Leite Alessandra Plácido Lima, Campos Ana Aurélia Salles, Dias Antonio Roberto Cardoso, Amed Abes Mahmed, De Souza Eduardo, Camano Luis
Universidade Estadual de Ciências da Saúde de Alagoas, Maceió, AL.
Rev Assoc Med Bras (1992). 2009 Sep-Oct;55(5):563-8. doi: 10.1590/s0104-42302009000500020.
This study aims to evaluate the sexual function and to determine the prevalence of sexual dysfunction among teenagers and adult women during pregnancy using the Female Sexual Function Index (FSFI).
A cohort study was conducted with 271 healthy pregnant women presenting a stable relationship with their partners. These women contributed to the survey since the laboratory diagnosis of their present pregnancy. Anonymous questionnaires evaluated aspects of sexual activity and female sexual function. This last item was assessed through the FSFI questionnaire.
The women sexual function showed a similar pattern during the first and second trimesters; however, it presented a significantly clear decrease in the third trimester. There was a significant difference in the scores of all FSFI domains when comparing the second and third trimesters. The sexual dysfunction among pregnant teenagers was rated 40.8% in the first trimester, 31.2% in the second and 63.2% in the third. For pregnant adults, the dysfunction was rated, respectively, 46.6%, 34.2% and 73.3%.
The sexual function is affected during pregnancy with a significant decrease in all FSFI domains in the third trimester considering both pregnant teenagers and adults. Prevalence of sexual dysfunction is high during pregnancy and reaches higher levels in the third trimester in both age groups; however, teenagers presented better sexual function ratings.
本研究旨在使用女性性功能指数（FSFI）评估青少年和成年女性在孕期的性功能，并确定性功能障碍的患病率。
对271名与伴侣关系稳定的健康孕妇进行了一项队列研究。自实验室诊断出当前怀孕起，这些女性参与了调查。匿名问卷评估了性活动和女性性功能的各个方面。最后一项通过FSFI问卷进行评估。
女性性功能在孕早期和孕中期呈现出相似的模式；然而，在孕晚期明显下降。比较孕中期和孕晚期时，FSFI所有领域的得分存在显著差异。怀孕青少年在孕早期性功能障碍的发生率为40.8%，孕中期为31.2%，孕晚期为63.2%。对于成年孕妇，性功能障碍的发生率分别为46.6%、34.2%和73.3%。
孕期性功能会受到影响，孕晚期FSFI所有领域均显著下降，青少年和成年孕妇皆是如此。孕期性功能障碍的患病率较高，且在两个年龄组的孕晚期达到更高水平；然而，青少年的性功能评分较好。
