title: [Pregnancy and gestational diabetes: a prejudicial combination to female sexual function?].
abstract: OBJECTIVE
  To compare the sexual function of healthy adult pregnant women with that of gestational diabetes patients (GDM) in the third trimester.
  
  
  METHODS
  This cross-sectional study enrolled two groups of women managed antenatal care clinics. Inclusion criteria were: maternal age .20 years, gestational age at least 28 weeks, being in a heterosexual relationship with the same partner for at least 6 months, and being able to read. We excluded women with a medical recommendation for sexual abstinence due to clinical or obstetric disorders; hypertension controlled through medications; pregnancy resulting from rape; absent or sexually unavailable partner in the last month; hospital admission in the last month; use of vaginal creams in the last 30 days; multiple pregnancy, regular use of alcohol or illicit drugs or use of medications that can interfere with sexual function. Eighty-seven patients fulfilled the selection criteria and were included in the study. The Sexual Quotient . Feminine Version (QS-F) questionnaire was used to assess sexual function. Student's t and χ² tests were used to compare differences between groups and p<0.05 was considered significant.
  
  
  RESULTS
  The mean gestational age of the participants was 34 weeks. There were no significant differences in the mean QS-F scores between groups (62.5 healthy vs 62.8 GDM women, p=0.9). Approximately half the participants (47 and 47.5% of the healthy and GDM women, respectively, p=0.9) had total scores up to 60, indicative of dysfunction in one of the assessed domains (desire, sexual satisfaction, arousal, orgasm, dyspareunia and vaginismus).
  
  
  CONCLUSIONS
  The prevalence of sexual dysfunction was high among women in the third trimester of pregnancy and did not differ significantly between healthy women and women with GDM.
authors.affiliation: Escola Paulista de Medicina, Universidade Federal de São Paulo, São Paulo, SP, Brasil.
authors.forename: Meireluci Costa
authors.initials: MC
authors.lastname: Ribeiro
authors.forename: Mary Uchiyama
authors.initials: MU
authors.lastname: Nakamura
authors.forename: Carmita Helena Najjar
authors.initials: CH
authors.lastname: Abdo
authors.forename: Maria Regina
authors.initials: MR
authors.lastname: Torloni
authors.forename: Marco de Tubino
authors.initials: Mde T
authors.lastname: Scanavino
authors.forename: Rosiane
authors.initials: R
authors.lastname: Mattar
mesh_terms: D000328:Adult; D003430:Cross-Sectional Studies; D016640:Diabetes, Gestational; D005260:Female; D006801:Humans; D011247:Pregnancy; D012725:Sexual Behavior; D055815:Young Adult