Background: Ovarian cancer affects many women worldwide. Tumors that grow in the genitalia and pelvis have because of its placement a large threat to the sexual ability. Treatment for ovarian cancer may lead to the sexual possibilities inhibited. Sexual health is a state of physical, mental, emotional and social well-being related to sexuality. Sexual health can be experienced in spite of disease, dysfunction or infirmity. Aim: The aim is to describe the factors that influence women's sexuality after treatment for ovarian cancer Method: A literature review, in which seven quantitative and three qualitative articles were analysed. Result: From the analysis revealed two main themes; Physical changes and Mental changes. Physical changes were divides into two subthemes; Changes in sexual function and Menopause and reproductive ability. Mental changes were divided into three subthemes; Decreased desire and the relationship with the partner, The relationship with one's own body and The lack of information from health care professionals. Conclusion: Women with ovarian cancer experience a lack of information from health care professionals about what can be expected to happen with the sexual function after treatment. It is important that the nurse recognizes this need and understands that sexual health can be experienced despite illness. / Bakgrund: Äggstockscancer drabbar många kvinnor världen över. Tumörer som växer i genitalier och bäcken utgör på grund av sin placering ett stort hot mot den sexuella förmågan. Behandling för äggstockscancer kan leda till att de sexuella möjligheterna hämmas. Sexuell hälsa är ett tillstånd av fysiskt, mentalt, känslomässigt och socialt välbefinnande relaterat till sexualitet. Sexuell hälsa kan upplevas trots sjukdom, dysfunktion eller funktionshinder. Syfte: Syftet med studien är att beskriva vad som påverkar kvinnors sexualitet efter behandling för äggstockscancer. Metod: En litteraturöversikt där sju kvantitativa och tre kvalitativa artiklar analyserades. Resultat: Av analysen framkom två huvudteman; Fysiska förändringar samt Psykiska förändringar. Fysiska förändringar med subtemana; Förändrad sexuell funktion samt Menopaus och reproduktiv förmåga. Psykiska förändringar med subtemana; Minskad lust och relationen till partner, Relationen till den egna kroppen samt Bristen av information från sjukvårdspersonal. Slutsats: Kvinnor med äggstockscancer upplever brist på information från sjukvårdpersonal om vad som kan förväntas hända med den sexuella funktionen efter behandling. Det är viktigt att sjuksköterskor uppmärksammar detta omvårdnadsbehov och förstår att sexuell hälsa kan upplevas trots sjukdom.

Ilgėjant moterų gyvenimo trukmei, metai po menopauzės atstovauja reikšmingai moters gyvenimo daliai, kuria ji turi teisę džiaugtis. Pats senėjimo procesas, hormonų koncentracijos kitimai, taip pat kintami socialiniai veiksniai, emocinė būklė – tai tik dalis šiandien analizuojamų moters lytinę funkciją veikiančių veiksnių. Seksualumas yra kompleksinis ir iki galo dar nesuprastas reiškinys, taigi diskusijos apie moters lytines problemas ar jų gydymą dažnai prieštaringos. Pirmą kartą Lietuvoje atliktas moterų lytinės funkcijos tyrimas su ypač jautria ir specifine pomenopauzinio amžiaus moterų grupe. Tyrimo metu siekėme įvertinti moterų lytinę funkciją pomenopauzės laikotarpiu ir jos sąsajas su socialiniais–demografiniais veiksniais, poros santykiais, lytinių hormonų koncentracija, menopauzės, nerimo ir depresijos simptomais bei pakeičiamąja terapija lytiniais hormonais. Nustatėme, kad moterims pomenopauzėje estrogenai svarbesni lytinei funkcijai nei androgenai. Respondenčių, nurodžiusių ryškesnius nerimo, depresijos ir menopauzės simptomus, lytinė funkcija buvo blogesnė. Daugiau nei pusei respondenčių buvo lytinių disfunkcijų ar jų vystymosi rizika. Vyresnis amžius, depresijos, nerimo ir menopauzės simptomai didino šansus lytinei disfunkcijai vystytis moterims pomenopauzės laikotarpiu, ir šios galimybės nesumažino pakeičiamoji terapija lytiniais hormonais. Partnerio ir poros santykių veiksniai svarbūs lytinės disfunkcijos prevencijai. / With the increase in life expectancy, the period after the menopause represents a significant part of women's life which they have every right to enjoy. The very process of gro¬wing older, changes in the hormone concentration as well as the social and emotional conditions mentioned above are among the factors having influence on the female sexuality that are being studied today. Given that human sexuality in general is a complex phenomenon and a constant object of comprehensive scientific research, discussions on female sexual problems and their treatment are often controversial. The female sexual function after the menopause has been studied as in a very specific sample for the first time in Lithuania. Aim of the study was to determine the female sexual function during the postmenopausal phase and its relation with social and demographic factors, couple relation¬ship, sex hormones concentration, menopause, anxiety and depression symptoms, and hormone replacement therapy. It was determined that estrogens more important then androgens for sexual function in postmenopausal women. The lower sexual function was found among the respondents with anxie¬ty, depression and menopause symptoms. More than half of the respondents were found to have sexual dysfunc¬tion or the risk of its development. Older age, symptoms of depression and anxiety, and menopause lead to a higher risk for sexual dysfunction development, while not use of HT does not increase the risk for sexual... [to full text]

Bakgrund: Sexuell dysfunktion kan se olika ut för personer som drabbats av stroke och kan påverka bland annat lust och sexuell tillfredsställelse hos båda könen. Patienter med stroke har uttryckt att sexualitet är ett viktigt ämne att behandla i rehabilitering efter stroke, dock har det framkommit att det är den funktionsnedsättning som ofta förbisetts av sjukvårdspersonal. Syfte: Studien syftar till att undersöka huruvida strokepatienter uppfattat att de fått samtala om sexuell funktion samt vilka faktorer som är viktiga för patienten i samband med ämnet. Detta för att identifiera eventuella förbättringsbehov gällande samtal om sexuell funktion hos patienter efter stroke. Metod:Studien gjordes utifrån en deskriptiv tvärsnittsdesign där urvalen väntrumsundersökning och systematiskt urval användes. Studien bestod av en kvantitativ enkätstudie där totalt 42 respondenter deltog. Studien har följt EPNs forskningsetiska riktlinjer. Studien genomfördes som en del av förbättringsarbetet på Rehabiliteringsmedicinska mottagningen, Akademiska sjukhuset, Uppsala. Huvudresultat: Respondenterna i studien var positiva till samtal om sexuell funktion, men endast 19% hade fått frågan. De flesta respondenter önskade att ämnet togs upp redan i slutenvården för att möjliggöra vidareutveckling av samtalet senare under rehabiliteringen. Slutsats: Det krävs mer forskning för att kunna generalisera resultatet, men utifrån den här studien kan det ses att ämnet är efterfrågat. Sjukvårdspersonal bör skapa riktlinjer för samtalets genomförande för att underlätta individanpassning samt att det ska bli en naturlig del inom omvårdnaden så att varken yngre eller äldre patienter förbises. / Background:Sexual dysfunction in stroke survivors is individually and will affect, among other things, the desire and sexual satisfaction of both sexes. Stroke patients have expressed that sexuality is an important subject to treat in stroke rehabilitation, but it has been found that it is one of the disabilities that is often overlooked by healthcare professionals. Aim: The study aims to investigate whether stroke patients experienced that they have received conversations about sexual function with health care professionals and which elements that are important. This study helps to identify needs of improvements regarding conversations about sexual function in patients after stroke. Method:The study was based on a descriptive cross-sectional design using the sample study among visitors and systematic selection. The study consisted of a quantitative survey study involving a total of 42 participants. The study has followed EPN's ethical guidelines. The study was conducted as part of the improvement work at the medical rehabilitation center, Akademiska sjukhuset, Uppsala. Main result: The patients were positive about having a conversation about sexual intercourse, but only 19% of the respondents had received the question. Most respondents wanted the subject to be addressed in the early phase of acute hospitalization in order to continue working on the subject later in the rehabilitation. Conclusion:In order to generalize the results, more research is needed, but from this study it is evident that the subject is requested. Healthcare professionals should establish guidelines for conversations in order to personalize and to make it a natural part of nursing so that either young or elderly patients will be overlooked.

Made available in DSpace on 2014-06-11T19:29:52Z (GMT). No. of bitstreams: 0 Previous issue date: 2009-05-27Bitstream added on 2014-06-13T19:59:58Z : No. of bitstreams: 1 ferreira_apm_me_botfm.pdf: 237424 bytes, checksum: 9a7f1664374ee98c2c2d1ea822cfc82f (MD5) / Identificar as repercussões estruturais, funcionais e na qualidade de vida de mulheres submetidas à vulvectomia e linfadenectomia inguinal para tratamento cirúrgico do câncer de vulva. Estudo observacional, prospectivo, transversal. Foram avaliadas 28 mulheres submetidas ao tratamento cirúrgico para câncer de vulva e 28 mulheres saudáveis (grupo controle), pareadas por idade. Os dados demográficos e clínicos referentes ao câncer de vulva foram obtidos por meio de análise de registros médicos, entrevista, exame físico e dos questionários: European Organization for Reseach and Treatment of Cancer Quality-of-Life Questionnaire (EORTC QLQ-C30), para qualidade de vida, International Consultation on Incontinence Questionnare – Short Form (ICIQ-SF), para avaliação da função urinária e o The Female Sexual Function Index (FSFI), para avaliar a função sexual. Os testes estatísticos utilizados foram qui-quadrado, t de Student, Spearman e Mann Whitney-U. A ocorrência de linfedema foi maior nas pacientes com câncer de vulva em comparação ao controles (p<0,05). O linfedema foi mais grave nas pacientes tratadas para câncer de vulva em comparação ao controle (p=0,003). Não houve diferença entre a gravidade do linfedema e as variáveis: estadiamento, tratamento adjuvante, lateralidade do linfedema e complicações. Houve associação entre gravidade do linfedema e as variáveis idade (p=0,04) e IMC (p=0,04). As escalas de qualidade de vida, definidas pelos domínios: físico, cognição, emocional, social, fadiga, dor, sono, e questões financeiras; se associaram com a gravidade do linfedema (p<0,05). Não houve influência das variáveis: estado civil, escolaridade, menopausa e câncer de vulva na qualidade de vida sexual. Houve associação entre qualidade de vida sexual com a idade (p=0,01) e parceiro estável (p=0,01). As variáveis: IMC, menopausa e câncer de vulva... / To identify the impact structural, functional and quality of life of women before vulvectomy and inguinal lymphadenectomy for surgical treatment of cancer of the vulva. Observational, prospective, cross. We evaluated 28 women undergoing surgical treatment for cancer of the vulva and 28 healthy women (control group), matched for age. The demographic and clinical data relating to cancer of the vulva were obtained through analysis of medical records, interview, physical examination and questionnaires: European Organization for Research and Treatment of Cancer Quality-of-Life Questionnaire (EORTC QLQ-C30) for quality of life, International Consultation on Incontinence Questionnaire - Short Form (SF-ICIQ) for assessment of urinary function and The Female Sexual Function Index (FSFI) to assess sexual function. Statistical tests used were chi-square, t Student, Spearman and Mann-Whitney-U. The incidence of lymphedema was higher in patients with cancer of the vulva as compared to controls (p <0.05). The lymphedema was more severe in patients treated for cancer of the vulva as compared to control (p = 0003). There was no difference between the severity of lymphedema and the variables: stage, adjuvant treatment, laterality and complications of lymphedema. There was an association between severity of lymphedema and the variables age (p = 0.04) and BMI (p = 0.04). The scales of quality of life, defined by domains: physical, cognitive, emotional, social, fatigue, pain, sleep, and financial issues, became associated with the severity of lymphedema (p<0.05). There was no influence of variables: marital status, educational level, menopause and cancer of the vulva in the quality of sexual life. There was an association between sexual quality of life with age (p = 0.01) and stable partner (p = 0.01). The variables: BMI, menopause and cancer of the vulva did not influence... (Complete abstract click electronic access below)

Orientador: Luis Guillermo Bahamondes / Texto em português e inglês / Dissertação (mestrado) - Universidade Estadual de Campinas, Faculdade de Ciências Médicas / Made available in DSpace on 2018-08-24T20:29:30Z (GMT). No. of bitstreams: 1 Carreiro_AndreaVieira_M.pdf: 1988152 bytes, checksum: 99fabc9a0c745335c75b48e2ed5c8c61 (MD5) Previous issue date: 2014 / Resumo: Introdução: Um dos motivos para o não-uso ou uso incorreto de métodos anticoncepcionais (MAC) é a associação que as usuárias fazem entre o MAC e alterações na sexualidade. Este uso inadequado aumenta o risco de gravidez não-planejada. Os long-acting reversible contraceptives (LARC) apresentam altos índices de continuidade e alta efetividade. Há poucos estudos sobre LARC e sexualidade. Objetivo: Avaliar a influência dos LARC sobre a função sexual, a freqüência de relações sexuais semanais e sobre a qualidade de vida, comparando com as usuárias de métodos não-LARC. Métodos: Mulheres entre 18 e 49 anos de idade, aguardando consulta no Ambulatório de Planejamento Familiar da Unicamp e que utilizavam diferentes MAC, foram convidadas a participarem do estudo e a preencherem três questionários auto-respondidos, entre eles o Female Sexual Function Index (FSFI) e o World Health Organization Quality of Life Questionnaire abbreviated version(WHOQOL-BREF). O período de coleta foi de Fevereiro de 2011 a Maio de 2012. Resultados:Tivemos 4.330 pacientes durante o período de coleta, 34% de recusa na participação (1.474) e exclusão de outras 1.318 (30.4%) por não preencherem os critérios de inclusão. Entre as 1.538 participantes, 768 eram usuárias de LARC e 770 de não-LARC. Não houve, neste estudo, diferença entre os grupos de MAC quanto a sexualidade, qualidade de vida ou frequência de relações sexuais semanais. Outras variáveis avaliadas através de análise múltipla por regressão (que não o MAC), estiveram relacionadas a diferenças significativas desses parâmetros. Conclusão: Não houve, neste estudo, diferença na função sexual, no número de relações sexuais semanais ou na qualidade de vida entre as usuárias de LARC e as usuárias de métodos não-LARC / Abstract: Introduction: One of the reasons for non-use or inconsistentuse of contraceptive methods is the association that users make between the contraceptive and negative changes in sexuality. This incorrect use increases the risk of unplanned pregnancy. The long-acting reversible contraceptives (LARC) have high rates of continuity and high effectiveness. There are few studies on LARC and sexuality. Objective: Evaluate the influence of LARC on sexual function, on the weekly frequency of sexual intercourses and on quality of life of users, and comparethese results with non-LARC methods. Methods: Women between 18 and 49 years old, waiting their scheduled appointment at the clinic, users of different types of contraceptives, were invited to participate in the study and to complete three self-administered questionnaires, including the Female Sexual Function Index (FSFI) and the World Health Organization Quality of Life Questionnaire abbreviated version (WHOQOL-BREF). Participants were included in the study from February 2011 to May 2012. Results: We had 4,330 patients during the data collection period, 34% refusing participation (1,474) and other 1,318 (30.4%) did not meet the criteria for inclusion. Among the 1,538 participants, 768 were LARC users and 770 were non-LARC users. We found nodifferences on sexuality, quality of life, and frequency of weekly sexual intercourses between the contraceptive groups. Other variables evaluated by multiple regression analysis were related to significant differences of these parameters. Conclusion: There was no difference on sexual function, quality of life or number of weekly sexual intercourse between LARC and non-LARC users / Mestrado / Fisiopatologia Ginecológica / Mestra em Ciências da Saúde

Bakgrund: Hysterektomi är en vanlig gynekologisk operation som kan utföras på tre olika sätt; abdominellt, vaginalt eller laparoskopiskt. En kvinna med en benign sjukdom med behov av en hysterektomi lider av många symtom som kan sänka kvinnans livskvalitet och sexuella funktion. Kvinnor kan preoperativt ha en ängslan och oro kring hur operationen kommer att påverka kvinnans livskvalitet och sexuella hälsa.   Syfte: Att undersöka hur kvinnor skattar sin livskvalitet och sexuella funktion efter en genomgången elektiv hysterektomi med benign orsak.   Metod: Litteraturstudie där 13 kvantitativa originalartiklar granskades. Resultaten av dessa sammanställdes och analyserades med en innehållsanalys.   Resultat: Den största delen av artiklarna rapporterade att kvinnornas livskvalitet och sexuella funktion förbättrades efter hysterektomin. Kvinnornas sociala funktion, fysiska funktion, psykiska funktion och deras smärtproblematik förbättrades. Den sexuella funktionen förbättrades hos majoriteten av kvinnorna med ökad sexuell frekvens och fler sexuellt aktiva men oförändrad sexuell lust. Kvinnorna skattade sin Female Sexual Function Index (FSFI) högre, däremot visade två studier på försämrad FSFI och därmed försämrad sexuell funktion. Trots den förbättrade FSFI-poängen skattar kvinnorna fortfarande lägre än normalpopulationen.   Slutsats: Majoriteten av de kvinnor som genomgått en hysterektomi på grund av benigna orsaker skattar sin livskvalitet bättre postoperativt genom att kvinnorna får en förbättrad social funktion, fysisk funktion och psykisk hälsa. Den sexuella funktionen skattas högre trots att kvinnorna fortfarande skattar lägre än vad normalpopulationen gör. Fler kvinnor blir sexuellt aktiva och får högre sexuell frekvens men den sexuella lusten upplevs oförändrad. / Background: Hysterectomy is a relatively common gynecological surgery that can be performed in three different ways: abdominally, vaginally or laparoscopically. It has been suggested that women with benign cause for a hysterectomy suffers from many symptoms that can lower a woman's overall quality of life and sexual function. Many women experience anxiety prior to the operation concerning the outcomes of the surgery.   Aim: The purpose is to investigate how women estimate their quality of life and sexual function after an elective hysterectomy with a benign cause.   Method: A literature review where 13 quantitative original articles were examined. The result was compiled and analyzed using a content analysis method.   Results: Most of the articles reported that women's quality of life and sexual function improved after the hysterectomy. The women's social function, physical function, mental function and their pain problems had improved. This included that the women’s sexual frequency and sexual activity improved but their sexual desire was unchanged. In a contrary note some women estimated their FSFI higher, whilst in two other studies it was shown that some had FSFI which also concluded an impaired sexual function. Although women estimated their FSFI higher postoperatively their scores still show lower FSFI score than the normal population.   Conclusion: Most women who go through with a hysterectomy because of benign diseases evaluate their quality of life to be higher postoperatively by improving their social function, physical function and mental health. Their sexual function is estimated to be higher than it was preoperatively, even though women still show lower FSFI score than the normal population.

Vaginismus is defined as a persistent difficulty with vaginal entry, despite a woman’s expressed wish, due to muscle tension, avoidance, and/or pain (Basson et al., 2003). The disorder is classified as a sexual dysfunction; however, there is a paucity of literature on the sexual response, sexual function, and sexual behaviour of women with vaginismus. This thesis research was designed to investigate the differential aspects of sexual health in women with lifelong vaginismus, compared to women with lifelong dyspareunia (pain with intercourse) and women with pain-free intercourse. In the first study, 45 women viewed erotic films, of which one set depicted penetration and the other did not. Physiological sexual arousal was assessed via thermography. Subjective responses to films were assessed with questionnaires. Despite significantly greater negative emotions and lower mental sexual arousal in response to erotic stimuli, women with vaginismus showed genital arousal comparable to the comparison groups. In the second study, 174 women completed an online survey. Women with vaginismus reported more sexual difficulties than the no-pain group and a restricted range of lifetime sexual behaviours and lower frequency of intercourse attempts/experiences than the comparison groups. Women with vaginismus and dyspareunia reported more anxiety during sexual activity and a restricted sexual behaviour repertoire in the previous year and month compared to the no-pain group. Women with vaginismus endorsed more negative cognitions related to penetration, specifically concerns about losing control of their body and the situation. The findings suggest that sexual function difficulties and restricted behavioural repertoire may be associated with negative emotions and maladaptive cognitions. Women with vaginismus may avoid encounters that could lead to intercourse. Alternatively, the negative response to sexual stimuli may be indicative of a more global negative response to sexuality beyond intercourse. The negative penetration-related cognitions, negative responses to sexual stimuli, anxiety during sexual activity, and reduced range and frequency of sexual behaviours of women with vaginismus provide support for the Fear-Avoidance Model of Vaginismus. The impairment in sexual functioning supports the need to move beyond the singular treatment focus of making intercourse possible to an approach that addresses overall sexual rehabilitation.

Perhaps one of the most embodied of human experiences, sexuality can be greatly affected by the way in which women perceive their body. Historically, scholars have dedicated their attention to negative facets of body image and how it is associated with poorer female sexual health, while mostly overlooking the positive aspects of this relationship. Similarly, although ageing is a key factor to consider when examining body image and sexual health, only a dearth of studies has attempted to describe the experiences of non-university aged women. To fill these gaps, this research program was designed to investigate the associations between positive and negative aspects of body image and explore how each contributes to sexual health in age-varied samples of adult women. Two survey studies were carried out. A total of 215 heterosexual women, aged 18 to 88, participated in the first study. Despite a high statistical overlap between body appreciation (i.e., positive body image) and body dissatisfaction (i.e., negative body image), the former was found to be a greater contributing factor to indicators of sexual health. Specifically, body appreciation was related to improved sexual function, lower sexuality-related distress, and higher sexual satisfaction, even when controlling for body mass index. Although many changes occur to the body as women get older, body appreciation was unrelated to age in this sample. Nevertheless, it was shown to moderate the negative association between age and sexual satisfaction, such that older women with high appreciation for their body reported being significantly more sexually satisfied than those with low body appreciation. While the first study explored the body image and sexual health experiences of adult women in general, the second article focused on the mechanisms through which one is related to the other in midlife and older women specifically. A total of 193 heterosexual women, aged 50 to 83, completed an online survey. Support was provided for the use of objectification theory (Frederickson & Roberts, 1997), a well-established theoretical framework in body image research, in explaining sexual health in midlife and older women. Body self-consciousness during sex partially explained the relationship between body shame, appearance anxiety, and sexual function, distress, and satisfaction. High body appreciation mitigated the detrimental effect of self-objectification constructs (i.e., body surveillance, appearance anxiety) and body self-consciousness during sex on midlife and older women's sexual health. Overall, based on the results of this dissertation, body appreciation appears to serve as a protective factor for improved sexual health. Similar to sexual satisfaction and sexual distress, positive and negative aspects of body image are related, but nonetheless distinct, concepts that should not be used interchangeably. Furthermore, midlife and older women's body image and sexual experiences differ from that of their younger counterparts; systematic generalisation of findings from one group to the other is thus unwarranted. Consideration for these various distinctions is not only required for increased understanding of the complex links between body image and sexuality across adulthood, but also relevant to guide prevention efforts at a sociocultural level and clinical interventions at the individual level.

Poor sexual function is comprised of diminished sexual desire and arousal, presence of sexual pain, inability to reach orgasm, and low satisfaction. Worse sexual function is associated with disordered eating behavior; however, the mechanism through which this association exists remains unclear. Theory of sexual function suggests that depression mediates the association of disordered eating behaviors and poor sexual function in female service members and veterans, but this has yet to be tested empirically. The purpose of the current study was to examine whether depression mediated the association of disordered eating behaviors and sexual dysfunction. Participants (N=511) were partnered females who completed measures of sexual function, disordered eating behavior, depression severity, and demographic and military characteristics. Nearly 60% reported probable sexual dysfunction, 19.6% reported probable eating disorder, and 44.4% reported probable depressive disorder. Higher depression symptoms were associated with lower sexual function (r=-.40, p<.001) and higher disordered eating behavior (r=.45, p<.001). Mediation analyses revealed that the association between disordered eating behavior and sexual function was indirect, through depression severity (indirect effect: -1.12, 95% confidence interval [-1.42, -0.85]). Depression is a potential mechanism through which disordered eating behaviors are related to poor sexual function. Findings are congruent with sexual function theory, and underscore the importance of addressing depression when treating sexual function in those with disordered eating behavior.

The present thesis focuses on the relationship between cognitive distractions and female ability to achieve orgasm and female sexual function. The theoretical part summarises current knowledge about female sexual response, the ability to achieve orgasm and explains the concept of cognitive distractions in the context of the spectatoring theory and cognitive interference. The empirical part is split into two phases. First one describes the process of creation, pilot measurements and psychometric evaluation of own measuring tool, Cognitive distractions questionnaire (Dotazník kognitivních distraktorů, DKD). It presents three independent subscales - sexual behavior (DKD-S), negative body image (DKD- B) and bad timing (DKD-C). All subscales were evauated via confirmatory factorial analysis and showed good reliability. The second phase was designed as an explorative correlation study. It focused on finding a relationship between distractions of each subscale of DKD and female ability to achieve orgasm, which was measured with Female Sexual Function Index (FSFI, Rosen et al., 2000). Data was collected via a snowball method with an online questionnaire. Sample consisted of 352 women in the age between 18 and 56 years. Spearman correlation indicated a negative relationship between distractions of sexual...