Avaliação da função sexual e saúde reprodutiva em mulheres portadoras de Lúpus Eritematoso Sistêmico (LES)

Abstract

Objective: The present study evaluated the presence of health reproductive and sexual function alterations in women with SLE treated at the Cesupa Medical Specialties Center (CEMEC). Method: A cross-sectional, analytical and descriptive study was carried out based on questionnaires, elaborated by the authors, in which the rheumatological, gynecological and obstetric antecedents of these patients were evaluated. The data were collected from November 2018 to February 2019. Results: Fifty patients with a diagnosis of SLE were analyzed, wich had between 6-9 years of diagnosis (38,5%), with the age between 41-51 years old (38.5%), single (59.6%), high school education (57.7% %) and family income equal to 1 minimum wage (46.1%). The diagnosis criterios most found was acute cutaneous lupus (66%), hemolytic anemia (66%), FAN positivity (98%) and the reduced complement (46%). The most used treatments were antimalarials (86%) and prednisone (70%). With regard to the sexual profile, they had a predominance of active sexual life (57.7%), with life partners between 1-2 (46.1%) and frequency of sexual intercourse between 3-8 times per month (50%). Regarding contraception, 82.7% of the patients did not use contraceptive methods. Among the contraceptive methods used by the patients, oral hormonal methods (55.6%) were the most prevalent. 69.2% of the patients were already pregnant, of which 52.8% had gestational complications. The majority of these pacients presents menarche age between 13-14 years (44.2%), and 22.9% had menstrual irregularities. Conclusion: There was a low frequency of health reproductive and sexual function alterations. However, an alarming finding observed was the low use of contraceptive methods. It suggests a better planning strategies about family counseling.