Assessment of Sexual Function in Infertile Women in a Gynecological Care Setting

J Sex Med. 2016 Jun;13(6):938-44. doi: 10.1016/j.jsxm.2016.04.065.

Abstract

Introduction: Infertility has a high prevalence worldwide. There is also a high prevalence of sexual problems, mainly in gynecological care settings, but many women are unlikely to discuss sexual problems with their physicians.

Aims: To verify how second-year gynecology residents (SGRs) assess the sexual function of infertile women who are undergoing assisted reproductive techniques (ART) at a single infertility tertiary care center in Brazil.

Main outcome measures: Medical records of patients.

Methods: This retrospective cohort study evaluated all medical records of women who underwent in vitro fertilization (IVF) or intracytoplasmic sperm injection (ICSI) between January 2011 and December 2012 at a fertility clinic of the Hospital das Clinicas of Ribeirão Preto Medical School, University of São Paulo.

Results: A total of 616 women underwent ART during the study period. The mean patient age was 34.5 ± 4.4 years, mean weight was 65.6 ± 12.4 kg, mean height was 163 ± 0.6 cm, and mean body mass index (BMI) was 24.8 ± 4.3 kg/m(2). We classified the methods that medical residents used to assess the sexual frequency of these women as a numerical method, by categorization, or none (no assessment). A total of 26.7% (n = 166) of the SGRs did not assess female sexual function and 26.2% (n = 163) made assessments using categorization. SGRs who used a numerical method rather than categorization to classify the sexual frequency of their female patients were more likely to record answers to other questions on sexual desire, arousal, and orgasm.

Conclusion: SGRs typically do not assess female sexual function in infertile couples. There was considerable heterogeneity among SGRs in their assessment of coital frequency and female sexual function.

Keywords: Coitus; Gynecology; Sexual; Sexual Intercourse; Sterility.

MeSH terms

  • Adult
  • Brazil
  • Coitus*
  • Family Characteristics
  • Female
  • Fertilization in Vitro
  • Humans
  • Infertility, Female*
  • Libido
  • Orgasm
  • Retrospective Studies
  • Sexual Behavior*
  • Sperm Injections, Intracytoplasmic