Prevalence of sexual dysfunction symptoms among brazilian adolescents using contraceptive methods
ESC Congress Library. Guazzelli C. May 28, 2014; 50637; A-222
Prof. Dr. Cristina Guazzelli
Prof. Dr. Cristina Guazzelli
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Introduction: Few studies have analyzed the sexual lives of female adolescents in developing countries. Our aim was to assess the rate of and identify possible risk factors for sexual dysfunction symptoms among Brazilian adolescents using contraceptive methods.

Patient and Methods: Cross-sectional study involving 130 adolescents (10-19 years) managed at a free family planning clinic (09/2012- 09/2013). The Female Sexual Function Index (FSFI), a self- responsive questionnaire, was used to assess desire, arousal, orgasm, lubrication and dyspareunia. Women scoring ≤ 26 were classified as being at risk for sexual dysfunction.

Results: Mean age was 18 years (± 1.4 standard deviation) 50%  were of mixed race (black and white ancestry), most were single (76.9%) and had 8-12 years of schooling (84.6%). Mean age at first sexual intercourse was 14 years, and almost half reported having only one sexual partner (49.9%).  Oral hormonal contraceptives (36.9%) and monthly hormonal injectable (30.8%) were the most frequently used contraceptive methods.  Mean overall FSFI score was 24.6 (± 2.5) and desire was the domain with the lowest mean scores (3.0 ± 0.85). Over 60% of the adolescents (80/131) were classified as being at risk for sexual dysfunction symptoms (FSFI ≤ 26) and almost 90% (113/130) were under the cut off for sexual desire dysfunction symptom (desire score ≤ 5).


Conclusions: A large proportion of sexually active Brazilian adolescents using hormonal contraceptives and managed at a public family planning clinic were at risk for sexual desire dysfunction symptoms and had sexual desire dysfunction .

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