Author(s)

Luciana Segat^1,2, Fernanda Santos Grossi^1,2, Luciana Borges Chagas², Amanda Vilaverde Perez², Vitória Ruschel Lorenzon², Pedro do Valle Teichmann², Bruno Bossardi², Rodrigo Rossi Balbinotti^1,2, Edimárlei Gonsales Valério^1,2,3,4, Janete Vettorazzi^1,2,3,4

¹Postgraduate Program in Health Sciences: Gynecology and Obstetrics, Universidade Federal do Rio Grande do Sul (UFRGS), Porto Alegre, Brasil.
²Nucleus of Studies and Research in Sexuality of Rio Grande do Sul (NEPESEX), CNPq, Porto Alegre, Brasil.
³Department of Gynecology and Obstetrics, Faculty of Medicine (FAMED), Universidade Federal do Rio Grande do Sul, Porto Alegre, Brasil.
⁴Service of Obstetrics and Gynecology, Hospital de Clínicas de Porto Alegre, Porto Alegre, Brasil.

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 ≤ 0.005). Considering the domains of the FSFI-19, the medians of desire, arousal, lubrication, orgasm, pleasure and pain were higher in the post-intervention period in relation to the pre-intervention period (p ≤ 0.0001 for all analysis). In addition, the score given by the participant on their sexual satisfaction was higher at the post-intervention time compared to the pre-intervention period (p ≤ 0.0001). CONCLUSION: In public health, even with the care being performed by different professionals in each consultation, we conclude that through simple interventions, it is possible to improve the sexualities of the women attended. Still, offering care in sexuality is fundamental as part of primary health care and the training of medical professionals.

Public Health, Quality of Life, Treatment, Female Sexual Dysfunction

Segat, L. , Grossi, F. , Chagas, L. , Perez, A. , Lorenzon, V. , Teichmann, P. , Bossardi, B. , Balbinotti, R. , Valério, E. and Vettorazzi, J. (2021) Therapeutic Approach in Female Sexual Dysfunctions in an Outpatient Clinic of Sexology in the Public Health System: A Longitudinal and Prospective Study. Open Journal of Obstetrics and Gynecology, 11, 1803-1814. doi: 10.4236/ojog.2021.1112168.