Prevalencia de disfunción sexual en mujeres del Eje Cafetero.
Prevalence of sexual dysfunction in women from Eje Cafetero-Colombia.
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Introducción: las disfunciones sexuales son alteraciones en las fases del ciclo de respuesta sexual que impiden o dificultan disfrutar satisfactoriamente de la sexualidad. Las mujeres pueden presentar trastornos del deseo, de la excitación, del orgasmo o dolor, aunque es frecuente la coexistencia de dos o más disfunciones. Objetivo: determinar la prevalencia de disfunción sexual femenina en una población del Eje Cafetero colombiano. Materiales y métodos: estudio prospectivo, trasversal, descriptivo y aplicativo. Se aplicó y se midió el Índice de Función Sexual Femenina (IFSF) en mujeres de 18 a 84 años de edad que consultaron seis de los principales centros de salud de las ciudades del Eje Cafetero (Armenia, Manizales y Pereira). Resultados: respecto a la prevalencia de las diferentes disfunciones sexuales, en la población general, la más frecuente fue el trastorno del deseo sexual (34.9%), seguida de ausencia o infrecuencia en el orgasmo (28.5%), falta de lubricación, trastorno de la excitación (20.2%) y dolor en la relación sexual (8.4%). Las mujeres en edad reproductiva mostraron prevalencia del 27.4% de trastornos del deseo, mientras que en las mujeres en etapa menopáusica mostraron prevalencia del 42.9% de trastornos del deseo. La disfunción del deseo sexual se asoció a menor satisfacción en la relación sexual y de pareja con estados emocionales negativos (p<0.001). Conclusión: existe una proporción importante de mujeres con disfunción sexual (34.9%) en el Eje Cafetero colombiano.
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Villela WV, Arilha M. Sexualidade, Gênero e direitos sexuais e reprodutivos. In: Berquo E, editor. Sexo & Vida- Panorama da Saude Reprodutova no Brasil. Campinas: Editora Unicamp; 2003:95-150.
Woertman L, Van Den Brink F. Body Image and female sexual functioning and behavior: A Review. J Sex Res. 2012;49(2-3):184-211. https://doi.org/10.1080/00224499.2012.658586
Ojanlatva A, Makinen J, Helenius H, Korkeila K, Sundell J, Rautava P. Sexual activity and perceived health among finnish middle-aged women. Health Qual Life Outcomes 2006; 4: 29. https://doi.org/10.1186/1477-7525-4-29
Blumel J, Araya H, Riquelme R, Castro G, Sánchez F, Gramegna G. Prevalencia de los trastornos de la sexualidad en mujeres climatéricas. Influencia de la menopausia y de la terapia de reemplazo hormonal. Rev Méd Chile 2002; 130: 131-8. https://doi.org/10.4067/S0034-98872002001000007
Gagnon J. Uma interpretação do desejo: ensaios sobre o estudo da sexualidade: Editora Garamond; 2006.
Shifren JL, Monz BU, Russo PA, Segreti A, Johannes CB. Sexual problems and distress in United States women: prevalence and correlates. Obstet Gynecol 2008; 112:970-8. https://doi.org/10.1097/AOG.0b013e3181898cdb
Basson R, Brotto LA, Laan E, Redmond G, Utian WH. Assessment and management of women's sexual dysfunctions: problematic desire and arousal. J SexMed 2005; 2: 291-300. https://doi.org/10.1111/j.1743-6109.2005.20346.x
Paul RN, Kleeman SD, Karram MM. Female sexual dysfunction: principles of diagnosis and therapy. Obstet Gynecol Surv. 2005;60(3):196-205. https://doi.org/10.1097/01.ogx.0000157978.91721.0f
Conaglen HM, Conaglen JV. Drug-induced sexual dysfunction in men and women. Austr Prescr. 2013;36:42-5. https://doi.org/10.18773/austprescr.2013.021
Basson R, Berman J, Burnett A, Derogatis L, Ferguson D, Fourcroy J, et al. Report of the international consensus development conference on female sexual dysfunction: definitions and classifications. J Urol 2000;163:888-93. https://doi.org/10.1016/S0022-5347(05)67828-7
Sasson A, Leiblum S. Revised Definitions of women' s sexual dysfunctions. Journal of Sexual medicine 2004;1:40-8. https://doi.org/10.1111/j.1743-6109.2004.10107.x
Kaplan, H. Disorders of sexual desire and other new concepts and techniques in sex therapy. New York: Simon & Schuster. (1979).
American Psychiatric Association. Diagnostic and statistical manual of mental dDisorders. DSM-IV. Washington, DC: American Psychiatric Association; 2000.
Osborn M, Hawton K, Gath D. Sexual dysfunction among middle aged women in the community. Br Med J (Clin Res Ed) 1988;296(6627):959-962. https://doi.org/10.1136/bmj.296.6627.959
Althof SE, Rosen RC, DeRogatis L, Corty E, Quirk F, Symonds T. Outcome measurement in female sexual dysfunction clinical trials: review and recommendations. J Sex & Marital Ther. 2005 Mar-Apr;31(2):153-166. https://doi.org/10.1080/00926230590909989
Blümel J, Binfa L, Cataldo A, Carrasco V, Izaguirre L, Sarrá C. Índice de función sexual femenina: un test para evaluar la sexualidad de la mujer. Rev Chil Obstet Ginecol. 2004;69(2):118-125. https://doi.org/10.4067/S0717-75262004000200006
Rosen R, Braown C, Heiman J. Female Sexual Funtion Index (FSFI): a multidimensional self-report instrument for the assessment of female sexual function. J. Sex Marital Ther. 2000;26:191-208. https://doi.org/10.1080/009262300278597
Cindy M. Validation of the Female Sexual Function, Index (FSFI) in Women with Female Orgasmic Disorder and in Women with Hypoactive, Sexual Desire Disorder, MESTON. Journal of Sex & Marital Therapy 2003; 29: 39-46. https://doi.org/10.1080/713847100
Nusbaum MR, Gamble G, Skinner B, Heiman J. The high prevalence of sexual concern among women seeking routine gynecological care. J Fam Pract 2000; 49(3): 229-32.
Genazzani AR, Nicolucci a, Campagnoli C, Crosignanip, Nappi C, Serra GB ET AL. Assessment of the QoL in Italian menopausal women: comparison between HRT users and non-users. Maturitas 2002; 42: 267-80. https://doi.org/10.1016/S0378-5122(02)00067-1
Abdo CHN, Oliveira WM, Moreira ED JR, Fittipaldi JAS. Prevalence of sexual dysfunctions and correlated conditions in a sample of Brazilian women- results of the Brazilia study in sexual behaviour (BSSB). Int J Impot Res 2004; 16: 160-6. https://doi.org/10.1038/sj.ijir.3901198
Sexual problems common among women and men. Women's Health Weekly; 1999;17:16-18.
Vardi Y, Gruenwald I, Sprecher E, Gertman I, Yarnitsky D. Normative values for female genital sensation. Urology 2000; 56:1035- 40. https://doi.org/10.1016/S0090-4295(00)00850-5
Dennerstein L,: Third Annual female sexual function forum: New perspectives in the Management of Female Sexual Dysfunction. http://www.medscape.com/WomensHealth/journal/2000/v05.n06/whl1205.denn/wh1205.denn.html.
Laumann EO, Nicolosi A, Glasser DB, Paik A, Gingell C, Moreira E, et al. Sexual problems among women and men aged 40-80 y: prevalence and correlates identified in the Global Study of Sexual Attitudes and Behaviors. Int J Impot Res. 2005;17:39-57. https://doi.org/10.1038/sj.ijir.3901250
Hayes RD, Dennerstein L, Bennett CM, Fairley ChK. What is the ''true'' prevalence of female sexual dysfunctions and does the way we assess conditions have an impact? J Sex Med. 2008;5: 777-87. https://doi.org/10.1111/j.1743-6109.2007.00768.x
Moreira Jr ED, Glasser DB, Gingell C. Sexual activity, sexual dysfunction and associated help-seeking behaviours in middleaged and older adults in Spain: a population survey. World J Urol. 2005;23:422-9. https://doi.org/10.1007/s00345-005-0035-1
Chesser E. The sexual marital and family relationships of the english woman. Londres: Hutchinson's Medical Publications; 1956.
Kinsey AC, Pomeroy WB, Martín CE, Gebhard P. Sexual behaviour in the human female. Filadelfia: W.B. Saunders Co; 1953.
Hite S. El informe Hite. Barcelona: Plaza y Janés; 1976.
Laumann EO, Paik A, Rosen RC. Sexual dysfunction in the United States. Prevalence and predictors. JAMA 1999; 281: 537-44. https://doi.org/10.1001/jama.281.6.537
Oksuz E, Malhan S. Prevalence and risk factors for female sexual dysfunction in Turkish women. J Urol.2006 Feb;175(2):654-8. https://doi.org/10.1016/S0022-5347(05)00149-7
Ponholzer A, Roehlich M, Racz U, Temml C, Madersbacher S. Female sexual dysfunction in a healthy Austrian cohort: prevalence and risk factors. Eur Urol. 2005;47(3):366-74. https://doi.org/10.1016/j.eururo.2004.10.005
Basson, R. Clinical practice. Sexual desire and arousal disorders in women. N Engl J Med.2006;354:1497. https://doi.org/10.1056/NEJMcp050154
American Psychiatric Association, American Psychiatric Association, DSM-5 Task Force. Diagnostic and statistical manual of mental disorders: DSM-5. 5th ed. Washington, DC: American Psychiatric Association; 2013. https://doi.org/10.1176/appi.books.9780890425596
Weijmar W, Basson R, Binik Y, Eschenbach D, Wesselmann U, Van Lankveld J. Women's Sexual Pain and its Management. J Sex Med 2005;2:301-316. https://doi.org/10.1111/j.1743-6109.2005.20347.x
West SL, Viniloor LC, Zolnoun D. A systematic review of the literature on female sexual dysfunction prevalence and predictors. Ann Rev Sex Res. 2004;15: 40-172.
