700 Gyneacological sexological assessment of female sexual dysfunction in Slovenia

Abstract

The aim is to show gynaeco-sexological treatment approach with sexual dysfunction at the gynaecology out-patient clinic ‘General hospital Novo mesto’ including analysis report. Between 2013 and 2016, the bio-psycho-social and PLISSIT models were used in the assessment of 182 women with sexual dysfunction at the gynaecology outpatient clinic “General hospital Novo mesto”. Our approach started with a clinical interview, using the bio-psycho-social model and focusing on a specific sexual problem and possible etiological factors. The assessment is based on an educative gyneaco-sexological examination with a hand mirror, a Q-tip test and pelvic flour muscles testing; giving information about sexual dysfunction; an evaluation of a significant distress and a couple assessment. Different therapeutic approaches follow: self-exploration of genitals, mucosal desensitization, relaxation of pelvic floor hypertonia, Kegel exercises, biofeedback by means of digital control or with the aid of vaginal dilators and lubricants, together with a temporary coitus prohibition. Normalizing, reframing and encouraging sexual activity without penetration are necessary to avoid negative feelings. If required, individual psychosexual counselling or therapy is continued with an individual alone or together with their sex partner. The purpose is to improve the woman’s body-image and sexual functions (physical and non-coital sexual contact) as well as self-esteem.