrome: a systematic review and meta-analysis","volume":"19","author":"Loh","year":"2020","journal-title":"Hormones (Athens)"},{"issue":"12","key":"2025051303322997200_ref50","doi-asserted-by":"publisher","first-page":"5801","DOI":"10.1210\/jc.2003-030562","article-title":"Quality of life, psychosocial well- being, and sexual satisfaction in women with polycystic ovary syndrome","volume":"88","author":"Elsenbruch","year":"2003","journal-title":"J Clin Endocrinol Metab"},{"issue":"2","key":"2025051303322997200_ref51","doi-asserted-by":"publisher","first-page":"74","DOI":"10.1016\/j.jpsychores.2011.01.005","article-title":"Normative values for the hospital anxiety and depression scale (HADS) in the general German population","volume":"71","author":"Hinz","year":"2011","journal-title":"J Psychosom Res"},{"issue":"5","key":"2025051303322997200_ref52","doi-asserted-by":"publisher","first-page":"627","DOI":"10.1530\/EJE-14-1108","article-title":"Morbidity and medicine prescriptions in a nationwide Danish population of patients diagnosed with polycystic ovary syndrome","volume":"172","author":"Glintborg","year":"2015","journal-title":"Eur J Endocrinol"},{"key":"2025051303322997200_ref53","doi-asserted-by":"publisher","first-page":"196","DOI":"10.1016\/j.psyneuen.2016.08.005","article-title":"Polycystic ovary syndrome and psychiatric disorders: comorbidity and heritability in a nationwide Swedish cohort","volume":"73","author":"Cesta","year":"2016","journal-title":"Psychoneuroendocrinology"},{"issue":"3","key":"2025051303322997200_ref54","doi-asserted-by":"publisher","first-page":"278","DOI":"10.1159\/000355356","article-title":"Health-related quality of life, depression and anxiety correlate with the degree of hirsutism","volume":"227","author":"Ekback","year":"2013","journal-title":"Dermatology"},{"issue":"7","key":"2025051303322997200_ref55","doi-asserted-by":"publisher","first-page":"783","DOI":"10.1001\/jamadermatol.2016.0358","article-title":"Clinician vs self-ratings of hirsutism in patients with polycystic ovarian syndrome: associations with quality of life and depression","volume":"152","author":"Pasch","year":"2016","journal-title":"JAMA Dermatol"},{"issue":"6","key":"2025051303322997200_ref56","doi-asserted-by":"publisher","first-page":"1369","DOI":"10.1016\/j.fertnstert.2006.11.039","article-title":"Increased risk of depressive disorders in women with polycystic ovary syndrome","volume":"87","author":"Hollinrake","year":"2007","journal-title":"Fertil Steril"},{"issue":"10","key":"2025051303322997200_ref57","doi-asserted-by":"publisher","first-page":"1470","DOI":"10.1016\/j.psyneuen.2011.04.001","article-title":"Sex steroids, insulin sensitivity and sympathetic nerve activity in relation to affective symptoms in women with polycystic ovary syndrome","volume":"36","author":"Jedel","year":"2011","journal-title":"Psychoneuroendocrinology"},{"issue":"2","key":"2025051303322997200_ref58","doi-asserted-by":"publisher","first-page":"191.e1","DOI":"10.1016\/j.ajog.2017.04.034","article-title":"Eunice Kennedy Shriver National Institute of Child Health and Human Development reproductive medicine network. Sexual function in infertile women with polycystic ovary syndrome and unexplained infertility","volume":"217","author":"Diamond","year":"2017","journal-title":"Am J Obstet Gynecol"},{"key":"2025051303322997200_ref59","doi-asserted-by":"crossref","first-page":"hoab038","DOI":"10.1093\/hropen\/hoab038","article-title":"The role of PCOS in mental health and sexual function in women with obesity and a history of infertility","volume":"2021","author":"Karsten","year":"2021","journal-title":"Hum Reprod Open"},{"issue":"9","key":"2025051303322997200_ref60","doi-asserted-by":"publisher","first-page":"761","DOI":"10.18502\/ijrm.v20i9.12066","article-title":"Comparison of sexual function in infertile women with polycystic ovary syndrome and endometriosis: a cross-sectional study","volume":"20","author":"Daneshfar","year":"2022","journal-title":"Int J Reprod Biomed"},{"issue":"1","key":"2025051303322997200_ref61","doi-asserted-by":"publisher","first-page":"1","DOI":"10.1038\/ijir.2016.35","article-title":"Sexual function and hormonal profiles in women with and without polycystic ovary syndrome: a population-based study","volume":"29","author":"Noroozzadeh","year":"2017","journal-title":"Int J Impot Res"},{"issue":"2","key":"2025051303322997200_ref62","doi-asserted-by":"publisher","first-page":"54","DOI":"10.1038\/s41443-017-0006-2","article-title":"Sexual function in women with polycystic ovary syndrome and their hormonal and clinical correlations","volume":"30","author":"Nasiri Amiri","year":"2018","journal-title":"Int J Impot Res"},{"issue":"10","key":"2025051303322997200_ref63","doi-asserted-by":"publisher","first-page":"2508","DOI":"10.1111\/jsm.12627","article-title":"Association of PCOS and its clinical signs with sexual function among Iranian women affected by PCOS","volume":"11","author":"Hashemi","year":"2014","journal-title":"J Sex Med"},{"issue":"3","key":"2025051303322997200_ref64","first-page":"273","article-title":"Sexual functioning among married Iranian women with polycystic ovary syndrome","volume":"8","author":"Bazarganipour","year":"2014","journal-title":"Int J Fertil Steril"},{"issue":"2","key":"2025051303322997200_ref65","doi-asserted-by":"publisher","first-page":"161","DOI":"10.1016\/j.ejogrb.2010.12.012","article-title":"Sexuality and psychological wellbeing in women with polycystic ovary syndrome compared with healthy controls","volume":"155","author":"Mansson","year":"2011","journal-title":"Eur J Obstet Gynecol Reprod Biol"},{"issue":"10","key":"2025051303322997200_ref66","doi-asserted-by":"publisher","first-page":"2830","DOI":"10.1007\/s43032-021-00546-x","article-title":"Psychological issues and sexual function in women with different infertility causes: focus on polycystic ovary syndrome","volume":"28","author":"Naumova","year":"2021","journal-title":"Reprod Sci"},{"issue":"1","key":"2025051303322997200_ref67","doi-asserted-by":"publisher","first-page":"364","DOI":"10.1186\/s12905-024-03181-1","article-title":"Polycystic ovarian syndrome elevates the distress of sexual pain in Iranian women with infertility","volume":"24","author":"Tahmasbi","year":"2024","journal-title":"BMC Womens Health"},{"issue":"1","key":"2025051303322997200_ref68","doi-asserted-by":"publisher","first-page":"432","DOI":"10.1007\/s43032-019-00061-0","article-title":"Disparate relationship of sexual satisfaction, self-esteem, anxiety, and depression with endocrine profiles of women with or without PCOS","volume":"27","author":"Glowinska","year":"2020","journal-title":"Reprod Sci"},{"issue":"10","key":"2025051303322997200_ref69","doi-asserted-by":"publisher","first-page":"849","DOI":"10.1080\/09513590.2022.2118708","article-title":"Depression, anxiety, body image scores, and sexual dysfunction in patients with polycystic ovary syndrome according to phenotypes","volume":"38","author":"Cetinkaya Altuntas","year":"2022","journal-title":"Gynecol Endocrinol"},{"issue":"1","key":"2025051303322997200_ref70","doi-asserted-by":"publisher","first-page":"11","DOI":"10.1007\/s00737-020-01043-x","article-title":"The mental health of women with polycystic ovary syndrome: a systematic review and meta-analysis","volume":"24","author":"Yin","year":"2021","journal-title":"Arch Womens Ment Health"},{"issue":"3","key":"2025051303322997200_ref71","doi-asserted-by":"publisher","first-page":"721","DOI":"10.1037\/0012-1649.35.3.721","article-title":"Effects of body fat on weight concerns, dating, and sexual activity: a longitudinal analysis of black and white adolescent girls","volume":"35","author":"Halpern","year":"1999","journal-title":"Dev Psychol"},{"issue":"1","key":"2025051303322997200_ref72","doi-asserted-by":"publisher","first-page":"199","DOI":"10.1186\/1471-2458-6-199","article-title":"Body mass index, sexual behaviour, and sexually transmitted infections : an analysis using the NHANES 1999\u20132000 data","volume":"6","author":"Nagelkerke","year":"2006","journal-title":"BMC Public Health"},{"issue":"02","key":"2025051303322997200_ref73","doi-asserted-by":"publisher","first-page":"25","DOI":"10.4236\/asm.2012.22005","article-title":"Sexual function in patients with PCOS and\/or obesity before and after metformin treatment","volume":"02","author":"Gateva","year":"2012","journal-title":"Advances in Sexual Medicine"},{"issue":"4","key":"2025051303322997200_ref74","doi-asserted-by":"publisher","first-page":"301","DOI":"10.1007\/s13679-018-0319-6","article-title":"Obesity and sexual functioning","volume":"7","author":"Sarwer","year":"2018","journal-title":"Curr Obes Rep"},{"key":"2025051303322997200_ref75","volume-title":"Female Reproductive Dysfunction","author":"Louwers","year":"2020"},{"issue":"7","key":"2025051303322997200_ref76","doi-asserted-by":"publisher","first-page":"bqac068","DOI":"10.1210\/endocr\/bqac068","article-title":"Conversion of classical and 11-oxygenated androgens by insulin-induced AKR1C3 in a model of human PCOS adipocytes","volume":"163","author":"Paulukinas","year":"2022","journal-title":"Endocrinology"},{"issue":"1","key":"2025051303322997200_ref77","doi-asserted-by":"publisher","first-page":"56","DOI":"10.1016\/j.contraception.2018.02.014","article-title":"Maintaining physiologic testosterone levels during combined oral contraceptives by adding dehydroepiandrosterone: II. Effects on sexual function. A phase II randomized, double-blind, placebo-controlled study","volume":"98","author":"van Lunsen","year":"2018","journal-title":"Contraception"},{"issue":"1","key":"2025051303322997200_ref78","doi-asserted-by":"publisher","first-page":"91","DOI":"10.1001\/jama.294.1.91","article-title":"Circulating androgen levels and self-reported sexual function in women","volume":"294","author":"Davis","year":"2005","journal-title":"JAMA"},{"issue":"5","key":"2025051303322997200_ref79","doi-asserted-by":"publisher","first-page":"962","DOI":"10.1097\/gme.0b013e3181d59765","article-title":"Role of androgens in women\u2019s sexual dysfunction","volume":"17","author":"Basson","year":"2010","journal-title":"Menopause"},{"issue":"8","key":"2025051303322997200_ref80","doi-asserted-by":"publisher","first-page":"693","DOI":"10.1016\/S2213-8587(20)30239-4","article-title":"Associations between androgens and sexual function in premenopausal women: a cross-sectional study","volume":"8","author":"Zheng","year":"2020","journal-title":"Lancet Diabetes Endocrinol"},{"issue":"5","key":"2025051303322997200_ref81","doi-asserted-by":"publisher","first-page":"772","DOI":"10.1016\/j.yhbeh.2011.03.013","article-title":"Sexual desire, sexual arousal and hormonal differences in pre- menopausal US and Dutch women with and without low sexual desire","volume":"59","author":"Heiman","year":"2011","journal-title":"Horm Behav"},{"issue":"10","key":"2025051303322997200_ref82","doi-asserted-by":"publisher","first-page":"754","DOI":"10.1016\/S2213-8587(19)30189-5","article-title":"Safety and efficacy of testosterone for women: a systematic review and meta-analysis of randomised controlled trial data","volume":"7","author":"Islam","year":"2019","journal-title":"Lancet Diabetes Endocrinol"},{"issue":"4","key":"2025051303322997200_ref83","doi-asserted-by":"publisher","first-page":"553","DOI":"10.1016\/j.jsxm.2022.01.515","article-title":"Are endogenous androgens linked to female sexual function? A systemic review and meta-analysis","volume":"19","author":"Maseroli","year":"2022","journal-title":"J Sex Med"},{"issue":"3","key":"2025051303322997200_ref84","doi-asserted-by":"publisher","first-page":"137","DOI":"10.1002\/smrj.53","article-title":"Testosterone therapy for female sexual dysfunction","volume":"3","author":"Khera","year":"2015","journal-title":"Sex Med Rev"},{"issue":"3","key":"2025051303322997200_ref85","doi-asserted-by":"publisher","first-page":"283","DOI":"10.1016\/j.jsxm.2015.12.014","article-title":"Hormones and female sexual dysfunction: beyond Estrogens and androgens--findings from the fourth international consultation on sexual medicine","volume":"13","author":"Worsley","year":"2016","journal-title":"J Sex Med"},{"issue":"1_Part_2","key":"2025051303322997200_ref86","doi-asserted-by":"publisher","first-page":"561","DOI":"10.1111\/j.1743-6109.2009.01629.x","article-title":"Endocrine aspects of women's sexual function","volume":"7","author":"Wierman","year":"2010","journal-title":"J Sex Med"},{"issue":"5","key":"2025051303322997200_ref87","doi-asserted-by":"publisher","first-page":"486","DOI":"10.1016\/j.comppsych.2010.10.013","article-title":"Sexual dysfunction in patients with polycystic ovary syndrome: clinical and hormonal correlations","volume":"52","author":"Veras","year":"2011","journal-title":"Compr Psychiatry"},{"issue":"3","key":"2025051303322997200_ref88","doi-asserted-by":"publisher","first-page":"373","DOI":"10.1111\/j.1365-2265.2007.02742.x","article-title":"Quality of life and psychological morbidity in women with polycystic ovary syndrome: body mass index, age and the provision of patient information are significant modifiers","volume":"66","author":"Ching","year":"2007","journal-title":"Clin Endocrinol"}],"container-title":["The Journal of Sexual Medicine"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/academic.oup.com\/jsm\/article-pdf\/22\/5\/859\/62820227\/qdaf050.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"syndication"},{"URL":"https:\/\/academic.oup.com\/jsm\/article-pdf\/22\/5\/859\/62820227\/qdaf050.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,5,13]],"date-time":"2025-05-13T07:32:38Z","timestamp":1747121558000},"score":1,"resource":{"primary":{"URL":"https:\/\/academic.oup.com\/jsm\/article\/22\/5\/859\/8101326"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,3,31]]},"references-count":88,"journal-issue":{"issue":"5","published-online":{"date-parts":[[2025,3,31]]},"published-print":{"date-parts":[[2025,5,10]]}},"URL":"https:\/\/doi.org\/10.1093\/jsxmed\/qdaf050","relation":{},"ISSN":["1743-6095","1743-6109"],"issn-type":[{"value":"1743-6095","type":"print"},{"value":"1743-6109","type":"electronic"}],"subject":[],"published-other":{"date-parts":[[2025,5]]},"published":{"date-parts":[[2025,3,31]]}}}