Programme no. 460-P
Management of Female Sexual Dysfunction: Knowledge, Attitude and Clinical Experience of General Practitioners and Resident Doctors in Dalarna, Sweden
Maria Sundberg*1, Annika K Lindström2
1Center for Clinical Research,Falun,Sweden, 2Department of Women's and Children's Health, Uppsala University,Center for Clinical Research, Falun,Uppsala/Falun,Sweden
* = Presenting author
Objectives: The aim of this study was to characterize the physicians’ knowledge, attitudes and clinical experiences of FSD in health centers in Dalarna, Sweden.
Background: Evidence shows that female sexual dysfunction (FSD) is common and that women with this difficulties also have risk factors for many other conditions. It is known that only a minority of women experiencing sexual problems seek treatment. The role of the general practitioner (GP) and the resident in FSD diagnosis and treatment is not well explored.
Results: The response rate was 62,1 % (128 of 206). The majority of the respondents, 74 (57,8 %) were male and 54 (42,2%) were female. The GPs and residents rated their level of knowledge as low, 102 (79,7%) and 23 (18,0 %) estimated their level of knowledge as quite high. A large proportion of the physiscians, 111 (86,7%), desired a higher level of knowledge. Among women using medications, whose side effects include sexual dysfunction, 65 (50,8%) physiscians asked if they had experienced sexual problems. If a woman has an illness that can cause sexual problems, 50 (39,0%) of the physicians would ask if she had any problems with sexual dysfunction. Seventytwo (56,2%) of the physiscians asked about sexual abuse when women sought help for a sexual problem. Regarding the issue of sexual abuse, more female doctors, 35 (64,8 %) than male 37 (50,0%) asked this question and it was more common among doctors, 45 years of age or older, 44 (63,8%) and GPs 49 (64,5%).
Material/Methods: A survey using self-administered questionnaires applied to a total of 206 physiscians, 140 GPs and 66 residents, working in health centers in Dalarna, Sweden. The survey was anonymous. Data was collected in October- November 2014.
Conclusion: The majority of the responding physiscians working in general practice would like a higher level of knowledge of female sexual dysfunction. Around eighty percent rated their knowledge as low. Just over half of respondents asked about sexual abuse when women sought help for a sexual problem or asked about sexual dysfunction when a woman was using a medication whose side effects include sexual dysfunction. Even fewer would enquire about female sexual dysfunction in a woman with an illness that could cause sexual dysfunction. In this study the level of knowledge of female sexual dysfunction is low but the interest in further education is high.
Points for discussion: How can the level of knowledge and management of FSD by physicians in general practice be improved?