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Dealing with Female Sexuality: Training,Attitude, and Practice of Obstetrics and Gynecology Residents from a Developing Country
Institution:1. Department of ObstetricsSão Paulo Federal University (UNIFESP)São PauloBrazil;2. Department of GynecologySão Paulo Federal University (UNIFESP)São PauloBrazil;3. Internal Medicine DepartmentSão Paulo Federal University (UNIFESP)São PauloBrazil;1. Departamento de FarmacobiologíaCinvestav-Sede SurMéxicoMéxico;1. Department of UrologyCollege of MedicineYeungnam UniversityDaeguKorea;2. Department of UrologyThe Catholic University of Korea College of MedicineSeoulKorea;3. Department of UrologyCollege of MedicineKorea UniversitySeoulKorea;4. Department of UrologyPusan National University School of MedicineBusanKorea;5. Department of UrologySamsung Medical CenterSungkyunkwan University School of MedicineSeoulKorea;6. Department of UrologySeoul National University Medical SchoolSeoulKorea;7. Department of UrologyAsan Medical CenterUlsan University School of MedicineSeoulKorea;8. Department of the UrologyEwha Womans University School of MedicineSeoulKorea;9. Department of UrologyCollege of MedicineInje UniversityPusanKorea;10. Department of UrologyChonbuk National University Medical SchoolJeonjuKorea;11. Department of UrologyCollege of MedicineHallym UniversitySeoulKorea;12. Department of UrologyChonnam National University Medical SchoolGwangjuKorea;1. Department of SociologyFaculty of Humanities and Social SciencesUniversity of ZagrebZagrebCroatia;1. Department of PsychologyQueen''s UniversityKingstonONCanada;2. Department of UrologyQueen''s UniversityKingstonONCanada;1. U1195 (Neuroprotective, neuroregenerative and remyelinating small molecules)University Paris-Sud, INSERMLe Kremlin-BicêtreFrance;2. Urology DepartmentUniversity Paris-Sud Hospital of BicetreLe Kremlin-BicêtreFrance;3. Anatomic Pathology DepartmentUniversity Paris-Sud Hospital of BicetreLe Kremlin-BicêtreFrance;4. INSERM i2b InstituteUniversity Paris-SudLe Kremlin-BicêtreFrance;5. INSERM CESP U1018 InstituteUniversity Paris-SudVillejuif CedexFrance
Abstract:IntroductionThere is little research on how obstetrics and gynecology (Ob/Gyn) residents deal with female sexuality, especially during pregnancy.AimThe aim of this study was to assess the training, attitude, and practice of Ob/Gyn residents about sexuality.MethodsA cross-sectional survey of Brazilian Ob/Gyn residents enrolling in an online sexology course was conducted. A questionnaire assessed their training in sexuality during medical school and residency and their attitude and practice on sexual issues during pregnancy.Main Outcome MeasuresTraining, attitude, and practice of Ob/Gyn residents regarding sexuality were the main outcome measures.ResultsA total of 197 residents, from 21 different programs, answered the online questionnaire. Mean age was 27.9 ± 2.2, most were female (87%), single (79%), and had graduated in the last 5 years (91%). Almost two-thirds (63%) stated that they did not receive any training at all and 28% reported having only up to 6 hours of training about sexuality in medical school. Approximately half of the respondents (49%) stated that they had received no formal training about sexuality during their residency up to that moment and 29% had received ≤6 hours of training. Over half (56%) never or rarely took a sexual history, 51% stated that they did not feel competent or confident to answer their pregnant patients’ questions about sexuality, and 84% attributed their difficulties in dealing with sexual complaints to their lack of specific knowledge on the topic.ConclusionThe vast majority of Brazilian Ob/Gyn residents enrolling in a sexuality course had little previous formal training on this topic in medical school and during their residency programs. Most residents do not take sexual histories of pregnant patients, do not feel confident in answering questions about sexuality in pregnancy, and attribute these difficulties to lack of knowledge. These findings point to a clear need for additional training in sexuality among Brazilian Ob/Gyn residents. Vieira TCSB, de Souza E, da Silva I, Torloni MR, Ribeiro MC, and Nakamura MU. Dealing with female sexuality: Training, attitude, and practice of obstetrics and gynecology residents from a developing country. J Sex Med 2015;12:1154–1157.
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