Keywords
feminine
dysfunction
prevalence
risk factor's
How to Cite
Abstract
Background: the evolution of the female sexual function (FSF) goes unnoticed and is given less importance than the male, it is associated with several factors, being frequent in our society. Objective: to determine the factors associated with FSF in medical students. University of Cuenca. 2021. Methodology: observational study, cross-sectional cohort, universe of 635 students, sample of 181 for a prevalence of female sexual dysfunction 15%), we used the "Female Sexual Function Index", the "Cognoscitivist Systemic Inventory to study Academic Stress", and the "Index of satisfaction for couples" to assess sexual function and associated factors. Means and standard deviation will be applied for quantitative variables; frequencies and percentages for the qualitative ones; determining the relationship between associated factors and sexual dysfunction, the Chi square test, prevalence ratio and 95% confidence interval and p value (<0.05) were applied. Results: the prevalence of sexual dysfunction was 34.3%, orgasm disorder and desire were the most affected domains; the dimensions of excitation and lubrication, the least altered. We found a statistically significant relationship between unsatisfied partner relationship and greater sexual dysfunction. Conclusions: more than a quarter of medical students had FSF alterations, which were associated with risk factors such as unsatisfied partner relationships.
References
Matute S, Arévalo C, Espinoza A. Estudio Transversal: Prevalencia de Disfunción Sexual Femenina y Factores Asociados en Pacientes del Hospital “José Carrasco Arteaga”. Rev Med HJCA [Internet]. 10 de marzo de 2016 [citado 12 de junio de 2022];8(1):19 -24. Disponible en: https://www.researchgate.net/publication/303320796
Campo A, Herazo E. Novedades, críticas y propuestas al DSM-5: el caso de las disfunciones sexuales, la disforia de género y los trastornos paralíticos. Rev Colomb Psiquiatr. [Internet]. 2018 Mar [cited 2022 June 13]; 47( 1 ): 56-64. Available from: http://www.scielo.org.co/scielo.php?script=sci_arttext&pid=S0034-74502018000100056&lng=en. https://doi.org/10.1016/j.rcp.2016.08.008.
Wallwiener C, Wallwiener L, Seeger H, Schönfisch B, Mueck A, Bitzer J, et al. Are hormonal components of oral contraceptives associated with impaired female sexual function? A questionnaire-based online survey of medical students in Germany, Austria, and Switzerland. Arch Gynecol Obstet. [Internet]. 2015 Oct [cited 2022 June 13]; 292(4):883-90. Disponible en: https://pubmed.ncbi.nlm.nih.gov/25905601/
Lemos M, Henao M, López D. Estrés y salud mental en estudiantes de medicina: Relación con afrontamiento y actividades extracurriculares. Arch Med. [Internet] 2018 [cited 2022 June 15]; 14(2):8. Disponible en: https://dialnet.unirioja.es/servlet/articulo?codigo=6499267
Díaz A, Bulla Y, Moreno J. Percepción de satisfacción sexual y su relación con estrés académico en estudiantes de odontología. [Internet]. Universidad de Cartagena; 2016 [citado: 2022, febrero]. Disponible en: https://repositorio.unicartagena.edu.co/handle/11227/4845
Wallwiener C, Wallwiener L, Seeger H, Mück A, Bitzer J, Wallwiener M. Prevalence of Sexual Dysfunction and Impact of Contraception in Female German Medical Students. J Sex Med. [Internet] junio de 2010 [cited 2022 June 15];7(6):2139–48. Disponible en: https://pubmed.ncbi.nlm.nih.gov/20487241/
Lutfey K, Link C, Litman H, Rosen R, McKinlay J. An examination of the association of abuse (physical, sexual, or emotional) and female sexual dysfunction: results from the Boston Area Community Health Survey. J Fertil Steril. [Internet] octubre de 2008 [cited 2022 June 15]; 90(4):957–64. Disponible en: https://pubmed.ncbi.nlm.nih.gov/18023433/
Lo S, Kok W. Prevalence and Risk Factors for Sexual Problems and Distress in Chinese Unmarried Young Women: An Observational Study. J Sex Med. [Internet] noviembre de 2018 [cited 2022 June 15]; 15(11):1620–8. Disponible en: https://pubmed.ncbi.nlm.nih.gov/30415814/
Satake J, Pereira T, Aveiro M. Self-reported assessment of female sexual function among Brazilian undergraduate healthcare students: a cross-sectional study (survey). Sao Paulo Med J. [Internet] 13 de agosto de 2018 [cited 2022 June 15];136(4):333–8. Disponible en: https://pubmed.ncbi.nlm.nih.gov/30110073/
Castellano Y. La disfunción sexual femenina, un problema de salud infradiagnosticado. 2017;89. [Internet]. Universitat de Barcelona; 2017 [citado: 2022, febrero]. Disponible en: http://diposit.ub.edu/dspace/handle/2445/128987
Muñoz A, Camacho P. Prevalencia y factores de riesgo de la disfunción sexual femenina: revisión sistemática. Rev Chil Obstet Ginecol. [Internet]. 2016 Jun [citado 2022 Jun 15]; 81(3): 168-180. Disponible en: http://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0717-75262016000300002&lng=es. http://dx.doi.org/10.4067/S0717-75262016000300002.
López R, Cantellano M, Staufert J, Gómez J, Herrera J, Preciado D. Prevalencia de disfunción sexual femenina en un hospital de tercer nivel de la Ciudad de México. Rev Mex Urol. [Internet]. 2018 Jun [citado 2022 Jun 15]; 78( 3 ): 169-175. Disponible en: http://www.scielo.org.mx/scielo.php?script=sci_arttext&pid=S2007-40852018000300169&lng=es. Epub 25-Jun-2021. https://doi.org/10.24245/revmexurol.v78i3.1747.
Palaguachi M. Prevalencia y factores asociados a disfunción sexual femenina en el Centro de Salud Tipo c la Troncal. junio-noviembre. Año 2018. [master's thesis on the Internet]. Cuenca; 2019-03-29 [cited 15 Feb. 2022]. Available from: http://dspace.ucuenca.edu.ec/handle/123456789/32180
Hernández Y, Altamirano J, Román C, Barros S, Coronel H. Función sexual femenina en las estudiantes de psicología clínica de la Universidad Católica de Cuenca, Ecuador. Rev Elec Psic Izt. [Internet]. 2017 [citado 2022 Jun 15];20(3):233-252. Disponible en: http://www.revistas.unam.mx/index.php/repi/article/view/61793
Martins A, Oliveira P, Dos J. Perfil de satisfação e conhecimento de universitárias sobre a disfunção sexual feminina: prevalência e fatores relacionados. Brazilian Journal of Surgery and Clinical Research – BJSCR. [Internet]. Vol.25,n.2,pp.43-47 (Dez 2018 – Fev 2019) [citado 2022 Jun 15]. Disponible en: https://www.mastereditora.com.br/bjscr25-2
Tehrani F, Farahmand M, Simbar M, Afzali H. Factors associated with sexual dysfunction; a population based study in Iranian reproductive age women. Arch Iran Med [Internet], 2014 [citado 2022 Jun 15]; vol. 17, no 10, p. 0-0. Disponible en: http://aimjournal.ir/Article/720
Urbano A, Iglesias M, Martínez R. Satisfacción general y sexual con la relación de pareja en función del género / General and Sexual Satisfaction with the Couple Relationship According to the Gender. Revista Española de Investigaciones Sociológicas [Internet]. 2019 [citado 2022 Jun 15]; no. 165 (2019): 143–58. Disponible en: http://www.reis.cis.es/REIS/PDF/REIS_165_081547117734971.pdf
Funk L, Rogge D. Testing the ruler with item response theory: Increasing precision of measurement for relationship satisfaction with the Couples Satisfaction Index. J Fam Psychol. [Internet] 2007 Dec. [citado 2022 Jun 15]; 21(4):572-83. Disponible en: FunkRogge2007.pdf (couples-research.com)
Sánchez B, Navarro B, Arranz B, Sánchez Ó, De la Rosa I, Torres M. The Female Sexual Function Index: Transculturally Adaptation and Psychometric Validation in Spanish Women. Int. J. Environ. Res. Public Health [Internet]. 5 de febrero de 2020 [citado 2022 Jun 15]; 17(3):994. Disponible en: https://pubmed.ncbi.nlm.nih.gov/32033334/
Barraza A. INVENTARIO SISCO SV-21. Inventario Sistémico Cognoscitivista para el estudio del estrés académico. Segunda versión de 21 ítems [Internet]. México, Durango: ECOFRAN; 2018. [citado 2022 Jun 15]. ISBN: 978-607-8534-80-7. Disponible en: https://www.google.com/search?client=firefox-b-d&q=Inventario+Sist%C3%A9mico+Cognoscitivista+para+el+estudio+del+estr%C3%A9s+acad%C3%A9mico.+Segunda+versi%C3%B3n+de+21+%C3%ADtems
Peixoto C, Botelho F, Tomada I, Tomada N. Comportamento sexual de estudantes de medicina portugueses e seus fatores preditivos. Revista internacional de Andrología: salud sexual y reproductiva [Internet]. Portugal: 2016. [citado 2022 Jun 17]. ISSN-e 1698-031X, Vol. 14, Nº. 2, 2016, págs. 53-68. Disponible en: https://dialnet.unirioja.es/servlet/articulo?codigo=5513757#
Santi M. Factores Asociados a Disfunción Sexual en mujeres de 20 a 35 años Atendidas en Centro de Salud San Pedro de Mala en el Periodo de Abril- Julio del 2019 [Internet]. (Peru): Universidad Privada Sergio Bernales; 2020. Disponible en: http://repositorio.upsb.edu.pe/xmlui/handle/UPSB/209?show=full
Huang M, Li G, Liu J, Li Y, Du P. Is There an Association Between Contraception and Sexual Dysfunction in Women? A Systematic Review and Meta-analysis Based on Female Sexual Function Index. J Sex Med [Internet]. 2020 Oct [citado 2022 Jun 17]; 17(10):1942-1955. Disponible en: https://pubmed.ncbi.nlm.nih.gov/32694069/
McCabe M, Sharlip I, Lewis R, Atalla E, Balon R, Fisher A, et al. Risk Factors for Sexual Dysfunction Among Women and Men: A Consensus Statement From the Fourth International Consultation on Sexual Medicine 2015. J Sex Med [Internet]. 2016 Feb [citado 2022 Jun 15];13(2):153-67. Disponible en: https://pubmed.ncbi.nlm.nih.gov/26953830/
Figueira J, Lara L, Andrade M, Japur A. Comparison of Sexual Dysfunction in Women Who Were or Were Not Victims of Sexual Violence. J Sex Marital Ther [Internet]. 2021 [citado 2022 Jun 15]; 47(6):621-630. Disponible en: https://pubmed.ncbi.nlm.nih.gov/34039255/
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