SEXUAL FUNCTION AND QUALITY OF LIFE IN WOMEN: A CROSS SECTIONAL STUDY Objective: To compare the relationship between sexual function and quality of life (QOL) in women. Type of study: Cross-sectional study. Setting: Bahia, Brazil Participants: High school educated women who were members of a fitness club. Methods: Sexually active non-pregnant women between 18 and 60 years of age were invited to participate in this study. A questionnaire on sociodemographic and clinical information was administered along with the Female Sexual Function Index. Quality of life was evaluated using the SF-36 questionnaire. SF-36 scores of women with and without sexual were compared using the independent t test. Results: The sample included 375 physically active women with a mean age of 34.6±10.0 years. Sexual dysfunction was found in 21.1%. In all domains of the SF-36 women with dysfunction had lower mean scores (p≤0.01 for emotional aspects and p<0.01 for other domains). We observed differences in mean scores in mental health, physical, emotional aspects and social aspects respectively, (59.6±18.7), (72.6±33.1), (67.1±38.7) and (69.2±22.8) for women with sexual dysfunction and in the median scores (72.1±16.8), (85.1±26.6), (78.6±34.4) and (80.7±21.9) for women with adequate sexual function (p<0,01for all). Conclusion: Sexual Dysfunction had a negative impact on QOL in women in this population.
ResumoIntrodução: Devido às mudanças anatômicas que a gestação, o parto e a multiparidade causam nos músculos do assoalho pélvico (MAP) esses são fatores de risco para distúrbios do assoalho pélvico. Essas alterações podem levar a disfunção sexual ou a alteração da percepção da autoimagem genital. Objetivo: Verificar a relação dos tipos e número de parto com a função sexual e a autoimagem genital feminina. Materiais e Métodos: Estudo observacional, de corte transversal. Foram analisadas 384 mulheres na faixa etária de 18 a 60 anos, sexualmente ativas, matriculadas em academias. Os critérios de exclusão envolvem as participantes com dificuldades de compreensão dos instrumentos e o preenchimento inadequado dos questionários. Os questionários FSFI (Female Sexual Function Index), FGSIS (Female Genital Self-Image Scale) e os dados sociodemográficos foram autoaplicáveis. O FGSIS possui uma variação na pontuação de 7 a 28, no qual escores mais altos indicam uma autoimagem genital positiva e o FSFI -considera-se disfunção sexual o escore ≤ 26. As variáveis categóricas (tipo e número de parto) foram apresentadas em frequências, e a relação do FSFI e FGSIS foi feita pelo teste t independente considerado um p≤0,05. Resultados: 384 mulheres com média da idade de 34,9±10,1 anos e IMC de 24,1±3,5 kg/m2. O FSFI apresentou alteração nos domínios desejo e excitação, já os escores do FGSIS não tiveram influencia do número e tipo de parto. Conclusão: Os resultados mostraram que o número e o tipo de parto apresenta uma relação com a função sexual feminina diminuída, o que não foi demonstrado com relação a autoimagem genital. AbstractIntroduction: Due to the anatomical changes that pregnancy, childbirth and multiparity cause in the pelvic floor muscles (PFMs), these are risk factors for pelvic floor disorders. These changes can lead to sexual dysfunction or alteration of the perception of genital self-image. Objective: To investigate the relationship between types and number of births and sexual function and female genital self-image. Materials and Methods: Observational cross-sectional study. We analyzed 384 women aged 18-60 years, sexually active, enrolled in gyms. The exclusion criteria involved participants who have difficulty in understanding the instruments. The FSFI (Female Sexual Function Index), FGSIS (Female Genital Self-Image Scale) questionnaires and the sociodemographic data were self-reported. Higher FGSIS scores -which can range from 7 to 28 -were considered indicative of positive genital self-image and FSFI scores under 26 were considered indicative of sexual dysfunction score. Categorical variables (number and type of births) were presented in frequency and the association of FSFI and FGSIS was taken by independent t-test, p = 0.05 considered. Results: 384 women with a mean age of 34.9 ± 10.1 years and BMI of 24.1 ± 3.5 kg / m2 were evaluated. The FSFI showed changes in desire and arousal domains and the FGSIS scores did not suffer influence of the number and type of deliveries. Conclusion: The results showed that th...
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