Função sexual de mulheres submetidas à reprodução assistida

Abstract

WaldeMar naves do aMaral 2 Resumo OBJETIVO: Avaliar a função sexual de mulheres submetidas a técnicas de reprodução assistida. MÉTODOS: Estudo caso-controle com 278 mulheres atendidas no Hospital das Clínicas da Universidade Federal de Goiás nos serviços de Reprodução Humana e no Ambulatório de Ginecologia. As mulheres foram distribuídas em grupo caso (168 mulheres inférteis) e grupo controle (110 mulheres férteis), e responderam ao questionário Índice de Função Sexual Feminina (IFSF) para avaliação da função sexual. Calculou-se a odds ratio (OR) para a chance de disfunção sexual nas mulheres inférteis (p<0,05). RESULTADOS: Do total de mulheres analisadas, 33,09% apresentaram disfunção sexual e não houve diferença no escore do IFSF (p=0,29). A prevalência de disfunção sexual entre as mulheres inférteis foi de 36,30%, e entre as férteis, 28,18%; contudo, não houve diferença entre os escores do IFSF (p=0,36). Nos domínios desejo e excitação houve diferença significativa nas mulheres inférteis (p=0,01). Mulheres inférteis apresentam a mesma chance de disfunção sexual em relação às mulheres férteis (OR=1,4; IC95% 0,8-2,4; p=0,2). CONCLUSÃO: Não houve diferenças entre as mulheres inférteis quando comparadas às férteis. Mulheres inférteis submetidas a técnicas de reprodução assistida carecem da abordagem profissional sobre a saúde sexual em relação ao desejo e à excitação. Abstract PURPOSE:To evaluate sexual function in women undergoing assisted reproductive techniques. METHODS: This is a case-control study including 278 women assisted in Human Reproduction services and at the Gynecology Clinic of the University Hospital, Federal University of Goiás, Brazil. The women were divided into a study group (168 infertile women) and a control group (110 fertile women), and they answered the Female Sexual Function Index (FSFI) questionnaire used the assess the sexual function. We calculated the odds ratio (OR) for the chance of sexual dysfunction in infertile women (p<0.05). RESULTS: Out of the analyzed women, 33.09% reported sexual dysfunction, with no difference in the FSFI score between groups (p=0.29). The prevalence of sexual dysfunction was of 36.30% among infertile women and 28.18% among fertile women; however, there was no difference between FSFI scores (p=0.36). The desire and arousal domains were significantly different among infertile women (p=0.01). Infertile women had the same chances of having sexual dysfunction as fertile women (OR=1.4, 95%CI 0.8-2.4; p=0.2). CONCLUSION: There were no differences between infertile and fertile women. Infertile women undergoing assisted reproduction techniques require professional approach to sexual health regarding desire and arousal.

Sexual Function of Women with Infertility

“…The IG had a significantly lower FSFI subscore for arousal than the CG. These results are consistent with a case-control study that showed a lower score in arousal of infertile women, 27 although this study also reported that infertile women had lower scores in sexual desire.…”

“…However, the control group in this study was from a gynecology outpatient clinic, and this group may be prone to more sexual complaints. 5 The prevalence of sexual dysfunction in our study was similar to that in a previous case-control study 27 as well as to that of a cross-sectional study, in which 35.6% of infertile women had FSFI scores < 26.55. 28 On the other hand, another cross-sectional study found that 87.1% of the infertile women had sexual dysfunction.…”

“…Previous research indicated that infertile women are more likely to present with anxiety, low self-esteem, misperception of body image, fear of rejection, and sexual problems. 27 Also, infertile women have an increased risk of psychological disorders, such as anxiety and depression, 10 and this could affect their emotional and physical health, 11 and may lead to feelings of shame because of the impossibility of conception. 12 A limitation of the present study is that the IG and the CG were significantly different in marital status.…”

The Impact of Infertility on Female Sexual Function: A Systematic Review and Meta-analysis

“…Prevalence data diverse, varying according to the authors and the geographic region, but Europe and North America typically had rates of FSD below 40%, whereas regions such as the Middle East and Africa had rates as high as 62% [12,13] Several factors have been associated to FSD. According to the results of a metaanalysis that includes 94 studies, and despite the heterogeneity of the population evaluated, the following factors showed to have a significant, protective effect: older age at marriage, exercise, good overall health, daily intimacy and relationship satisfaction, positive body image, sex education and finding sex to be "important" [13] Some studies have evaluated the relationship between FSD and infertility but the results remain controversial [14][15][16]. Thus, the aim of this systematic review was to provide a meta-analytical estimate of the relation between infertility and FSD.…”