Abstract

Objetive To detect female sexual dysfunction and its association with the different phases of life in primary health care. Material and method We performed a longitudinal, observational, open, multicenter study, using a validated questionnaire on female sexual health and dysfunction. Results Of the 638 questionnaires delivered to the 4 participating health centers, 403 were completed. Sexual health: sexual satisfaction, fair, quite a lot, or a lot 75%; interested in sex, somewhat, a bit, or not at all 77.17%; pleasurable sensations, sometimes, hardly ever, or never 70.22%; excitement during sexual relations, quite a lot or a lot 75.7%; pain during sexual relations, no pain at all 89.03%; reaching orgasm, always or almost always 53.59%; sexual problems in the couple, never or hardly ever 84.62%; would go without sexual relations, never or hardly ever 33.29%, sometimes or often 49.22%; depressed or nervous due to sexual problems, never or hardly ever 13.15%, sometimes or often 82.88%. Causes of sexual problems: illness (anxiety-depression syndrome) 38.61%; pregnancy 20.79%; birth of a child 18.32%; contraceptives 21.78%; taking medication 5.94%; domestic violence 3.45%; problems in the relationship with the partner: 35.15%. More than one of the previous causes (17.33%). Conclusions Female sexual dysfunction is frequent and has a deep impact on women's relationships. Consequently when treating women with sexual dysfunction, primary care physicians should adopt an integral approach and investigate health and personal conflicts, as well as relationship difficulties in the couple.

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