Sexual Quotient Research Articles

Climacteric: intensity of symptoms and sexual performance

This paper had the aim to checking the association between the intensity of climacteric symptoms and the pattern of sexual performance of women in this period of the life cycle. A transversal study conducted from July to September 2011 involving 260 climateric women of a physical exercise program. The women were evaluated using the Kupperman Menopausal Index and of the Sexual Quotient. For statistical analysis, there were used: average, standard deviation, percentages and Fisher Exact Test. The women with sexual performance standard good/excellent, mostly, reported mild symptoms in Menopausal Index, and those who had a bad pattern/unfavorable, had high percentages of moderate and severe manifestations. Symptoms of mild intensity were associated with a higher standard of sexual performance, showing that changes in this pattern have strong relationship with the intensity of symptoms.

Impact of Radical Prostatectomy on Urinary Incontinence, Erectile Dysfunction and General Quality of Life

The aims of this study were to evaluate the impact of radical retropubic prostatectomy on patient’s quality of life. Patients undergoing radical retropubic prostatectomy were followed for six months after surgery. We used quality of life questionnaires to study specific urinary symptoms and general health. WHOQOL-Bref (World Health Organization for Quality of Life) questionnaire was used to evaluate general health aspects, ICIQ-SF (International Consultation on Incontinence Questionnaire-Short Form), OABq (Overactive Bladder) and IPSS (International Prostatic Symptom Score) to evaluate incontinence and overactive bladder symptoms and Male Sexual Quotient to assess postoperative sexual dysfunctions. The questionnaires were scheduled before surgery, one, three and six months after surgery. Regarding the OAB-q scores, I-PSS and WHOQOL-Bref (physical, psychological, environmental, general, Question 1 and Question 2), symptoms worsened after one month if compared to preoperative symptoms. After six months, the WHOQOL’s social domain, the ICIQ-SF and QS-M scores remained worse if compared to preoperative evaluation. The incidence of sexual dysfunctions after six months was 0.83. In conclusion, urinary incontinence affects patient’s quality of life with gradual recovery after six months postoperatively. The social domain was the most common aspect affected by urinary incontinence. Our sexual dysfunction incidence was higher than other studies and this fact could be explained by many surgeries having been done by residents.

Sexual function and factors associated with sexual dysfunction in climacteric women.

To evaluate the sexual function and factors associated with sexual dysfunction in climacteric women. A cross-sectional study was conducted on 173 women aged 35 to 65 years old, with a steady partner during the last 6 months, who are literate, without cognitive impairment, and with sexual activity for at least 6 months. The instrument used to assess sexual performance was the Sexual Quotient, female version. The association between sexual dysfunction and sociodemographic data, personal, obstetric and sexual history was determined by Pearson's χ2 test and strength of association by the odds ratio (OR) with a 95% confidence interval (95%CI). In this study, 46.2% of the women reported sexual dysfunction. There was a decrease in the chance of sexual dysfunction for the age group between 35 and 49 years old (OR=0.3; 95%CI 0.2-0.6) and for women who felt comfortable talking about sex (OR=0.5; 95%CI 0.2-0.8). However, the presence of osteoporosis (OR=3.3; 95%CI 1.5-7.6), urinary incontinence (OR=2.0; 95%CI 1.1-3.7), and surgical corrections of the pelvic floor (OR=2.2; 95%CI 1.1-4.5) increased this chance. The frequency of sexual dysfunction in women aged 35 to 65 years old was 46.2% and factors such as osteoporosis, urinary incontinence and surgical corrections of the pelvic floor increased the chance of sexual dysfunction.

Creation and Validation of the Self-esteem/Self-image Female Sexuality (SESIFS) Questionnaire.

INTRODUCTIONSelf-esteem and self-image are psychological aspects that affect sexual function.AIMSTo validate a new measurement tool that correlates the concepts of self-esteem, self-image, and sexuality.METHODSA 20-question test (the self-esteem/self-image female sexuality [SESIFS] questionnaire) was created and tested on 208 women. Participants answered: Rosenberg’s self-esteem scale, the female sexual quotient (FSQ), and the SESIFS questionnaire. Pearson’s correlation coefficient was used to test concurrent validity of the SESIFS against Rosenberg’s self-esteem scale and the FSQ. Reliability was tested using the Cronbach’s alpha coefficient.RESULTThe new questionnaire had a good overall reliability (Cronbach’s alpha r = 0.862, p < 0.001), but the sexual domain scored lower than expected (r = 0.65). The validity was good: overall score r = 0.38, p < 0.001, self-esteem domain r = 0.32, p < 0.001, self-image domain r = 0.31, p < 0.001, sexual domain r = 0.29, p < 0.001.CONCLUSIONSThe SESIFS questionnaire has limitations in measuring the correlation among self-esteem, self-image, and sexuality domains. A new, revised version is being tested and will be presented in an upcoming publication.

Female Sexual Quotient in Patients after Breast Augmentation

Female Sexual Quotient in Patients after Breast Augmentation

1571 FEMALE SEXUAL DYSFUNCTION AFTER SPINAL CORD INJURY

You have accessJournal of UrologyUrodynamics/Incontinence/Female Urology: Female Urology (I)1 Apr 20131571 FEMALE SEXUAL DYSFUNCTION AFTER SPINAL CORD INJURY Cristiano M Gomes, Carlos H.S. Bellucci, José Bessa, José E. Castro Filho, Marcello S. Pinheiro, Homero Bruschini, and Miguel Srougi Cristiano M GomesCristiano M Gomes São Paulo, Brazil More articles by this author , Carlos H.S. BellucciCarlos H.S. Bellucci São Paulo, Brazil More articles by this author , José BessaJosé Bessa São Paulo, Brazil More articles by this author , José E. Castro FilhoJosé E. Castro Filho São Paulo, Brazil More articles by this author , Marcello S. PinheiroMarcello S. Pinheiro São Paulo, Brazil More articles by this author , Homero BruschiniHomero Bruschini São Paulo, Brazil More articles by this author , and Miguel SrougiMiguel Srougi São Paulo, Brazil More articles by this author View All Author Informationhttps://doi.org/10.1016/j.juro.2013.02.3121AboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissionsReprints ShareFacebookTwitterLinked InEmail INTRODUCTION AND OBJECTIVES Female sexuality may be tremendously affected by spinal cord injury due to physiological, psychological and emotional consequences. Undoubtedly, the impaired ability to maintain continence after SCI puts individual at risk of presenting urinary leakage during typical daily activities, such as sexual intercourse, impairing the willingness to engage sexual activity. So, we sought to investigate sexual function in women with SCI and its correlation with the urinary continence status. METHODS We prospectively evaluated 81 women with SCI (>12 months) with a mean age of 42.3 ± 16.5. Median time from SCI was 6.4 years [3.5−14.3]. The American Spinal Injury Association (ASIA) impairment scale was A in 54 (66.7%), B in 5 (6.2%), C in 7 (8.6%), D in 14 (17.2%) and E in 1 (1.2%). Urinary incontinence was defined as any compliant of involuntary leakage of urine. Two groups were formed, comprising 43 (53%) continent and 38 (47%) incontinent patients. A structured questionnaire was applied to all subjects including a detailed sexual anamnesis regarding orgasmic function, frequency of sexual intercourses, as well as the subjective satisfaction with sexual life. Moreover, the Female Sexual Quotient (FSQ) was applied. RESULTS The mean satisfaction with sexual life varied from 6.8 ± 3.5 to 2.6 ± 3.3 (0 = dissatisfied and 10 = satisfied; p<0.001). Before SCI, 41 (50.5%) patients had a frequency of > 4 monthly sexual intercourses, 15 (18.6%) had 1 to 4/month, 2 (2.5%) and 23 (28.4%) were sexually inactive. After SCI, only 7 (8.6%) patients had a frequency of > 4 monthly sexual intercourses, 5 (6.2%) had 1 to 4/month, 11 (13.6%) and 58 (71.6%) were sexually inactive. Both groups demonstrated similar prevalence of sexually inactive patients (32.5% and 23.6% in continent and incontinent patients, respectively, p=0.462). Median FSQ was similar among continent patients and incontinent patients. (12 [10−26] and 16 [10−60] in continent and incontinent patients, respectively, p=0.2002). CONCLUSIONS Sexual function is tremendously affected by SCI in most women, leading to a significant decrease in satisfaction with sexual life. Urinary incontinence was not associated to worse sexual outcomes. © 2013 by American Urological Association Education and Research, Inc.FiguresReferencesRelatedDetails Volume 189Issue 4SApril 2013Page: e645 Advertisement Copyright & Permissions© 2013 by American Urological Association Education and Research, Inc.MetricsAuthor Information Cristiano M Gomes São Paulo, Brazil More articles by this author Carlos H.S. Bellucci São Paulo, Brazil More articles by this author José Bessa São Paulo, Brazil More articles by this author José E. Castro Filho São Paulo, Brazil More articles by this author Marcello S. Pinheiro São Paulo, Brazil More articles by this author Homero Bruschini São Paulo, Brazil More articles by this author Miguel Srougi São Paulo, Brazil More articles by this author Expand All Advertisement Advertisement PDF downloadLoading ...

Adverse Psychosexual Impact Related to the Treatment of Genital Warts and Cervical Intraepithelial Neoplasia.

Objective. To compare the psychosexual impact related to the treatment of genital warts and cervical intraepithelial neoplasia (CIN) in women. Methods. 75 patients presenting with HPV-induced genital lesions, belonging to one of two patient groups, were included in the study: 29 individuals with genital warts (GWs) and 46 individuals with CIN grades 2 or 3 (CIN 2/3). Initially, medical charts of each woman were examined for extraction of data on the type of HPV-induced infection and treatment administered. Subjects were interviewed to collect sociodemographic data as well as personal, gynecologic, obstetric, and sexual history. After this initial anamnesis, the Sexual Quotient-Female Version (SQ-F) questionnaire was applied to assess sexual function. After application of the questionnaire, patients answered specific questions produced by the researchers, aimed at assessing the impact of the disease and its treatment on their sexual lives. Results. It is noteworthy that patients with CIN 2/3 had statistically similar classification of sexual quotient to patients with GWs (P = 0.115). However, patients with GWs more frequently gave positive answers to the specific questions compared to patients with CIN 2/3. Conclusion. Based on these findings, it is clear that GWs have a greater impact on sexual behavior compared to CIN 2/3.

Sexual performance and climacteric symptoms in women who perform physical activity

Aim: To investigate the association between the pattern of sexual performance and the intensity of climacteric symptoms in women that perform physical activity. Method: This is a cross-sectional descriptive study conducted with 260 women between 40 and 65 years of age from July to September, 2011. For data collection it used a semi-structured questionnaire, the Blatt &amp; Kupperman Menopausal Index and the Sexual Quotient - female version. Data treatment included the association tests Chi-square and Fisher's exact test. Results: Women with sexual performance pattern rated good/excellent, evaluated by QS-F, were the ones who showed mild manifestations in BKMI. Among those who had a sexual performance standard rated as bad/unfavorable, higher scores indicating moderate to severe manifestations were found. The association between the two scales was significant (p&lt;0,001). Conclusion: the pattern of sexual performance is associated with climacteric symptoms

Função sexual e qualidade de vida em gestantes de baixo risco

To evaluate, in healthy women in the second trimester of pregnancy, a possible association between sexual function and quality of life, and between sexual function and sexual satisfaction. This cross-sectional study involved 51 pregnant women managed at a low-risk antenatal care clinic. Sexual function was evaluated through the Sexual Quotient - Female Version (QS-F) questionnaire. Quality of life and sexual satisfaction were evaluated though the brief version of the World Health Organization Quality of Life questionnaire (WHOQOL-bref). Inclusion criteria were pregnancy between 15-26 weeks, maternal age 20 or more years, at least five years of schooling, in a relationship with a single partner for the last 6 months, having sexual intercourse with vaginal penetration in the last 15 days. We excluded women with a history of sexual violence, previous or current depression, habitual abortion or obstetric complications in the index pregnancy (premature rupture of membranes, preterm labor or hemorrhage). The χ² and Fisher exact tests were used for statistical analyses and p<0.05 was considered significant. Most of the participants (64.8%) obtained "regular to excellent" grades on the QS-F and 58.8% classified their quality of life as "good". As to sexual satisfaction, 35.3 and 15.7% declared that they were "satisfied" and "very satisfied" with their sexual life, respectively. The study detected significant associations between "bad to poor" QS-F grades with a "poor" quality of life (p=0.002), and with "regular to good" and "good to excellent" QS-F grades with "satisfaction" or "high" sexual satisfaction" (p<0.001). Sexual function is associated with quality of life and with sexual satisfaction in healthy women in the second trimester of pregnancy.

Avaliação da sexualidade de mulheres inférteis

ObjectivesIn Brazil, there are no studies that investigate infertile women's sexuality, so there is a need for greater understanding of aspects of their sexuality and possible dysfunctions that could be present. Materials and methodsWere used in this study a questionnaire for sexual quotient (female version) and a questionnaire investigating aspects of marital and sexual relationship prepared especially for this study. 111 patients who participated in the survey were seeking for assisted reproduction treatments in our clinic, before having initiated any kind of treatment, with ages between 25 to 47 years. ResultsCollected data showed that 16.6% of the patients complained of lack of libido, 11.9% presented sexual arousal difficulties, 12.6% presented dyspareunia and 21.3% difficulties to reach an orgasm. We observed worsening of sexual life in proportion with the duration of infertility. Infertile women who already had children had significantly better sexual satisfaction compared to those that had not. Regarding marital adjustment before and after experiencing infertility, 60% did not refer any impairment, 26% referred enhancement and 14% referred worsening of the relationship. ConclusionInfertility interferes in a negative way with women sexuality.

1385 IMPACT OF SPINAL CORD INJURY IN FEMALE SEXUAL FUNCTION

You have accessJournal of UrologySexual Function/Dysfunction/Andrology: Evaluation II1 Apr 20121385 IMPACT OF SPINAL CORD INJURY IN FEMALE SEXUAL FUNCTION Jose Castro, Cristiano Gomes, Jose Bessa, Homero Bruschini, Carmita Abdo, Luiz Abreu, Julio Araujo Filho, Daniel Souza, Marcia Scazufca, Linamara Battistella, Tarcisio Barros, and Miguel Srougi Jose CastroJose Castro Sao Paulo, Brazil More articles by this author , Cristiano GomesCristiano Gomes Sao Paulo, Brazil More articles by this author , Jose BessaJose Bessa Sao Paulo, Brazil More articles by this author , Homero BruschiniHomero Bruschini Sao Paulo, Brazil More articles by this author , Carmita AbdoCarmita Abdo Sao Paulo, Brazil More articles by this author , Luiz AbreuLuiz Abreu Sao Paulo, Brazil More articles by this author , Julio Araujo FilhoJulio Araujo Filho Sao Paulo, Brazil More articles by this author , Daniel SouzaDaniel Souza Sao Paulo, Brazil More articles by this author , Marcia ScazufcaMarcia Scazufca Sao Paulo, Brazil More articles by this author , Linamara BattistellaLinamara Battistella Sao Paulo, Brazil More articles by this author , Tarcisio BarrosTarcisio Barros Sao Paulo, Brazil More articles by this author , and Miguel SrougiMiguel Srougi Sao Paulo, Brazil More articles by this author View All Author Informationhttps://doi.org/10.1016/j.juro.2012.02.1812AboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissionsReprints ShareFacebookTwitterLinked InEmail INTRODUCTION AND OBJECTIVES Spinal cord injury (SCI) may have a devastating impact on the sexual function. We assessed the sexual life of women with SCI and its impact in their sexual satisfaction, adjustments in sexual life and overall quality of life (QOL) as well as association with depressive symptoms. METHODS We prospectively evaluated 41 women with SCI (>12 months) with a mean age of 38.8 ± 14.3 years. Median time from SCI was 4.9 [2.7-14.8] years. SCI level was cervical in 13 (31.7%) patients, thoracic in 25 (61.0%) and lumbar in 3 (7.3%). The American Spinal Injury Association (ASIA) impairment scale was A in 22 (53.7%) patients, B in 5 (12.2%), C in 8 (19.5%) and D in 5 (12.2%). A structured questionnaire was applied to all subjects including the validated questionnaire Female sexual quotient (FSQ - 100 point scale with higher scores indicating better sexual function and satisfaction), the Life Satisfaction questionnaire (LiSat - general QOL), Patient Health Questionnaire (PHQ-9 - depression scale with scores < 9 indicating minimal symptoms), the functiona l Independence Measure (FIM - an 18 items scale varying from 18 to 126 with higher scores indicating more independence) score and a detailed sexual anamnesis regarding orgasmic function, frequency and modalities of sexual activities and overall satisfaction with sexual life. Urinary continence and type of urinary management were also evaluated. RESULTS The mean satisfaction with sexual life varied from 7.8 ± 2.8 to 3.2 ± 3.7 (0 = dissatisfied and 10= satisfied; p< 0.001) before and after SCI, respectively. Before SCI, 25 (65.9%) patients had a frequency of >4 monthly sexual intercourses, 8 (19.6%) had 1 to 4/month, and 6 (14.6%) were not sexually active. After SCI, 31 (75.7%) patients were sexually inactive, 3 (7.3%) had occasional intercourses (<1/month), 3 (7.3%) had 1 to 4/month and 4 (9.7%) had > 4/month. Before SCI 30 (73.2%) women had orgasm during sexual intercourse as opposed to 6 (14.6%) after SCI (p<0.001). The median FSQ score after SCI was 20 [10-70]. The mean LiSat score was 33.2 ± 11.5. The median PHQ-9 score after SCI was 3 [0-6]. The median FIM score was 100 [89-111]. Sexual satis faction was directly associated with general QOL (r= 0.455, p= 0.002) and functional independence (r= 0.341, p= 0.029) but not with depressive symptoms. CONCLUSIONS Sexual function is tremendously affected by SCI in most women, who present a significant decrease in overall satisfaction with sexual life as well as a markedly reduced frequency of sexual activity and orgastic function. Sexual satisfaction was directly associated with general QOL and functional independence. © 2012 by American Urological Association Education and Research, Inc.FiguresReferencesRelatedDetails Volume 187Issue 4SApril 2012Page: e562 Peer Review Report Advertisement Copyright & Permissions© 2012 by American Urological Association Education and Research, Inc.MetricsAuthor Information Jose Castro Sao Paulo, Brazil More articles by this author Cristiano Gomes Sao Paulo, Brazil More articles by this author Jose Bessa Sao Paulo, Brazil More articles by this author Homero Bruschini Sao Paulo, Brazil More articles by this author Carmita Abdo Sao Paulo, Brazil More articles by this author Luiz Abreu Sao Paulo, Brazil More articles by this author Julio Araujo Filho Sao Paulo, Brazil More articles by this author Daniel Souza Sao Paulo, Brazil More articles by this author Marcia Scazufca Sao Paulo, Brazil More articles by this author Linamara Battistella Sao Paulo, Brazil More articles by this author Tarcisio Barros Sao Paulo, Brazil More articles by this author Miguel Srougi Sao Paulo, Brazil More articles by this author Expand All Advertisement Advertisement PDF downloadLoading ...

Gravidez e Diabetes Gestacional: uma combinação prejudicial à função sexual feminina?

To compare the sexual function of healthy adult pregnant women with that of gestational diabetes patients (GDM) in the third trimester. This cross-sectional study enrolled two groups of women managed antenatal care clinics. Inclusion criteria were: maternal age .20 years, gestational age at least 28 weeks, being in a heterosexual relationship with the same partner for at least 6 months, and being able to read. We excluded women with a medical recommendation for sexual abstinence due to clinical or obstetric disorders; hypertension controlled through medications; pregnancy resulting from rape; absent or sexually unavailable partner in the last month; hospital admission in the last month; use of vaginal creams in the last 30 days; multiple pregnancy, regular use of alcohol or illicit drugs or use of medications that can interfere with sexual function. Eighty-seven patients fulfilled the selection criteria and were included in the study. The Sexual Quotient . Feminine Version (QS-F) questionnaire was used to assess sexual function. Student's t and χ² tests were used to compare differences between groups and p<0.05 was considered significant. The mean gestational age of the participants was 34 weeks. There were no significant differences in the mean QS-F scores between groups (62.5 healthy vs 62.8 GDM women, p=0.9). Approximately half the participants (47 and 47.5% of the healthy and GDM women, respectively, p=0.9) had total scores up to 60, indicative of dysfunction in one of the assessed domains (desire, sexual satisfaction, arousal, orgasm, dyspareunia and vaginismus). The prevalence of sexual dysfunction was high among women in the third trimester of pregnancy and did not differ significantly between healthy women and women with GDM.

Yoga in Male Sexual Functioning: A Noncompararive Pilot Study

Yoga is practiced both in developing and developed countries. Many patients and yoga protagonists claim that it is useful in improving sexual functions and treating sexual disorders. We wanted to study the effect of yoga on male sexual functioning. We studied 65 males (age range= 24-60 years, average age=40±8.26 years) who were enrolled in a yoga camp and administered a known questionnaire, i.e., Male Sexual Quotient (MSQ) before and after 12 weeks session of yoga. MSQ scores before and after yoga sessions. It was found that after the completion of yoga sessions, the sexual functions scores were significantly improved (P<0.0001). The improvement occurred in scores of all the domains of sexual functions as studied by MSQ (desire, intercourse satisfaction, performance, confidence, partner synchronization, erection, ejaculatory control, orgasm). Yoga appears to be an effective method of improving all domains of sexual functions in men as studied by MSQ.

Sexuality and quality of life of breast cancer patients post mastectomy

AimTo evaluate the sexual functioning of breast cancer patients post mastectomy and its association with their quality of life, the personal characteristics of women and their partners, breast reconstruction, cancer staging and adjuvant therapies. MethodsA cross-sectional study was carried out in a University hospital located in the SouthEast of Brazil. A total of 100 women were included in the study. The parameters evaluated were sexual functioning, which was assessed based on the Sexual Quotient – Female Version (SQ-F), quality of life (QoL), evaluated by the Medical Outcomes Study 36-item Short Form (SF-36), cancer staging, breast reconstruction, adjuvant therapies and the personal characteristics of patients (age, years of study and years of marriage) and their partners (age, years of study). ResultsThe majority (40.48%) of women had an unfavorable to regular SQ-F score. A significant positive correlation (p<0.05) was found between the SQ-F score and years of education (p=0.03), and the following SF-36 domains: functional capacity (p=0.03), vitality (p=0.06), emotional limitations (p=0.00) and mental health (p=0.03). A significant negative correlation was found between SQ-F score and the age of the partners (p=0.03). SQ-F mean value was significantly higher (p=0.04) among women who underwent breast reconstruction. ConclusionsWomen with low educational level, who have older partners, and who did not have a breast reconstruction should receive special attention with respect to their sexuality, and the effects of mastectomy on the sexuality of patients should be assessed. Oncology nurses are best qualified to recognize issues related to sexuality and quality of life, and can offer specific and meaningful support for breast cancer patients.

Avaliação da sexualidade em mulheres submetidas à histerectomia para tratamento do leiomioma uterino

To evaluate the impact of hysterectomy on the sexuality of women with uterine leiomyoma. Prospective study including 33 sexually active women, with ages from 35 to 50 years old, with orgasmic experience and with a fit stable partner. All the women were submitted to two instruments for the evaluation or their sexuality: Sexual Quotient - Female Version (SQF) and Sexual Satisfaction Inventory - Female Version (SSIF). Both instruments were applied by the same examiner, before and six months after the hysterectomy. The SQF has shown that 39.4% of the patients presented deterioration in the sexual intercourse, even though there has not been found an association between the SQF results before and after hysterectomy (chi2= 0.6; degree of freedom=12; p=0.05). The mean scores obtained after the application of the SSIF have shown significant deterioration in the following parameters: sexual satisfaction (p=0.03); expression of feminine sensuality (p=0.01); vaginismus/dyspareunia (p=0.02) and an orgasmia (p=0.04). It seems that hysterectomy has a negative impact on women's sexual life, with reports of decreased libido, arousal and orgasmic capacity.

Sexual Satisfaction among Patients with Erectile Dysfunction Treated with Counseling, Sildenafil, or Both

Sexual satisfaction is linked to life satisfaction, and erectile dysfunction (ED) may lead to an impaired quality of life (QOL). Our goal was to evaluate the QOL among Brazilian patients with ED, before and after three kinds of treatment. Men aged 25-55 years, with a diagnosis of psychogenic or mixed ED, according to the Classification of Mental and Behavioral Disorders of the International Classification of Diseases, 10th edition, and the Standard Practice in Sexual Medicine, were randomly assigned to three treatment groups: counseling, sildenafil, and sildenafil plus counseling. At baseline each group had 40 patients. Sildenafil was provided in 50 mg that could be adjusted to 100 mg. The patients could initially take one to two tablets per week and the entire treatment lasted for 3 months. Counseling was provided in group sessions that took place once a week. They were evaluated at baseline and after 3 months of treatment with the Male Sexual Quotient (MSQ) and the Sexual Health Inventory for Men (SHIM). The correlation between the patients' MSQ score and scores on the SHIM. One hundred seventeen patients were enrolled. The three groups were similar according to age, marital status, mean time of ED, and ED severity and etiology. At baseline, MSQ and SHIM total scores were not different among the three groups. MSQ scores increased from 41.2 +/- 15.3, 38.7 +/- 18.0, and 46.8 +/- 17.0 to 48.5 +/- 15.3, 63.8 +/- 21.6, and 70.0 +/- 17.3 after counseling, sildenafil, and sildenafil plus counseling, respectively (P < 0.05). SHIM scores also increased significantly (9.6 +/- 4.1, 9.7 +/- 4.1, and 10.2 +/- 3.9 to 12.1 +/- 3.9, 16.7 +/- 5.6, and 17.7 +/- 4.5 after counseling, sildenafil, and sildenafil plus counseling, respectively) (P < 0.05). There were no serious adverse events related to sildenafil, and no patient was withdrawn from the study because of an adverse event. The three treatments were significantly efficient, and the best treatment was sildenafil associated with counseling.

Validação do índice da função sexual feminina em grávidas brasileiras

OBJETIVO: traduzir e validar o Female Sexual Function Index (FSFI) para grávidas brasileiras. MÉTODOS: participaram da pesquisa 92 gestantes assistidas em ambulatório de pré-natal de baixo risco, com diagnóstico da gravidez confirmado por ultra-sonografia precoce. Inicialmente, traduzimos o questionário FSFI para a língua portuguesa (do Brasil), de acordo com os critérios internacionais. Foram realizadas adaptações culturais, conceituais e semânticas do FSFI, em função das diferenças da língua, para que as gestantes compreendessem as questões. Todas as pacientes responderam duas vezes ao FSFI, no mesmo dia, com dois entrevistadores diferentes, com intervalo de uma hora de uma entrevista para a outra. Em seguida, 7 a 14 dias depois, o questionário foi novamente aplicado numa segunda entrevista. Foram avaliadas a confiabilidade (consistência interna intra e interobservador) e a validade do construto (para demonstrar que o questionário avalia a função sexual). RESULTADOS: adaptações culturais foram necessárias para obtermos a versão final. A consistência interna intra-observador (alfa de Chronbach) dos diversos domínios oscilou de moderada a forte (0,791 a 0,911) e a consistência interobservador variou de 0,791 a 0,914. Na validação do construto, foram obtidas correlações de moderada a forte entre os escores finais (gerais) do FSFI e do Quociente Sexual Feminino (QS-F), que tem a capacidade de avaliar a função sexual feminina. CONCLUSÕES: o FSFI foi adaptado à língua portuguesa e à cultura brasileira, apresentando significante confiabilidade e validade, podendo ser incluído e utilizado em futuros estudos da função sexual de grávidas brasileiras.

The Male Sexual Quotient: A Brief, Self-Administered Questionnaire to Assess Male Sexual Satisfaction

Sexual satisfaction is an important aspect of overall life satisfaction. The Male Sexual Quotient (MSQ) was designed to provide a versatile, user-friendly instrument to measure various aspects of male sexual function and satisfaction. Assess responses to the MSQ in men with sexual dysfunction (SD). Items for inclusion in the MSQ were developed through interviewing 612 randomly recruited men in São Paulo, Brazil, about factors considered to influence sexual quality of life. Validation of the MSQ was conducted in two phases in men with and without SD. The correlation between patients' total MSQ score and scores on the Sexual Health Inventory for Men (SHIM). The resulting MSQ questionnaire contains 10 items that address sexual function and satisfaction and is scored on a 100-point scale, with higher scores indicating greater sexual function and satisfaction with such function. Patients' scores on the MSQ were positively correlated with scores on the SHIM (r = 0.86; P < 0.0001). Scores on MSQ item 8, which assesses ejaculatory control, indicated that 46% of patients may have premature ejaculation (PE). The mean time for patients to complete the MSQ was 11 minutes. The MSQ is a brief, comprehensive, and easily self-administered tool designed to help men identify aspects of their sexual experience that could be improved through partner dialogue, physician consultation, and appropriate treatment. MSQ scores correlated well with SHIM scores, and scores were inversely related to the severity of erectile dysfunction or PE and other male SDs. These preliminary findings suggest that the MSQ possesses good convergent validity. Nearly half of men reported problems with ejaculatory control, indicating an association between PE and other SD. Further validation of the MSQ in a double-blind trial is needed. The MSQ may aid in decision making for the treatment of SD.