Perceptions about the sexuality of women with fibromyalgia syndrome: a phenomenological study

J Adv Nurs. 2017 Jul;73(7):1646-1656. doi: 10.1111/jan.13262. Epub 2017 Feb 22.

Abstract

Aims: The aim of this study was to explore and understand the perceptions and experiences of women with fibromyalgia syndrome regarding their sexuality.

Background: Fibromyalgia syndrome is a chronic pathology, which compromises a woman's physical, mental and emotional health. Although concerns related to sexuality are commonly reported, research has tended to focus on the physical symptoms.

Design: An interpretive qualitative research methodology using Gadamer's philosophical hermeneutics was carried out.

Methods: This qualitative study explores the sexuality of women with fibromyalgia syndrome. A focus group and semi-structured interviews were conducted with 13 women with fibromyalgia syndrome. Data were collected between April - June 2014. Participants were recruited until findings reached saturation.

Findings: Three themes define the perception of sexuality for these women: (i) Physical impact: don't touch, don't look; (ii) Sexuality and identity: fighting against their loss; (iii) Impact on the relationship: sexuality as a way of connecting the couple.

Conclusion: Despite limitations, sexuality is important for the identity and quality of life of women with fibromyalgia syndrome. Together with the physical symptomology, guilt, fear and a lack of understanding compromise the coping process. Women need the support of their partner, their socio-family environment and health professionals. Nurses can aid the successful adjustment to sexual problems related to fibromyalgia syndrome.

Keywords: female sexual dysfunction; fibromyalgia syndrome; musculoskeletal diseases; nursing; qualitative methods.

Publication types

  • Validation Study

MeSH terms

  • Adult
  • Female
  • Fibromyalgia / nursing
  • Fibromyalgia / physiopathology*
  • Fibromyalgia / psychology
  • Focus Groups
  • Humans
  • Interviews as Topic
  • Middle Aged
  • Sexuality*