SummaryObjective. 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). MethOds. 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. Results. 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%. cOnclusiOn. 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.

LUIZ CAMANO 5 Artigos originaisResumo OBJETIVO: traduzir e validar o Female Sexual Function Index (FSFI) para grávidas brasileiras. MÉTODOS: participaram da pesquisa 92 gestantes assistidas em ambulatório de pré-natal de baixo risco, com diagnóstico da gravidez confi rmado por ultra-sonografi a precoce. Inicialmente, traduzimos o questionário FSFI para a língua portuguesa (do Brasil), de acordo com os critérios internacionais. Foram realizadas adaptações culturais, conceituais e semânticas do FSFI, em função das diferenças da língua, para que as gestantes compreendessem as questões. Todas as pacientes responderam duas vezes ao FSFI, no mesmo dia, com dois entrevistadores diferentes, com intervalo de uma hora de uma entrevista para a outra. Em seguida, 7 a 14 dias depois, o questionário foi novamente aplicado numa segunda entrevista. Foram avaliadas a confi abilidade (consistência interna intra e interobservador) e a validade do construto (para demonstrar que o questionário avalia a função sexual). RESULTADOS: adaptações culturais foram necessárias para obtermos a versão fi nal. A consistência interna intra-observador (alfa de Chronbach) dos diversos domínios oscilou de moderada a forte (0,791 a 0,911) e a consistência interobservador variou de 0,791 a 0,914. Na validação do construto, foram obtidas correlações de moderada a forte entre os escores fi nais (gerais) do FSFI e do Quociente Sexual Feminino (QS-F), que tem a capacidade de avaliar a função sexual feminina. CONCLUSÕES: o FSFI foi adaptado à língua portuguesa e à cultura brasileira, apresentando signifi cante confi abilidade e validade, podendo ser incluído e utilizado em futuros estudos da função sexual de grávidas brasileiras.Abstract PURPOSE: to translate and to validate the Female Sexual Function Index (FSFI) for Brazilian pregnant women. METHODS: ninety-two pregnant women attended at a low risk prenatal clinic, with diagnosis of the pregnancy confirmed by precocious ultrasonography, participated in the research. Initially, we translated the FSFI questionnaire for Portuguese language (of Brazil) in agreement with the international criteria. Cultural, conceptual and semantics adaptations of FSFI were accomplished, because of the differences of the language, so that the pregnant women understood the subjects. All the patients answered FSFI twice, in the same day, with two different interviewers, with an hour interval from one to other interview. After 7 to 14 days, the questionnaire was applied again in a second interview. Reliability (internal intra and interobserver consistence) and the validity of the constructo (to demonstrate that questionnaire measures the sexual function) were appraised. RESULTS: Cultural adaptations were necessary for us to obtain the fi nal version. The internal intra-observer (alpha of Chronbach) consistence of the several domains oscillated from moderate to strong (0,791 to 0,911) and the interobserver consistence varied from 0,791 to 0,914. In the validation of the constructo, were obtained moderate correlations to fort amo...

Introduction Sexual difficulties and questions regarding sexual function are frequent in pregnancy, yet they are infrequently discussed in academic communities, medical schools, and residency programs. Embarrassment, lack of experience, inadequate communication skills and insufficient knowledge on how to deal with sexual complaints, and questions in pregnancy are common, especially among young health professionals. Aim The aim of this study was to assess and compare the attitude and behavior of Brazilian residents in three different medical programs (obstetrics gynecology, internal medicine, and psychiatry) toward sexual health issues of pregnant patients. Methods Survey conducted in a single Brazilian university using anonymous self responsive questionnaires on how residents deal with sexual health issues of obstetric patients. A total of 154 residents from the three different programs (47 obstetrics gynecology, 33 psychiatry, 74 internal medicine) participated. Main Outcome Measures Attitude and practice of medical residents regarding sexual health issues of pregnant patients. Results Less than 20% of the residents reported that they routinely asked obstetric patients about their sexual health, although almost 70% stated this should be part of every history. Psychiatry residents were significantly more likely to actively seek information about the sexual health of obstetric patients than others (57.6%, 17%, 4.1%, psychiatry, obstetrics gynecology, internal medicine, respectively, P < 0.001). Although over 80% answered that most obstetric patients react well or indifferently to questions about sexual function, less than 25% of the residents reported being completely confident answering these questions, and 71% of them admitted that they lacked specific knowledge in the area of sexual dysfunctions. The two main obstacles in evaluating patients’ sexuality were lack of specific knowledge and not enough time to explore these aspects in medical consultations, reported by 71% and 20% of all participants, respectively. Conclusions Most residents do not feel comfortable or confident and lack specific knowledge and skills to deal with questions related to sexual problems during pregnancy.

vistas à avaliação do endométrio e da cavidade uterina. Efetuaram-se anamnese, exame fí-sico e ginecológico, e a seguir, realizou-se ultrasonografia transvaginal com medida da espessura do eco endometrial. Em toda paciente, com espessura do eco endometrial maior ou igual a quatro milímetros, procederam-se aos exames de histerossonografia, histeroscopia e biópsia endometrial dirigida. Observaram-se 40 casos (68,9%) de alterações endometriais e 18 (31,1%) de endométrio atrófico. Encontram-se pólipo em 30 casos (51,7%), hiperplasia sem atipia em 5 (8,6%), adenocarcinoma do endométrio em 2 (3,4%), mioma submucoso em 2 (3,4%) e endométrio proliferado em 1 (1,8%) caso. Confrontou-se o resultado dos exames de histerossonografia com o da biópsia da caEstudo Ultra-sonográfico, Histerossonográfico, Histeroscópico e Anatomopatológico da Cavidade Uterina de Mulheres na Pós-Menopausa. Resumo de Tese (02): 123, 2001 RBGOA síndrome dos ovários policísticos (SOP) é uma afecção complexa cujos achados endócrinos principais são o hiperandrogenismo e a anovulação. A insulina tem importante papel na sua fisiopatologia. Para avaliar a eficácia do uso da biguanida metformina no tratamento da SOP foram selecionadas aleatoriamente 29 pacientes obesas e não-obesas, que fizeram uso de metformina 500 mg, via oral, de 8 em 8 horas (15) ou placebo na mesma posologia (14) durante seis meses. Foram divididas em 4 grupos e avaliados peso, ciclo menstrual, dosagens de testosterona total e livre, androstenediona e área sob a curva de insulina (ASCI) e glicose (ASCG) antes e após o tratamento. Os resultados mostraram que houve queda significativa de testosterona total (p<0,05) e livre (p=0,042),

The prevalence of bacterial vaginosis determined by both the pH and KOH method and the Nugent score was high. The pH and KOH method can diagnose bacterial vaginosis as accurately as the Nugent criterion.