(O-40) Psychosexual assessment in women with sexual dysfunction: effects of <i>Tribulus Terrestris</i> from the perspective of the person-centered approach

Abstract Objective To evaluate the psychosexual health of women with female sexual dysfunction from the humanistic perspective of the Person-Centered Approach (PCA), before and after the use of Tribulus Terrestris. Methods This study was conducted with a consecutive series of 100 women diagnosed with female sexual dysfunction, treated at the Sexology Service of the Jenny de Andrade Faria Outpatient Clinic, affiliated with Hospital das Clínicas – UFMG/EBSERH. Participants underwent a directed anamnesis, the Decreased Sexual Desire Screener (DSDS), and a psychological evaluation based on PCA, before and after 90 days of continuous use of Tribulus Terrestris. Results The mean age of participants was 38 years among women in the reproductive period and 55 years among those in postmenopause, with an overall average of 47 years. The use of Tribulus was found to promote significant benefits in different domains of the sexual response. Among women in the reproductive period, improvements were observed in the domains of desire (spontaneous and responsive), subjective arousal, genital lubrication/arousal, orgasm, and sexual satisfaction. In postmenopausal participants, positive effects were broader, including the same domains as well as a decrease in dyspareunia. Conclusion The application of the Person-Centered Approach (PCA) proved effective in obtaining sensitive psychosexual data, essential for a comprehensive understanding of patients’ sexual experiences. The pharmacological interaction with Tribulus Terrestris was considered largely beneficial, especially for women in the reproductive period and postmenopause. The only exceptions observed were, respectively, in the domains of pain and responsive desire. This study reinforces the importance of a humanized psychological evaluation in the management of female sexual dysfunction and suggests PCA as a valuable tool in clinical practice. Financing No conflict.