São Paulo Federal University
Meireluci Costa Ribeiro has a degree in Social Work. She is a specialist in Human Sexuality and in Women’s Health from São Paulo State University Medical School, in Brazil. She has a Master degree in Health Sciences and a Master in Couple and Family Therapist from São Paulo Federal University. She has published papers in reputed journals and presented her researches in international congress. Her specific interests in the area are female sexual function, quality of life, pregnancy and Gestational Diabetes Mellitus.
Obesity and gestational diabetes mellitus (GDM) are increasing worldwide and may compromise female sexual function. We hypothesized that among GDM patients, those with excess body fat would have worse female sexual function scores than normal weight women. Our aim was to assess the sexual function of overweight compared to normal weight women with GDM. We conducted a cross-sectional survey involving 143 Brazilian women with GDM in the third trimester of pregnancy: 76 were overweight (pre-pregnancy body mass index-BMI > 25.0 Kg/m2) and 67 were normal weight (BMI 18.5-24.9 Kg/m2). Participants were recruited from March 2010 to April 2013 at the antenatal clinic of a single public tertiary teaching institution. The Female Sexual Function Index (FSFI) questionnaire was used to assess sexual function. Overall, 51.7% of the 143 participants were at risk for sexual dysfunction symptoms (FSFI scores < 26); this rate was significantly higher among overweight compared to normal weight women (60.5% versus 41.8%, p=0.038). Mean total FSFI scores were significantly lower in overweight compared to normal weight women (21.7 ± 9.2 versus 25.3 ± 7.5, p=0.012). Compared to normal weight women, overweight participants had lower mean scores in desire (3.4 ± 1.2 versus 4.4 ± 1.4, p=0.0001) and lubrication (3.8 ± 2.0 versus 4.5 ± 1.6, p=0.022). According to these results, overweight women with GDM in the third trimester of pregnancy have lower female sexual function scores than normal weight women with the same disorder.