TITLE:
Therapeutic Approach in Female Sexual Dysfunctions in an Outpatient Clinic of Sexology in the Public Health System: A Longitudinal and Prospective Study
AUTHORS:
Luciana Segat, Fernanda Santos Grossi, Luciana Borges Chagas, Amanda Vilaverde Perez, Vitória Ruschel Lorenzon, Pedro do Valle Teichmann, Bruno Bossardi, Rodrigo Rossi Balbinotti, Edimárlei Gonsales Valério, Janete Vettorazzi
KEYWORDS:
Public Health, Quality of Life, Treatment, Female Sexual Dysfunction
JOURNAL NAME:
Open Journal of Obstetrics and Gynecology,
Vol.11 No.12,
December
29,
2021
ABSTRACT: INTRODUCTION: Sexuality is
one of the parameters of quality of life, and it is essential to include care
for sexual dysfunctions in primary health care. OBJECTIVE: To evaluate the therapeutic approach in
female sexual dysfunction in a public health outpatient clinic. DESIGN: A
prospective cohort of women with sexual dysfunctions in an outpatient clinic of
sexology in the Public Health System. The Female Sexual Function Index (FSFI)
and scored 0 - 10 their sexual
satisfaction were applied at the beginning and end of the follow-up. RESULTS: Eighty-nine women were
included with a median age of 45 years, 69 (77.5%) had less than 11 years of schooling and 95.5% lived with a partner. The
main reasons for referral for follow-up at the outpatient clinic of sexuality
were dysfunction of hypoactive sexual desire disorder in 67.4% and pain related
to sexual function in 46%. The average number of consultations was five and the main therapeutic interventions were
guidance and clarification on sexuality (86.5%), use of topical estrogen
(56.2%), and relaxation techniques (37.1%). All FSFI-19 domains had better
post-intervention rates (p ≤ 0.005). Considering the
domains of the FSFI-19, the medians of desire, arousal, lubrication, orgasm, pleasure and pain were higher in the
post-intervention period in relation to the pre-intervention period (p ≤ 0.0001 for all
analysis). In addition, the score given by the participant on their sexual
satisfaction was higher at the post-intervention time compared to the
pre-intervention period (p ≤ 0.0001). CONCLUSION: In public health, even with the
care being performed by different professionals in each consultation, we
conclude that through simple interventions, it is possible to improve the sexualities of the
women attended. Still, offering care in sexuality is fundamental as part of
primary health care and the training of medical professionals.