J. S. Assis

University of São Paulo, San Paulo, São Paulo, Brazil

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Publications (7)9.68 Total impact

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    ABSTRACT: To evaluate the effects of treatment with Trifolium pratense on climacteric symptoms and sexual satisfaction in postmenopausal women. This is a prospective, randomized, double-blind, placebo-controlled study. Initially, 120 women aged 45-65 years with menopausal symptoms, more than 12-month amenorrhea and no treatment in the past six months were selected. The participants were then divided into two groups: TG – receiving 40 mg Trifolium pratense, 1 capsule/day; PG – receiving placebo capsules containing lactose (control), 1 capsule/day. The duration of treatment was 12 months. The patients underwent clinical and laboratory evaluation before treatment and at four, eight and 12 months of treatment. The Kupperman Menopausal Index and the Golombok Rust Inventory of Sexual Satisfaction (GRISS) were used. At the end of the study, each group comprised 50 patients. According to the Kupperman Menopausal Index, there was significant improvement in menopausal symptoms after four months of treatment, especially in relation to hot flashes, when compared to baseline data in both groups. However, no significant differences were observed between groups. There was no improvement in sexual satisfaction after treatment. A 12-month treatment with a daily dose of 40 mg Trifolium pratense did not yield a significant improvement in menopausal symptoms and sexual satisfaction.
    Revista da Associação Médica Brasileira 01/2010; 56(5):558-62. DOI:10.1590/S0104-42302010000500017 · 0.92 Impact Factor
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    Revista da Associação Médica Brasileira 01/2004; 50(4). DOI:10.1590/S0104-42302004000400038 · 0.92 Impact Factor
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    ABSTRACT: To correlate the capacity of healthy postmenopausal women to have orgasms (during intercourse or by solitary masturbation) with psychosocial, behavioral, climacteric, hormonal and interpersonal factors. Nine hundred and ninety-nine women (aged from 41 to 60 years) underwent physical and supplementary tests and answered questionnaires regarding sexual behaviour. Sixty healthy women, sexually active, with one or more years of amenorrhea, without hormone therapy and with a partner capable of intercourse were chosen from this group. A Logistic Regression Model with one dependent variable -- orgasmic capacity -- and seventeen independent variables -- psychosocial, behavioral, interpersonal, climacteric and hormonal factors -- was developed. The orgasmic capacity correlated significantly with the practice of masturbation (p=0.000), with pleasure in embracing and caressing the partner's body (p=0.036) and with the presence of vaginal dryness (p=0.021). This study shows that the most important factors were interpersonal and behavioral and that the other parameters considered were not statistically significant. Women with vaginal dryness, who however engage in masturbation and maintain an affective relationship with their partner, obtain an equal or a greater number of orgasms when compared to the frequency of sexual intercourse.
    Revista da Associação Médica Brasileira 01/2004; 50(4):444-50. · 0.92 Impact Factor
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    ABSTRACT: To assess the influence of psychosocial factors, behavior and hormones on postmenopausal sexuality. Nine hundred and ninety-nine women (age range 41-60 years) underwent physical and supplementary tests and answered questionnaires regarding sexual behavior. Sixty healthy women with 1 or more years of amenorrhea, without hormone replacement therapy and with a partner capable of intercourse were chosen from this group. Logistic regression models with dependent variables (sexual satisfaction and orgasmic capacity) and independent variables (sexual initiation, psychosocial factors, behavior, relationship, menopause and hormones) were developed. Important variables for sexual satisfaction were: good self-esteem (p< 0.01), first orgasm obtained by masturbation (p = 0.004), major personal income (p = 0.007), sexual initiation in adulthood (p = 0.008), value physical contact with partner (p = 0.021) and major orgasmic capacity p = 0.040). The following contributed (towards orgasmic capacity with the partner: sexual initiation in adulthood (p = 0.012), regular physical activity (p = 0.040) and higher testosterone levels (p = 0.050). The importance of relationship, psychological, hormonal, economic and behavioral factors confirm the complexity of sexuality, and we note that current as well as prior events seem to affect the sexual satisfaction and orgasmic capacity of healthy postmenopausal women.
    Climacteric 12/2003; 6(4):321-9. DOI:10.1080/cmt.6.4.321.329 · 2.24 Impact Factor
  • International Journal of Gynecology & Obstetrics 01/2000; 70. DOI:10.1016/S0020-7292(00)81879-2 · 1.56 Impact Factor
  • International Journal of Gynecology & Obstetrics 01/2000; 70. DOI:10.1016/S0020-7292(00)81502-7 · 1.56 Impact Factor
  • International Journal of Gynecology & Obstetrics 01/2000; 70. DOI:10.1016/S0020-7292(00)85532-0 · 1.56 Impact Factor

Publication Stats

19 Citations
9.68 Total Impact Points

Institutions

  • 2010
    • University of São Paulo
      • Department of Obstetrics and Gynecology
      San Paulo, São Paulo, Brazil