CLIMATÉRIO E FUNÇÃO SEXUAL: ANÁLISE DE PACIENTES DO HOSPITAL UNIVERSITÁRIO LAURO WANDERLEY - UFPB

Abstract

Introduction: Climacterium marks the beginning of the aging of women. The hormonal changes of these phase bring a significantly impact on the life of those women. By studying the sexual function of the climacteric women on the gynecology clinic patients of the Hospital Universitário Lauro Wanderley (HULW - UFPB), this project aims to provide knowledge of how women from an important service in the State of Paraiba are dealing with this period, in addition to provide support for future care strategies and better performance of future health professionals in women's health care process. Objectives: Evaluate the repercussions of these phenomenon on the female sexual function to the construction of preventive actions and health care promotion. Methodology: A descriptive, cross-sectional study was carried out, with a quantitative approach, realized at the gynecology clinic of HULW. The participants responded an identification form with socio-bio-demographic data and the Female Sexual Function Index (FSFI). The analysis was performed using the SPSS software, version 24.0, using Fisher's exact test and post hoc adjusted residuals, Kruskal-Wallis, Tukey post hoc and ANOVA, with a p value of <0.05. Results: Sample included 175 women. Mean age was 50.79 (± 6.32) years. 54.9% (N=96) was sexually active. The prevalence of sexual dysfunction (SD, FSFI ≤ 26.55) in sexually active women was 43.75% (N=42). The prevalence of SD in G1 was 22.2% (N=8), in G2 was 22.5% (N=11) and 25.6% (N=23) in G3. Married women or those in stable relationships had a higher prevalence of SD, 34.5% (N=38). There was a statistical difference between the mean age of women without SD (47.91 ± 4.35) and women with SD (51.29 ± 6.16) or sexually inactive (52.51 ± 6.88) [p<0.001]. Comparing the means of each FSFI domain, there was a statistical difference between G1 and G3 in the lubrication and pain [p = 0.009]. Conclusions: There was a correlation between lack of vaginal lubrication and dyspareunia, with the presence of sexual dysfunction in postmenopausal women. It was observed a tendency of younger and premenopausal groups to obtain a higher mean in the total FSFI score.