title: Assessment of Sexual Function in Infertile Women in a Gynecological Care Setting.
abstract: Infertility has a high prevalence worldwide. There is also a high prevalence of sexual problems, mainly in gynecological care settings, but many women are unlikely to discuss sexual problems with their physicians.
  
  
  
  To verify how second-year gynecology residents (SGRs) assess the sexual function of infertile women who are undergoing assisted reproductive techniques (ART) at a single infertility tertiary care center in Brazil.
  
  
  
  Medical records of patients.
  
  
  
  This retrospective cohort study evaluated all medical records of women who underwent in vitro fertilization (IVF) or intracytoplasmic sperm injection (ICSI) between January 2011 and December 2012 at a fertility clinic of the Hospital das Clinicas of Ribeirão Preto Medical School, University of São Paulo.
  
  
  
  A total of 616 women underwent ART during the study period. The mean patient age was 34.5 ± 4.4 years, mean weight was 65.6 ± 12.4 kg, mean height was 163 ± 0.6 cm, and mean body mass index (BMI) was 24.8 ± 4.3 kg/m(2). We classified the methods that medical residents used to assess the sexual frequency of these women as a numerical method, by categorization, or none (no assessment). A total of 26.7% (n = 166) of the SGRs did not assess female sexual function and 26.2% (n = 163) made assessments using categorization. SGRs who used a numerical method rather than categorization to classify the sexual frequency of their female patients were more likely to record answers to other questions on sexual desire, arousal, and orgasm.
  
  
  
  SGRs typically do not assess female sexual function in infertile couples. There was considerable heterogeneity among SGRs in their assessment of coital frequency and female sexual function.
authors.affiliation: Sector of Human Reproduction, Department of Gynecology and Obstetrics, Ribeirão Preto Medical School, University of São Paulo, Avenida Bandeirantes, 3900. Monte Alegre, CEP: 14049-900, Ribeirão Preto-SP, Brazil. Electronic address: luciaalvess@yahoo.com.br.
authors.forename: Lúcia Alves da Silva
authors.initials: LA
authors.lastname: Lara
authors.affiliation: Sector of Human Reproduction, Department of Gynecology and Obstetrics, Ribeirão Preto Medical School, University of São Paulo, Avenida Bandeirantes, 3900. Monte Alegre, CEP: 14049-900, Ribeirão Preto-SP, Brazil.
authors.forename: Marcela de Alencar
authors.initials: Mde A
authors.lastname: Coelho Neto
authors.affiliation: Sector of Human Reproduction, Department of Gynecology and Obstetrics, Ribeirão Preto Medical School, University of São Paulo, Avenida Bandeirantes, 3900. Monte Alegre, CEP: 14049-900, Ribeirão Preto-SP, Brazil.
authors.forename: Wellington de Paula
authors.initials: Wde P
authors.lastname: Martins
authors.affiliation: Sector of Human Reproduction, Department of Gynecology and Obstetrics, Ribeirão Preto Medical School, University of São Paulo, Avenida Bandeirantes, 3900. Monte Alegre, CEP: 14049-900, Ribeirão Preto-SP, Brazil.
authors.forename: Rui Alberto
authors.initials: RA
authors.lastname: Ferriani
authors.affiliation: Sector of Human Reproduction, Department of Gynecology and Obstetrics, Ribeirão Preto Medical School, University of São Paulo, Avenida Bandeirantes, 3900. Monte Alegre, CEP: 14049-900, Ribeirão Preto-SP, Brazil.
authors.forename: Paula Andrea
authors.initials: PA
authors.lastname: Navarro
mesh_terms: D000328:Adult; D001938:Brazil; D003075:Coitus; D005191:Family Characteristics; D005260:Female; D005307:Fertilization in Vitro; D006801:Humans; D007247:Infertility, Female; D007989:Libido; D009948:Orgasm; D012189:Retrospective Studies; D012725:Sexual Behavior; D020554:Sperm Injections, Intracytoplasmic
keywords: Coitus; Gynecology; Sexual; Sexual Intercourse; Sterility