About this trial
Several studies describe the existence of an association between sexual dysfunction and high blood pressure (hypertension), most often characterized by a decrease in the number of orgasms and the existence of dyspareunia.
Hypertension is a contributing factor, and nonadherence to medication could amplify it.
There are several ways to assess adherence to treatment: the use of declarative questionnaires, a method not without criticism because it is subject to the subjectivity of the declaration by the patient; and drug dosages, a standard technique, although insufficiently disseminated due to the high cost and greater weight of the survey protocols. Drug non-compliance is multifactorial. In addition, it has been shown that having undesirable drug effects and / or being afraid of developing them is one of the major causes of non-compliance with antihypertensive treatments.
The investigators hypothesize that DS is significantly more common among hypertensive women treated with non-observers compared to hypertensive women treated with observers.
The main objective is to compare the prevalence of sexual dysfunction between a group of hypertensive women treated as observers and a group of hypertensive women treated as non-observers.
Eligibility criteria
This trial does not accept healthy volunteersQualifiers
Women over 18,
Hospitalized or received in consultation for the management of hypertension treated in one of the hypertension and therapeutic, nephrology or cardiology departments participating in the study, with confirmed hypertension, treated with the following dosable antihypertensive agent(s): diltiazem, verapamil, acebutolol, atenolol, nébivolol, bisoprolol, metoprolol, propranolol, amiloride, furosemide, hydrochlorothiazide, indapamide, spironolactone, spironolactone, Lorsartan, Irbesartan, Ramipril, Perindopril, Amlodipine,
Having signed the informed consent form.
Beneficiary or affiliated to a French Social insurance
Disqualifiers
Patients with bariatric surgery,
Patients under guardianship/trusteeship/protection of justice,
Patients with diagnosed and treated psychosis or depression, - Pregnant or nursing women.
Trial design
Single group
Treatments tested in this trial
Blood sample for the determination of antihypertensives or their metabolites.
Biological/Vaccine15 ml of Blood sample for the determination of antihypertensives or their metabolites
Questionnaire on sexual activity
BehavioralQuestionnaire on sexual activity in women
Scale on hospital anxiety and depression
BehavioralScale on hospital anxiety and depression to detect anxious and depressive symptoms (14 questions)
Morisky Questionaire
Behavioralanti-hypertensive medication compliance questionnaire
Treatment groups
Trial outcomes
Primary outcomes
Analyse of sexual dysfunction
Prevalence of sexual dysfunction defined by a score less than 26 on the Female Sexual Function Index scale : score less than 26 mean a sexual dysfunction
Secondary outcomes
Percentage of patients with a good medication compliance by drug dosages and the Morisky questionnaire
Compare two methods of assessing drug compliance: drug dosages in the blood and the Morisky questionnaire; The score is rated on 8 points. A score of 8 is considered "good observant", a score between 6 and 7 "moderately observant patient" and a score strictly lower than 6 "poor observant".
Number of cases with sexual dysfunction in hypertensive women according to the antihypertensive pharmacological classes used
Estimate the prevalence of sexual dysfunction according to the antihypertensive pharmacological classes used (in the biologicale analysis)
Number of cases with sexual dysfunction in hypertensive women according to the number of antihypertensive treatments;
Estimate the prevalence of sexual dysfunction according to the number of antihypertensive treatments;
Sponsors and contacts
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