FREQUENCY OF SEXUAL DISORDERS AND PHYSIOTHERAPY APPROACH

Seksualna disfunkcija je teškoća koju moţe iskusiti pojedinac ili par pri ostvarenju seksualnog nagona, a pojavljuje se u bilo kojoj fazi seksualne aktivnosti (ţelja, uzbuĊenje, orgazam, rezolucija). U ţena se najĉešće manifestira kao smanjenje seksualne ţelje i/ili uzbuĊenja, smanjenje lubrikacije, te bolni sindromi, a u muškaraca kao erektilna disfunkcija i prijevremena ejakulacija. Otprilike 40% ţena i oko 30% muškaraca pati od nekog oblika seksualne disfunkcije, a uĉestalost se povećava s dobi. Seksualne disfunkcije mogu biti organskog, psihološkog ili kombiniranog porijekla. Najbolje rezultate u lijeĉenju seksualnih disfunkcija postiţemo timskom suradnjom, a jedan od ĉlanova tima obvezno mora biti i posebno educiran fizioterapeut. Fizioterapijski se pristup temelji na procjeni, intervenciji i evaluaciji. Fizioterapijski se postupci koriste kod bolnih spolnih odnosa, erektilne disfunkcije i prijevremene ejakulacije. Ovi su postupci efikasni, sigurni i bez nuspojava. Provedeno je istraţivanje na uzorku od 60 ispitanika (30 ţena i 30 muškaraca) putem anonimne ankete. Korišena su tri upitnika: Indeks seksualne funkcije (FSFI), Internacionalni indeks erektilne funkcije (IIEF), te autorov upitnik o mišljenju bolesnika o fizioterapijskom pristupu s obzirom na seksualnu disfunkciju, kao i pojavnost urogenitalnih poremećaja. Ovo je istraţivanje potvrdilo visoku uĉestalost seksualne disfunkcije koja se ĉešće javlja u ţena nego u muškaraca, te postojanje statistiĉke korelacije seksualne disfunkcije i urogenitalnih poremećaja.Sexual dysfunction is a difficulty, which can be experienced by an individual or a couple in achieving sexual instinct that may appear during any phase of sexual activity (desire, excitement, orgasm, resolution). Among women it is usualy manifested by decreased sexual interest and/or arousal, decreased lubrication and pain syndrome, while among men it appears as erectile dysfunction and early ejaculation. Approximately 40% of women and 30% of men suffers from some kind of sexual dysfunction and the number of affected individuals increases with age. Sexual dysfunction can have organic, psychological or combined origins. The best result in curing sexual dysfunction are accomplished with teamwork and one of the team members has to be a specialy educated physiotherapist. Physiotherapy approach is based on assessment, intervention and evaluation. Physiotherapy procedures are used to treat painful intercourses, erectile dysfunction and early ejaculation. These procedures are efficient, safe and have no side effects. This research was conducted on a sample of 60 respondents (30 women and 30 men) through anonymous questionnaires. Three questionnaires are used: Female Sexual Function Index (FSFI), International Index of Erectile Function (IIEF) and questionnaire made by author of research about patients opinion about physiotherapy approach to sexual dysfunction, as well as, the prevalence of urogenital disorders. This research has confirmed high occurrence of sexual dysfunction and its higher frequency among women than men and found statistical correlation between sexual dysfunction and urogenital disorders