Rodríguez Dr. Jesús E, Martínez Lucrecia, Bonachera Natalia

(94) A COGNITIVE BEHAVIORAL INTERVENTION FOR FEMALE SEXUAL AROUSAL DISORDERS USING A VIBRATING DEVICE

  • Urology
  • Reproductive Medicine
  • Endocrinology
  • Endocrinology, Diabetes and Metabolism
  • Psychiatry and Mental health

Abstract Objectives We will investigate the safety and preliminary evidence of the effectiveness of a new Cognitive Behavioral Therapy (CBT) in combination with a vibrating device for the treatment of Female Sexual Arousal Disorders (FSAD). Methods A one-group pretest-posttest multicenter design was used. Main outcome measure was assessed using the Female Sexual Function Index (FSFI). A total of 16 patients aged between 19 and 48 years of age (mean = 28.12 years, standard deviation (SD) = 1.92) met criteria and were instructed in the use of a small, portable vibration device over 12 weeks. The inclusion criteria were: Premenopausal women between 18 and 50 years of age who were diagnosed with FSAD and were in a stable monogamous relationship with a male or female partner. Exclusion criteria were: If they were pregnant or nursing or were diagnosed with or being treated for depression, anxiety, psychosis, bipolar disorder, or substance abuse within 6 months before screening. The CBT consists of three educational sessions to provide patients with greater knowledge, awareness, and control of the excitation reflex using a bendable vibration prior to sexual intercourse called Crescendo®. Results There was a significant improvement score in domain of FSFI Arousal (mean pre = 1.31 (SD) = 0.41, mean post = 2.27 (SD) = 0.55, Wilcoxon test pre vs. post p-value = 0.02) and Lubrication (mean pre = 1.23 (SD) = 0.41, mean post = 2.38 (SD) = 0.60, Wilcoxon test pre vs. post p-value = 0.02). Conclusions In this study, CBT in combination with a vibrating device is a potential treatment for sexual arousal difficulties. It was associated with a significantly increased from baseline in Arousal and Lubrication domain score of the FSFI, with no adverse effects related to the treatment. Future studies with, larger group of patients, with larger follow-up and group control are needed. Conflicts of Interest The authors declare that they have no known competing financial interests.

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