Management of hypoactive sexual desire disorder in women in the gynecological setting

Lara, Lúcia Alves da Silva; Scalco, Sandra Cristina Poerner; Rufino, Andréa Cronemberger; Paula, Stany Rodrigues Campos de; Fernandes, Eduardo Siqueira; Pereira, Joice Martins de Lima; França, Siglia Sousa de; Reis, Sheila; Almeida, Suzane Beirão de; Vale, Fabiene Bernardes Castro; Lerner, Théo; Carvalho, Yara Maia Villar de; Abdo, Carmita Helena Najjar; Oliveira, Flávia Fairbanks Lima de

doi:10.1055/s-0041-1731410

Cited by 5 publications

(5 citation statements)

References 52 publications

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“…Moreover, a positive self-image, which can be affected by physical and psychological changes in the puerperium, is necessary to foster trust and intimacy. Consequently, if sexual stimuli meet expectations, biological and psychological factors will lead to desire, arousal, and orgasm, which will provide women with physical and emotional satisfaction and allow them to view sexuality in a healthy manner [ 30 ]. The outcomes of this study demonstrate the crucial elements that could have an impact on clinical practices and recommendations for postpartum care.…”

Section: Discussionmentioning

confidence: 99%

Comparative study of postpartum sexual function: Second-degree tears versus episiotomy outcomes

Fernández-Fernández,

de Medina-Moragas

2024

Arch Gynecol Obstet

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Purpose The effects of episiotomy and second-degree tears on postpartum sexual function are key areas of enquiry in women’s health research. Episiotomy and second-degree tears are common procedures and injuries that occur during childbirth. Understanding their impact on post-childbirth sexuality is crucial to women’s overall well-being. This study aimed to examine the relationship between episiotomy, second-degree tears, and post childbirth sexuality. Methods A cross-sectional design was employed, including 83 women who gave birth to Cáceres in 2017. Participants were evaluated based on sociodemographic and sexual health factors. Results No significant differences were found in dyspareunia or sexual function between women who underwent episiotomies and those with second-degree tears. However, women who underwent episiotomies waited longer before resuming sexual activity after childbirth. Factors such as age, number of previous births, employment status, educational level, and breastfeeding status affected the timing and frequency of postpartum sexual activity. Conclusion Dyspareunia negatively affects various aspects of sexual function. When comparing episiotomy and second-degree tears, their impacts on postpartum sexual function were similar. However, episiotomy delays the resumption of sexual activity. Sociodemographic factors significantly influence postpartum sexual health. These findings highlight the importance of individualised interventions and support for new mothers during the postpartum period to address potential sexual health concerns.

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Section: Discussionmentioning

confidence: 99%

Comparative study of postpartum sexual function: Second-degree tears versus episiotomy outcomes

Fernández-Fernández,

de Medina-Moragas

2024

Arch Gynecol Obstet

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“…Thus, gynecologists should access sexual health issues during routine gynecological appointments [ 14 ]. However, these professionals have been aware of less than 50% of patients’ sexual problems [ 15 ].…”

Section: Introductionmentioning

confidence: 99%

Knowledge, practices and barriers to access sexual health of women in the menopausal stages: a cross-sectional study with Brazilian gynecologists

Carvalho,

Andrade,

Ruano

et al. 2024

BMC Women's Health

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Background Sexual health access and care for women in the menopausal stages face significant barriers, presenting deficits in relation to diagnosis and treatment. Although epidemiological data indicate high prevalence of problems related to sexual health in this population, traditionally, the theme is not discussed in health care settings. This study aimed to analyze knowledge, practices and barriers to access sexual health of women in the menopausal stages in the context of women’s health care in Brazil. Methods With a cross-sectional design, a questionnaire was distributed electronically, encompassing variables related to knowledge; practices; and barriers to access sexual health of women in the menopausal stages. The data obtained were subjected to analysis using both descriptive and inferential statistics. Specifically, we employed multivariate analysis, employing multiple linear regression models, to discern potential factors associated with outcomes concerning the level of knowledge and the frequency of addressing the topic in professional practice. Results The sample included 70 physicians with specialization in obstetrician/gynecologists who work in health care with women in the menopausal transition or postmenopausal women. A high level of self-reported knowledge about sexual health was identified. Regarding the practices, most of them reported directly proposing the subject and not using instruments. Although they reported frequently addressing the topic in general, topics related to vaginal lubrication, dyspareunia, and sexual dysfunction have been more present in the clinic compared to sexual orientation and women’s relationship with themselves. The main barriers were time limitation and patient discomfort with the topic. The multivariate models indicated that female gynecologists and professionals with higher levels of knowledge on the subject had a higher frequency of addressing sexual health in clinical practice with women in menopausal stages. Conclusions Sexual health access and care for brazilian women in the menopausal stages presents discrepancies in the frequency of approach between the various topics, in addition to the predictive character of technical knowledge in the practices of professionals. To ensure universal access to sexual health services for this population, an active approach through specific instruments is important, as well as the reinforcement of strategies to improve the level of knowledge of professionals.

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“…É fundamental ter uma escuta diferenciada, respeitando a avaliação da paciente, e uma observação clínica minuciosa, especificando, quanto ao tempo de aparecimento, se é situacional ou geral, se existem fatores de melhora ou piora, e se coincidiu com o uso de medicamentos, álcool e outras substâncias, ou hábitos adquiridos, investigar a influência de fatores ambientais e psíquicos, e averiguar todos os fatores associados ao aparecimento das disfunções sexuais (Basson et al, 2015;FEBRASGO, 2022). É, também, fundamental avaliar a história sexual pregressa, a história obstétrica e a qualidade do relacionamento diádico (Lara et al, 2017(Lara et al, , 2021.…”

Section: Diagnóstico Do Desejo Sexual Hipoativounclassified

“…Adicionalmente, podem favorecer para que a mulher se engage melhor nos protocolos que envolvem a psicoterapia e/ou farmacoterapia (Clayton et al, 2018). Contribuem, ainda, para dirimir expectativas irreais ou possíveis mitos relacionados com as queixas sexuais das mulheres (Lara, et al, 2021;Kingsberg e Faubion, et al, 2022;Clayton et al, 2018). Um estudo randomizado e controlado evidenciou que um protocolo de intervenção semanal durante seis semanas com medidas educativas em sexualidade é efetivo para melhorar a queixa de DSH em mulheres (Kaviani et al 2014).…”

Section: Justificativaunclassified

“…Os casos em que a queixa sexual está associada a violência sexual ou alguma comorbidade psiquiátrica são direcionados para avaliação dos profissionais de saúde mental. Um retorno ao serviço é agendado em um prazo máximo de 60 dias.As medidas educativas oferecidas a todas as mulheres derivam do modelo EOP (E = ensinar sobre a resposta sexual, O = orientar sobre a saúde sexuais, P = permitir e estimular o prazer sexual)(Lara et al, 2017(Lara et al, , 2021 que, por sua vez, foi inspirado no já consagrado modelo PLISSIT (Tuncer e Oskay 2022). Esse protocolo de intervenção é aplicado no AESH, para todas as mulheres com diagnóstico de DSH, independente do fator causal, no primeiro atendimento da mulher.…”

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Efeito da abordagem do desejo sexual hipoativo feminino pelo ginecologista em um serviço especializado de cuidado à saúde sexual da mulher

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Management of hypoactive sexual desire disorder in women in the gynecological setting

Cited by 5 publications

References 52 publications

Comparative study of postpartum sexual function: Second-degree tears versus episiotomy outcomes

Comparative study of postpartum sexual function: Second-degree tears versus episiotomy outcomes

Knowledge, practices and barriers to access sexual health of women in the menopausal stages: a cross-sectional study with Brazilian gynecologists

Efeito da abordagem do desejo sexual hipoativo feminino pelo ginecologista em um serviço especializado de cuidado à saúde sexual da mulher

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