Contraceptive Methods and Female Sexual Function: A Literature Review

Detalhes bibliográficos
Autor(a) principal: Frois, Ana
Data de Publicação: 2023
Tipo de documento: Artigo
Idioma: eng
Título da fonte: Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)
Texto Completo: https://www.gazetamedica.pt/index.php/gazeta/article/view/728
Resumo: Contraceptives can affect libido, and method choice should consider possible effects on female sexual function. This review aims at identifying the role of different contraceptive methods on female sexual function, thus allowing for better clinical counseling. This review, performed in August/2022, included 13 reviews and 32 clinical trials. The levonorgestrel intrauterine system, vaginal ring, and transdermal patch showed mainly positive or neutral effects. The subcutaneous implant and combined oral contraceptives led to mixed results. The progestogen-only oral contraceptive and the DMPA intramuscular injection were associated with mainly negative sexual effects. The copper uterine device had no impact on female sexual function. Sterilization had mixed psychological effects. Adequate counseling, replacement of the contraceptive method, and, in specific cases, pharmacologic treatment may improve contraceptive-associated female sexual dysfunction. More large-scale studies are needed to allow for specific recommendations regarding each contraceptive method and the production of clinical guidelines for these situations.
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spelling Contraceptive Methods and Female Sexual Function: A Literature ReviewMétodos Contracetivos e Função Sexual Feminina: Revisão de LiteraturaAnticoncecionaisDisfunções Sexuais FisiológicasContraceptive AgentsSexual Dysfunction, PhysiologicalContraceptives can affect libido, and method choice should consider possible effects on female sexual function. This review aims at identifying the role of different contraceptive methods on female sexual function, thus allowing for better clinical counseling. This review, performed in August/2022, included 13 reviews and 32 clinical trials. The levonorgestrel intrauterine system, vaginal ring, and transdermal patch showed mainly positive or neutral effects. The subcutaneous implant and combined oral contraceptives led to mixed results. The progestogen-only oral contraceptive and the DMPA intramuscular injection were associated with mainly negative sexual effects. The copper uterine device had no impact on female sexual function. Sterilization had mixed psychological effects. Adequate counseling, replacement of the contraceptive method, and, in specific cases, pharmacologic treatment may improve contraceptive-associated female sexual dysfunction. More large-scale studies are needed to allow for specific recommendations regarding each contraceptive method and the production of clinical guidelines for these situations.Os contracetivos podem afetar a libido, e a escolha de um método deve ter em consideração possíveis efeitos na função sexual feminina. Procurou-se identificar o papel dos diferentes métodos contracetivos na função sexual feminina, permitindo um melhor aconselhamento clínico. Esta revisão, realizada em 08/2022, incluiu 13 artigos de revisão e 32 ensaios clínicos. Os sistemas intrauterinos, anel vaginal e adesivo transdérmico apresentaram efeitos maioritariamente positivos ou neutros. O implante subcutâneo e os contracetivos orais combinados apresentaram efeitos mistos. O progestativo oral e o progestativo injetável apresentaram efeitos maioritariamente negativos. O dispositivo intrauterino não influenciou a função sexual. A esterilização mostrou efeitos psicológicos mistos. Aconselhamento adequado, substituição do anticoncecional e, em casos específicos, tratamento farmacológico podem melhorar a disfunção sexual feminina associada aos contracetivos. São necessários mais estudos a grande escala para permitirem recomendações específicas para cada método contracetivo e a criação de normas de orientação clínica.CUF Academic Center2023-07-20info:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/articleapplication/pdfhttps://www.gazetamedica.pt/index.php/gazeta/article/view/728Gazeta Médica; Ahead of PrintGazeta Médica; Ahead of Print2184-06282183-8135reponame:Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)instname:Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãoinstacron:RCAAPenghttps://www.gazetamedica.pt/index.php/gazeta/article/view/728https://www.gazetamedica.pt/index.php/gazeta/article/view/728/434Copyright (c) 2023 Gazeta Médicahttp://creativecommons.org/licenses/by-nc-nd/4.0info:eu-repo/semantics/openAccessFrois, Ana2023-07-22T04:45:29ZPortal AgregadorONG
dc.title.none.fl_str_mv Contraceptive Methods and Female Sexual Function: A Literature Review
Métodos Contracetivos e Função Sexual Feminina: Revisão de Literatura
title Contraceptive Methods and Female Sexual Function: A Literature Review
spellingShingle Contraceptive Methods and Female Sexual Function: A Literature Review
Frois, Ana
Anticoncecionais
Disfunções Sexuais Fisiológicas
Contraceptive Agents
Sexual Dysfunction, Physiological
title_short Contraceptive Methods and Female Sexual Function: A Literature Review
title_full Contraceptive Methods and Female Sexual Function: A Literature Review
title_fullStr Contraceptive Methods and Female Sexual Function: A Literature Review
title_full_unstemmed Contraceptive Methods and Female Sexual Function: A Literature Review
title_sort Contraceptive Methods and Female Sexual Function: A Literature Review
author Frois, Ana
author_facet Frois, Ana
author_role author
dc.contributor.author.fl_str_mv Frois, Ana
dc.subject.por.fl_str_mv Anticoncecionais
Disfunções Sexuais Fisiológicas
Contraceptive Agents
Sexual Dysfunction, Physiological
topic Anticoncecionais
Disfunções Sexuais Fisiológicas
Contraceptive Agents
Sexual Dysfunction, Physiological
description Contraceptives can affect libido, and method choice should consider possible effects on female sexual function. This review aims at identifying the role of different contraceptive methods on female sexual function, thus allowing for better clinical counseling. This review, performed in August/2022, included 13 reviews and 32 clinical trials. The levonorgestrel intrauterine system, vaginal ring, and transdermal patch showed mainly positive or neutral effects. The subcutaneous implant and combined oral contraceptives led to mixed results. The progestogen-only oral contraceptive and the DMPA intramuscular injection were associated with mainly negative sexual effects. The copper uterine device had no impact on female sexual function. Sterilization had mixed psychological effects. Adequate counseling, replacement of the contraceptive method, and, in specific cases, pharmacologic treatment may improve contraceptive-associated female sexual dysfunction. More large-scale studies are needed to allow for specific recommendations regarding each contraceptive method and the production of clinical guidelines for these situations.
publishDate 2023
dc.date.none.fl_str_mv 2023-07-20
dc.type.status.fl_str_mv info:eu-repo/semantics/publishedVersion
dc.type.driver.fl_str_mv info:eu-repo/semantics/article
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dc.identifier.uri.fl_str_mv https://www.gazetamedica.pt/index.php/gazeta/article/view/728
url https://www.gazetamedica.pt/index.php/gazeta/article/view/728
dc.language.iso.fl_str_mv eng
language eng
dc.relation.none.fl_str_mv https://www.gazetamedica.pt/index.php/gazeta/article/view/728
https://www.gazetamedica.pt/index.php/gazeta/article/view/728/434
dc.rights.driver.fl_str_mv Copyright (c) 2023 Gazeta Médica
http://creativecommons.org/licenses/by-nc-nd/4.0
info:eu-repo/semantics/openAccess
rights_invalid_str_mv Copyright (c) 2023 Gazeta Médica
http://creativecommons.org/licenses/by-nc-nd/4.0
eu_rights_str_mv openAccess
dc.format.none.fl_str_mv application/pdf
dc.publisher.none.fl_str_mv CUF Academic Center
publisher.none.fl_str_mv CUF Academic Center
dc.source.none.fl_str_mv Gazeta Médica; Ahead of Print
Gazeta Médica; Ahead of Print
2184-0628
2183-8135
reponame:Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)
instname:Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação
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