Disfunção sexual : os principais transtornos dolorosos vividos pelas mulheres durante a gestação

Abstract

The gestational period brings to the woman a series of important physiological, psychological, social and cultural changes that affect several aspects of the marital relationship, including sexuality, leading the woman to present sexual dysfunctions. Objective: The aim of this study is to analyze the incidence of sexual dysfunction during different gestational periods. Method: This is a prospective cohort study with 42 women analyzed in the first gestational trimester to the third gestational trimester, recruited in Basic Family Health Units in Cáceres/MT. For evaluation, the Female Sexual Index Index (FSFI), Oswestry Disability Index (ODI) and Short Health Survey 36 (SF-36) were used. Pregnant women who were being assisted at the UBSF and who met the inclusion criteria from May 2021 to February 2022 were included in the research. The women were followed up at three moments: Assessment 1, GA from 8 to 12 weeks; Assessment 2, GA 21 to 23 weeks; Assessment 3, GA 31 to 35 weeks. Results: 42 pregnant women aged 26 years (22.00 - 30.75); high school level (30.95%); married (66.67%); unplanned pregnancy (69.05%). In the evaluation of the total FSFI score, when comparing the first trimester, no incidence of sexual dysfunction was found, since the second trimester there was an overlap of the confidence intervals of 95%. Comparing the second quarter with the third quarter there was a statistically significant increase in the incidence of global sexual dysfunction 59.52% and 90.48%. Comparing the second quarter with the third quarter, there was a statistically significant increase in the domains of excitement (61.90% and 88.10%) and pain (50.00% and 90.48%). The comparison evaluation of the ODI questionnaire between gestational trimesters was statistically significant from the second trimester to the first (p = 1.19e10). In the median quality of life score, a statistically significant difference was observed between the third trimester and the second, and similar between the first and the second (p = 2.84e-05). In the domain analysis of the FSFI questionnaire, the desire domain showed a similarity in median scores from the first to the second trimester and a statistically significant difference in the third trimester (p = 5.80e-03), excitement showed a similarity from the first to the second trimester and a statistically significant reduction in the third trimester (p = 2.11e-04), in the lubrication domain, there was a similarity between the median scores from the first to the second trimester and a statistically significant reduction in the third trimester (p = 5.80e-03), orgasm there was a statistically significant reduction in the third trimester (p = 1.59e-05), satisfaction presented a similarity between the median scores of all evaluated trimesters (p = 0.04), pain presented a similarity of the median score of the second trimester in relation to the first and a statistically significant reduction in the third quarter (p = 5.73e-07). Conclusion: The study showed that in the progression of pregnancy, women experience greater pain and discomfort during the third trimester, significantly influencing sexual function and quality of life.