<?xml version="1.0" encoding="ISO-8859-1"?><article xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance">
<front>
<journal-meta>
<journal-id>2184-0628</journal-id>
<journal-title><![CDATA[Gazeta Médica]]></journal-title>
<abbrev-journal-title><![CDATA[Gaz Med]]></abbrev-journal-title>
<issn>2184-0628</issn>
<publisher>
<publisher-name><![CDATA[Círculo Médico]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S2184-06282024000300221</article-id>
<article-id pub-id-type="doi">10.29315/gm.v11i3.665</article-id>
<title-group>
<article-title xml:lang="pt"><![CDATA[Estarão a Disfunção Sexual Feminina e a Contraceção Hormonal Interligadas?]]></article-title>
<article-title xml:lang="en"><![CDATA[Are Oral Contraception and Feminine Sexual Dysfunction Connected?]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Miranda]]></surname>
<given-names><![CDATA[Rafaela]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Silva]]></surname>
<given-names><![CDATA[Ana Catarina]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Azevedo]]></surname>
<given-names><![CDATA[Patrícia de]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Gomes]]></surname>
<given-names><![CDATA[Ariana]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,ARS Norte ACeS Tâmega III, Vale do Sousa Norte ]]></institution>
<addr-line><![CDATA[Penafiel ]]></addr-line>
<country>Portugal</country>
</aff>
<aff id="Af2">
<institution><![CDATA[,Centro Hospitalar do Tâmega e Sousa Serviço de Ginecologia e Obstetrícia ]]></institution>
<addr-line><![CDATA[Penafiel ]]></addr-line>
<country>Portugal</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>09</month>
<year>2024</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>09</month>
<year>2024</year>
</pub-date>
<volume>11</volume>
<numero>3</numero>
<fpage>221</fpage>
<lpage>229</lpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://scielo.pt/scielo.php?script=sci_arttext&amp;pid=S2184-06282024000300221&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.pt/scielo.php?script=sci_abstract&amp;pid=S2184-06282024000300221&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.pt/scielo.php?script=sci_pdf&amp;pid=S2184-06282024000300221&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="pt"><p><![CDATA[Resumo O efeito da contraceção hormonal (CH) na sexualidade feminina há muito que tem vindo a ser matéria de discussão. Alguns estudos sugerem que as experiências negativas relativamente ao uso de CH são as principais causas de descontinuação ou alteração do método contracetivo. Neste sentido, o principal objetivo do presente artigo será rever a literatura publicada sobre o tema nos últimos 10 anos e compreender a eventual relação entre o uso de contraceção e a disfunção sexual feminina. Foi realizada pesquisa da literatura, entre o dia 4 e 8 de Abril de 2022, nas principais bases de dados de medicina baseada na evidência, com data de publicação: janeiro de 2012 a março de 2022, utilizando os termos MeSH: feminine sexual dysfunction, oral contraceptives, e hormonal contraceptives. Foi consultado o Consenso sobre Contraceção (2020), o Protocolo de Ginecologia no âmbito dos Cuidados de Saúde Primários (2019) e o Diagnostic and Statistical Manual of Mental Disorders (DSM -V 2013). Os métodos contracetivos poderão apresentar efeitos negativos sobre a sexualidade feminina, nomeadamente na diminuição do desejo sexual e líbido. Dentro da CH é difícil retirar conclusões sobre qual o melhor método anticoncecional, no entanto, há vários estudos que sustentam que os dispositivos intrauterinos apresentam menor impacto na sexualidade feminina. Apesar da difícil avaliação da DSF e da disparidade de definições existentes, este é um problema real e que pode afetar significativamente a qualidade de vida das mulheres e do casal, e, para o qual, todos os médicos devem estar sensibilizados. É importante que haja um aconselhamento adequado e ajustado às expectativas de cada mulher, de forma a aumentar a adesão ao método e a satisfação da utilizadora.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[Abstract The effect of hormonal contraception (HC) on female sexuality has been discussed for a long time. Some studies suggest that negative experiences concerned to the use of HC are the main causes for changing or stopping the use of the HC. In this sense, the main objective of this article will be to review the literature published on the subject in the last 10 years and understand the possible relationship between the use of contraception and sexual dysfunction. A literature search was performed between April 4 and 8, 2022, and in major research-based medicine databases, with publication date between January 2012 to March 2022, using the terms MeSH female sexual dysfunction, contraceptives, and hormonal contraceptives. The Consensus on Contraception (2020), the Gynecology Protocol within the scope of Primary Health Care (2019) and the Diagnostic and Statistical Manual of Mental Disorders (DSM -V 2013) were consulted. Women who are medicated with HC show a lower frequency of sexual activity, less sexual stimulation and less sexual pleasure. They present lower vaginal lubrification and greater difficulty in achieving the orgasm. Within HC it is difficult to find out which method is best. From the existing evidence, it is hard to conclude about the better HC. There are studies that support that intra uterine device (IUD), the intrauterine system (IUS) and the transdermal patch have less impact on female sexuality. Despite the difficulty in evaluating the FSD and the disparity of existing definitions, feminine sexual dysfunction is a problem that can significantly affect the quality of life of women and couples, and to which all physicians should be aware. It is important to adequate and adjust the advice to the expectations of each woman, in order to increase adherence to the method and satisfaction.]]></p></abstract>
<kwd-group>
<kwd lng="pt"><![CDATA[Anticoncepcionais Orais Hormonais]]></kwd>
<kwd lng="pt"><![CDATA[Comportamento Sexual]]></kwd>
<kwd lng="pt"><![CDATA[Contracepção Hormonal]]></kwd>
<kwd lng="pt"><![CDATA[Disfunções Sexuais Fisiológicas]]></kwd>
<kwd lng="en"><![CDATA[Contraceptives, Oral, Hormonal]]></kwd>
<kwd lng="en"><![CDATA[Hormonal Contraception]]></kwd>
<kwd lng="en"><![CDATA[Sexual Behavior]]></kwd>
<kwd lng="en"><![CDATA[Sexual Dysfunction, Physiological]]></kwd>
</kwd-group>
</article-meta>
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