Therapeutic Approach in Female Sexual Dysfunctions in an Outpatient Clinic of Sexology in the Public Health System: A Longitudinal and Prospective Study

作     者：Luciana Segat Fernanda Santos Grossi Luciana Borges Chagas Amanda Vilaverde Perez Vitória Ruschel Lorenzon Pedro do Valle Teichmann Bruno Bossardi Rodrigo Rossi Balbinotti Edimárlei Gonsales Valério Janete Vettorazzi Luciana Segat;Fernanda Santos Grossi;Luciana Borges Chagas;Amanda Vilaverde Perez;Vitória Ruschel Lorenzon;Pedro do Valle Teichmann;Bruno Bossardi;Rodrigo Rossi Balbinotti;Edimárlei Gonsales Valério;Janete Vettorazzi

作者机构：Postgraduate Program in Health Sciences: Gynecology and Obstetrics Universidade Federal do Rio Grande do Sul (UFRGS) Porto Alegre Brasil Nucleus of Studies and Research in Sexuality of Rio Grande do Sul (NEPESEX) CNPq Porto Alegre Brasil Department of Gynecology and Obstetrics Faculty of Medicine (FAMED) Universidade Federal do Rio Grande do Sul Porto Alegre Brasil Service of Obstetrics and Gynecology Hospital de Clínicas de Porto Alegre Porto Alegre Brasil 

出 版 物：《Open Journal of Obstetrics and Gynecology》 (妇产科期刊（英文）)

年 卷 期：2021年第11卷第12期

页      面：1803-1814页

学科分类：07[理学] 0701[理学-数学] 070101[理学-基础数学] 

主　　题：Public Health Quality of Life Treatment Female Sexual Dysfunction 

摘      要：INTRODUCTION: Sexuality is one of the parameters of quality of life, and it is essential to include care for sexual dysfunctions in primary health care.OBJECTIVE: To evaluate the therapeutic approach in female sexual dysfunction in a public health outpatient clinic. DESIGN: A prospective cohort of women with sexual dysfunctions in an outpatient clinic of sexology in the Public Health System. The Female Sexual Function Index (FSFI) and scored 0-10 their sexual satisfaction were applied at the beginning and end of the follow-up. RESULTS: Eighty-nine women were included with a median age of 45 years, 69 (77.5%) had less than 11 years of schooling and 95.5% lived with a partner. The main reasons for referral for follow-up at the outpatient clinic of sexuality were dysfunction of hypoactive sexual desire disorder in 67.4% and pain related to sexual function in 46%. The average number of consultations was five and the main therapeutic interventions were guidance and clarification on sexuality (86.5%), use of topical estrogen (56.2%), and relaxation techniques (37.1%). All FSFI-19 domains had better post-intervention rates (p