Social and ethical determinants of sexuality: 4. Sexuality and families

Benagiano, Giuseppe; Carrara, Sabina; Filippi, Valentina

doi:10.3109/13625187.2012.702810

Cited by 28 publications

(6 citation statements)

References 44 publications

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“…Female sexuality and sexual relations also depend heavily on the mores of each era and society. [3][4][5][6] A Brazilian survey showed that 49% of women experience sexual dysfunction, and hypoactive sexual desire is the most prevalent disorder. 7 Paradoxically, the discussion of sexuality with doctors is limited, 8 both because of perceived taboos 9,10 and because most residents in Obstetrics and Gynecology (Ob-Gyn) are poorly equipped to address sexual problems.…”

Section: Introductionmentioning

confidence: 99%

A Model for the Management of Female Sexual Dysfunctions

Lara¹,

Scalco

Troncon

et al. 2017

Rev Bras Ginecol Obstet

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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.

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Section: Introductionmentioning

confidence: 99%

A Model for the Management of Female Sexual Dysfunctions

Lara¹,

Scalco

Troncon

et al. 2017

Rev Bras Ginecol Obstet

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“…The sexual identity and self-esteem of women is closely linked with their reproductive capability. This relationship is reinforced by social expectations concerning the female role [1]. The feeling of incapacity to fulfill their socially accepted function, which encompasses menstruation, sexual relations and motherhood, is seriously damaging to the self-image of females.…”

Section: Introductionmentioning

confidence: 99%

Self-Reported Psychopathological Symptoms in Young Females with Mayer-Rokitansky-Küster-Hauser Syndrome and Polycystic Ovary Syndrome: Findings from a Cross-sectional Study

Giannakopoulos¹

2015

JPCPY

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Objective: The Mayer-Rokitansky-Kuster-Hauser syndrome (MRKHS) and the polycystic ovary syndrome (PCOS) have been associated with disturbances in youths' psychological functioning and psychosexual development. We examined self-reported psychopathological symptoms in young females with MRKHS and those with PCOS at the time of diagnosis, compared with healthy adolescents. Methods: Self-reported questionnaires to measure depression, anxiety and general psychopathological symptoms were obtained from 70 young females aged 11-20 years. Of the total sample, 24 adolescents presented with MRKHS (mean age ± SD: 17.2 ± 1.5), 22 with PCOS (mean age ± SD: 16.9±2.00) and 24 subjects were recruited as healthy age-matched controls (mean age ± SD: 17.3 ±2.2). Results: The MRKHS group showed significantly higher levels of anxiety symptoms compared with the control group. Also, older MRKHS patients (18-20 years old) presented significantly higher levels of depression, anxiety symptoms, phobic anxiety symptoms, and hostility than PCOS patients of the same age group. Older PCOS patients (18-20 years old) reported significantly less attention problems and more somatic complaints compared with MRKHS patients and controls of the same age group. Conclusion: Young females with PCOS and especially with MRKHS appear to be a psychologically vulnerable group. A biopsychosocial approach should emphasize the assessment and treatment of the psychopathological symptoms of these patients alongside somatic treatments.

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“…Segundo a Neuroendocrinologia, a função sexual é um fenômeno biopsicossocial complexo no qual estímulos internos e externos são modulados pelo sistema nervoso central e periférico, resultando em uma cascata de alterações bioquímicas, hormonais e circulatórias que culminam no resultado sexual físico e cognitivo 1,2 . É um fenômeno que envolve aspectos bioló-gicos, psicológicos e sociológicos 3 . Na atualidade, o comportamento sexual humano transcendeu o aspecto reprodutivo e passou a ser considerado parte integral da qualidade de vida 4,5 .…”

Section: Introductionunclassified

Sexualidade na gestação: os médicos brasileiros estão preparados para lidar com estas questões?

Vieira¹,

Souza²,

Nakamura³

et al. 2012

Rev. Bras. Ginecol. Obstet.

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Mary usChiyaMa nakaMura 2 rosiane MaTTar 2 Introdução A sexualidade é uma função biológica humana que não se atém à genitalidade e sim à corporalidade total. Segundo a Neuroendocrinologia, a função sexual é um fenômeno biopsicossocial complexo no qual estímulos internos e externos são modulados pelo sistema nervoso central e periférico, resultando em uma cascata de alterações bioquímicas, hormonais e circulatórias que culminam no resultado sexual físico e cognitivo 1,2 . É um fenômeno que envolve aspectos bioló-gicos, psicológicos e sociológicos 3 . Na atualidade, o comportamento sexual humano transcendeu o aspecto reprodutivo e passou a ser considerado parte integral da qualidade de vida 4,5 . Apesar de alguns avanços ao longo dos últimos séculos, o exercício da sexualidade ainda é cercado por tabus, preconceitos e crendices em muitas culturas modernas. O conceito de disfunções sexuais surgiu somente no século XX, após os primeiros estudos sobre a resposta sexual fisiológica humana. Em 1966, Masters e Johnson 6 propuseram o modelo que descrevia a resposta sexual masculina e feminina como um processo linear didaticamente subdividido em quatro fases denominadas excitação, platô, orgasmo e resolução. Embora cada fase tenha características específicas distintas, não são unidades separadas, mas partes inseparáveis de um processo unitário, sequencial, contínuo e ordenado. Em 2001, Basson propôs um novo modelo específico para a resposta sexual feminina segundo o qual a resposta sexual das mulheres seria circular e dividida em cinco fases (neutralidade, excitação, desejo responsivo, satisfação e intimidade) 7 . Segundo esse novo modelo, o desejo não necessariamente desencadearia toda a resposta sexual feminina, mas a intimidade física do casal poderia ser a base para a motivação sexual Sexualidade na gestaçãoSe a resposta sexual feminina foi esquecida durante muitos séculos, o estudo dessa função durante o ciclo gravídico-puerperal recebeu ainda menos atenção. A gravidez é caracterizada por modificações bioquímicas, funcionais e anatômicas que se iniciam logo após a implantação

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Social and ethical determinants of sexuality: 4. Sexuality and families

Cited by 28 publications

References 44 publications

A Model for the Management of Female Sexual Dysfunctions

A Model for the Management of Female Sexual Dysfunctions

Self-Reported Psychopathological Symptoms in Young Females with Mayer-Rokitansky-Küster-Hauser Syndrome and Polycystic Ovary Syndrome: Findings from a Cross-sectional Study

Sexualidade na gestação: os médicos brasileiros estão preparados para lidar com estas questões?

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