Disfunções sexuais em mulheres de casais infertéis
Carregando...
Data
2014-01-23
Autores
Título da Revista
ISSN da Revista
Título de Volume
Editor
Universidade Federal de Goiás
Resumo
Introduction: Infertility, besides being a medical condition that deserves
medical attention and treatment, is a disturbing development, with
implications on various aspects of life of infertile couples and individuals
(personal, relational, social and sexual). The impact of infertility on women's
sexuality is not entirely clear. Studies that have investigated the topic
reported contradictory results and methodological limitation. Objectives: •
Review important aspects of female sexual function, including, in Brazil the
prevalence, diagnosis and treatment. • Establish the risk of female sexual
dysfunction in infertile couples. • Determine the prevalence of sexual
dysfunction among infertile and fertile women and among women undergoing
the techniques of low and high complexity. • Compare the dysfunctions in
fertile and infertile women and in women subjected to low and high technical
complexity. Methods: A literature review article, constructed from research
on PubMed/Medline and SciELO databases between 1985 and 2012 was
drafted. Then an original article where a study of the case-control was
developed with 278 infertile participants met at the Laboratory of Huma n
Reproduction, Hospital das Clínicas and fertile patients recruited at the Clinic
of Gynecology in the same hospital, from March 2012 to September 2013.
The case group consisted of 92 women with sexual dysfunction and a control
group of 186 women without sexual dysfunction. The questionnaire Female
Sexual Function Index (FSFI) Portuguese version, which assesses the
domains desire, arousal, lubrication, orgasm, satisfaction and pain, was
used. Data were collected through interviews after signing the WIC. Two
controls per case were randomly selected. The odds ratio (OR) was
calculated for chance of female sexual dysfunction in infertile couples (p ≤
0.05). Results: In the literature, it is observed that female sexual dysfunction
have a multifactorial etiology, prevalence ranged from 35.9 % to 49.0 % and
is rarely studied in the Brazilian population. Infertile and fertile women have
the same chance for sexual dysfunction (OR = 1.45, 95% CI 0.86 to 2.44, p =
0.20). The prevalence of sexual dysfunction in infertile women was 36.31 %,
and the fertile women was 28.18 %. In women undergoing low technical
complexity prevalence was 38.88 %, 34.37 % and high complexity. Desire
and arousal were significantly lower in infertile women. No significant
differences were observed in relation to sexual dysfunction in women
subjected to the techniques of low and high complexity. Conclusions: The
risk of infertile women experiencing sexual dysfunction is the same fertile
women. There was no statistical difference regarding the prevalence in
infertile women compared to fertile, and women undergoing fertilization of low
complexity when compared to high complexity. The desire and arousal
domains were the most affected in infertile women. No differences were
observed in the areas in relation to the techniques of low and high
complexity.
Descrição
Citação
MENDONÇA, Carolina Rodrigues de. Disfunções sexuais em mulheres de casais infertéis. 2014. 87 f. Dissertação (Mestrado em Ciências da Saúde) - Universidade Federal de Goiás, Goiânia, 2014.