{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,5]],"date-time":"2026-09-05T02:24:10Z","timestamp":1788575050663,"version":"build-2803163510"},"reference-count":106,"publisher":"Federa\u00e7\u00e3o das Associa\u00e7\u00f5es de Ginecologia e Obstetr\u00edcia","issue":"04","license":[{"start":{"date-parts":[[2017,4,3]],"date-time":"2017-04-03T00:00:00Z","timestamp":1491177600000},"content-version":"vor","delay-in-days":2,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Rev Bras Ginecol Obstet"],"published-print":{"date-parts":[[2017,4]]},"abstract":"<jats:p>Introduction\u2003Sexual pleasure is fundamental for the maintenance of health and well-being, but it may be adversely affected by medical and psychosocial conditions. Many patients only feel that their health is fully restored after they resume normal sexual activities. Any discussion of sexuality in a doctor's office is typically limited, mainly because of a lack of models or protocols available to guide the discussion of the topic.<\/jats:p>\n                  <jats:p>Objectives\u2003To present a model designed to guide gynecologists in the management of female sexual complaints.<\/jats:p>\n                  <jats:p>Methods\u2003This study presents a protocol used to assess women's sexual problems. A semi-structured interview is used to assess sexual function, and the teaching, orienting and permitting (TOP) intervention model that was designed to guide gynecologists in the management of sexual complaints.<\/jats:p>\n                  <jats:p>Results\u2003The use of protocols may facilitate the discussion of sexual issues in gynecological settings, and has the potential to provide an effective approach to the complex aspects of sexual dysfunction in women. The TOP model has three phases: teaching the sexual response, in which the gynecologist explains the physiology of the female sexual response, and focuses on the three main phases thereof (desire, excitement and orgasm); orienting a woman toward sexual health, in which sexual education is used to provide information on the concept and healthy experience of sexuality; and permitting and stimulating sexual pleasure, which is based on the assumption that sexual pleasure is an individual right and is important for the physical and emotional well-being.<\/jats:p>\n                  <jats:p>Conclusion\u2003The use of protocols may provide an effective approach to deal with female sexual dysfunction in gynecological offices.<\/jats:p>","DOI":"10.1055\/s-0037-1601435","type":"journal-article","created":{"date-parts":[[2017,4,3]],"date-time":"2017-04-03T18:50:42Z","timestamp":1491245442000},"page":"184-194","source":"Crossref","is-referenced-by-count":23,"title":["A Model for the Management of Female Sexual Dysfunctions"],"prefix":"10.61622","volume":"39","author":[{"given":"Sandra Cristina Poerner","family":"Scalco","sequence":"first","affiliation":[{"name":"Medical Outpatient of Gynecology, Violence and STDs, Sexology Ambulatory, Gynecology Department, Hospital Materno Infantil Presidente Vargas \u2013 PMPA, Porto Alegre, Rio Grande do Sul, Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"J\u00falia Kefal\u00e1s","family":"Troncon","sequence":"first","affiliation":[{"name":"Human Reproduction Sector, Department of Gynecology and Obstetrics, Faculdade de Medicina de Ribeir\u00e3o Preto, Universidade de S\u00e3o Paulo, Ribeir\u00e3o Preto, S\u00e3o Paulo, Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Gerson Pereira","family":"Lopes","sequence":"first","affiliation":[{"name":"Department of Sexual Medicine, Hospital Mater Dei, Belo Horizonte, Minas Gerais, Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"L\u00facia Alves da Silva","family":"Lara","sequence":"additional","affiliation":[{"name":"Human Reproduction Sector, Department of Gynecology and Obstetrics, Faculdade de Medicina de Ribeir\u00e3o Preto, Universidade de S\u00e3o Paulo, Ribeir\u00e3o Preto, S\u00e3o Paulo, Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"47794","published-online":{"date-parts":[[2017,4,3]]},"reference":[{"key":"ref1","first-page":"2548","article-title":"[Sexuality--an important factor for quality of life. Who should treat erectile dysfunction?]","volume":"94","author":"H Hedelin","year":"1997","journal-title":"Lakartidningen"},{"issue":"02","key":"ref2","doi-asserted-by":"crossref","first-page":"160","DOI":"10.1016\/j.maturitas.2012.03.009","article-title":"Should questionnaires of female sexual dysfunction be used in routine clinical practice?","volume":"72","author":"M Clegg","year":"2012","journal-title":"Maturitas"},{"issue":"04","key":"ref3","first-page":"349","article-title":"Social and ethical determinants of human sexuality: 1. The need to reproduce","volume":"62","author":"G Benagiano","year":"2010","journal-title":"Minerva Ginecol"},{"issue":"02","key":"ref4","doi-asserted-by":"crossref","first-page":"119","DOI":"10.1016\/j.contraception.2010.03.008","article-title":"Joseph W. Goldzieher and the birth of hormonal contraception","volume":"82","author":"G Benagiano","year":"2010","journal-title":"Contraception"},{"issue":"04","key":"ref5","first-page":"8","article-title":"Male-female inequalities result in submission to high-risk sex in many societies. Special report: women and HIV","volume":"5","author":"G R Gupta","year":"1995","journal-title":"AIDS Anal Afr"},{"issue":"03","key":"ref6","doi-asserted-by":"crossref","first-page":"160","DOI":"10.3109\/13625181003793339","article-title":"Sexuality and Islam","volume":"15","author":"A Dialmy","year":"2010","journal-title":"Eur J Contracept Reprod Health Care"},{"issue":"02","key":"ref7","doi-asserted-by":"crossref","first-page":"160","DOI":"10.1038\/sj.ijir.3901198","article-title":"Prevalence of sexual dysfunctions and correlated conditions in a sample of Brazilian women--results of the Brazilian study on sexual behavior (BSSB)","volume":"16","author":"C H Abdo","year":"2004","journal-title":"Int J Impot Res"},{"issue":"06","key":"ref8","doi-asserted-by":"crossref","first-page":"938","DOI":"10.1016\/j.jsxm.2016.04.065","article-title":"Assessment of sexual function in infertile women in a gynecological care setting","volume":"13","author":"L A Lara","year":"2016","journal-title":"J Sex Med"},{"issue":"03","key":"ref9","doi-asserted-by":"crossref","first-page":"357","DOI":"10.1016\/j.nedt.2008.07.003","article-title":"Sexuality and mental health nursing in Ireland: weaving the veil of socialised inhibition","volume":"29","author":"A Higgins","year":"2009","journal-title":"Nurse Educ Today"},{"issue":"46","key":"ref10","first-page":"37","article-title":"[Pleasure and pain in sexual relations. The basis and reasons for sex counseling by the general practitioner]","volume":"145","author":"W Sohn","year":"2003","journal-title":"MMW Fortschr Med"},{"issue":"03","key":"ref11","first-page":"229","article-title":"The high prevalence of sexual concerns among women seeking routine gynecological care","volume":"49","author":"M R Nusbaum","year":"2000","journal-title":"J Fam Pract"},{"issue":"01","key":"ref12","doi-asserted-by":"crossref","first-page":"117","DOI":"10.1111\/j.1532-5415.2004.52020.x","article-title":"Sexual healthcare needs of women aged 65 and older","volume":"52","author":"M R Nusbaum","year":"2004","journal-title":"J Am Geriatr Soc"},{"issue":"07","key":"ref13","doi-asserted-by":"crossref","first-page":"2499","DOI":"10.1111\/j.1743-6109.2010.01857.x","article-title":"Management of female sexual problems: perceived barriers, practice patterns, and confidence among primary care physicians and gynecologists","volume":"7","author":"M Abdolrasulnia","year":"2010","journal-title":"J Sex Med"},{"key":"ref14","doi-asserted-by":"crossref","first-page":"S10","DOI":"10.1016\/j.ijgo.2010.04.011","article-title":"Addressing diversity in adolescent sexual and reproductive health services","volume":"110","author":"L Laski","year":"2010","journal-title":"Int J Gynaecol Obstet"},{"key":"ref15","doi-asserted-by":"crossref","first-page":"1595","DOI":"10.1016\/S0140-6736(06)69478-6","article-title":"Sexual and reproductive health: a matter of life and death","volume":"368","author":"A Glasier","year":"2006","journal-title":"Lancet"},{"issue":"06","key":"ref16","doi-asserted-by":"crossref","first-page":"128","DOI":"10.3810\/pgm.2010.11.2230","article-title":"Low sexual desire--is it all in her head? Pathophysiology, diagnosis, and treatment of hypoactive sexual desire disorder","volume":"122","author":"J A Simon","year":"2010","journal-title":"Postgrad Med"},{"issue":"02","key":"ref17","doi-asserted-by":"crossref","first-page":"361","DOI":"10.1111\/j.1743-6109.2010.02117.x","article-title":"Resident education and training in female sexuality: results of a national survey","volume":"8","author":"A B Pancholy","year":"2011","journal-title":"J Sex Med"},{"issue":"03","key":"ref18","first-page":"17","article-title":"Staff beliefs about sexuality in aged residential care","volume":"26","author":"M J Gilmer","year":"2010","journal-title":"Nurs Prax N Z"},{"issue":"01","key":"ref19","first-page":"3","article-title":"[The Christian ethic and sexuality]","volume":"6","author":"J Hourton","year":"1991","journal-title":"Enfoques Aten Prim"},{"issue":"03","key":"ref20","doi-asserted-by":"crossref","first-page":"888","DOI":"10.1016\/S0022-5347(05)67828-7","article-title":"Report of the international consensus development conference on female sexual dysfunction: definitions and classifications","volume":"163","author":"R Basson","year":"2000","journal-title":"J Urol"},{"issue":"03","key":"ref21","doi-asserted-by":"crossref","first-page":"730","DOI":"10.1111\/j.1743-6109.2008.01153.x","article-title":"Validation of the decreased sexual desire screener (DSDS): a brief diagnostic instrument for generalized acquired female hypoactive sexual desire disorder (HSDD)","volume":"6","author":"A H Clayton","year":"2009","journal-title":"J Sex Med"},{"key":"ref23","volume-title":"Diagnostic and Statistical Manual of Mental Disorders - DSM-V. 5th ed","year":"2013"},{"key":"ref24","volume-title":"Behavioral treatment of sexual problems","year":"1976"},{"issue":"04","key":"ref25","doi-asserted-by":"crossref","first-page":"224","DOI":"10.1159\/000133565","article-title":"Bladder training and Kegel exercises for women with urinary complaints living in a rest home","volume":"54","author":"E Aslan","year":"2008","journal-title":"Gerontology"},{"issue":"02","key":"ref26","doi-asserted-by":"crossref","first-page":"477","DOI":"10.1097\/AOG.0000000000000620","article-title":"Female sexual dysfunction: focus on low desire","volume":"125","author":"S A Kingsberg","year":"2015","journal-title":"Obstet Gynecol"},{"key":"ref27","doi-asserted-by":"crossref","first-page":"1454","DOI":"10.1111\/j.1743-6109.2009.01693.x","article-title":"Women's motivations for sex: exploring the diagnostic and statistical manual, fourth edition, text revision criteria for hypoactive sexual desire and female sexual arousal disorders","volume":"7","author":"A A Carvalheira","year":"2010","journal-title":"J Sex Med"},{"issue":"10","key":"ref28","doi-asserted-by":"crossref","first-page":"1327","DOI":"10.1503\/cmaj.1020174","article-title":"Women's sexual dysfunction: revised and expanded definitions","volume":"172","author":"R Basson","year":"2005","journal-title":"CMAJ"},{"issue":"04","key":"ref29","doi-asserted-by":"crossref","first-page":"221","DOI":"10.3109\/01674820309074686","article-title":"Definitions of women's sexual dysfunction reconsidered: advocating expansion and revision","volume":"24","author":"R Basson","year":"2003","journal-title":"J Psychosom Obstet Gynaecol"},{"issue":"04","key":"ref30","doi-asserted-by":"crossref","first-page":"675","DOI":"10.1097\/GRF.0b013e3181bf4982","article-title":"Diagnosis and treatment of female sexual arousal disorder","volume":"52","author":"C Jayne","year":"2009","journal-title":"Clin Obstet Gynecol"},{"key":"ref31","doi-asserted-by":"crossref","first-page":"314","DOI":"10.1111\/j.1743-6109.2009.01617.x","article-title":"Summary of the recommendations on sexual dysfunctions in women","volume":"7","author":"R Basson","year":"2010","journal-title":"J Sex Med"},{"issue":"01","key":"ref32","first-page":"28","article-title":"[Vaginal contractions in female orgasm]","volume":"90","author":"S Kratochv\u00edl","year":"1994","journal-title":"Cesk Psychiatr"},{"issue":"01","key":"ref33","doi-asserted-by":"crossref","first-page":"66","DOI":"10.1111\/j.1743-6109.2004.10110.x","article-title":"Disorders of orgasm in women","volume":"1","author":"C M Meston","year":"2004","journal-title":"J Sex Med"},{"issue":"11","key":"ref34","doi-asserted-by":"crossref","first-page":"3305","DOI":"10.1111\/j.1460-9568.2006.05206.x","article-title":"Regional cerebral blood flow changes associated with clitorally induced orgasm in healthy women","volume":"24","author":"J R Georgiadis","year":"2006","journal-title":"Eur J Neurosci"},{"issue":"09","key":"ref35","doi-asserted-by":"crossref","first-page":"3080","DOI":"10.1111\/j.1743-6109.2010.01848.x","article-title":"Prevalence, risk factors, and predictors of female sexual dysfunction in a primary care setting: a survey finding","volume":"7","author":"I H Ishak","year":"2010","journal-title":"J Sex Med"},{"issue":"03","key":"ref36","doi-asserted-by":"crossref","first-page":"177","DOI":"10.1080\/00926237808403016","article-title":"Effects of erotic stimulation and masturbatory training upon situational orgasmic dysfunction","volume":"4","author":"J J Reisinger","year":"1978","journal-title":"J Sex Marital Ther"},{"issue":"07","key":"ref37","doi-asserted-by":"crossref","first-page":"801","DOI":"10.1080\/00224499.2013.867922","article-title":"Gender similarities and differences in sexual arousal, desire, and orgasmic pleasure in the laboratory","volume":"51","author":"L Q Paterson","year":"2014","journal-title":"J Sex Res"},{"issue":"05","key":"ref38","doi-asserted-by":"crossref","first-page":"733","DOI":"10.1016\/j.jsxm.2016.02.172","article-title":"The physiology of female sexual function and the pathophysiology of female sexual dysfunction (Committee 13A)","volume":"13","author":"R J Levin","year":"2016","journal-title":"J Sex Med"},{"issue":"08","key":"ref39","doi-asserted-by":"crossref","first-page":"1883","DOI":"10.1111\/j.1743-6109.2008.00875.x","article-title":"The anatomy of the distal vagina: towards unity","volume":"5","author":"H E O'Connell","year":"2008","journal-title":"J Sex Med"},{"key":"ref40","doi-asserted-by":"crossref","first-page":"1189","DOI":"10.1097\/01.ju.0000173639.38898.cd","article-title":"Anatomy of the clitoris","volume":"174","author":"H E O'Connell","year":"2005","journal-title":"J Urol"},{"issue":"07","key":"ref41","first-page":"403","article-title":"The existing therapeutic interventions for orgasmic disorders: recommendations for culturally competent services, narrative review","volume":"13","author":"Z Salmani","year":"2015","journal-title":"Iran J Reprod Med"},{"issue":"05","key":"ref42","doi-asserted-by":"crossref","first-page":"177","DOI":"10.1038\/ijir.2014.8","article-title":"Personal factors that contribute to or impair women's ability to achieve orgasm","volume":"26","author":"B B de Lucena","year":"2014","journal-title":"Int J Impot Res"},{"issue":"07","key":"ref43","doi-asserted-by":"crossref","first-page":"1819","DOI":"10.1038\/npp.2009.4","article-title":"Genetic and clinical predictors of sexual dysfunction in citalopram-treated depressed patients","volume":"34","author":"R H Perlis","year":"2009","journal-title":"Neuropsychopharmacology"},{"issue":"04","key":"ref44","doi-asserted-by":"crossref","first-page":"589","DOI":"10.1111\/j.1464-410X.2004.05006.x","article-title":"Self-assessment of genital anatomy, sexual sensitivity and function in women: implications for genitoplasty","volume":"94","author":"J M Schober","year":"2004","journal-title":"BJU Int"},{"issue":"S 03","key":"ref45","doi-asserted-by":"crossref","first-page":"235","DOI":"10.1111\/j.1743-6109.2007.00450.x","article-title":"Current management strategies of the postmenopausal patient with sexual health problems","volume":"4","author":"I Goldstein","year":"2007","journal-title":"J Sex Med"},{"issue":"04","key":"ref46","first-page":"2","article-title":"Sex and the body in the Catholic tradition","volume":"20","author":"R R Ruether","year":"2000","journal-title":"Conscience"},{"key":"ref47","first-page":"6","article-title":"Women, sexuality, ecology, and the church","volume":"14","author":"R R Ruether","year":"1993","journal-title":"Conscience"},{"issue":"03","key":"ref48","doi-asserted-by":"crossref","first-page":"100","DOI":"10.2307\/2953331","article-title":"The impact of the Postponing Sexual Involvement curriculum among youths in California","volume":"29","author":"D Kirby","year":"1997","journal-title":"Fam Plann Perspect"},{"issue":"03","key":"ref49","doi-asserted-by":"crossref","first-page":"615","DOI":"10.1046\/j.1365-2648.1997.t01-1-1997025615.x","article-title":"The politics of sex research and constructions of female sexuality: what relevance to sexual health work with young women?","volume":"25","author":"C Few","year":"1997","journal-title":"J Adv Nurs"},{"key":"ref50","volume-title":"Sexual and reproductive health: defining sexual health","year":"2008"},{"key":"ref51","doi-asserted-by":"crossref","first-page":"905","DOI":"10.1111\/j.1743-6109.2009.01604.x","article-title":"The association between sexual satisfaction and body image in women","volume":"7","author":"Y Pujols","year":"2010","journal-title":"J Sex Med"},{"issue":"02","key":"ref53","doi-asserted-by":"crossref","first-page":"168","DOI":"10.4314\/njm.v19i2.56513","article-title":"Mothers perception of sexuality education for children","volume":"19","author":"P I Opara","year":"2010","journal-title":"Niger J Med"},{"issue":"09","key":"ref54","first-page":"595","article-title":"[Contribution of psychosexual approach to assessment and treatment of sexual dysfunction: a working model]","volume":"148","author":"G Bronner","year":"2009","journal-title":"Harefuah"},{"issue":"01","key":"ref55","doi-asserted-by":"crossref","first-page":"22","DOI":"10.1080\/00224499.2013.815149","article-title":"What is sexual satisfaction? Thematic analysis of lay people's definitions","volume":"51","author":"P M Pascoal","year":"2014","journal-title":"J Sex Res"},{"issue":"04","key":"ref56","doi-asserted-by":"crossref","first-page":"396","DOI":"10.1097\/gme.0b013e318230e286","article-title":"Characteristics of premenopausal and postmenopausal women with acquired, generalized hypoactive sexual desire disorder: the Hypoactive Sexual Desire Disorder Registry for women","volume":"19","author":"R C Rosen","year":"2012","journal-title":"Menopause"},{"issue":"02","key":"ref57","doi-asserted-by":"crossref","first-page":"57","DOI":"10.1038\/ijir.2016.2","article-title":"Physicians' attitudes towards androgen replacement therapy for male and female sexual dysfunction","volume":"28","author":"L Lowenstein","year":"2016","journal-title":"Int J Impot Res"},{"issue":"02","key":"ref58","doi-asserted-by":"crossref","first-page":"168","DOI":"10.1016\/j.jsxm.2015.12.033","article-title":"Androgens and Female Sexual Function and Dysfunction--Findings From the Fourth International Consultation of Sexual Medicine","volume":"13","author":"S R Davis","year":"2016","journal-title":"J Sex Med"},{"issue":"10","key":"ref59","doi-asserted-by":"crossref","first-page":"3489","DOI":"10.1210\/jc.2014-2260","article-title":"Androgen therapy in women: a reappraisal: an Endocrine Society clinical practice guideline","volume":"99","author":"M E Wierman","year":"2014","journal-title":"J Clin Endocrinol Metab"},{"issue":"01","key":"ref60","first-page":"127","article-title":"Female sexual dysfunction: evaluation and treatment","volume":"62","author":"N A Phillips","year":"2000","journal-title":"Am Fam Physician"},{"issue":"05","key":"ref61","doi-asserted-by":"crossref","first-page":"665","DOI":"10.1002\/ca.22703","article-title":"Anatomic variation and orgasm: Could variations in anatomy explain differences in orgasmic success?","volume":"29","author":"E Emhardt","year":"2016","journal-title":"Clin Anat"},{"issue":"03","key":"ref62","doi-asserted-by":"crossref","first-page":"541","DOI":"10.1111\/j.1743-6109.2006.00212.x","article-title":"Vaginal application of testosterone: A study on pharmacokinetics and the sexual response in healthy volunteers","volume":"3","author":"M Apperloo","year":"2006","journal-title":"J Sex Med"},{"issue":"05","key":"ref63","doi-asserted-by":"crossref","first-page":"1262","DOI":"10.1111\/jsm.12473","article-title":"Efficacy of vaginally applied estrogen, testosterone, or polyacrylic acid on sexual function in postmenopausal women: a randomized controlled trial","volume":"11","author":"T Fernandes","year":"2014","journal-title":"J Sex Med"},{"issue":"09","key":"ref64","doi-asserted-by":"crossref","first-page":"5226","DOI":"10.1210\/jc.2004-1747","article-title":"Testosterone patch increases sexual activity and desire in surgically menopausal women with hypoactive sexual desire disorder","volume":"90","author":"J Simon","year":"2005","journal-title":"J Clin Endocrinol Metab"},{"issue":"03","key":"ref65","doi-asserted-by":"crossref","first-page":"293","DOI":"10.1002\/ca.22471","article-title":"Anatomy of sex: Revision of the new anatomical terms used for the clitoris and the female orgasm by sexologists","volume":"28","author":"V Puppo","year":"2015","journal-title":"Clin Anat"},{"key":"ref66","volume-title":"Diagnostic and statistical manual of mental disorders: DSM-IV-TR. 4th ed","year":"2000"},{"issue":"05","key":"ref67","doi-asserted-by":"crossref","first-page":"1177","DOI":"10.1111\/j.1743-6109.2008.00800.x","article-title":"Normal variations in personality are associated with coital orgasmic infrequency in heterosexual women: a population-based study","volume":"5","author":"J M Harris","year":"2008","journal-title":"J Sex Med"},{"issue":"04","key":"ref68","doi-asserted-by":"crossref","first-page":"1239","DOI":"10.1111\/j.1743-6109.2010.02175.x","article-title":"The effect of prolapse surgery on vaginal sensibility","volume":"8","author":"M M Lakeman","year":"2011","journal-title":"J Sex Med"},{"issue":"08","key":"ref69","doi-asserted-by":"crossref","first-page":"1246","DOI":"10.1016\/j.jsxm.2016.05.014","article-title":"Understanding orgasmic difficulty in women","volume":"13","author":"D L Rowland","year":"2016","journal-title":"J Sex Med"},{"key":"ref70","doi-asserted-by":"crossref","first-page":"883","DOI":"10.1100\/tsw.2008.116","article-title":"Clinical holistic medicine: teaching orgasm for females with chronic anorgasmia using the Betty Dodson method","volume":"8","author":"P Struck","year":"2008","journal-title":"Sci World J"},{"issue":"04","key":"ref71","doi-asserted-by":"crossref","first-page":"314","DOI":"10.1080\/cmt.4.4.314.319","article-title":"Quality of life and sexuality changes in postmenopausal women receiving tibolone therapy","volume":"4","author":"M H Wu","year":"2001","journal-title":"Climacteric"},{"issue":"19","key":"ref72","doi-asserted-by":"crossref","first-page":"2005","DOI":"10.1056\/NEJMoa0707302","article-title":"Testosterone for low libido in postmenopausal women not taking estrogen","volume":"359","author":"S R Davis","year":"2008","journal-title":"N Engl J Med"},{"issue":"10","key":"ref73","doi-asserted-by":"crossref","first-page":"3254","DOI":"10.1111\/j.1743-6109.2010.01928.x","article-title":"Disorders of orgasm in women: a literature review of etiology and current treatments","volume":"7","author":"W W Ishak","year":"2010","journal-title":"J Sex Med"},{"issue":"04","key":"ref74","first-page":"281","article-title":"Sexual dysfunction in women: a practical approach","volume":"92","author":"S S Faubion","year":"2015","journal-title":"Am Fam Physician"},{"issue":"01","key":"ref75","doi-asserted-by":"crossref","first-page":"40","DOI":"10.1097\/00128360-200501000-00009","article-title":"The vulvodynia guideline","volume":"9","author":"H K Haefner","year":"2005","journal-title":"J Low Genit Tract Dis"},{"issue":"02","key":"ref76","doi-asserted-by":"crossref","first-page":"292","DOI":"10.1007\/s10508-009-9563-x","article-title":"The DSM diagnostic criteria for dyspareunia","volume":"39","author":"Y M Binik","year":"2010","journal-title":"Arch Sex Behav"},{"issue":"05","key":"ref77","doi-asserted-by":"crossref","first-page":"1917","DOI":"10.1016\/j.juro.2008.01.020","article-title":"Influence of pelvic floor muscle contraction on the profile of vaginal closure pressure in continent and stress urinary incontinent women","volume":"179","author":"K Shishido","year":"2008","journal-title":"J Urol"},{"issue":"06","key":"ref78","doi-asserted-by":"crossref","first-page":"624","DOI":"10.1007\/s00192-006-0081-2","article-title":"Assessment of voluntary pelvic floor muscle contraction in continent and incontinent women using transperineal ultrasound, manual muscle testing and vaginal squeeze pressure measurements","volume":"17","author":"J A Thompson","year":"2006","journal-title":"Int Urogynecol J Pelvic Floor Dysfunct"},{"issue":"498","key":"ref79","first-page":"2320","article-title":"[The peripheral sexual response ... from urogynecology to sexology]","volume":"11","author":"S Meyer","year":"2015","journal-title":"Rev Med Suisse"},{"issue":"04","key":"ref80","doi-asserted-by":"crossref","first-page":"634","DOI":"10.1111\/1471-0528.13823","article-title":"Effect of postpartum pelvic floor muscle training on vaginal symptoms and sexual dysfunction-secondary analysis of a randomised trial","volume":"123","author":"M Kolberg Tennfjord","year":"2016","journal-title":"BJOG"},{"issue":"03","key":"ref81","doi-asserted-by":"crossref","first-page":"741","DOI":"10.1007\/s00404-011-2024-5","article-title":"Biomechanics of the female pelvic floor: a prospective trail of the alteration of force-displacement-vectors in parous and nulliparous women","volume":"285","author":"C Strauss","year":"2012","journal-title":"Arch Gynecol Obstet"},{"issue":"06","key":"ref82","doi-asserted-by":"crossref","first-page":"1610","DOI":"10.1067\/mob.2000.107436","article-title":"Sexual function and vaginal anatomy in women before and after surgery for pelvic organ prolapse and urinary incontinence","volume":"182","author":"A M Weber","year":"2000","journal-title":"Am J Obstet Gynecol"},{"issue":"03","key":"ref83","doi-asserted-by":"crossref","first-page":"702","DOI":"10.1097\/00003081-199809000-00026","article-title":"Nonsurgical therapies for urinary incontinence","volume":"41","author":"B J Amuzu","year":"1998","journal-title":"Clin Obstet Gynecol"},{"key":"ref84","doi-asserted-by":"crossref","first-page":"49","DOI":"10.1016\/j.maturitas.2016.02.009","article-title":"A biopsychosocial approach to women's sexual function and dysfunction at midlife: A narrative review","volume":"87","author":"H N Thomas","year":"2016","journal-title":"Maturitas"},{"issue":"03","key":"ref85","first-page":"179","article-title":"O ginecologista brasileiro frente \u00e0s queixas sexuais femininas: um estudo preliminar","volume":"59","author":"CH N Abdo","year":"2002","journal-title":"RBM Rev Bras Med"},{"issue":"04","key":"ref86","first-page":"653","article-title":"Trigger points: diagnosis and management","volume":"65","author":"D J Alvarez","year":"2002","journal-title":"Am Fam Physician"},{"issue":"06","key":"ref87","doi-asserted-by":"crossref","first-page":"1735","DOI":"10.1111\/j.1743-6109.2011.02247.x","article-title":"Different treatment modalities for refractory vaginismus in western Saudi Arabia","volume":"8","author":"W M Fageeh","year":"2011","journal-title":"J Sex Med"},{"issue":"05","key":"ref88","first-page":"545","article-title":"Early genital relaxation; new technic of diagnosis and nonsurgical treatment","volume":"8","author":"A H Kegel","year":"1956","journal-title":"Obstet Gynecol"},{"key":"ref89","first-page":"487","article-title":"Stress incontinence of urine in women; physiologic treatment","volume":"25","author":"A H Kegel","year":"1956","journal-title":"J Int Coll Surg"},{"issue":"09","key":"ref90","first-page":"612","article-title":"[How to manage a woman with a sexual complaint in clinical practice?]","volume":"23","author":"F Collier","year":"2013","journal-title":"Prog Urol"},{"issue":"10","key":"ref91","doi-asserted-by":"crossref","first-page":"2508","DOI":"10.1111\/j.1743-6109.2012.02870.x","article-title":"General practitioners' knowledge, attitudes, beliefs, and practices in the management of sexual dysfunction-results of the Portuguese SEXOS study","volume":"9","author":"V Alarc\u00e3o","year":"2012","journal-title":"J Sex Med"},{"issue":"01","key":"ref92","doi-asserted-by":"crossref","first-page":"26","DOI":"10.1111\/j.1743-6109.2012.02823.x","article-title":"Standard operating procedures for taking a sexual history","volume":"10","author":"S E Althof","year":"2013","journal-title":"J Sex Med"},{"issue":"06","key":"ref93","doi-asserted-by":"crossref","first-page":"333","DOI":"10.1016\/S0010-440X(98)90044-X","article-title":"Classification of sexual dysfunctions: towards DSM-V and ICD-11","volume":"39","author":"J A Vroege","year":"1998","journal-title":"Compr Psychiatry"},{"issue":"10","key":"ref94","doi-asserted-by":"crossref","first-page":"2681","DOI":"10.1111\/j.1743-6109.2011.02395.x","article-title":"Questionnaires for assessment of female sexual dysfunction: a review and proposal for a standardized screener","volume":"8","author":"A Giraldi","year":"2011","journal-title":"J Sex Med"},{"issue":"03","key":"ref95","doi-asserted-by":"crossref","first-page":"572","DOI":"10.1016\/S0015-0282(02)04695-2","article-title":"Seeking help for sexual function complaints: what gynecologists need to know about the female patient's experience","volume":"79","author":"L Berman","year":"2003","journal-title":"Fertil Steril"},{"issue":"32","key":"ref96","doi-asserted-by":"crossref","first-page":"23","DOI":"10.7748\/ns.14.32.23.s38","article-title":"Sexuality and patients: breaking the last taboo","volume":"14","author":"D Allen","year":"2000","journal-title":"Nurs Stand"},{"issue":"36","key":"ref97","first-page":"30","article-title":"Early sexual experience and traditional values in Colombia","volume":"36","author":"S Ramirez","year":"1991","journal-title":"Newsl Womens Glob Netw Reprod Rights"},{"issue":"02","key":"ref98","doi-asserted-by":"crossref","first-page":"89","DOI":"10.1016\/S0738-3991(01)00186-0","article-title":"Sexual behaviour of second generation Moroccan immigrants balancing between traditional attitudes and safe sex","volume":"47","author":"K Hendrickx","year":"2002","journal-title":"Patient Educ Couns"},{"issue":"05","key":"ref99","doi-asserted-by":"crossref","first-page":"205","DOI":"10.1111\/j.1746-1561.1994.tb03301.x","article-title":"The problematic promotion of abstinence: an overview of Sex Respect","volume":"64","author":"P Goodson","year":"1994","journal-title":"J Sch Health"},{"issue":"06","key":"ref100","doi-asserted-by":"crossref","first-page":"433","DOI":"10.1097\/NNR.0b013e3181fa4d48","article-title":"Sexual self-concept and intended sexual behavior of young adolescent Taiwanese girls","volume":"59","author":"H C Pai","year":"2010","journal-title":"Nurs Res"},{"issue":"04","key":"ref101","doi-asserted-by":"crossref","first-page":"220","DOI":"10.3109\/13625187.2010.490888","article-title":"Social and ethical determinants of human sexuality: 2. Gender-based violence","volume":"15","author":"G Benagiano","year":"2010","journal-title":"Eur J Contracept Reprod Health Care"},{"issue":"S 01","key":"ref102","doi-asserted-by":"crossref","first-page":"50","DOI":"10.1016\/S1472-6483(10)60116-2","article-title":"The origins of human sexuality: procreation or recreation?","volume":"18","author":"G Benagiano","year":"2009","journal-title":"Reprod Biomed Online"},{"issue":"06","key":"ref103","doi-asserted-by":"crossref","first-page":"440","DOI":"10.7196\/SAMJ.7827","article-title":"Sexual dysfunction: A systematic review of South African research","volume":"104","author":"M M Campbell","year":"2014","journal-title":"S Afr Med J"},{"issue":"05","key":"ref104","doi-asserted-by":"crossref","first-page":"1200","DOI":"10.1111\/j.1743-6109.2009.01255.x","article-title":"The impact of mental illness and psychotropic medications on sexual functioning: the evidence and management","volume":"6","author":"A H Clayton","year":"2009","journal-title":"J Sex Med"},{"issue":"02","key":"ref105","doi-asserted-by":"crossref","first-page":"185","DOI":"10.1080\/10538712.2016.1124309","article-title":"Psychophysiological reactivity in child sexual abuse","volume":"25","author":"G Ben-Amitay","year":"2016","journal-title":"J Child Sex Abuse"},{"issue":"03","key":"ref106","doi-asserted-by":"crossref","first-page":"415","DOI":"10.1017\/S1041610215001672","article-title":"The impact of childhood sexual abuse on the mental and physical health, and healthcare utilization of older adults","volume":"28","author":"Y Kamiya","year":"2016","journal-title":"Int Psychogeriatr"},{"issue":"01","key":"ref107","first-page":"1","article-title":"Sexual and physical abuse: a threat to reproductive and sexual health","volume":"1","author":"N Khan","year":"1998","journal-title":"Sex Health Exch"},{"issue":"03","key":"ref108","doi-asserted-by":"crossref","first-page":"1284","DOI":"10.1111\/j.1743-6109.2009.01667.x","article-title":"A comparative study of the effects of local estrogen with or without local testosterone on vulvovaginal and sexual dysfunction in postmenopausal women","volume":"7","author":"C Raghunandan","year":"2010","journal-title":"J Sex Med"}],"container-title":["Revista Brasileira de Ginecologia e Obstetr\u00edcia \/ RBGO Gynecology and Obstetrics"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journalrbgo.org\/article\/a-model-for-the-management-of-female-sexual-dysfunctions\/","content-type":"unspecified","content-version":"vor","intended-application":"text-mining"},{"URL":"http:\/\/www.thieme-connect.de\/products\/ejournals\/pdf\/10.1055\/s-0037-1601435.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2024,7,18]],"date-time":"2024-07-18T16:58:30Z","timestamp":1721321910000},"score":1,"resource":{"primary":{"URL":"https:\/\/journalrbgo.org\/article\/a-model-for-the-management-of-female-sexual-dysfunctions\/"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2017,4]]},"references-count":106,"journal-issue":{"issue":"04","published-online":{"date-parts":[[2017,4,18]]},"published-print":{"date-parts":[[2017,4]]}},"URL":"https:\/\/doi.org\/10.1055\/s-0037-1601435","archive":["Portico","CLOCKSS"],"relation":{},"ISSN":["0100-7203","1806-9339"],"issn-type":[{"value":"0100-7203","type":"print"},{"value":"1806-9339","type":"electronic"}],"subject":[],"published":{"date-parts":[[2017,4]]}}}