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Medicina is published by MDPI from Volume 54 Issue 1 (2018). Articles in this Issue were published by another publisher in Open Access under a CC-BY (or CC-BY-NC-ND) licence. Articles are hosted by MDPI on as a courtesy and upon agreement with Lithuanian Medical Association, Lithuanian University of Health Sciences, and Vilnius University.
Open AccessArticle

Insufficient Assessment of Sexual Dysfunction: A Problem in Gynecological Practice

Department of Gynecology, Riga East Clinical University Hospital
Department of Obstetrics and Gynecology, Riga Stradins University
Department and Clinic of Psychosomatic Medicine and Psychotherapy, Riga Stradins University
Department of Physics, Riga Stradins University, Latvia
Author to whom correspondence should be addressed.
Medicina 2013, 49(7), 49;
Received: 3 March 2013 / Accepted: 30 July 2013 / Published: 4 August 2013
Background and Objective. Sexual health is an important part of a woman’s life and well-being. Female sexual dysfunction is a complicated problem, it is often underestimated in the healthcare process, and its management is complex. Giving women the opportunity to talk about sexual problems is a fundamental part of healthcare and may improve their quality of life. The aim of this study was to find out patients’ experience and attitudes toward the involvement of gynecologists addressing sexual issues, to disclose the main barriers to initiate a conversation, and to assess the prevalence of sexual disorders among patients in a gynecological clinic.
Material and Methods
. A questionnaire-based approach was used to survey 18- to 50-year-old voluntary patients in the gynecological clinic. The study population comprised 300 different gynecological (except oncologic) patients independently of reasons for being in the clinic. The duration of the study was 6 months.
. Only one-third of the patients had ever been asked about their sexual life by a gynecologist, whilst the majority (80%) of the respondents reported they would like to be asked and discuss sexual issues. The patients mostly did not complain because of psychoemotional barriers, and shame was the main barrier for patients to talk about their problems. Sexual dysfunction was a frequent disorder among gynecological patients, reaching especially high levels in the arousal (46.41%) and lubrication (40.67%) domains.
. The assessment of sexual health is insufficient in gynecological care, and sexual history-taking and evaluation of sexual functions should be included in routine gynecological health assessments.
Keywords: female sexual dysfunction; gynecology; sexual health; sexuality; psychoemotional barriers female sexual dysfunction; gynecology; sexual health; sexuality; psychoemotional barriers
MDPI and ACS Style

Briedite, I.; Ancane, G.; Ancans, A.; Erts, R. Insufficient Assessment of Sexual Dysfunction: A Problem in Gynecological Practice. Medicina 2013, 49, 49.

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