[The assessment and management of female sexual dysfunction].
Sexual dysfunction prevalence is high among women. However, doctors rarely ask about their patients' sexual life, because they feel uncomfortable or because their knowledge about investigation techniques is insufficient. The PLISSIT model, a useful tool to access human sexual function, is composed by four elements: permission, limited information, specific suggestions, and intensive therapy, that favor dialogue between the doctor and the patient allowing the access to the sexual complaints. The therapeutics consists of counseling measures, drug prescription, basic orientations about sexual function and interventions on anatomic and functional aspects of the sexual apparatus with positive impact in the woman's sexual life. The present review shows how to use it. In addition, many aspects of female sexual dysfunction are discussed, such as prevalence, diagnostic and treatment options for female sexual dysfunction.
Lara
Lúcia Alves da Silva
LA
Departamento de Ginecologia e Obstetrícia, Faculdade de Medicina de Ribeirão Preto, Universidade de São Paulo, Ribeirão Preto, SP, Brazil. luciaalvess@yahoo.com.br
Rosa e Silva
Ana Carolina Japur de Sá
AC
Romão
Adriana Peterson Mariano Salata
AP
Junqueira
Flavia Raquel Rosa
FR
D005260:Female; D006801:Humans; D012307:Risk Factors; D012735:Sexual Dysfunction, Physiological / Q000175:diagnosis* / Q000453:epidemiology / Q000628:therapy*