female sexual dysfunction Archives - Revista Brasileira de Ginecologia e Obstetrícia

  • Original Article

    Evaluation of Obesity Influence in the Sexual Function of Postmenopausal Women: A Cross- Sectional Study

    Rev Bras Ginecol Obstet. 2019;41(11):660-667

    Summary

    Original Article

    Evaluation of Obesity Influence in the Sexual Function of Postmenopausal Women: A Cross- Sectional Study

    Rev Bras Ginecol Obstet. 2019;41(11):660-667

    DOI 10.1055/s-0039-1700795

    Views9

    Abstract

    Objective

    The incidence of obesity, which is a chronic condition, has increased in recent years. The association between obesity and female sexual dysfunction remains unclear, particularly in postmenopausal women. In the present study, we evaluated whether obesity is a risk factor for sexual dysfunction in postmenopausal women.

    Methods

    This is a cross-sectional study that analyzed data from interviews of postmenopausal women at the Climacteric Outpatient Clinic from 2015 to 2018. After applying the inclusion and exclusion criteria, 221 women aged between 40 and 65 years old were selected and invited to participate in the study. Obesity was diagnosed according to body mass index (BMI). The participants were grouped into the following BMI categories: group 1, 18.5-24.9 kg/m2 (normal); group 2, 25.0- 29.9 kg/m2 (overweight); and group 3, ≥30.0 kg/m2 (obese). Sexual function was assessed using the Female Sexual Function Index (FSFI) questionnaire. Cutoff points of ≥23 and ≥26.5 were adopted to define a diagnosis of female sexual dysfunction (FSD) based on the Diagnostic and Statistical Manual of Mental Disorders, 4th edition, Text Revision by the American Psychiatric Association (DSM-IV-TR).

    Results

    The desire and arousal scores were statistically higher in the normal BMI group than in the obese group (p=0.028 and p=0.043, respectively). The satisfaction scores were statistically higher in the normal BMI group than in the overweight and obese groups (p<0.05). The total FSFI score statistically differed among the BMI categories (p=0.027).

    Conclusion

    In the present study, obese and overweight postmenopausal women had higher total scores than women with normal BMI. Our results show that obese and overweight postmenopausal women had a higher index of dysfunction in desire and arousal and lower sexual satisfaction than normal-weight women.

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    Evaluation of Obesity Influence in the Sexual Function of Postmenopausal Women: A Cross- Sectional Study
  • Original Article

    Sexual Function of Women with Infertility

    Rev Bras Ginecol Obstet. 2018;40(12):771-778

    Summary

    Original Article

    Sexual Function of Women with Infertility

    Rev Bras Ginecol Obstet. 2018;40(12):771-778

    DOI 10.1055/s-0038-1673699

    Views3

    Abstract

    Objective

    To assess the sexual function, anxiety, and depression of infertile women relative to a control group.

    Methods

    Infertile women (infertile group, IG) of reproductive age were invited to participate in this controlled study. A control group (CG) of women was recruited from the general population of the same city. Sexual function was assessed by the Female Sexual Function Index (FSFI), and anxiety and depression were measured by the Hospital Anxiety and Depression Scale (HADS).

    Results

    A total of 280 women participated in the present study, 140 in the IG and 140 in the CG. The analysis of the FSFI scores showed that 47 women (33.57%) in the IG and 49 women (35%) in the CG had sexual dysfunction (FSFI ≤ 26.55; p = 0.90). Women with anxiety or depression had a greater risk of sexual dysfunction, and sexual dysfunction increased the risk of anxiety and depression. Married women had a lower risk of depression than single women who were living with their partners.

    Conclusion

    Infertilewomenhadno increased riskof sexual dysfunction relativetocontrols. Anxiety and depression increased the risk of sexual dysfunction in the studied population.

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    Sexual Function of Women with Infertility

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