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Sexuality of Female Spina Bifida Patients: Predictors of a Satisfactory Sexual Function

Objective  To assess the sexual function of women with spina bifida (SB), and to verify the factors that influence their sexual function. Methods  A cross-sectional study in which a validated female-specific questionnaire was applied to 140 SB female patients from four different cities (Porto Alegre...

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Autores principales: Motta, Guilherme Lang, Bujons, Anna, Quiróz, Yesica, Llorens, Erika, Zancan, Maira, Rosito, Tiago Elias
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Thieme Revinter Publicações Ltda. 2021
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10411230/
https://www.ncbi.nlm.nih.gov/pubmed/34318472
http://dx.doi.org/10.1055/s-0041-1732464
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author Motta, Guilherme Lang
Bujons, Anna
Quiróz, Yesica
Llorens, Erika
Zancan, Maira
Rosito, Tiago Elias
author_facet Motta, Guilherme Lang
Bujons, Anna
Quiróz, Yesica
Llorens, Erika
Zancan, Maira
Rosito, Tiago Elias
author_sort Motta, Guilherme Lang
collection PubMed
description Objective  To assess the sexual function of women with spina bifida (SB), and to verify the factors that influence their sexual function. Methods  A cross-sectional study in which a validated female-specific questionnaire was applied to 140 SB female patients from four different cities (Porto Alegre, Brazil; and Barcelona, Madrid, and Málaga, Spain) between 2019 and 2020. The questionnaires collected data on the clinical characteristics of SB, and female sexual function was assessed using the 6-item version of the Female Sexual Function Index (FSFI-6) validated to Portuguese and Spanish. Results  Half of the patients had had sexual activity at least once in the life, but most (57.1%) did not use any contraception method. Sexual dysfunction was present in most (84.3%) patients, and all sexual function domains were impaired compared those of non-neurogenic women. The presence of urinary and fecal incontinence significantly affected the quality of their sexual activity based on the FSFI-6. Conclusion  The specific clinical aspects of the SB patients, such as urinary and fecal incontinence, should be properly addressed by their doctors, since they are associated with reduced sexual activity and lower FSFI-6 scores in the overall or specific domains. There is also a need to improve gynecological care among sexually-active SB patients, since most do not use any contraceptive methods and are at risk of inadvertent pregnancy.
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spelling pubmed-104112302023-08-10 Sexuality of Female Spina Bifida Patients: Predictors of a Satisfactory Sexual Function Motta, Guilherme Lang Bujons, Anna Quiróz, Yesica Llorens, Erika Zancan, Maira Rosito, Tiago Elias Rev Bras Ginecol Obstet Objective  To assess the sexual function of women with spina bifida (SB), and to verify the factors that influence their sexual function. Methods  A cross-sectional study in which a validated female-specific questionnaire was applied to 140 SB female patients from four different cities (Porto Alegre, Brazil; and Barcelona, Madrid, and Málaga, Spain) between 2019 and 2020. The questionnaires collected data on the clinical characteristics of SB, and female sexual function was assessed using the 6-item version of the Female Sexual Function Index (FSFI-6) validated to Portuguese and Spanish. Results  Half of the patients had had sexual activity at least once in the life, but most (57.1%) did not use any contraception method. Sexual dysfunction was present in most (84.3%) patients, and all sexual function domains were impaired compared those of non-neurogenic women. The presence of urinary and fecal incontinence significantly affected the quality of their sexual activity based on the FSFI-6. Conclusion  The specific clinical aspects of the SB patients, such as urinary and fecal incontinence, should be properly addressed by their doctors, since they are associated with reduced sexual activity and lower FSFI-6 scores in the overall or specific domains. There is also a need to improve gynecological care among sexually-active SB patients, since most do not use any contraceptive methods and are at risk of inadvertent pregnancy. Thieme Revinter Publicações Ltda. 2021-07-27 /pmc/articles/PMC10411230/ /pubmed/34318472 http://dx.doi.org/10.1055/s-0041-1732464 Text en Federação Brasileira de Ginecologia e Obstetrícia. This is an open access article published by Thieme under the terms of the Creative Commons Attribution License, permitting unrestricted use, distribution, and reproduction so long as the original work is properly cited. ( https://creativecommons.org/licenses/by/4.0/ ) https://creativecommons.org/licenses/by/4.0/This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Motta, Guilherme Lang
Bujons, Anna
Quiróz, Yesica
Llorens, Erika
Zancan, Maira
Rosito, Tiago Elias
Sexuality of Female Spina Bifida Patients: Predictors of a Satisfactory Sexual Function
title Sexuality of Female Spina Bifida Patients: Predictors of a Satisfactory Sexual Function
title_full Sexuality of Female Spina Bifida Patients: Predictors of a Satisfactory Sexual Function
title_fullStr Sexuality of Female Spina Bifida Patients: Predictors of a Satisfactory Sexual Function
title_full_unstemmed Sexuality of Female Spina Bifida Patients: Predictors of a Satisfactory Sexual Function
title_short Sexuality of Female Spina Bifida Patients: Predictors of a Satisfactory Sexual Function
title_sort sexuality of female spina bifida patients: predictors of a satisfactory sexual function
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10411230/
https://www.ncbi.nlm.nih.gov/pubmed/34318472
http://dx.doi.org/10.1055/s-0041-1732464
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