Disfunção sexual em mulheres que fazem sexo com mulheres e sua relação com a percepção do estigma acerca da orientação sexual

Abstract

OBJECTIVE: to verify if there is a difference in the prevalence of sexual dysfunction among women who have sex with women and women who have sex with men only, and if the internal and external perceptions of sexual orientation stigma are related to sexual dysfunction. METHODOLOGY: a cross-sectional study with 105 women over the age of 18 years and sexually active, being 35 of the group women who have sex with women and 70 of the group women who have sex with men only. Sociodemographic aspects were evaluated and the Female Sexual Function Index was applied to all participants and the Internalized Homophobia Assessment Scale was applied only to women who have sex with women. Pearson's Chi-Square test, Fisher's exact test or Pearson's Chi-Square test with Monte-Carlo simulations were used to evaluate categorical variables. The significance level adopted was 5% and the R Core Team 2019 software was used. RESULTS: the overall prevalence of sexual dysfunction was 17.1%. There was no significant difference in the mean Female Sexual Function Index score between the groups (30,2±3,5x29,8±3,3, p=0.518). There was a better desire score in women who have sex with women (4,8±0,9x4,3±0,9, p=0.003). External and internal perceptions of stigma about sexual orientation were not related to sexual dysfunction. CONCLUSIONS: the prevalence of sexual dysfunction was relatively low, there was no relationship between sexual orientation and sexual dysfunction, and the internal and external perceptions of sexual orientation stigma were not associated with sexual dysfunction