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CC BY-NC-ND 4.0 · Rev Bras Ginecol Obstet 2017; 39(02): 066-071
DOI: 10.1055/s-0037-1598603
Original Article
Thieme-Revinter Publicações Ltda Rio de Janeiro, Brazil

Climacteric Symptoms and Sexual Dysfunction: Association between the Blatt-Kupperman Index and the Female Sexual Function Index

Sintomatologia climatérica e disfunção sexual: associação entre o índice de Kupperman e Blatt e o índice de função sexual feminina
Emanuela Fonseca Cruz
1   Universidade Ceuma - Campus Renascença, São Luiz, MA, Brazil
,
Vinícius José da Silva Nina
2   Universidade Federal do Maranhão, São Luiz, MA, Brazil
,
Eduardo Durans Figuerêdo
1   Universidade Ceuma - Campus Renascença, São Luiz, MA, Brazil
› Author Affiliations
Further Information

Publication History

05 February 2016

21 November 2016

Publication Date:
03 March 2017 (online)

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Abstract

Objective To investigate the association between the intensity of climacteric symptoms and sexual dysfunction in women aged 40 to 65 years.

Methods Observational, analytic, cross-sectional study conducted with 63 women aged 40 to 65 treated at the gynecology outpatient clinic of a public hospital in northeastern Brazil. A questionnaire was used to collect identification data, clinical information, gynecological-obstetric data, lifestyle traits and information on chronic diseases. Climacteric symptoms and sexual function were evaluated by means of the Blatt-Kupperman index and the Female Sexual Function Index (FSFI) respectively. The association between the two indices was investigated using the chi-squared test; the difference in mean scores on the FSFI as a function of menopausal status was evaluated by Student's t-test. The significance level was set to p < 0.05.

Results The mean value of the Blatt-Kupperman index was 26.42 (standard deviation [SD]: 4.52); 36.51% of the women exhibited severe symptoms. The mean score on the FSFI was 21.84 (SD: 4.11). More than half of the analyzed women (58.73%) exhibited sexual dysfunction (FSFI ≤ 26.5). Regarding the association between the Blatt-Kupperman index and the FSFI, the greater the intensity of the climacteric symptoms (Blatt-Kupperman), the higher the frequency of sexual dysfunction (FSFI). Sexual dysfunction was exhibited by 100% of the participants with severe climacteric symptoms, 70.59% of those with moderate symptoms, and only 9.09% with mild symptoms (p < 0.001).

Conclusions The application of the Blatt-Kupperman index and of the FSFI allowed the detection of an association between the severity of climacteric symptoms and the prevalence of sexual dysfunction.

Resumo

Objetivo Verificar, em mulheres de 40 a 65 anos, a associação entre a intensidade dos sintomas climatéricos e a disfunção sexual.

Métodos Estudo observacional, analítico, transversal, com amostra de 63 mulheres entre 40 e 65 anos atendidas em um ambulatório de ginecologia de um hospital público do Nordeste do Brasil. Foi aplicado um questionário com dados de identificação, informações clínicas, dados ginecológico-obstétricos, hábitos de vida e doenças crônicas. Os sintomas climatéricos e a função sexual foram avaliados utilizando o índice de Kupperman e Blatt e o índice de função sexual feminina (IFSF) respectivamente. Para avaliar a associação entre estes índices, foi utilizado o teste do qui-quadrado, e, para avaliar a diferença entre as médias do IFSF de acordo com o status menopausal, foi utilizado o teste t de Student. Um valor de p < 0,05 foi considerado significante.

Resultados A média do índice de Kurpperman e Blatt da população estudada foi de 26,42 (desvio-padrão [DP]: 4,52). Houve presença de sintomas acentuados em 36,51% das mulheres estudadas. A média do IFSF entre as pacientes estudadas foi de 21,84 (DP: 4,11). Mais da metade das mulheres em estudo (58,73%) apresentou disfunção sexual (FSFI ≤ 26,5). Quando analisada a associação entre o índice de Kupperman e Blatt e o IFSF, foi observado que, quanto maior a intensidade dos sintomas climatéricos (Kupperman e Blatt), maior a frequência de disfunção sexual (IFSF). Apresentaram disfunção sexual 100% das pacientes com sintomas climatéricos acentuados, sendo que 70,59% com sintomas moderados, e apenas 9,09%com sintomas leves (p < 0,001).

Conclusões No presente estudo, quando aplicados o índicesde Kupperman e Blatt e o IFSF, observou-se associação entre a gravidade dos sintomas climatéricos e a prevalência de disfunção sexual.

Keywords

climacteric - sexual dysfunction - hypoestrogenism - menopause - women's health

Palavras-chave

climatério - disfunção sexual - hipoestrogenismo - menopausa - saúde da mulher
 

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