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Abstract(s)
Introdução: A gravidez é acompanhada de modificações que podem ter impacto na sexualidade
da mulher, sendo esta um fator importante para a saúde tal como a OMS (Organização Mundial
da Saúde) afirma. A maioria da literatura demonstra haver uma associação entre a gravidez e
a disfunção sexual feminina (FSD), e estudos relatam que a maioria das mulheres têm um
declínio no desejo sexual durante a gestação, sendo este mais acentuado no 3º trimestre.
Objetivos: Avaliar as respostas das grávidas do CHUCB (Centro Hospitalar Universitário Cova da
Beira) ao questionário do Índice da Função Sexual Feminina (FSFI) e perceber a vivência da
sexualidade feminina e a presença/ausência de FSD durante a gravidez, relacionando-os com
dados sociodemográficos e clínicos.
Materiais e Métodos: A amostra foi constituída por 113 grávidas dos 21 aos 45 anos que
responderam ao FSFI e a questões sociodemográficas antes das consultas de obstetrícia no
CHUCB, entre março e junho de 2019. Com recurso ao SPSS realizou-se a análise estatística dos
dados obtidos.
Resultados: Relativamente aos domínios estudados no FSFI, observou-se um aumento da
excitação sexual nas grávidas no 2º trimestre da gravidez e uma redução no 3º trimestre, com
significado estatístico (p=0,047). Em algumas questões as grávidas com menos de 35 anos
referiram melhor satisfação sexual, enquanto que as grávidas com relações mais duradoras
reportaram menor frequência de sensação de dor/desconforto no ato sexual, embora sem
significado estatístico nos domínios a que as questões pertencem. No que toca à média do score
total, sem significado estatístico, observou-se um aumento da satisfação sexual do 1º para o 2º
trimestre, e uma diminuição no 3º trimestre atingindo então os valores mais baixos. A disfunção
sexual, também sem significância estatística, evoluiu de forma semelhante, com uma
prevalência de 39,1% no 1º trimestre, 32,4% no 2º e 40,8% no 3º trimestre.
Conclusão: Apenas o domínio da excitação mostrou uma variação estatisticamente significativa
ao longo da gestação. Nos restantes domínios da sexualidade e quanto à presença/ausência de
FSD, não observámos variações estatisticamente significativas. O grupo de mulheres com idade
=35 anos mostram-se menos satisfeitas com a sua vida sexual, talvez pelo receio de
prejudicarem uma gravidez já de si de alto risco obstétrico. Assim nas grávidas estudadas não
verificámos alterações significativas quanto à sua perceção da sexualidade.
Introduction: Pregnancy is accompanied by changes that can have an impact on women's sexuality, which is an important factor for health, as the WHO (World Health Organization) says. Most of the literature shows that there is an association between pregnancy and female sexual dysfunction (FSD), and studies report that most women have a decline in sexual desire during pregnancy, which is more pronounced in the 3 rd trimester. Objectives: To evaluate the responses of CHUCB (university hospital center Cova da Beira) pregnant women to the Female Sexual Function Index (FSFI) questionnaire and perceive the experience of female sexuality and the presence/absence of FSD during pregnancy, relating them to sociodemographic and clinical data. Materials and Methods: The sample consisted of 113 pregnant women aged 21 to 45 years answered the FSFI and sociodemographic questions before the obstetrics consultations at CHUCB, between March and June 2019. Using the SPSS, statistical analysis of the data obtained was performed. Results: Regarding the domains studied at the FSFI, there was an increase in sexual arousal in pregnant women in the 2nd trimester of pregnancy and a reduction in the 3rd trimester, with statistical significance (p=0,47). In some questions, pregnant women under 35 years reported better sexual satisfaction, while pregnant women with longer relationships reported a lower frequency of pain/discomfort during sex, although without statistical significance in the domains to which the questions belong. Regarding the average of the total score, without statistical significance, there was an increase in sexual satisfaction from the 1st to the 2nd trimester, and a decrease in the 3rd trimester, reaching the lowest values. Sexual dysfunction, also without statistical significance, evolved in a similar way, with a prevalence of 39,1% in the 1 st quarter, 32,4% in the 2nd and 40,8% in the 3rd quarter. Conclusion: Only the excitation domain showed a statistically significant variation throughout pregnancy. In the remaining areas of sexuality and regarding the presence/absence of FSD, we did not observe any statistically significant variations. The group of women aged =35 years is less satisfied with their sex life, perhaps because of the fear of damaging an already high-risk obstetric pregnancy. Thus, in the studied pregnant women, we did not see any significant changes in their perception of sexuality.
Introduction: Pregnancy is accompanied by changes that can have an impact on women's sexuality, which is an important factor for health, as the WHO (World Health Organization) says. Most of the literature shows that there is an association between pregnancy and female sexual dysfunction (FSD), and studies report that most women have a decline in sexual desire during pregnancy, which is more pronounced in the 3 rd trimester. Objectives: To evaluate the responses of CHUCB (university hospital center Cova da Beira) pregnant women to the Female Sexual Function Index (FSFI) questionnaire and perceive the experience of female sexuality and the presence/absence of FSD during pregnancy, relating them to sociodemographic and clinical data. Materials and Methods: The sample consisted of 113 pregnant women aged 21 to 45 years answered the FSFI and sociodemographic questions before the obstetrics consultations at CHUCB, between March and June 2019. Using the SPSS, statistical analysis of the data obtained was performed. Results: Regarding the domains studied at the FSFI, there was an increase in sexual arousal in pregnant women in the 2nd trimester of pregnancy and a reduction in the 3rd trimester, with statistical significance (p=0,47). In some questions, pregnant women under 35 years reported better sexual satisfaction, while pregnant women with longer relationships reported a lower frequency of pain/discomfort during sex, although without statistical significance in the domains to which the questions belong. Regarding the average of the total score, without statistical significance, there was an increase in sexual satisfaction from the 1st to the 2nd trimester, and a decrease in the 3rd trimester, reaching the lowest values. Sexual dysfunction, also without statistical significance, evolved in a similar way, with a prevalence of 39,1% in the 1 st quarter, 32,4% in the 2nd and 40,8% in the 3rd quarter. Conclusion: Only the excitation domain showed a statistically significant variation throughout pregnancy. In the remaining areas of sexuality and regarding the presence/absence of FSD, we did not observe any statistically significant variations. The group of women aged =35 years is less satisfied with their sex life, perhaps because of the fear of damaging an already high-risk obstetric pregnancy. Thus, in the studied pregnant women, we did not see any significant changes in their perception of sexuality.
Description
Keywords
Disfunção Sexual Gravidez Mulheres Sexualidade