Although the brain death diagnosis is scientifically and legally defined in Brazil and the maintenance of the potential organ donor for transplantation purposes has been addressed during the last years, there are still some doubts about the subject, as its understanding varies according to the personal beliefs, culture, and educational background of individuals, including those who work in this scenario.
Objective:to analyze the evidence available in the literature on the alterations in the
sexuality of candidates and recipients of liver transplantation. Method:integrative review of the literature with search for primary studies in the
databases MEDLINE (via PUBMED), CINAHL e LILACS, published in English,
Portuguese and Spanish. Results:the 16 primary studies included were grouped into three categories: 1) female
sexuality (n=5), 2) male sexuality (n=5) and 3) male and female sexuality
(n=6). In category 1, the subjects investigated were contraception,
pregnancy, sexual dysfunction, presence of gynecological symptoms and
sexually transmitted infections. In category 2, the main focus of the
studies was erectile dysfunction, sexual desire and satisfaction, and
consequences of the immunosuppressive regimen with mycophenolic acid in men.
In category 3, the evaluation of sexual function was the main topic. Conclusion:the scientific evidence generated provides support to encourage health
professionals to incorporate the topic of sexuality in the routine of care.
Knowledge gaps were identified and new studies should be conducted in order
to implement interventions to prevent, minimize and/or control changes
related to the patient’s sexuality.
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