Revisão de literatura: disfunção sexual feminina

Abstract

Female Sexual Dysfunctions (FSD) consists of a problem during one or more of the women’s sexual response cycle phases, which prevents them from reaching pleasure and/or arousal during sexual intercourse. It includes desire disorders, arousal disorders, pain during the intercourse and inability to reach orgasm. The female sexual response cycle is currently divided into four phases (DSM V), which are the desire, arousal, orgasm and resolution, in that order. Any factors that interfere in the first three stages can lead to FSD. The precise definition of FSD’s prevalence is at least difficult because most of the patients are too ashamed to even admit having them and the lack of proper training for healthcare professionals to even detect them. Yet most studies come to a startling percentage showing that between 25 and 40% of women between 18 and 59 years old have at least some level of FSD. This percentage does not include the unreported and not investigated cases, possibly making the absolute percentage even bigger. Treatment of sexual related complaints involves general measures for the control of somatic symptoms, psychological, anatomic, difficulties with the partner and specific measures that address individual complaints, as couple therapy, individual therapy, exercise and drug treatment when needed. This work brings an updated bibliographic review of the options and contradictions in relation to the treatment of FSD, in addition to presenting some questionnaires that help in the detection of this condition.