PREVALENCE OF FEMALE SEXUAL DYSFUNCTIONS IN A GYNECOLOGY OUTPATIENT CLINIC IN ARACAJU, SERGIPE

Authors

DOI:

https://doi.org/10.35919/rbsh.v33.1029

Keywords:

Female sexual dysfunctions, Female Sexual Function Index, Marital relationship, Sexual health

Abstract

Objective: To determine the prevalence of female sexual dysfunctions in a Gynecology outpatient clinic. Methods: An observational, cross-sectional and analytical study of quantitative approach enrolled 170 women with active sexual life between 18 – 65 years old in a gynecology outpatient clinic. The Female Sexual Function Index questionnaire was applied to this population. Results: Of total sample, 15 patients did not fill out the questionnaire, so their data were removed. From 155 patients who filled out the form completely, 53,5% had a score below 26.5, which corresponds to 83 women. The average age was 40.5 years, among the women who reported already being in menopause, 60,4% of them scored below the mentioned cut-off score. Regarding the marital relationship, 32 patients, who scored below 26.5, classified their relationship as "Somewhat Unhappy", " Considerably Unhappy" or "Extremely Unhappy". Among the domains evaluated, "Desire" and "Arousal" were the least scored. Evidences of correlation was established between “Marital relationship" and the data referring to "Satisfaction" - "FSFI" - "Arousal"; the values 0.51(p<0.001), 0.44(p<0.001), and 0.36(p<0.001), respectively. The sexual domain "Satisfaction", also showed indications of inverse correlation with the variables "Age" and "Pregnancies", consecutively, -0.35(p<0.001) and -0.30(p<001). Conclusion: This study identified a high prevalence of female sexual dysfunction in the sample of women interviewed. Several factors were related to a higher risk of sexual dysfunction, including marital relationship, menopause and number of pregnancies, which affect the quality of life and sexual experience of women, compromising the dynamism of sexual health.

Downloads

Download data is not yet available.

Author Biographies

João Vitor da Silva, Universidade Tiradentes

Graduando em Medicina Universidade Tiradentes, Medicina, Aracaju, Brasil.

Victor Lucas de Santana Cardoso, Universidade Tiradentes

Graduando em Medicina Universidade Tiradentes, Medicina, Aracaju, Brasil. 

Márcia Neves de Carvalho, Universidade Tiradentes / Universidade federal do Sergipe

Pós-doutorado em Ciências Reprodutivas pela Oregon Health and Science University, EUA. Professor titular Universidade Tiradentes, Medicina, Aracaju, Brasil. Professor titular da Universidade federal do Sergipe, Lagarto, Brasil. 

References

ABDO, C. H. N. Quociente sexual feminino: um questionário brasileiro para avaliar a atividade sexual da mulher. Diagn Tratamento, v. 14, n. 2, p. 89–91, 2009. Disponível em: http://files.bvs.br/upload/S/1413-9979/2009/v14n2/a0013.pdf0345832. Acesso em: 25 ago. 2020.

ABDO, C. H. N. Considerações a respeito do ciclo de resposta sexual da mulher: uma nova proposta de entendimento. Diagn. tratamento, v. 15, n. 2, p. 88–90, 2010. Disponível em: http://files.bvs.br/upload/S/1413-9979/2010/v15n2/a88-90.pdf. Acesso em: 25 ago. 2020.

Questionários de Avaliação da Função Sexual em Mulheres: Revisão Integrativa. Monografia de Conclusão do Programa de Residência Médica em Ginecologia e Obstetrícia—Fortaleza: Hospital Geral de Fortaleza, 19 fev. 2018. Disponível em: http://extranet.hgf.ce.gov.br/jspui/bitstream/123456789/366/1/2018_TCR_GinecologiaeObstetr%C3%ADcia_Ara%C3%BAjo_CAT.pdf. Acesso em: 25 ago. 2020.

ABDO, C. H. N. et al. Prevalence of sexual dysfunctions and correlated conditions in a sample of Brazilian women—results of the Brazilian study on sexual behavior (BSSB). International Journal of Impotence Research, v. 16, n. 4, p. 160–166, 2004. Disponível em: https://www.arca.fiocruz.br/bitstream/icict/9841/2/ABDO%20CHN%20Prevalence....pdf. Acesso em: 25 ago. 2020.

BASSON, R. Women’s sexual dysfunction: revised and expanded definitions. CMAJ, v. 172, n. 10, p. 1327–1333, 2005. Disponível em: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC557105/. Acesso em: 25 ago. 2020.

BASSON, R. et al. Assessment and Management of Women’s Sexual Dysfunctions: Problematic Desire and Arousal. J Sex Med, v. 2, n. 3, p. 291–300, 2005. Disponível em: https://pubmed.ncbi.nlm.nih.gov/16422860/. Acesso em: 25 ago. 2020.

FAUBION, S. S.; RULLO, J. E. Sexual dysfunction in women: a practical approach. Am Fam Physician, v. 92, n. 4, p. 281–288, 2015. Disponível em: https://www.aafp.org/afp/2015/0815/p281.html#:~:text=Female%20genital%20sexual%20pain%20disorders,that%20addresses%20contributing%20biopsychosocial%20factors.&text=Group%20cognitive%20behavior%20therapy%20has,effectively%20treat%20low%20sexual%20desire. Acesso em: 25 ago. 2020.

Female Sexual Dysfunction: ACOG Practice Bulletin Summary, NUMBER 213. ACOG, v. 134, n. 1, p. 1–18, 2019. Disponível em: https://pubmed.ncbi.nlm.nih.gov/31241595/. Acesso em: 25 ago. 2020.

FERREIRA, A. L. C. G.; SOUZA, A. I. DE; AMORIM, M. M. R. DE. Prevalência das disfunções sexuais femininas em clínica de planejamento familiar de um hospital escola no Recife, Pernambuco. Rev. Bras. Saude Mater. Infant., Recife, v. 7, n. 2, p. 143–150, 2007. Disponível em: https://www.scielo.br/pdf/rbsmi/v7n2/04.pdf. Acesso em: 25 ago. 2020.

HENTSCHEL, H. et al. Validação Do Female Sexual Function Index (Fsfi) Para Uso Em Língua Portuguesa. Revista HCPA, v. 27, n. 1, p. 10–14, 2007. Disponível em: https://www.lume.ufrgs.br/handle/10183/164528. Acesso em: 25 ago. 2020.

Tozo IM, Lima SMRR, Gonçalves N, Moraes JC, Aoki T. Disfunção sexual feminina: a importância do conhecimento e do diagnóstico pelo ginecologista. Arq Med Hosp Fac Cienc Med, Santa Casa São Paulo, 52(3):94-9, 2007. Disponível em: http://arquivosmedicos.fcmsantacasasp.edu.br/index.php/AMSCSP/article/view/447. Acesso em: 25 ago. 2020.

PACAGNELLA, Rodolfo de Carvalho; MARTINEZ, Edson Zangiacomi; VIEIRA, Elisabeth Meloni. Validade de construto de uma versão em português do Female Sexual Function Index. Cadernos de Saúde Pública, v. 25, n. 11, p. 2333-2344, 2009. Disponível em: https://www.scielo.br/j/csp/a/k76sF6xTL87xTMNV74RKQwh/?lang=pt. Acesso em: 29 abr. 2022.

Pacagnella RC et al. Adaptação transcultural do Female Sexual Function Index. Cad. Saúde Pública, Rio de Janeiro, 24(2):416-426, fev, 2008. Disponível em: https://www.scielo.br/pdf/csp/v24n2/20.pdf. Acesso em: 25 ago. 2020.

F.Z.C. MARQUES et al. Resposta sexual humana. Rev. Ciênc. Méd., Campinas, 17(3-6):175-183, maio/dez., 2008. Disponível em: https://seer.sis.puccampinas.edu.br/seer/index.php/cienciasmedicas/article/view/755. Acesso em: 25 ago. 2020.

McCabe et al. Definitions of Sexual Dysfunctions in Women and Men: A Consensus Statement From the Fourth International Consultation on Sexual Medicine 2015. J Sex Med, v. 13, n. 2, p. 135–142, fevereiro, 2016. Disponível em: https://pubmed.ncbi.nlm.nih.gov/26953828/. Acesso em: 25 ago. 2020.

Mendonça CR, Silva TM, Arrudai JT, Zapata MTAG, Amaral WN. Função sexual feminina: aspectos normais e patológicos, prevalência no Brasil, diagnóstico e tratamento. FEMINA, v. 40, n. 4, 2012. Disponível em: https://pesquisa.bvsalud.org/portal/resource/pt/lil-668405. Acesso em: 25 ago. 2020.

Thornton et al. Menopause and Sexuality. Endocrinology and Metabolism Clinics of North America, v. 44, n. 3, p. 649-661, setembro, 2015. Disponível em: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5994393/. Acesso em: 25 ago. 2020.

MESTON, Cindy M. Sympathetic Nervous System Activity and Female Sexual Arousal. The American Journal Of Cardiology, v. 86, n. 2, p. 30–34, Julho, 2000. Disponível em: https://www.ajconline.org/article/S0002-9149(00)00889-4/fulltext. Acesso em: 25 ago. 2020.

PAULS, Rachel N.; KLEEMAN, Steven D.; KARRAM, Mickey M. Female Sexual Dysfunction: Principles of Diagnosis and Therapy. Obstetrical And Gynecological Survey, v. 60, n. 3, p. 196–205, Março, 2005. Disponível em: https://pubmed.ncbi.nlm.nih.gov/16570398/. Acesso em: 25 ago. 2020.

BASSON, R. et al. Revised Definitions of Women’s Sexual Dysfunction. Journal of Sexual Medicine, v. 1, n. 1, p. 40–48, Julho, 2004. Disponível em: https://pubmed.ncbi.nlm.nih.gov/16422982/. Acesso em: 25 ago. 2020.

RIBEIRO, Bárbara; MAGALHÃES, Ana Teresa; MOTA, Ivone. Disfunção sexual feminina em idade reprodutiva - prevalência e fatores associados. Rev Port Med Geral Fam¸Lisboa, v. 29, n. 1, p. 16-24, Janeiro, 2013. Disponível em: http://www.scielo.mec.pt/scielo.phpscript=sci_arttext&pid=S218251732013000100004. Acesso em: 25 ago. 2020.

Brasil. Ministério da Saúde (MS). Saúde sexual e saúde reprodutiva. Brasília: MS; 2013. Disponível em: https://bvsms.saude.gov.br/bvs/publicacoes/saude_sexual_saude_reprodutiva.pdf. Acesso em: 25 ago. 2020.

Shifren et al. Prevalence of Distressing Sexual Problems. The American College of Obstetricians and Gynecologist, v. 112, n. 5, p. 970–978, Novembro, 2008. Disponível em: https://pubmed.ncbi.nlm.nih.gov/18978095/. Acesso em: 25 ago. 2020.

BASSON et al. Summary of the Recommendations on Sexual Dysfunctions in Women. Journal of Sexual Medicine, v. 7, n. 1, p. 314-326, Janeiro, 2010. Disponível em: https://pubmed.ncbi.nlm.nih.gov/20092441/. Acesso em: 25 ago. 2020.

WOLPE et al. Prevalence of female sexual dysfunction in Brazil: A systematic review. European Journal of Obstetrics & Gynecology and Reproductive Biology, v. 211, p. 26-32, Abril, 2017. Disponível em: https://www.ejog.org/article/S0301-2115(17)30018-0/fulltext. Acesso em: 25 ago. 2020.

Lara et al. Abordagem das disfunções sexuais femininas. Revista Brasileira de Ginecologia e Obstetrícia, Rio de Janeiro, v. 30, n. 6, p. 312-321, Junho, 2008. Disponível em: https://www.scielo.br/scielo.php?pid=S010072032008000600008&script=sci_abstract&tlng=pt. Acesso em: 25 ago. 2020.

AQUINO, Kamilla Souza de Jesus; PRADO, Daniela Siqueira; SANTOS, Barbara Rhayane; BARRETO, Ikaro Daniel de Carvalho. FATORES ASSOCIADOS A DISFUNÇÕES SEXUAIS NO CLIMATÉRIO. Revista Brasileira de Sexualidade Humana, [S.L.], v. 29, n. 2, p. 36-46, 5 set. 2019. Revista Brasileira de Sexualidade Humana. http://dx.doi.org/10.35919/rbsh.v29i2.57. Disponível em: https://www.rbsh.org.br/revista_sbrash/article/view/57/61. Acesso em: 30 jul. 2021.

THOMAS, Holly N.; NEAL-PERRY, Genevieve S.; HESS, Rachel. Female Sexual Function at Midlife and Beyond. Obstetrics And Gynecology Clinics Of North America, [S.L.], v. 45, n. 4, p. 709-722, dez. 2018. Elsevier BV. http://dx.doi.org/10.1016/j.ogc.2018.07.013. Disponível em: https://pubmed.ncbi.nlm.nih.gov/30401552/. Acesso em: 30 jul. 2021.

LEITE, Alessandra Plácido Lima; CAMPOS, Ana Aurélia Salles; DIAS, Antonio Roberto Cardoso; AMED, Abes Mahmed; SOUZA, Eduardo de; CAMANO, Luis. Prevalence of sexual dysfunction during pregnancy. Revista da Associação Médica Brasileira, [S.L.], v. 55, n. 5, p. 563-568, nov. 2009. Elsevier BV. http://dx.doi.org/10.1590/s0104-42302009000500020. Disponível em: https://www.scielo.br/j/ramb/a/sxt6BtMBFYyCXqxPz4DV5zS/?lang=en. Acesso em: 30 jul. 2021.

SACOMORI, Cinara; CARDOSO, Fernando Luiz; WITTKOPF, Priscilla Geraldine; LATORRE, Gustavo Fernando Sutter. Função sexual feminina na gestação: female sexual function in pregnancy. Fisioterapia Brasil, Petrolina, v. 13, n. 6, p. 458-462, nov. 2012. Disponível em: http://bases.bireme.br/cgibin/wxislind.exe/iah/online/IsisScript=iah/iah.xis&src=google&base=LILACS&lang=p&nextAction=lnk&exprSearch=766792&indexSearch=ID. Acesso em: 30 jul. 2021.

DOSCH, Alessandra; ROCHAT, Lucien; GHISLETTA, Paolo; FAVEZ, Nicolas; LINDEN, Martial van Der. Psychological Factors Involved in Sexual Desire, Sexual Activity, and Sexual Satisfaction: a multi-factorial perspective. Archives Of Sexual Behavior, [S.L.], v. 45, n. 8, p. 2029-2045, 19 mar. 2015. Springer Science and Business Media LLC. http://dx.doi.org/10.1007/s10508-014-0467-z. Disponível em: https://orbi.uliege.be/bitstream/2268/242576/1/Dosch-Archives-of-Sexual-Behavior-2016.pdf. Acesso em: 29 abr. 2022.

BASSON, Rosemary; ALTHOF, Stan; DAVIS, Susan; FUGL‐MEYER, Kirsten; GOLDSTEIN, Irwin; LEIBLUM, Sandra; MESTON, Cindy; ROSEN, Raymond; WAGNER, Gorm. Summary of the Recommendations on Sexual Dysfunctions in Women. The Journal Of Sexual Medicine, [S.L.], v. 1, n. 1, p. 24-34, jul. 2004. Elsevier BV. http://dx.doi.org/10.1111/j.1743-6109.2004.10105.x. Disponível em: https://pubmed.ncbi.nlm.nih.gov/16422980/. Acesso em: 29 abr. 2020.

BROTTO, Lori A.; BITZER, Johannes; LAAN, Ellen; LEIBLUM, Sandra; LURIA, Mijal. Women's Sexual Desire and Arousal Disorders. The Journal Of Sexual Medicine, [S.L.], v. 7, n. 1, p. 586-614, jan. 2010. Elsevier BV. http://dx.doi.org/10.1111/j.1743-6109.2009.01630.x. Disponível em: https://pubmed.ncbi.nlm.nih.gov/20092454/. Acesso em: 29 abr. 2022.

CALABRÒ, Rocco S.; CACCIOLA, Alberto; BRUSCHETTA, Daniele; MILARDI, Demetrio; QUATTRINI, Fabrizio; SCIARRONE, Francesca; ROSA, Gianluca; BRAMANTI, Placido; ANASTASI, Giuseppe. Neuroanatomy and function of human sexual behavior: a neglected or unknown issue?. Brain And Behavior, [S.L.]Boston, v. 9, n. 12, p. 1-17, 30 set. 2019. Wiley. http://dx.doi.org/10.1002/brb3.1389. Disponível em: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6908863/. Acesso em: 29 abr. 2022.

MCCOOL-MYERS, Megan; THEURICH, Melissa; ZUELKE, Andrea; KNUETTEL, Helge; APFELBACHER, Christian. Predictors of female sexual dysfunction: a systematic review and qualitative analysis through gender inequality paradigms. Bmc Women'S Health, [S.L.], v. 18, n. 1, p. 1-15, 22 jun. 2018. Springer Science and Business Media LLC. http://dx.doi.org/10.1186/s12905-018-0602-4. Disponível em: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6013982/. Acesso em: 30 abr. 2022.

KALRA, Bharti; KALRA, Sanjay; BAJAJ, Sarita. Vulvodynia: an unrecognized diabetic neuropathic syndrome. Indian Journal Of Endocrinology And Metabolism, [S.L.], v. 17, n. 5, p. 787, 2013. Medknow. Disponível em: http://dx.doi.org/10.4103/2230-8210.117193. Acesso em: 28 ago. 2022.

Published

2022-09-27

How to Cite

Silva, J. V. da, Cardoso, V. L. de S., & Carvalho, M. N. de. (2022). PREVALENCE OF FEMALE SEXUAL DYSFUNCTIONS IN A GYNECOLOGY OUTPATIENT CLINIC IN ARACAJU, SERGIPE. Revista Brasileira De Sexualidade Humana, 33, 1029. https://doi.org/10.35919/rbsh.v33.1029

Issue

Section

Trabalhos de Pesquisa