female sexual response Archives - Revista Brasileira de Ginecologia e Obstetrícia

  • Original Article

    A Model for the Management of Female Sexual Dysfunctions

    Revista Brasileira de Ginecologia e Obstetrícia. 2017;39(4):184-194

    Summary

    Original Article

    A Model for the Management of Female Sexual Dysfunctions

    Revista Brasileira de Ginecologia e Obstetrícia. 2017;39(4):184-194

    DOI 10.1055/s-0037-1601435

    Views32

    Abstract

    Introduction

    Sexual pleasure is fundamental for the maintenance of health and well-being, 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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    A Model for the Management of Female Sexual Dysfunctions

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