S H O I ~ T
!
C
O lV IlV lU N I C A T IO N
C a rm ita H e le n a N a jja r A b d o , S e rg io R ic a rd o C a m p a n e lla d e O liv e ira
S e x u a l d iso rd e rs: d e m o g ra p h ic a n d d ia g n o stic p ro file d u rin g
o n e y e a r o f a m u ltid isc ip lin a ry
p ro je c t
Psychiatric Institute of the College of Medicine of the University of Siio Paulo - Siio Paulo, Brazil
T a k in g in to c o n s id e r a tio n a s tu d y p u b lis h e d 1 0 y e a r s a g o o n s e x u a l d is tu r b a n c e s o f s tu d e n ts a t th e U n iv e r s ity o f S a o P a u lo , th e im p o r ta n c e o f th e s u b je c t is d is c u s s e d , a lo n g w ith th e c r e a tio n in 1 9 9 3 o f th e S e x u a lity P r o je c t a t th e u n iv e r s ity h o s p ita l o f th e
U n iv e r s ity o f S a o P a u lo S c h o o l o f M e d ic in e . I n its fir s t y e a r , th is m u ltid is c ip lin a r y p r o je c t a tte n d e d 1 4 0 p a tie n ts w ith s e x u a l d y s fu n c -tio n s ( a s s o c ia te d o r n o t to o th e r c lin ic a l m a n ife s ta tio n s ) ; th e m a jo r ity w e r e y o u n g e r th a n 6 0 y e a r s - o ld , a n d 8 0 p e r c e n t w e r e m a le .
U N IT E R M S : S e x u a lity . S e x u a l d is o r d e r s . M u ltid is c ip lin a r y a s s is ta n c e . D e m o g r a p h ic p r o file . D ia g n o s is .
J u s t o v e r te n y e a r s a g o , o n e o f u s p u b lis h e d in th is
jo u r n a l th e r e s u lts o f a d ia g n o s tic s tu d y d o n e in c o n ju n c tio n
w ith th e H S A C - H e a lth a n d S o c ia l A s s is ta n c e
C o o r d in a tio n o f th e U n iv e r s ity o f S a o P a u lo . IW e o b s e r v e d
th a t 1 1 ( l 0 .2 p e r c e n t) o f 1 0 7 u n d e r g r a d u a te s w e r e a tte n d e d
a t th e S e r v ic e o f M e n ta l H e a lth a n d H y g ie n e ( S M H H ) o f
H S A C d u r in g 1 9 8 3 d u e to s e x u a l d is o r d e r s ,2 c la s s if ie d a s :
p r e m a tu r e e ja c u la tio n ( 5 s tu d e n ts ) ; im p o te n c e ( 3 s tu d e n ts ) ;
f r ig id ity ( l) ; h o m o s e x u a lity ( l) ; a n d b is e x u a lity ( I ) .
A d re s s fo r c o rre s p o n d e n c e : C a rm ita H e le n a N a jja r A b d o R . P a s c a l, 1 8 1 , a p to . 4 1
S a o P a u lo /S P - B ra s il- C E P 0 4 6 1 6 -0 0 1
T e n o f th e s e s tu d e n ts w e r e m a le , a lth o u g h 5 8 o f th e
to ta l o f 1 0 7 p a tie n ts w e r e f e m a le a n d 4 9 w e r e m a le . O n e
b is e x u a l s tu d e n t, w h o r e la te d e q u a lly to b o th s e x e s , w a s
u p s e t w ith th is c o n d itio n , a lth o u g h it w a s n o t in th e D is e a s e
C la s s if ic a tio n . A ll 1 1 s tu d e n ts w e r e n o t m a r r ie d a n d th e ir
a g e s v a r ie d f r o m 1 9 to 3 4 y e a r s .T h is d a ta f o r m e d a la r g e r
s e x u a lity s tu d y a m o n g s tu d e n ts o f th e U n iv e r s ity o f S a o
P a u lo e n r o lle d in th e S M H H f r o m 1 9 7 7 to 1 9 9 4 .3
D u e to th e im p o r ta n c e o f th is is s u e a n d its
r e p e r c u s s io n , w e c r e a te d in 1 9 9 3 th e S E X U A L I T Y
P R O J E C T ( P R O - S E X ) , in th e P s y c h ia tr ic I n s titu te o f th e
U n iv e r s ity H o s p ita l o f th e C o lle g e o f M e d ic in e o f th e
U n iv e r s ity o f S a o P a u lo .
I t is a m u ltid is c ip lin a r y te a m f o r m e d in th e
P s y c h ia tr ic I n s titu te b y p s y c h ia tr is ts , u r o lo g is ts ,
g y n e c o lo g is ts , a n d p s y c h o lo g is ts v e e r e d to th e a s s is ta n c e ,
te a c h in g a n d r e s e a r c h o f s e x u a lity d is o r d e r s .
1283
* N o a s s o c ia t e d s e x u a l d is o r d e r
* * S e c o n d a r y s e x u a l d is o r d e r
* * * P a t ie n t s w it h m o r e t h a n o n e p s y c h ia t r ic d is o r d e r
T h i s r e p o r t w i s h e s t o p r e s e n t a d e m o g r a p h i c a n d
d i a g n o s t i c p r o f i l e o f t h e p o p u l a t i o n a t t e n d e d b y t h e P R O
-S E X d u r i n g i t s f i r s t y e a r o f e x i s t e n c e ( N o v e m b e r 1 9 9 3
-N o v e m b e r 1 9 9 4 ) .
O t h e r a s p e c t s a n d a d e t a i l e d d e s c r i p t i o n o f t h e P r o j e c t
w i l l b e p u b l i s h e d i n t h e f u t u r e .4
T h e s e a r e t h e r e s u l t s : 1 7 6 p a t i e n t s w e n t t h r o u g h
i n i t i a l s c r e e n i n g , a l l f r o m t h e s t a t e o f S a o P a u l o ,a n d 1 4 0
b e g a n t r e a t m e n t . O n e - h u n d r e d a n d s i x t e e n ( 8 2 .9 p e r c e n t )
p a t i e n t s w e r e m a l e a n d 2 4 ( l 0 .1 p e r c e n t ) w e r e f e m a l e .
T h e a g e o f m a l e s v a r i e d f r o m 1 8 t o 7 5 y e a r s ( m e a n
=
3 7 .8 ) , w h i l e t h e a g e o f f e m a l e s v a r i e d f r o m 1 9 t o 6 7 y e a r s ( m e a n=
3 5 .2 y e a r s ) . I n b o t h g r o u p s , m o s t o f t h eTable 1
Clinical manifestations in men
p a t i e n t s s e e k i n g t r e a t m e n t w e r e u n d e r 6 0 y e a r s ( m a l e
=
9 2 .2 p e r c e n t , f e m a l e
=
9 1 .6 p o e r c e n t ) .F o r t y - n i n e m e n ( 4 2 .2 p e r c e n t o f t h e m a l e g r o u p ) a n d
1 3 ( 5 4 .2 p e r c e n t ) w o m e n w e r e m a r r i e d ; 5 4 ( 4 6 .6 p e r c e n t )
m e n a n d 9 ( 3 7 .4 p e r c e n t ) w e r e s i n g l e ; 4 ( 3 .4 p e r c e n t ) m e n
w e r e w i d o w e r s a n d 1 ( 3 .4 p e r c e n t ) w o m a n w a s a w i d o w ;
9 ( 7 .8 p e r c e n t ) m e n a n d I ( 4 .2 p e r c e n t ) w o m a n w a s
u n m a r r i e d .
F o u r ( 2 .9 p e r c e n t ) o f t h e 1 4 0 p a t i e n t s a t t e n d e d ,
a l l m a l e , h a d a d i a g n o s e d o r g a n i c s e x u a l d i s o r d e r ;
e r e c t i o n d i s o r d e r s d u e t o p e r i p h e r a l c i r c u l a t i o n
i n v o l v e m e n t , c a u s e d b y d i a b e t e s m e l l i t u s ( 2 c a s e s ) ; a n d
e r e c t i o n d i s o r d e r s d u e t o a t h e r o s c l e r o s i s ( 2 c a s e s ) .
C l i n i c a l m a n i f e s t a t i o n s f o r m a l e s a n d f e m a l e a r e s h o w n
i n T a b l e s 1 a n d 2 .
T h i s d a t a s h o w s t h e i m p o r t a n c e o f a n d u r g e n c y
f o r c o u r s e s o n s e x u a l i t y ( b o t h n o r m a l a n d p a t h o l o g i c )
i n o u r m e d i c a l s c h o o l s . O n e o f t h e o b j e c t i v e s o f t h e
S E X U A L I T Y P R O J E C T i s t o o f f e r d o c t o r s f r o m s e v e r a l
a r e a s a b r o a d e r v i e w o f m e n t a l a n d b e h a v i o r d i s o r d e r s ,
t h a n i s g i v e n b y t h e I n t e r n a t i o n a l D i s e a s e
C l a s s i f i c a t i o n .5
* N o a s s o c ia t e d s e x u a l d is o r d e r
* * o n e p a t ie n t w it h 2 p s y c h ia t r ic m a n if e s t a t io n s
Table 2
Clinical Manifestations in women
% M a n if e s t a t io n N u m b e r %
4 3 . 9 O r g a s m d is o r d e r 1 7 7 3 . 9 4 1 . 1 D e c r e a s e in p le a s u r e 2 8 . 7
1 . 9 P a in d u r in g in t e r c o u r s e 2 8 . 7 1 . 9 E g o d is t o n ic h o m o s e x u a ls 1 4 . 3 2 . 8 V a g in is m 1 4 . 3 1 . 9 N o n - s p e c if ie d p e r s o n a lit y 1 4 . 3
d is o r d e r
T o t a l 2 4 * * 1 0 4 . 2
2 .8 1 .9 4 .7 0 .9 0 .9 0 .9 0 .9
0 . 9
0 .9
1 0 7 . 3
3 2 5 1 1 1 1 1 1
1 1 6 * * *
N u m b e r
47
4 4 2 2 3 2P r e m a t u r e e ja c u la t io n
E r e c t io n d is o r d e r
D e c r e a s e in p le a s u r e
T r a n s s e x u a l
O t h e r s e x u a l d is o r d e r s
P s y c h ic a n d b e h a v io r d is o r d e r s
a s s o c ia t e d w it h s e x u a l d e v e lo p m e n t
a n d o r ie n t a t io n ( 1 )
P e r s o n a lit y d is o r d e r s * *
E p is o d e o f d e p r e s s io n
N o n - s p e c if ie d a n x ie t y e p is o d e
E x c e s s iv e in t a k e o f t r a n q u iliz e r s *
D e f ic ie n c y in in t e llig e n c e *
C h r o n ic p s y c h o t ic d is o r d e r *
M a n ic e p is o d e *
S o c ia l p h o b ia *
A n x ie t y *
T o t a l M a n if e s t a t io n
A B D O , C . H . N . & O L I V E I R A , S . R . C . - S e x u a l d is o r d e r s : d e m o g r a p h ic a n d d ia g n o s t ic p r o f ile d u r in g o n e y e a r o f a m u lt id is c ip lin a r y p r o je c t
1284
RESUMO
A tra v e s d a re a p re s e n ta y a o d e le v a n ta m e n to d o s d is tu rb io s s e x u a is d e a lu n o s d a U n iv e rs id a d e d e S a o P a u lo - p u b lic a d o h a d e z a n o s - d is c u te -s e a im p o rtfm c ia d o a s s u n to e a c ria y a o d o P ro je to S e x u a lid a d e d o H o s p ita l d a s C lin ic a s d a F a c u ld a d e d e M e d ic in a d a U n iv e rs id a d e d e S a o P a u lo . E s te , d e c a ra te r m u ltid is c ip lin a r, a te n d e u , n o p rim e iro a n o , a 1 4 0 p a c ie n te s , a m a io ria a b a ix o d e 6 0 a n o s e c o m d is fu n y o e s s e x u a is (a s s o c ia d a s o u n a o a o u tra s m a n ife s ta y o e s c 1 fn ic a s ). D o to ta l, 8 0 % e ra m d o s e x o m a s c u lin o .
REFERENCES
I. A b d o C H N . S e x u a lid a d e : re le v a n c ia n o m e io u n iv e rs ita rio . R e v P a u l M e d 1 9 8 4 ; 1 0 2 ( 6 ) :2 8 2 .
2 . O M S - M a n u a l d a C la s s ific a c ;:a o E s ta tfs tic a In te rn a c io n a l d e D o e n c ;:a s , L e s o e s e C a u s a s d e O b ito s (re v is a o d e 1 9 7 5 ). E d . In d e p e n d e n c ia B ra s flia , 1 9 8 5 .
3 . A b d o C H N . A s p e c to s d a S e x u a lid a d e d e u m a p o p u la c ;:a o u n iv e rs ita ria . T e s e d e D o u to ra m e n to , D e p a rta m e n to d e P s iq u ia tria - F M U S P , S a o P a u lo 1 9 8 9 .
4 . A b d o C H N & O liv e ira S R C . 0 p rim e iro a n a d o P ro je to S e x u a lid a d e (e m e la b o ra c ;:a o ).
5 . O M S - C la s s ific a c ;:a o d e T ra n s to rn o s M e n ta is e d e C o m p o rta m e n to d a C ID -I 0 : d e s c ric ;:o e s c lfn ic a s e d ire triz e s d ia g n 6 s tic a s . P o rto A le g re : A rte s M e d ic a s , 1 9 9 3 .
S a o P a u lo M e d ic a l J o u rn a l/R P M 1 1 4 (5 ): 1 2 8 2 -1 2 8 4 , 1 9 9 6 A B O O , C .H .N . & O L IV E IR A , S .R .C . - S e x u a l d is o rd e rs : d e m o g ra p h ic a n d d ia g n o s tic p ro file
