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Assessment of Female Sexual Function in Pregnant Women with Gestational Diabetes Mellitus

Authors

  • Flaviane de Oliveira Souza MD,

    1. Department of Biomechanics, Medicine and Rehabilitation of the Locomotor System, Ribeirão Preto School of Medicine, University of São Paulo, São Paulo, Brazil
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  • Letícia Alves Rios Dias MD,

    1. Department of Biomechanics, Medicine and Rehabilitation of the Locomotor System, Ribeirão Preto School of Medicine, University of São Paulo, São Paulo, Brazil
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  • Maíra de Menezes Franco MD,

    1. Department of Biomechanics, Medicine and Rehabilitation of the Locomotor System, Ribeirão Preto School of Medicine, University of São Paulo, São Paulo, Brazil
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  • Elaine Caldeira de Oliveira Guirro PhD,

    1. Department of Biomechanics, Medicine and Rehabilitation of the Locomotor System, Ribeirão Preto School of Medicine, University of São Paulo, São Paulo, Brazil
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  • Ricardo de Carvalho Cavalli PhD,

    1. Department of Gynecology and Obstetrics, Ribeirão Preto School of Medicine, University of São Paulo, São Paulo, Brazil
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  • Lúcia Alves da Silva Lara PhD,

    1. Department of Gynecology and Obstetrics, Ribeirão Preto School of Medicine, University of São Paulo, São Paulo, Brazil
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  • Cristine Homsi Jorge Ferreira PhD

    Corresponding author
    • Department of Biomechanics, Medicine and Rehabilitation of the Locomotor System, Ribeirão Preto School of Medicine, University of São Paulo, São Paulo, Brazil
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Corresponding Author: Cristine Homsi Jorge Ferreira, Department of Biomechanics, Medicine and Rehabilitation of the Locomotor System, Ribeirão Preto School of Medicine, Universidade de São Paulo, Avenida Bandeirantes, 3900, Ribeirão Preto, São Paulo 14049-900, Brazil. Tel: +55 16 3602-4415; Fax: 551636024413; E-mail: cristine@fmrp.usp.br

Abstract

Introduction

Female sexual dysfunction is a frequent problem that may be caused by several factors, such as pregnancy and diabetes, and that can affect the woman's quality of life.

Aim

The aim of this study was to assess the sexual function of pregnant women with gestational diabetes.

Methods

This is a cross-sectional clinical study involving 88 women, among which 33 were pregnant with gestational diabetes mellitus (GDM) and 55 were with low-risk pregnancy (LRP).

Main Outcome Measures

Sexual function was assessed using the Female Sexual Function Index (FSFI), a self-applicable questionnaire validated in Portuguese. All the pregnant women answered the questionnaire between the 20th and 25th week of gestation. Data were submitted to descriptive analysis by using the SAS version 9.2 procedure PROC MEANS (SAS Institute Inc., Cary, NC, USA), whereas Student's t-test was applied by using the procedure PROC TTEST (SAS Institute Inc.) at a significance level of ≤5% for all analyses.

Results

The percentage of women presenting sexual dysfunction in each group was the following: 66.7% in Group GDM and 38.9% in the Group LRP, with significant difference between the groups (P = 0.03). However, no significant differences were found between the groups regarding sexual desire, excitement, lubrication, and pain. On the total score of FSFI, Group GDM had a score ≤26.55 (P = 0.03).

Conclusion

Diabetic pregnant women were found to have a higher incidence of sexual dysfunction as their scores were lower for all FSFI domains compared with LRP females.

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