scholarly journals Sexual function of undergraduate women: a comparative study between Brazil and Italy

2018 ◽  
Vol 71 (suppl 3) ◽  
pp. 1428-1434 ◽  
Author(s):  
Karine de Castro Bezerra ◽  
Sabrine Rodrigues Feitoza ◽  
Camila Teixeira Moreira Vasconcelos ◽  
Sara Arcanjo Lino Karbage ◽  
Dayana Maia Saboia ◽  
...  

ABSTRACT Objective: to evaluate the sexual function of Italian and Brazilian nursing students using the Female Sexual Function Index (FSFI), to estimate the prevalence of sexual dysfunctions and related factors. Method: this is a cross-sectional study involving 84 Brazilian and 128 Italian undergraduate. For the evaluation of sexual function, the Female Sexual Function Index (FSFI) questionnaire was used. Results: Italian women presented significantly higher sexual dysfunction index (n=78/60.9%) than the Brazilian women (n=32/38.1%) (p=0.00). Only the “desire” and “excitation” domains showed no difference between groups. Younger, single and without a steady relationship women had a higher rate of sexual dysfunction (p<0.05). Conclusion: the high rate of sexual dysfunction in a young public suggests the need for more research to increase knowledge about the influence of psychosocial and related factors on female sexual function, directing care towards the promotion of sexual and reproductive health.

2021 ◽  
Author(s):  
Hoang Dao Nhat Linh ◽  
Le Sy Phuc An ◽  
Le Minh Tam ◽  
Nguyen Vu Quoc Huy

Abstract Introduction: A healthy sexual life would contribute to a lasting intimate couple relationship; pregnant women were susceptible to physical, psychological and social changes leading to sexual alterations and dysfunction in pregnancy. In ***, despite not being a novel domain, sexuality has not been extensively evaluated due to the influence of Eastern tradition, which creating promotes unsecured feelings of insecurity when talking about sex.Aim: To investigate the female sexual function alteration during the 1st trimester of pregnancy and some related factors among *** women.Methods: A descriptive cross-sectional study comprising 383 women aged from 18 years old having routine antenatal visits at Department of Obstetrics and Gynecology, *** Hospital from April 2016 to March 2017. Data were collected by interviews using is Female Sexual Function Index (FSFI) questionnaire.Main outcome measures: Subjects’ sexual function alteration, using the validated *** version of Female Sexual Function Index.Results: The prevalence of women with female sexual function alteration before pregnancy was 53% and in 1st trimester was 88.8%. The frequency of intercourses during 1st trimester of pregnancy is lower than before pregnancy (p<0.05). The main reasons of no sexual activity during pregnancy were fear of harming the fetus (75.1%) and prefer not to be satisfied in the short-term rather than hurt the baby (73.5%). Factors affected female sexual function were age, time of living-together, age of 1st sexual intercourse, pregnancy planning, obstetrical history, sexual initiative, religion, academic level, and jobs (p<0.05).Conclusions: Sexual function alteration among first trimester pregnant women is a problem which should be considered, and medical staff should provide counseling to them to improve the quality of their sexual life and maintain normal course of pregnancy.


2021 ◽  
Author(s):  
Hoang Dao Nhat Linh ◽  
Le Sy Phuc An ◽  
Le Minh Tam ◽  
Nguyen Vu Quoc Huy

Abstract Introduction: A healthy sexual life would contribute to a lasting intimate couple relationship; pregnant women were susceptible to physical, psychological and social changes leading to sexual alterations and dysfunction in pregnancy. In Vietnam, despite not being a novel domain, sexuality has not been extensively evaluated due to the influence of Eastern tradition, which creating promotes unsecured feelings of insecurity when talking about sex.Aim: To investigate the female sexual function alteration during the 1st trimester of pregnancy and some related factors among Vietnamse women.Methods: A descriptive cross-sectional study comprising 383 women aged from 18 years old having routine antenatal visits at Department of Obstetrics and Gynecology, Hue University of Medicine and Pharmacy Hospital from April 2016 to March 2017. Data were collected by interviews using is Female Sexual Function Index (FSFI) questionnaire.Main outcome measures: Subjects’ sexual function alteration, using the validated Vietnamese version of Female Sexual Function Index.Results: The prevalence of women with female sexual function alteration before pregnancy was 53% and in 1st trimester was 88.8%. The frequency of intercourses during 1st trimester of pregnancy is lower than before pregnancy (p<0.05). The main reasons of no sexual activity during pregnancy were fear of harming the fetus (75.1%) and prefer not to be satisfied in the short-term rather than hurt the baby (73.5%). Factors affected female sexual function were age, time of living-together, age of 1st sexual intercourse, pregnancy planning, obstetrical history, sexual initiative, religion, academic level, and jobs (p<0.05).Conclusions: Sexual function alteration among first trimester pregnant women is a problem which should be considered, and medical staff should provide counseling to them to improve the quality of their sexual life and maintain normal course of pregnancy.


2021 ◽  
Vol 21 (2) ◽  
pp. 835-841
Author(s):  
Sahar A Ismail ◽  
Nagwa E Abdel-Azim ◽  
Medhat A Saleh ◽  
Ahmed A Mohamed ◽  
Ali H Yosef ◽  
...  

Objective: To provide a grading system that accurately reflects the grades of female sexual dysfunction (FSD) severity. Patients and methods: A cross-sectional study was conducted in Assiut University Hospital. It included 500 women who answered the Arabic version of the Female Sexual Function Index (FSFI) after getting their consent. A gradient of FSD severity was created, classifying FSD into five grades: severe, moderate, mild to moderate, mild, and no FSD. Results: According to our grading system, FSD was detected in 339 women (67.8 %); Mild FSD in 20.4%, mild to moderate in 41.6%, moderate in 15.3%, and severe in 22.7%. Mean scores of desire show a linear trend of reduction from 3.8 in mild to 3.36 in mild to moderate to 2.25 in moderate and markedly reduced to 2.1 in severe grade. This difference was highly statistically significant (p= 0.002). The same was reported in arousal, orgasm, and satisfaction domains, while in lubrication and pain domains, the difference was not statistically significant. Conclusion: In this study, our grading system was complementary to the FSFI. Moreover, it seems to be more practical and useful in grading the severity of FSD. Keywords: Female sexual dysfunction; FSFI; grading; sexual function.


2020 ◽  
Vol 30 (2) ◽  
pp. 27-31 ◽  
Author(s):  
Mohammad Shamsul Ahsan ◽  
Shahjada Selim ◽  
Srijony Ahmed ◽  
Rubaiya Ali ◽  
Hosnea Ara ◽  
...  

Talks regarding sexual problems are not encouraging in Bangladesh and sufferers are in grave situation as they are not sure regarding whom to approach and how to start. It was aimed to see the presenting patterns of female sexual dysfunctions (FSD) and co-morbidities among the patients attending at different outpatient departments (OPD) at Bangabandhu Sheikh Mujib Medical University (BSMMU). This descriptive cross sectional study was conducted among 173 female patients attending at gynecology, endocrinology and psychiatry OPD, BSMMU. Sample was taken by convenient sampling within the period of October 2015 to December 2016. Data were collected through face-to-face interview with Female Sexual Function Index (FSFI) questionnaire. The results showed that, most (95.95%) of the patients were in the reproductive age group. Majority of the patients (32.95%) were in 26-30 years age group and 24.85% were in 18-25 years age group. Majority (77.5%) belonged to home maker occupational class where 12.7% was service-holder. Fifty six percent of the respondents were found to have sexual dysfunctions and 38.15% patients had endocrinological co-morbidities, 37.57% had gynecological co- morbidities and 33.53% had psychiatric co-morbidities. Positive openness in sexual health is required for the betterment of both treatment and diagnosis of sexual disorders. Specialized service center focusing the different groups is needed to deal with sexual health in a developing country like Bangladesh. Bang J Psychiatry December 2016; 30(2): 27-31


2021 ◽  
Vol 8 (2) ◽  
pp. 100-107
Author(s):  
Farida Yuliani ◽  
Fitria Edni Wari ◽  
Ferilia Adiesti ◽  
Nurun Ayati Khasanah

Hormonal changes due to the use of hormonal contraceptives are known to be one of the causes of sexual dysfunction. Impaired sexual function can affect the ability to establish and maintain intimate relationships with a partner, and interfere with mental health such as anxiety and depression. This descriptive study using a cross-sectional design aims to describe the sexual function of acceptors of hormonal contraception Depo Medroxyprogesterone Acetate (DMPA). The population of this study was women who used DMPA hormonal contraception. Sample selection is done by total sampling. The data was collected using the Female Sexual Function Index (FSFI) questionnaire, then the data were tabulated and analyzed descriptively. The results showed that most of the DMPA contraceptive acceptors experienced sexual dysfunction and most of the acceptors had used DMPA hormonal contraception for 2 years. DMPA's systemic hypo-estrogenic effect causes vaginal mucosal atrophy, vaginal dryness, and dyspareunia, causing sexual dysfunction. Midwives as health care providers need to have open discussions with hormonal contraceptive acceptors regarding their sexual function so that contraceptive acceptors continue to use effective contraception to prevent pregnancy and continue to provide emotional and sexual support in a woman's life.   Keywords: Sexual Function, Acceptor, DMPA   ABSTRAK   Perubahan hormonal akibat penggunaan kontrasepsi hormonal diketahui menjadi salah satu penyebab disfungsi sexual. Gangguan fungsi seksual dapat mempengaruhi kemampuan untuk membangun dan mempertahankan hubungan intim dengan pasangan, dan mengganggu kesehatan mental seperti kecemasan dan depresi. Penelitian deskriptif ini  menggunakan desain Cross Sectional bertujuan untuk mengetahui gambaran fungsi seksual akseptor kontrasepsi hormonal Depo Medroxyprogesterone Acetate (DMPA). Populasi penelitian ini adalah wanita yang menggunakan kontrasepsi hormonal DMPA. Pemilihan sampel dilakukan secara total sampling. Pengumpulan data menggunakan kuesioner Female Sexual Function Index (FSFI) selanjutnya data ditabulasi dan dianalisis secara deskriptif. Hasil penelitian menunjukkan bahwa sebagian besar akseptor kontrasepsi DMPA mengalami disfungsi seksual dan sebagian besar akseptor sudah ≥ 2 tahun  menggunakan kontrasepsi hormonal DMPA. Efek hipo estrogenik sistemik DMPA ini menyebabkan mukosa vagina atrofi, kekeringan vagina dan dispareunia sehingga menyebabkan gangguan fungsi seksual. Bidan sebagai pemberi pelayanan kesehatan perlu melakukan diskusi secara terbuka dengan akseptor kontrasepsi hormonal terkait fungsi seksual mereka sehingga akseptor kontrasepsi tetap menggunakan kontrasepsi efektif untuk mencegah kehamilan dan tetap memberi dukungan secara emosional dan seksual di kehidupan seorang wanita.   Kata kunci : Fungsi Seksual, Akseptor, DMPA


2020 ◽  
Author(s):  
Κωνσταντίνος Κουτσαμπασόπουλος

Εισαγωγή: Σημαντικός αριθμός ασθενών με καρδιακή ανεπάρκεια θεωρεί σημαντικό κομμάτι της ζωής του τη σεξουαλική δυσλειτουργία, η οποία επηρεάζει την ποιότητα ζωής του. Το πρόβλημα της σεξουαλικής δυσλειτουργίας μπορεί να αφορά τόσο τους άνδρες, όσο και τις γυναίκες και είναι ιδιαίτερα συχνό στους ασθενείς με καρδιακή ανεπάρκεια. Σκοπός: Ο κύριος σκοπός της παρούσας διδακτορικής διατριβής είναι η συσχέτιση της σεξουαλικής δυσλειτουργίας με τη λειτουργικότητα (συστολική και διαστολική) της αριστερής και της δεξιάς κοιλίας του μυοκαρδίου σε ασθενείς με καρδιακή ανεπάρκεια. Μεθοδολογία: Σχεδιάστηκε και πραγματοποιήθηκε μια συγχρονική μελέτη (cross sectional study) για να εκτιμήσει τη συσχέτιση της σεξουαλικής δραστηριότητας με τη λειτουργικότητα της αριστερής και της δεξιάς κοιλίας του μυοκαρδίου σε ασθενείς με καρδιακή ανεπάρκεια. Η εκτίμηση της Σεξουαλικής Λειτουργικότητας στις Γυναίκες έγινε με το Δείκτη Σεξουαλικής Λειτουργικότητας στις Γυναίκες - Female Sexual Function Index (FSFI) και στους Άνδρες με το Διεθνή Δείκτη Στυτικής Λειτουργικότητας - International Index of Erectile Function (IIEF). Για την εκτίμηση της συστολικής και διαστολικής λειτουργίας της αριστερής και δεξιάς κοιλίας του μυοκαρδίου πραγματοποιήθηκε υπερηχοκαρδιογραφική μελέτη, σύμφωνα με τις τρέχουσες κατευθυντήριες οδηγίες. Αποτελέσματα: Συμμετείχαν 306 ασθενείς (201 άνδρες και 105 γυναίκες). Η σεξουαλική λειτουργία είναι επηρεασμένη στη μεγάλη πλειοψηφία των ασθενών με καρδιακή ανεπάρκεια (75,8%) και των δύο φύλων, με τις γυναίκες μάλιστα να εμφανίζουν πιο συχνά σεξουαλική δυσλειτουργία σε σχέση με τους άνδρες (91,4% έναντι 67,7%, p<0,001). Το κλάσμα εξώθησης της αριστερής κοιλίας εμφάνισε θετική συσχέτιση με το Δείκτη Στυτικής Λειτουργικότητας (IIEF) και επομένως με τη στυτική λειτουργία (r 0,140, p=0,047). Επιπλέον, η σταθμισμένη για την ηλικία πιθανότητα για στυτική δυσλειτουργία και γυναικεία σεξουαλική δυσλειτουργία, είναι υψηλότερη στους ασθενείς με καρδιακή ανεπάρκεια και ελαττωμένο κλάσμα εξώθησης συγκριτικά με τους ασθενείς με καρδιακή ανεπάρκεια και διατηρημένο κλάσμα εξώθησης και στους ασθενείς με καρδιακή ανεπάρκεια και ήπια επηρεασμένη τη συστολική λειτουργία συγκριτικά με τους ασθενείς με καρδιακή ανεπάρκεια και διατηρημένο κλάσμα εξώθησης (p<0,001). Η εκτίμηση της διαστολικής λειτουργίας της αριστερής κοιλίας με τη χρήση παλμικού και ιστικού Doppler, αποκάλυψε την παρουσία αρνητικής συσχέτισης ανάμεσα στο Δείκτη Στυτικής Λειτουργικότητας (IIEF) και στους λόγους E/e’ διαφραγματικά και πλάγια (r= -0,150 p=0,035 και r= -0,141 p=0,046, αντίστοιχα). Η συστολική δυσλειτουργία της δεξιάς κοιλίας κυμαινόταν από 24,2 έως 39,1% και της διαστολικής δυσλειτουργίας της δεξιάς κοιλίας 16,1 έως 83,1%. Η συστολική δυσλειτουργία της δεξιάς κοιλίας, όπως αυτή αξιολογήθηκε με τους δείκτες TAPSE, TAPSE/PASP ratio και διάμετρο της βάσης της δεξιάς κοιλίας συσχετίστηκε με χαμηλότερο Δείκτη Στυτικής Λειτουργικότητας (IIEF) (p=0,031, p=0,009 και p<0,001, αντίστοιχα). Συμπεράσματα: Το κύριο εύρημα της μελέτης αποτελεί η συσχέτιση της συστολικής λειτουργίας της αριστερής κοιλίας με το Δείκτη Στυτικής Λειτουργικότητας (IIEF) και επομένως με τη στυτική λειτουργία, αλλά όχι με τη γυναικεία σεξουαλική λειτουργία. Ομοίως, η διαστολική λειτουργία της αριστερής κοιλίας βρέθηκε να συσχετίζεται με τη σεξουαλική δυσλειτουργία. Από την άλλη πλευρά, η λειτουργικότητα (συστολική και διαστολική) της δεξιάς κοιλίας βρέθηκε να συσχετίζεται με τη στυτική, αλλά όχι με τη γυναικεία σεξουαλική λειτουργία. Ωστόσο στη μελέτη της δεξιάς κοιλίας, ορισμένοι δείκτες δυσλειτουργίας της δεξιάς κοιλίας συσχετίστηκαν με συγκεκριμένους παράγοντες της γυναικείας σεξουαλικότητας.


Author(s):  
Saman Maroufizadeh ◽  
Hedyeh Riazi ◽  
Hajar Lotfollahi ◽  
Reza Omani-Samani ◽  
Payam Amini

Abstract Background The 6-item Female Sexual Function Index (FSFI) is a short form of the original 19-item FSFI that measures sexual function in women. The aim of this study was to examine the factor structure and reliability of the FSFI-6 and to determine the demographic correlates of sexual dysfunction among infertile women in Iran. Results In total, 250 infertile women participated in this study. The mean total FSFI-6 score was 20.71 ± 5.09. Internal consistency of the FSFI-6 was high (Cronbach’s alpha = 0.856). All inter-item correlations and item-total correlations were in acceptable range. The results of confirmatory factor analysis provided support for a unidimensional model of the FSFI-6. Among demographic and infertility variables, higher women’s age, low education, unwanted marriage, short infertility duration, and low frequency of intercourse were associated with sexual dysfunction. Conclusions The FSFI-6 demonstrated sound reliability and validity in this study, supporting its continued use for measuring sexual disfunction among infertile women. Its brevity and comprehensiveness allow a quick assessment both in clinical and research settings.


2019 ◽  
Vol 19 (3) ◽  
pp. 2623-2633
Author(s):  
Meral Kılıç

Objectives: This is a cross sectional study conducted in order to determine sexual dysfunction in healthy women and risk factors.Patients and methods: The population of the study consisted of 282 women. The whole of the population, without sample selection, was included in the study. For data, questionnaire and Female Sexual Function Index-FSFI, whose Turkish validity and reliability study was conducted, were used. Student t and chi-square significant tests and logistic regression analysis were used to carry out statistical analysis.Results: It was found that 35.8% of 282 women who participated in the study were in the age range of 30-39 years, 54.6% had high school educational level or above, and 59.6% worked. Prevalence was determined as 53.2% FSFI score < 26 according to Female Sexual Function Index FSFI; 23% of the women had complaints about urinary incontinence UI. According to logistic regression results, it is determined that CFB risk is increased in patients with age and urination problem. It was determined that there was no significant correlation between income, number of children, prceived economic status, dyspareunia, having problem with the partner, experiencing premenstrual syndrome, and SD. Conclusion: In this study, approximately half of healthy women had SD and development of SD was affected based on some descriptive characteristics. As sexual life was considered as a factor increasing life quality, it was thought that it is fairly important to discuss the questioning of problems related to sexual life for systematic evaluation of patients, as well.Keywords: SD, risk factors, prevalence, Turkey.


Author(s):  
Cecilia Raccagni ◽  
Elisabetta Indelicato ◽  
Victoria Sidoroff ◽  
Martin Daniaux ◽  
Angelika Bader ◽  
...  

Abstract Purpose The diagnosis of probable multiple system atrophy relies on the presence of severe cardiovascular or urogenital autonomic failure. Erectile dysfunction is required to fulfil the latter criterion in men, whereas no corresponding item is established for women. In this study, we aimed to investigate sexual dysfunction in women with multiple system atrophy. Methods We administered the Female Sexual Function Index questionnaire and interviewed women with multiple system atrophy and age-matched controls regarding the presence of “genital hyposensitivity.” Results We recruited 25 women with multiple system atrophy and 42 controls. Female Sexual Function Index scores in sexually active women with multiple system atrophy were significantly lower (multiple system atrophy = 10; 15.4, 95% CI [10.1, 22.1], controls = 37; 26.1 [24.1, 28.1], p = 0.0004). The lowest scores concerned the domains of desire, arousal and lubrication. Genital hyposensitivity was reported by 56% of the patients with multiple system atrophy and 9% controls (p < 0.0001). Conclusions Sexual dysfunction is highly prevalent in women with multiple system atrophy. Screening for disturbances in specific sexual domains should be implemented in the clinical evaluation of women with suggestive motor symptoms.


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