Journal of South Asian Federation of Obstetrics and Gynaecology

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VOLUME 10 , ISSUE 3 ( July-September, 2018 ) > List of Articles

RESEARCH ARTICLE

Sexual Problems and the Gynaecologist: Are We Doing Enough?

Neha Mathur

Keywords : Gynecologist, Questionnaire based study, Sex education, Sexual problems

Citation Information : Mathur N. Sexual Problems and the Gynaecologist: Are We Doing Enough?. J South Asian Feder Obs Gynae 2018; 10 (3):191-193.

DOI: 10.5005/jp-journals-10006-1587

Published Online: 01-07-2015

Copyright Statement:  Copyright © 2018; The Author(s).


Abstract

Introduction: Sexual health is an important part of womens’ life and wellbeing. Female sexual dysfunction is a complex problem involving an interplay of various physical, emotional, psychological factors often less understood by the general doctors. Gynecologists are many a time first contact person for the woman, where she comes for help. As there are very few or maybe no specialist in this field, in most of the developing countries, responsibility to adequately address and manage these issues in women comes to gynecologists. How does a gynecologist see these issues? Are they comfortable and confident in handling these problems? This study was undertaken to address all these issues. Materials and methods: This was a questionnaire based study conducted on gynecologists in Jodhpur, Rajasthan and neighboring areas of Rajasthan, India. Gynecologists were contacted by personal contact or mail and were asked to fill out a questionnaire, which was analysed. Results: Most gynecologists were females (95%). The average duration of practice was 7.8 years. Most of the gynecologist (77.8%) responded that they do not take a sexual history routinely. Gynecologists who were doing mainly infertility practice were more likely (80% vs 4.46%) to take a sexual history. A total of 85.4% admitted that they do not feel confident in managing these problems, though they were open to discussion. They suggested that training during the graduation and postgraduation in this area could be helpful. Conclusion: All gynecologists should include screening questions regarding sexual well-being as a standard of practice. The gynecologists should be comfortable in discussing the issue of sexual health with their patients and skilled to treat them. The academic medical organization should ensure that students have sufficient knowledge, attitude, and skills to address issues of sexual health.


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  1. Yulevitch A, Czamanski-Cohen J, Segal D, Ben-Zion I, Kushnir T. The vagina dialogues: genital self-image and communication with physicians about sexual dysfunction and dissatisfaction among Jewish patients in a women's health clinic in southern Israel. J Sex Med. 2013 Dec;10(12):3059- 3068.
  2. Lamont J, Bajzak K, Bouchard C, Burnett M, Byers S, Cohen T, et al. Female Sexual Health Consensus Clinical Guidelines. Journal of Obstetrics and Gynaecology Canada [Internet]. Elsevier BV; 2012 Aug;34(8):S1–S4.
  3. Ferrero S, Abbamonte LH, Giordano M, Parisi M, Ragni N, Remorgida V. Uterine myomas, dyspareunia and sexual function. Fertil Steril 2006;86(5):1504-1510.
  4. Ferrero S, Ragni N, Remorgida V. Deep dyspareunia: causes, treatments, and results. Curr Opin Obstet Gynecol 2008; 20(4):394-399.
  5. Palacios S, Castano R, Grazziotin A. Epidemiology of female sexual dysfunction. Maturitas 2009;63:119-123.
  6. Doumas M, Tsiodras S, Tsakitis A, Douma S, Chounta A, Papadopoulos A, et al. Female sexual dysfunction in essential hypertension: a common problem being uncovered. J Hypertens 2006;24:2387-2392
  7. Khajehei M. Sexuality after childbirth: Gaps and needs. World J Obstet Gynecol 2012;1(2):14-16.
  8. Althof SE, Leiblum SR, Chevret-Measson M, Hartmann U, Levine SB, McCabe M, et al. Psychological and interpersonal dimensions of sexual function and dysfunction. J Sex Med 2005;2:793-800
  9. Pfaus JG. Pathways of sexual desire. J Sex Med 2009; Jun;6(6): 1506-1533.
  10. Rees PM, Fowler CJ, Maas CP. Sexual dysfunction 2: sexual function in men and women with neurological disorders. Lancet 2007;369:512-525
  11. Abdolrasulnia M, Shewchuk RM, Roepke N, Granstaff US, Dean J, Foster JA, Goldstein AT, Casebeer L. Management of female sexual problems: perceived barriers, practice patterns, and confidence among primary care physicians and gynecologists J Sex Med. 2010 Jul; 7(7):2499-2508
  12. Kottmel A, Ruether-Wolf KV, Bitzer J. Do gynecologists talk about sexual dysfunction with their patients? J Sex Med. 2014 Aug 11(8):2048-2054.
  13. Briedite I, Ancane G, Ancans A, Erts R. Insufficient assessment of sexual dysfunction: a problem in gynecological practice. Medicina (Kaunas). 2013;49(7):315-320.
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