(O-11) Female sexual dysfunction and contraceptive methods: a clinical study

Abstract Female sexual dysfunctions may affect one or more phases of the sexual response. Evidence suggests a possible influence of contraceptive methods on sexual function, although this association remains unclear. This study aimed to evaluate the sexual function of women initiating a new contraceptive method, exploring related variables, motivations, and potential impacts. Women aged 18–40 years were recruited at the Centro de Saúde Escola (CSE) between March and October 2024 at the time of starting a new contraceptive method. Recruitment occurred through active case-finding in the post-consultation room, with participation formalized after informed consent. All participants completed a semi-structured interview and the Female Sexual Function Index (FSFI), where a score ≤ 26.55 indicated risk of dysfunction. Among 147 participants, 129 (87%) reported having a steady partner, with 89.9% satisfied with their relationship, 4.7% dissatisfied, and 5.4% indifferent. Regarding body image, 53% expressed dissatisfaction, 43.5% satisfaction, and 3.4% indifference. Concerning sexual function, 81.7% scored ≤26.55, while 18.2% scored above the cutoff. Reported reasons for choosing a new contraceptive included poor adaptation to the previous method (20%), need for contraception (12%), and improvement in bleeding pattern (11%). With respect to sexual response, 55.9% reported achieving orgasm, 36.6% sometimes, and 8.3% never. Pain was absent in 52.1%, occasional in 40.4%, and frequent in 7.5%. These findings highlight a high prevalence of risk for sexual dysfunction among women initiating a new contraceptive in primary care, with body dissatisfaction emerging as a relevant factor that may compromise sexual health. Further studies are needed to clarify the causes of sexual complaints in contraceptive users. Acknowledgement: We thank nursing technician Océlia de Vasconcelos for her contribution in welcoming the participants. Financing No conflict.