A Model for the Management of Female Sexual Dysfunctions

Abstract

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.

Women’s sexual health six months after a severe maternal morbidity event

“…With regard to dyspareunia, our study found that women who suffered some type of injury during pregnancy, childbirth or postpartum had higher rates of pain during sexual intercourse when compared to women who went through a pregnancy without any type of injury. This result agrees with a research carried out in Campinas which revealed that maternal morbidity is directly associated with a higher frequency of dyspareunia after delivery (15) .…”

“…This is an observational epidemiological study with a cross-sectional design, conducted with 110 women, recruited concurrently in two health services: Reference (15) . days after discharge.…”

Sexualidade Da Mulher: Dificuldades, Enfrentamentos E Atuação Dos Serviços De Saúde

“…Apesar de uma grande prevalência de disfunções sexuais entre as mulheres, a discussão sobre sexualidade entre médicos é limitada, sobretudo por causa de tabus e porque a abordagem sobre problemas sexuais é ineficiente para a maioria dos residentes em ginecologia e obstetrícia. E, mais, que existem poucos modelos para guiarem o médico na discussão sobre disfunção sexual e poucos protocolos disponíveis para o manejo de queixas sexuais orgânicas e não-orgânicas (Lara, Scalco, Troncon, & Lopes, 2017).…”

“…Compreender a sexualidade feminina como fenômeno complexo e determinante de saúde facilita a abordagem da mulher na perspectiva da integralidade, atuando nas dimensões biológica, psicológica e social da função sexual; contribuindo para que a mesma exponha e reflita suas potências e limites no que tange a sexualidade e defina estratégias de enfrentamento quando necessário (Lara, Scalco, Troncon & Lopes, 2017).…”

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

“…(2) In Brazil, a systematic review showed a prevalence of 11 to 75% of HSDD. (3)(4)(5)(6)(7) There are several psychological, biological, behavioral, relational and environmental factors that interfere with sexual desire. (3) The treatment of HSDD requires knowledge about factors that may be associated with the diagnosis of HSDD (Chart 1).…”