RESUMO
OBJECTIVE: Although the stressful psychological impact on women of an abnormal Pap smear is well documented, little research has been undertaken on its sexual impact. Our objective was to assess the impact of an abnormal Pap smear on the sexual function of affected women. METHODS: A prospective study compared the sexual function of 48 women with an abnormal Pap smear (case group) with that of 48 women with a normal Pap smear (control group). Sexual function was assessed using the Female Sexual Function Index and the Hospital Anxiety Depression Scale. The questionnaires were mailed to the participants. RESULTS: Surprisingly, the risk of sexual dysfunction was comparable between women with and without an abnormal Pap smear (odds ratio [OR] 0.7; p = 0.4). The OR remained statistically non-significant after adjustment for risk factors. Multivariable analysis showed that only older age at first intercourse, depression and anxiety were identified as factors significantly associated with sexual dysfunction. CONCLUSION: Contrary to our clinical experience, female sexual function is not impaired by an abnormal Pap smear. Further research is needed to better understand how sexuality in women with abnormal Pap smears may be affected.
Assuntos
Teste de Papanicolaou , Neoplasias do Colo do Útero , Feminino , Humanos , Teste de Papanicolaou/psicologia , Estudos Prospectivos , Inquéritos e Questionários , Neoplasias do Colo do Útero/diagnóstico , Esfregaço Vaginal/psicologiaRESUMO
Local and systemic treatments have significantly improved the prognosis of patients with breast cancer. The diagnosis of the disease and its sometimes long-lasting treatments can, however, impair the sexual life of patients. This contributes to a deterioration of their quality of life and can also lead to an alteration of their therapeutic adhesion and therefore of their prognosis. For a long time, the subject remained taboo and little discussed between professionals and patients. It is now becoming obvious that, as with other aspects of medical care, the issue of sexuality must be raised by professionals in order to inform patients of the impact of treatments, to identify their needs, to prevent/treat any complications, and if necessary to refer them to specialists, psychologists/psychiatrists or sexologists.
Les traitements locaux et systémiques du cancer du sein ont permis une amélioration considérable du pronostic des patientes. Le diagnostic de la maladie et ses traitements, parfois de longue durée, peuvent toutefois bouleverser la vie sexuelle des patientes. Ceci contribue à une dégradation de leur qualité de vie et peut aussi mener à une altération de leur adhérence thérapeutique et donc de leur pronostic. Longtemps le sujet est resté tabou et peu abordé entre les professionnels et les patientes. Il devient actuellement évident que, comme pour les autres aspects de la prise en charge médicale, la question de la sexualité doit être abordée par les professionnels afin d'informer les patientes de l'impact des traitements, de dépister leurs besoins, de prévenir/traiter d'éventuelles complications et de les adresser à des spécialistes, psychologues/psychiatres ou sexologues, si nécessaire.
Assuntos
Neoplasias da Mama , Sexualidade , Neoplasias da Mama/complicações , Neoplasias da Mama/terapia , Humanos , Qualidade de Vida , Comportamento SexualRESUMO
Obstetrical anal sphincter injuries (OASIS) can lead to sexual dysfunction. Literature is poor concerning long-term consequences of OASIS on female sexuality. The objective of this paper is to clarify long-term consequences of OASIS on sexual function. Dyspareunia and lubrication troubles are constantly reported based on articles reviewed in literature through Pubmed. Nevertheless, global sexual function seems not to be influenced by OASIS on a long-term basis. Therefore, sexual dysfunctions must be specifically analysed in women's follow-up after OASIS.
Une déchirure obstétricale du sphincter anal (OASIS) peut conduire à une dysfonction sexuelle. Peu d'études évaluent la fonction sexuelle à long terme après OASIS. L'objectif de cet article est de clarifier les conséquences à long terme des OASIS sur la fonction sexuelle. Cela a été effectué au moyen d'une recherche de littérature dans Pubmed. La dyspareunie et les troubles de la lubrification sont rapportés de façon constante dans les études analysées, tandis que la fonction sexuelle globale ne semble pas influencée à long terme. Ces dysfonctions sexuelles doivent donc être recherchées spécifiquement dans le suivi des femmes après OASIS.
Assuntos
Canal Anal/lesões , Parto Obstétrico/efeitos adversos , Dispareunia/etiologia , Disfunções Sexuais Fisiológicas/etiologia , Feminino , Humanos , GravidezRESUMO
Sexuality is a natural function, part of global health and has to be evaluated in every patient. When difficulties or dyfunctions happen in this domain, a specific mangement should be proposed. Sexual medicine is a « young ¼ transversal discipline developping these last years in the french-speaking area of Switzerland. We present in this article a short history of sexual medicine in Lausanne and the recent activity in the Sexual Medicine Consultation of the Maternity in the CHUV.
La sexualité est une fonction naturelle, composante de la santé et mérite d'être évaluée chez chacun de nos patients. Lorsque des difficultés, des dysfonctions ou une insatisfaction surviennent dans le domaine de la sexualité, une prise en charge spécifique devrait être proposée. La médecine sexuelle est une discipline transversale relativement « jeune ¼ qui se développe en Suisse romande notamment. Nous présentons dans cet article un bref rappel historique de la médecine sexuelle à Lausanne, ainsi que l'activité actuelle au sein de la Consultation de médecine sexuelle de la maternité du CHUV.
Assuntos
Sexologia , História do Século XX , História do Século XXI , Humanos , Sexologia/tendências , Disfunções Sexuais Fisiológicas/diagnóstico , Disfunções Sexuais Psicogênicas/diagnóstico , Sexualidade , Inquéritos e Questionários , SuíçaRESUMO
Obstetrics and gynecology specialists should be women's favoured interlocutors when talking about their sexuality. Indeed every day they assess their patient's intimacy, they manage pathologies that have a potential but well-known impact on sexuality, and they are very early aware of a more global approach like psycho-somatic. Furthermore, women are going to meet their obstetrician and gynecologist through all ages, from adolescence to post-menopause. At every step sexual problems can occur that can be searched, investigated and mostly managed by this specialist. The relationship between female sexual medicine and obstetrics and gynecology is undeniable and deserve to be favoured and consolidated.
Assuntos
Gravidez , Sexualidade/fisiologia , Feminino , Ginecologia/tendências , Humanos , Obstetrícia/tendências , Relações Médico-Paciente , Gravidez/fisiologia , Gravidez/psicologia , Sexologia/tendências , Sexualidade/psicologiaRESUMO
The peripheral sexual response is achieved by the the Clitoro-Urethro-Vaginal Complex who is responsible of the transmission of the sensitive stimulation to the CNS where this information is modulated by the different cerebral areas. These latter will send this message to the peripheral sexual organs using efferent somatic and autonomic pathways able to induce vaso congestive response of clitoridal area with contractions of pelvic floor muscles. Muscles stretch injuries after obstetrical or surgical trauma can decrease the quality of the sexual peripheral response. These modifications of peripheral sexual response have to be evaluated with a specific questionnaire and pelvic floor clinical examination and recently, with a new microsystem device able to record continuously intra-vaginal pressure modifications.
