Introduction Sexual pleasure is fundamental for the maintenance of health and wellbeing, but it may be adversely affected by medical and psychosocial conditions. Many patients only feel that their health is fully restored after they resume normal sexual activities. Any discussion of sexuality in a doctor's office is typically limited, mainly because of a lack of models or protocols available to guide the discussion of the topic. Objectives To present a model designed to guide gynecologists in the management of female sexual complaints. Methods This study presents a protocol used to assess women's sexual problems. A semi-structured interview is used to assess sexual function, and the teaching, orienting and permitting (TOP) intervention model that was designed to guide gynecologists in the management of sexual complaints. Results The use of protocols may facilitate the discussion of sexual issues in gynecological settings, and has the potential to provide an effective approach to the complex aspects of sexual dysfunction in women. The TOP model has three phases: teaching the sexual response, in which the gynecologist explains the physiology of the female sexual response, and focuses on the three main phases thereof (desire, excitement and orgasm); orienting a woman toward sexual health, in which sexual education is used to provide information on the concept and healthy experience of sexuality; and permitting and stimulating sexual pleasure, which is based on the assumption that sexual pleasure is an individual right and is important for the physical and emotional well-being. Conclusion The use of protocols may provide an effective approach to deal with female sexual dysfunction in gynecological offices.
Highlights The risk of sexual transmission is still unanswered, and thus it is recommended to have sex with people close to yourself There is no evidence to support recommendations for sexual practices with casual partners. Solitary sexual practices like sexual fantasies, autoerotism, masturbation, and sex toys are recommended when the exposure of a partner is known, one (or both) partner is infected, and one partner is suspicious of infection. Wash your hands and any sex toys used, both before and after masturbating The use of media and bibliotherapy can be help isolated people to build sexual phantasies and autoerotic practices Avoid kisses, hugs, and physical proximity to those that do not live in the same household
Objectives: 1. Demonstrate the creation of a brief questionnaire to screening in clinical practice, able to diagnose female sexual dysfunction. 2. Implement a score that detects the need for referral to a specialist. Design and methods: This is a screening for FSD, with only four questions that include the variables: sexual frequency, orgasm, pain and sexual initiative, in a Likert scale. The applicability was demonstrated in a retrospective cross-sectional study of patients. They were seen in Sexology Clinic of a Public Hospital, setting a score and cut-off. Chi-squared test, Fisher’s exact test and analysis of variance (ANOVA) were used; significant level (p= 0.05). Results: The score ranged from 4 to 16 points. The average of the patients before the sex therapy was 7.5 (± 2.4) points and after the sex therapy they increased for 10.9 (± 3.3); (p <0.001). The patients, who had experienced sexual violence or with primary anorgasmia, had a poorer prognosis and those with higher levels of education or good levels of orgasms, had better prognosis. The development with treatment showed a significant raise of the score. (p = 0.013). Conclusions: The instrument provided an opportunity to approach sexuality by general practitioners and FSD detection through a score. The patients had a good understanding of the issues and their demands were attended.
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