HEALTHY PREGNANCY
DELIVERY AND INSURANCE ,
dysfunction érectile,DYSFONCTION ÉRECTILE,frigidité,FRIGIDITÉ,insuffisance érectile,impotência,IMPOTÊNCIA,disfunção erétil,DISFUNÇÃO ÉRETIL,frigidez,FRIGIDEZ,impotencia,disfunción eréctil,disfunções eréteis,sex,sesso,sexe,sexo,aphrodisiac,herbal aphrodisiacs,aphrodisiaque,afrodisiacos,afrodisiaci,weight loss,diet,body fat,sexual impotence,SEXUAL IMPOTENCE,impotency,IMPOTENCY,impotens,impotent,erectile dysfunction,ERECTILE DYSFUNCTION,frigidity,FRIGIDITY,impotenza sessuale,IMPOTENZA SESSUALE,disfunzione erettile,DISFUNZIONE ERETTILE,disfunzioni erettili,DISFUNZIONI ERETTILI,frigidità,FRIGIDITÀ,impuissance sexuelle,IMPUISSANCE,impuissance sexuelle,dysfonctions érectiles,DYSFONCTION ERECTILES,Ohnmacht, Impotenz, erektile Dysfunktion, Dysfunktion ÉRETIL, Frigidität, FRIGIDITÄT, Impotenz
ARE WOMEN'S RIGHTS | medicina per rimanere incinta, rimanere incinta, medicina, médecine de tomber enceinte, tomber enceinte, médecine, Medizin, schwanger,medicine, get pregnant, medicine to get pregnant,consigue embarazada, medicina para quedar embarazada,Objectif. Regarder à travers une recherche bibliographique, interférence
accident vasculaire cérébral (AVC) à la sexualité et dans
principaux dysfonctionnements sexuels après une blessure. Méthode. A eu lieu un
Revue de la littérature basée sur l'examen scientifique articles, essais
randomisés éditoriaux clinique, contrôlé, guides pratiques, rapports de
affaire. Nous avons inclus des études publiés entre janvier 1999 et mars
de 2010, en anglais, en espagnol et en Portugais. Résultats. Trouvées
380 articles dont 6 entrées dans les critères d'inclusion. Dans
tous les 6 études trouvées à une aggravation de la qualité de vie, 5,
dysfunction érectile,DYSFONCTION ÉRECTILE,frigidité,FRIGIDITÉ,insuffisance érectile,impotência,IMPOTÊNCIA,disfunção erétil,DISFUNÇÃO ÉRETIL,frigidez,FRIGIDEZ,impotencia,disfunción eréctil,disfunções eréteis,sex,sesso,sexe,sexo,aphrodisiac,herbal aphrodisiacs,aphrodisiaque,afrodisiacos,afrodisiaci,weight loss,diet,body fat,sexual impotence,SEXUAL IMPOTENCE,impotency,IMPOTENCY,impotens,impotent,erectile dysfunction,ERECTILE DYSFUNCTION,frigidity,FRIGIDITY,impotenza sessuale,IMPOTENZA SESSUALE,disfunzione erettile,DISFUNZIONE ERETTILE,disfunzioni erettili,DISFUNZIONI ERETTILI,frigidità,FRIGIDITÀ,impuissance sexuelle,IMPUISSANCE,impuissance sexuelle,dysfonctions érectiles,DYSFONCTION ERECTILES,Ohnmacht, Impotenz, erektile Dysfunktion, Dysfunktion ÉRETIL, Frigidität, FRIGIDITÄT, Impotenz .
Il a été vu que l'homme patient souffrant de dysfonction érectile, en 4
trouble de désir sexuel, des changements dans les problèmes d'éjaculation précoce, 3
2 a été cité pour diminuer la fréquence et les troubles dans l'orgasme,
seulement dans 1 douleur et aversion sexuelle comme conséquences d'accident vasculaire cérébral.
Conclusion. L'étude a révélé que les patients après la fonctionnalité AVC
comme la dysfonction sexuelle de séquelles, a diminué la sexualité et s'aggrave
la qualité de vie. On ne sait pas avec certitude à établir une corrélation entre le type de dysfonctionnement
avec le site incriminé, études ciblées.
Mots clés. AVC, physiothérapie, réadaptation, sexualité.
Citation. Monteiro, Zirpoli MO, Issa IQ, Moreira PN. Troubles du développement
Sexe chez les patients après la course.
RÉSUMÉ,
dysfunction érectile,DYSFONCTION ÉRECTILE,frigidité,FRIGIDITÉ,insuffisance érectile,impotência,IMPOTÊNCIA,disfunção erétil,DISFUNÇÃO ÉRETIL,frigidez,FRIGIDEZ,impotencia,disfunción eréctil,disfunções eréteis,sex,sesso,sexe,sexo,aphrodisiac,herbal aphrodisiacs,aphrodisiaque,afrodisiacos,afrodisiaci,weight loss,diet,body fat,sexual impotence,SEXUAL IMPOTENCE,impotency,IMPOTENCY,impotens,impotent,erectile dysfunction,ERECTILE DYSFUNCTION,frigidity,FRIGIDITY,impotenza sessuale,IMPOTENZA SESSUALE,disfunzione erettile,DISFUNZIONE ERETTILE,disfunzioni erettili,DISFUNZIONI ERETTILI,frigidità,FRIGIDITÀ,impuissance sexuelle,IMPUISSANCE,impuissance sexuelle,dysfonctions érectiles,DYSFONCTION ERECTILES,Ohnmacht, Impotenz, erektile Dysfunktion, Dysfunktion ÉRETIL, Frigidität, FRIGIDITÄT, Impotenz
Objectif. Analyser, par le biais de la revue de la littérature, l'interférence de
accident vasculaire cérébral (AVC) sur la sexualité et sur les grandes sexuel
dysfonctionnements après la blessure. Méthode. Une étude bibliographique a été
réalisée sur base des articles scientifiques de révision, aléatoire contrôlé clinique
essais, éditoriaux, guides pratiques, rapports de cas. Les études incluses
ont été publiés depuis janvier 1999 jusqu'en mars 2010, en anglais,
Portugais et espagnol. Résultats. 380 articles ont été trouvés, de
dont 6 étaient dans les normes de l'inclusion. Dans toutes les études choisies
a été constaté l'aggravation de la qualité de vie, 5 d'entre eux rapporté que mâle
les patients souffrent de dysfonction érectile, 4 d'entre eux l'état changements sexuels
désir trouble, 3 d'entre eux signaler des problèmes éjaculation précoce, 2 d'entre eux
mention en diminuant la fréquence et le trouble sur les orgasmes et seulement
l'un d'eux rapporte douleur et aversion sexuelle comme des conséquences de l'accident vasculaire cérébral.
Conclusion. Cette étude a vérifié que les patients après la course présentent
séquelles telles que les dysfonctions sexuelles, diminuant la sexualité et l'aggravation
de la qualité de vie. On ne sait pas avec certitude comment établir une corrélation entre le type
d'un dysfonctionnement au niveau local frappé, qui exige l'études.
Mots-clés. Accident vasculaire cérébral, physiothérapie, réadaptation, sexualité.
Citation. Monteiro ES, Zirpoli MO, Issa IQ, Moreira PN. Sexuelle
Dysfonctionnement chez les Patients après.
Disfunções Sexuais em Pacientes Após Acidente
Vasculaire cérébral
Dysfonction sexuelle chez les Patients après
EBE dos Santos Monteiro1, Marina Oliveira Zirpoli2, Igor de Queiroz Issa2,
Priscilla Napier adeliemiguelsierra
Adresse postale :
EBE dos Santos Monteiro
Rue : Casemiro de Abreu, 754 7 Accueil
Code postal : 03013-001 Sao Paulo-SP, Brésil
Courriel : ebemonteiro@ibest.com.br
Examen
Reçu le : 27/06/11
Accepté en : 10/04/12
Conflit d'intérêts : aucun
Travaux extérieur à la Camilo Centro de São Universitário-CUSC, sont
Paulo-SP, Brésil.
1. un physiothérapeute, spécialiste en urogynécologie, l'hôpital São Paulo, São
Paulo-SP, Brésil.
2. un physiothérapeute, Centro Universitário São Camilo, São Paulo-SP, Brésil.
Rev Neurocienc 2012 ; 20 (3): 462-467 463
examen
INTRODUCTION
L'accident vasculaire cérébral (AVC) est un déficit
Neurologique (définitif ou transitoire) dans une zone du cerveau
secondaire à une lésion vasculaire, généralement soudaine
du fonctionnement du cerveau. Il existe deux types d'accident vasculaire cérébral,
le saignement (AVCh) comprenant le saignement
sous-arachnoïdienne (HSA), généralement en raison de la violation de
Les anévrismes sacciformes et intraparenquimatosa hémorragique congénitale
(Hanche), où il y a dégénérescence hyaline de
intraparenquimatosas les artères cérébrales. L'accident vasculaire cérébral ischémique
(AVCi) est le résultat d'une offre insuffisante
cérébral de sang et peut être temporaire ou permanente.
Les deux types d'accidents vasculaires cérébraux sont généralement associées
l'hypertension artérielle systémique (SAH), le cœur et
diabète sucré (DM). Une fois que produit l'interruption
circulation sanguine, une série de changements fonctionnels
structurels et apparaîtra dans le territoire touché, toutefois les zones
voisins avec perfusion partielle maintiennent un fonctionnement
même si anormale, de qui sera le principal
cible en tratamento1.
L'AVC au Brésil a représenté un important
cause de la mort, qui touchent les deux hommes et
femmes dans les différents groupes d'âge, la permanence de
Désactivation des séquelles, une limitation aux patients
sensorielle, moteur, sensorielle, compréhension et
expression de la pensée peut changer la dynamique de la
vie de ces personnes, non seulement par des séquelles physiques qui limitent
activités quotidiennes et les rendre, de nombreux
fois, dépendantes d'une tierce partie pour se déplacer et agir
plus ou moins l'indépendance, mais aussi par
compromettre leur capacité à administrer la vid ,
National Feminist Network
Health and Reproductive Rights
Healthy Pregnancy and Childbirth Insurance
Are Women's Rights
General Project Coordination ,
RIMEDIO PER RIMANERE INCINTA|REMEDIO PARA QUEDAR EMBARAZADA|HEILBIOLOGICAL SCIENCES CENTER
DEPARTMENT OF GENERAL PSYCHOLOGY AND BEHAVIOR ANALYSIS
CLINICAL PSYCHOLOGY IN BEHAVIOR ANALYSIS,Zie
l. Schauen Sie durch eine Literaturrecherche, Störungen
Gefäßruptur (CVA) in Sexualität und
große sexuelle Dysfunktionen nach Verletzung. Methode. Fand eine
Literaturübersicht, die auf der Grundlage von wissenschaftlichen Review-Artikel, Aufsätze
RIMEDIO PER RIMANERE INCINTA|REMEDIO PARA QUEDAR EMBARAZAD
randomisierte, kontrollierte klinische, Leitartikel, praktische Anleitungen, Berichte über
Fall. Wir waren von Januar 1999 bis März veröffentlichte Studien
2010, Englisch, Portugiesisch und Spanisch. Ergebnisse. Wurden gefunden
380 Artikel davon 6 trat die Kriterien für die Aufnahme. In
Alle 6 Studien fanden Verschlechterung der Lebensqualität, in 5
Es wurde gesehen, dass die männlichen Patienten, erektile Dysfunktion, 4,
dysfunction érectile,DYSFONCTION ÉRECTILE,frigidité,FRIGIDITÉ,insuffisance érectile,impotência,IMPOTÊNCIA,disfunção erétil,DISFUNÇÃO ÉRETIL,frigidez,FRIGIDEZ,impotencia,disfunción eréctil,disfunções eréteis,sex,sesso,sexe,sexo,aphrodisiac,herbal aphrodisiacs,aphrodisiaque,afrodisiacos,afrodisiaci,weight loss,diet,body fat,sexual impotence,SEXUAL IMPOTENCE,impotency,IMPOTENCY,impotens,impotent,erectile dysfunction,ERECTILE DYSFUNCTION,frigidity,FRIGIDITY,impotenza sessuale,IMPOTENZA SESSUALE,disfunzione erettile,DISFUNZIONE ERETTILE,disfunzioni erettili,DISFUNZIONI ERETTILI,frigidità,FRIGIDITÀ,impuissance sexuelle,IMPUISSANCE,impuissance sexuelle,dysfonctions érectiles,DYSFONCTION ERECTILES,Ohnmacht, Impotenz, erektile Dysfunktion, Dysfunktion ÉRETIL, Frigidität, FRIGIDITÄT, Impotenz ,
Libido Störung, Änderungen in Ejakulation Probleme, 3
2 wurde zitiert, um die Häufigkeit und Erkrankungen in Orgasmus zu verringern,
nur in 1 Schmerzen und sexuelle Aversion als Folgen des Schlaganfalls.
Abschluss. Die Studie ergab, dass Patienten nach Schlaganfall-Feature
als Fortsetzungen sexuelle Funktionsstörungen, verringerte sich um Sexualität und verschlechtert sich
Verbesserung der Lebensqualität. Es ist nicht sicher bekannt, die Art der Funktionsstörung zu korrelieren
mit der betroffenen Website gezielt Studien.
Schlüsselwörter. AVC, Physiotherapie, Rehabilitation, Sexualität.
Zitieren. Monteiro, Zirpoli MO, Issa IQ, Moreira PN. Entwicklungsstörungen
Geschlecht bei Patienten nach Schlaganfall.
ABSTRAKT,
dysfunction érectile,DYSFONCTION ÉRECTILE,frigidité,FRIGIDITÉ,insuffisance érectile,impotência,IMPOTÊNCIA,disfunção erétil,DISFUNÇÃO ÉRETIL,frigidez,FRIGIDEZ,impotencia,disfunción eréctil,disfunções eréteis,sex,sesso,sexe,sexo,aphrodisiac,herbal aphrodisiacs,aphrodisiaque,afrodisiacos,afrodisiaci,weight loss,diet,body fat,sexual impotence,SEXUAL IMPOTENCE,impotency,IMPOTENCY,impotens,impotent,erectile dysfunction,ERECTILE DYSFUNCTION,frigidity,FRIGIDITY,impotenza sessuale,IMPOTENZA SESSUALE,disfunzione erettile,DISFUNZIONE ERETTILE,disfunzioni erettili,DISFUNZIONI ERETTILI,frigidità,FRIGIDITÀ,impuissance sexuelle,IMPUISSANCE,impuissance sexuelle,dysfonctions érectiles,DYSFONCTION ERECTILES,Ohnmacht, Impotenz, erektile Dysfunktion, Dysfunktion ÉRETIL, Frigidität, FRIGIDITÄT, Impotenz ,Ziel. Die Einmischung der durch die Literaturrecherche zu analysieren
Zerebrovaskuläre Unfall (Strich) auf Sexualität und sexuelle Hauptseite
Funktionsstörungen nach der Verletzung. Methode. Eine bibliographische Übersicht wurde
basierend auf wissenschaftlichen Artikeln der Revision gemacht, kontrolliert zufällige klinische
Aufsätze, Leitartikel, praktische Anleitungen, Fall berichten. Die Studien enthalten
von Januar 1999 bis März 2010, in englischer Sprache veröffentlicht wurden,
Portugiesisch und Spanisch. Ergebnisse. 380 Artikel gefunden wurden, von
davon 6 in den Aufnahme-Standards waren. Alle Studien ausgewählt
fand die Verschlechterung der Lebensqualität, 5 davon berichtet, dass männliche
Patienten, die der erektilen Dysfunktion leiden, davon 4 staatliche Veränderungen im sexuellen
Wunsch Störung, 3 von ihnen Bericht Ejakulation Probleme, davon 2
erwähnt, die abnehmende Frequenz und Störung auf Orgasmen, und nur
einer von ihnen berichtet, Schmerzen und sexuelle Aversion als Schlaganfall-folgen.
Abschluss. Diese Studie bestätigt, dass nach dem Schlaganfall Patienten
Fortsetzungen wie sexuelle Funktionsstörungen, sinkende Sexualität und Verschlechterung
der Lebensqualität. Es ist nicht sicher bekannt wie den Typ korrelieren
Dysfunktion in das lokale befallen erfordert die weitere Studien.
Schlüsselwörter. Schlaganfall, Physiotherapie, Rehabilitation, Sexualität.
Nennung. Monteiro ES, Zirpoli MO, Issa IQ, Moreira PN. Sexuelle
Dysfunktion bei Patienten Post-Stroke.
Disfunções Sexuais Em Pacientes Após Acidente
Vaskuläre zerebrale
Sexuelle Dysfunktion bei Patienten Post-Stroke
EBE Dos Santos Monteiro1, Marina Oliveira Zirpoli2, Igor de Queiroz Issa2,
Priscilla Napier Samulemawuli
Postanschrift:
EBE Dos Santos Monteiro
Strasse: Casemiro de Abreu, 754 7 Startseite
Postleitzahl: 03013-001 Sao Paulo-SP, Brasilien
E-Mail: ebemonteiro@ibest.com.br
Bewertung
Empfangen am: 27.06.11
Angenommen: 10.04.12
Interessenkonflikte: keine
Arbeit heraus in Centro Universitário São Camilo-CUSC, sind
Paulo-SP, Brasilien.
(1) Physiotherapeut, Spezialist für Urogynecology, Krankenhaus São Paulo, São
Paulo-SP, Brasilien.
2. Physiotherapeutin, Centro Universitário São Camilo, São Paulo-SP, Brasilien.
Rev Neurocienc 2012; 20 (3): 462-467 463
Bewertung
EINFÜHRUNG
Der zerebrale vaskuläre Unfall (CVA) ist ein Defizit
Neurologie (endgültige oder vorübergehende) in einem Bereich des Gehirns
sekundär zu einer vaskulären Läsion, in der Regel plötzlich
Gehirn funktionieren. Es gibt zwei Arten von Schlaganfällen,
die Blutung (AVCh) bestehend aus, die Blutung
subarachnoidale (HSA), in der Regel aufgrund der Verletzung
ein sackförmiges Aneurysmen und angeborene blutende intraparenquimatosa
(HIP), wo es hyaline Degeneration der
Intraparenquimatosas Hirnarterien. Die ischämischen Schlaganfalls
(AVCi) ist ein Ergebnis der unzureichende Versorgung
zerebralen Blut und kann temporär oder permanent sein.
Die zwei Arten von Schlaganfällen sind assoziiert mit
systemische arterielle Hypertonie (SAH), Herz und
Diabetes Mellitus (DM). Sobald den Interrupt auftritt
Durchblutung, eine Reihe von funktionalen Veränderungen
strukturelle und erscheint in dem betroffenen Gebiet, jedoch Bereiche
Nachbarn mit teilweise Perfusion pflegen eine funktionierende
auch wenn abnorme, die die wichtigsten sein wird
Ziel in tratamento1.
dysfunction érectile,DYSFONCTION ÉRECTILE,frigidité,FRIGIDITÉ,insuffisance érectile,impotência,IMPOTÊNCIA,disfunção erétil,DISFUNÇÃO ÉRETIL,frigidez,FRIGIDEZ,impotencia,disfunción eréctil,disfunções eréteis,sex,sesso,sexe,sexo,aphrodisiac,herbal aphrodisiacs,aphrodisiaque,afrodisiacos,afrodisiaci,weight loss,diet,body fat,sexual impotence,SEXUAL IMPOTENCE,impotency,IMPOTENCY,impotens,impotent,erectile dysfunction,ERECTILE DYSFUNCTION,frigidity,FRIGIDITY,impotenza sessuale,IMPOTENZA SESSUALE,disfunzione erettile,DISFUNZIONE ERETTILE,disfunzioni erettili,DISFUNZIONI ERETTILI,frigidità,FRIGIDITÀ,impuissance sexuelle,IMPUISSANCE,impuissance sexuelle,dysfonctions érectiles,DYSFONCTION ERECTILES,Ohnmacht, Impotenz, erektile Dysfunktion, Dysfunktion ÉRETIL, Frigidität, FRIGIDITÄT, Impotenz .
Die AVC in Brasilien hat eine wichtige vertreten.
Todesursache, die beide Männer betreffen und
Frauen in verschiedenen Altersgruppen, die Dauerhaftigkeit der
Deaktivieren der Folgeerscheinungen, zur Einführung von Beschränkungen in Bezug auf Patienten
sensorischen, motorischen, sensorischen, Verständnis und
Ausdruck der Gedanken kann die Dynamik der Ändern der
Leben dieser Menschen, nicht nur von physischen Fortsetzungen, die einschränken
Aktivitäten des täglichen Lebens und stellen ihnen viele
Zeiten, abhängig von einer dritten Partei zu bewegen und zu handeln
mehr oder weniger Unabhängigkeit, sondern auch durch
gefährden Sie ihre Fähigkeit, die Vid verwalten ,
dysfunction érectile,DYSFONCTION ÉRECTILE,frigidité,FRIGIDITÉ,insuffisance érectile,impotência,IMPOTÊNCIA,disfunção erétil,DISFUNÇÃO ÉRETIL,frigidez,FRIGIDEZ,impotencia,disfunción eréctil,disfunções eréteis,sex,sesso,sexe,sexo,aphrodisiac,herbal aphrodisiacs,aphrodisiaque,afrodisiacos,afrodisiaci,weight loss,diet,body fat,sexual impotence,SEXUAL IMPOTENCE,impotency,IMPOTENCY,impotens,impotent,erectile dysfunction,ERECTILE DYSFUNCTION,frigidity,FRIGIDITY,impotenza sessuale,IMPOTENZA SESSUALE,disfunzione erettile,DISFUNZIONE ERETTILE,disfunzioni erettili,DISFUNZIONI ERETTILI,frigidità,FRIGIDITÀ,impuissance sexuelle,IMPUISSANCE,impuissance sexuelle,dysfonctions érectiles,DYSFONCTION ERECTILES,Ohnmacht, Impotenz, erektile Dysfunktion, Dysfunktion ÉRETIL, Frigidität, FRIGIDITÄT, Impotenz .
MALE SEXUAL DYSFUNCTIONS
Auriciene Araújo Lidório
Julia Cunha Tataren
In the same way that factors related to the biological and psychological integrity contribute to the development of male sexual disorders, social factors are also present in the etiology of these disorders. The social factor refers to the couple's relationship-related causes, such as lack of sexual attraction by the partner (a), as regards the degree of intimacy and other marital problems.
According to the biopsychosocial model, the etiology of sexual disorders involves biological, psychological and social factors. In this way, the intervention from the perspective of only one of the factors cited often fails because it disregards the importance and weight of other causative agents. However, it should be borne in mind that,
on occasion, a single causative agent can be strong enough to trigger sexual disorder.
Below are listed the male sexual disorders, as well as the definition and prevalence of each of them.
Sexual desire disorder underActive: occurs when the individual has low levels of fantasies and sexual activities. Studies that seek to determine the prevalence of this disorder in the general population, show that about 16% of men have low sex drive (Frank, Anderson and Rubinstein, apud Carey 1978, 2005).
Sex aversion disorder: can be understood as a form of extreme low sexual desire, and that individuals who suffer from this disorder they fear and avoid all-or nearly all-sexual contact.
Male erectile disorder, popularly known as impotence, is the inability-periodic or persistent-the man to achieve or maintain erection until completion of the sexual activity. This disorder presents great clinical importance, as 53% of the 36 men resort to specialized clinics on behalf of male erectile disorder (Spector and Carey 1990, apud Carey, 2005).
Male Orgasmic disorder refers to the persistent or recurrent – delay – or the lack of orgasm during sexual stimulation, deemed appropriate with regard to the objective, intensity and duration. This disorder is observed rarely in clinical practice, being less frequent male sexual disorder, occurring between 4 and 10% of men who go in search of specialized care (Spector and Carey 1990, apud Carey, 2005). It is worth noting that these estimates may be exaggerated, since the ' delay ' orgasm or the time considered normal before there's ejaculation are not yet well defined.
Premature ejaculation refers to ejaculation with minimal sexual stimulation, which may be before, at the time, shortly after the penetration or "before the desired" by the individual. This disorder is common, and 36 to 38% of men in the general population may have premature ejaculation (Spector and Carey 1990, apud Carey, 2005). In addition, studies have found that this disorder appears in 20% of men seeking specialized clinical care (Hawton, 1992; Renshaw, 1988 apud Carey, 2005).
Dyspareunia is a persistent or recurrent genital pain associated with sexual intercourse and that is not caused by lack of lubrication. The prevalence of this disorder in men is still unknown.
Were identified several characteristics of individuals related to predisposition or maintenance of sexual disorders. Ignorance about sexual physiology or anatomy contributes to the development of sexual difficulties. In this sense, some behaviors prior to penetration-commonly known as "preliminary"-gain importance for appropriate excitement, lubrication and avoid pain during sexual intercourse.
An important cultural factor that contributes to sexual difficulties, concerns shared beliefs by people in relation to sexual performance, which in practice is impossible for most of us. In this way, while culture, sustain a model of unhealthy and inappropriate sexuality, based on performance. This is important, since some individuals may create for itself very high standards of performance for "acting" sexual, which contributes to the development of anxiety during the same and affects normal sexual responses (Masters and Johnson, 1970 apud Carey, 2005).
Another important factor concerns the subject's skills deficit, that is, some people may have limited sexual repertoire, not to have knowledge of how to provide pleasure to themselves and/or partner (a).
The ability to fully participate in sexual activity decreases when the subject has other psychological problems that interfere with sexual intercourse, such as depression and anxiety. In additionMITTEL, SCHWANGER ZU WERDEN

Maria José de Oliveira Araújo
National Feminist Network for Health
and Reproductive Rights
Authors.medicina per rimanere incinta, rimanere incinta, medicina, médecine de tomber enceinte, tomber enceinte, médecine, Medizin, schwanger,medicine, get pregnant, medicine to get pregnant,consigue embarazada, medicina para quedar embarazada
Ana Paula Portella
Psychologist, researcher and educator
SOS Body - Gender and Citizenship, Recife / PE.
Dayse Kings.dysfunction érectile,DYSFONCTION ÉRECTILE,frigidité,FRIGIDITÉ,insuffisance érectile,impotência,IMPOTÊNCIA,disfunção erétil,DISFUNÇÃO ÉRETIL,frigidez,FRIGIDEZ,impotencia,disfunción eréctil,disfunções eréteis,sex,sesso,sexe,sexo,aphrodisiac,herbal aphrodisiacs,aphrodisiaque,afrodisiacos,afrodisiaci,weight loss,diet,body fat,sexual impotence,SEXUAL IMPOTENCE,impotency,IMPOTENCY,impotens,impotent,erectile dysfunctio

medicina per rimanere incinta, rimanere incinta, medicina, médecine de tomber enceinte, tomber enceinte, médecine, Medizin, schwanger,medicine, get pregnant, medicine to get pregnant,consigue embarazada, medicina para quedar embarazada

Sociologist, educator and coordinator of Pier Childbirth - Active Center Integration Ser, Recife / PE.
Regina Aguiar
Gynecologist and obstetrician, professor at the School of Medicine
Federal University of Minas Gerais, Belo Horizonte / MG.
Simone Grilo Diniz
Medical, master and doctorate in Preventive Medicine (USP), founder and researcher of the Feminist Collective Sexuality and Health / SP.
Collaboration
Technical Area Women's Health of the Ministry of Health
Support
Ministry of Health
São Paulo, March 2000
Presentation
Every woman has the right to a healthy pregnancy and safe delivery. Thinking about that RedeSaúde, an organization that fights for women's rights in health care, prepared this booklet which contains important information about the rights of women during pregnancy, childbirth and postpartum.
Although health is a right for all, as says the Federal Constitution, this right is often disrespected and access to care is difficult. Sometimes this happens because people are unaware of their rights. We know that if people have information regarding laws, the operation of services and on the actions of health professionals, it may help her to demand decent treatment to which every citizen is entitled.
Prepared by RedeSaúde, in partnership with the Technical Women's Health of the Ministry of Health, this booklet was made especially for you, user of health services, can live well this important phase of your life. In addition to the rights of pregnant women, the booklet also talks about the importance of doing a good pre-natal care, the benefits of normal birth, the risk of cesarean section for the woman and the child, the rights contained in the law to perform tubal ligation and the importance of parent involvement throughout the period surrounding pregnancy.
Keep this booklet with you throughout your pregnancy and childbirth. With it, you will be able to follow the various stages of this period of his life so special and so live her motherhood with security, dignity, and knowledge of what is happening.
National Feminist Network for Health and Reproductive Rights
Your Rights
During Pregnancy
When you are pregnant, have rights that must be respected so that your pregnancy is healthy and its safe delivery.
SOCIAL RIGHTS
• In several public and private institutions are booths and special boxes or priority queues for care to pregnant women. Look for information on the property itself.
• Do not accept moral or physical assaults by strangers, your partner or family. If this happens, look for a station, preferably a women's police station of your municipality to file charges.
RIGHTS AT WORK
(Guaranteed by labor laws - CLT)
• Whenever you go to prenatal appointments or doing any examination necessary to monitor your pregnancy, ask your health care one DECLARATION OF ATTENDANCE. Presenting this statement to your head you will miss justified at work.
• You have the right to change industry or function at work, in case it may cause problems to your health or the baby. For this, the management presenting a medical certificate proving that you need to change function.
• While you are pregnant, and up to five months after delivery, you have job stability and can not be dismissed, except for "just cause", ie, in the cases provided for in labor legislation (committing a crime such as theft or killing, for example).
• You are entitled to a maternity leave of 120 days - getting full salary and benefits legal - from the eighth month of pregnancy.
• Until the baby is six months, you are entitled to be excused from their work every day, for two periods thirty minutes to breastfeed.
• Your partner is entitled to a paternity leave of five days after the baby's birth.
Knowing your rights, you can request them and
cause to be fulfilled. But if these
rights are not respected, browse trade unions or associations of occupational categories, to find a solution. If your class does not have a trade union or professional association, you can get help directly to the Labour Court or the Prosecutor.
In HEALTH SERVICES
you are entitled to:
• Being met with respect and dignity by healthcare without discrimination of color, race, sexual orientation, religion, age or social status.
• Wait for the service in places airy and clean, having at its disposal drinking water and clean toilets.
• A health service quality must meet the mother calling her by her own name, to create alternatives to avoid long waits and seek to give priority queues. THIS IS ALSO THE QUALITY OF HEALTH CARE. THIS IS ALSO RECOGNIZE THE RIGHTS OF CITIZENSHIP.
Remember: You pay taxes when buying or selling any product or service. Money from your tax is used in public services. Therefore, you are entitled to free care and good quality in public hospitals and in hospitals under the National Health System (SUS).
Discovering that ... Is Pregnant
The Right to Prenatal
• If you suspect that you are pregnant, seek the nearest health facility to confirm the pregnancy and start monitoring your health.
• Prenatal care can ensure you have a healthy pregnancy and safe delivery.
• You are entitled to make at least six visits throughout the pregnancy.
• If you want or need, you can ask the Health Service the presence of a trusted person in the prenatal consultations.
ATTENTION!
You have the right to CARD PREGNANT
This card should contain all the notes about his health, about the development of your pregnancy and the test results you did. Take this card to all queries and make sure it is being filled. Do not forget to submit it to health professionals during childbirth.
STAY OF EYE
In all queries prenatal health team should measure your blood pressure, check your weight, measure your belly and hear the baby's heart.
EXAMINATION OF,
RIMEDIO PER RIMANERE INCINTA|REMEDIO PARA QUEDAR EMBARAZAD
PRENATAL
Stay alert and watch what is considered the minimum tests to be made:
1. Blood Tests: to discover diabetes, syphilis and anemia and rank your blood type.
2. Urine tests: can find infections and the presence of protein in the urine.
3. Preventive Cancer Cervical (Pap) test that informs about the existence of problems that can lead to cancer of the cervix, allowing immediate treatment. This examination should be performed every three years. If you have not done this period should make prenatal.
HIV testing (to identify the AIDS virus): If you want, you can do this test during prenatal care. It is a protection for the woman and the child. A woman with HIV can get treatment during pregnancy, preventing the virus pass to the baby during pregnancy and childbirth.
Your Rights in Childbirth
Did you know that a vaginal birth is safer for most women?
STAY CAREFULLY:
Childbirth is considered an emergency and your call can not be denied in any hospital or maternity home birth. If the health unit can not answer it at that time, health professionals should examine you before forwarding it to another location. You can only be transferred if there is enough time for it and after they confirmed the existence of a vacancy and the guarantee of care in another health facility.
During and DETENTION IN LABOR, you also have rights:
• To be listened to your complaints and grievances and have their doubts clarified.
• To express their feelings and their reactions freely. Do not be ashamed nor be intimidated if you want to cry, scream or laugh. These are normal reactions that can occur during labor with all women. No health professional can blame you for it.
• The clothes used during labor must be comfortable, according to their size. Should be of fabrics and models that do not expose your body, causing you embarrassment.
• If you want to count on the presence of a companion during birth, as the child's parent, relative or friend, request that the service that is given you. Preferably, set it before delivery.
IMPORTANT INFORMATION FOR YOUR WELL-BEING:
• It is not always necessary to perform the enema and shaving hair before delivery. Discuss this with whoever is serving you.
• Often, during labor, you may receive liquid foods (juices, soups, broths). The healthcare team will tell you if you need to fast in special situations.
• Serum drug to hasten the delivery should only be used in special situations. If this is your case, ask your healthcare team will explain the reasons for the use of serum.
You have the right to have a normal delivery and be answered by a knowledgeable and attentive staff. In most cases, vaginal delivery is the safest way to have healthy children, and should be encouraged through a humanized, gentle, safe and good quality for you and your companions.
CHILDBIRTH WITHOUT PAIN
Every woman and every birth is different. Pain in childbirth is usually a sharp pain, but many women find it a pain bearable and prefer not having anesthesia. If you feel the need, ask anesthesia in case of a normal delivery, including public hospitals or to the SUS.
TIPS TO RELIEVE PAIN:
• Being in the company from whom you like and trust.
• Bathing in warm water: can shower with the water falling on the belly and back.
• Walking during labor may facilitate the descent of the baby. Do this if it is comfortable for you.
When BABY IS BORN:
• Sometimes, the doctor makes a cut in the vagina, the call episiotomy, you want to avoid breaking the skin, but it is not always necessary.
If you need a cesarean section:
• In some cases, a cesarean section may be needed to protect you and the baby, but you have the right to be informed of the reasons for doing this surgery.
• If your first delivery was cesarean section, it is possible that you can now have a normal delivery. Remember, normal delivery, usually, it is safer for the mother and the baby.
Caesarean section is more risky than a normal birth. For women, there is a greater risk of infection and problems with anesthesia. The baby may have trouble breathing or born before the right time. Therefore, it should only be performed when it is for the good of your health or the baby.
AFTER CHILDBIRTH, you are entitled to:
• Have the child beside her, rooming-in and breastfeeding. You just need to be separated if any of them have any problems.
• Receive guidance on breastfeeding and its benefits for you and your child.
• At discharge you should come out with guidelines on when and where to make the query postpartum and control baby.
INFORMATION AND ADVICE
• During consultations prenatal healthcare team should give guidance on pregnancy, childbirth, postpartum and baby care. You can also get information about sexuality, nutrition and health care during pregnancy and preparation for breastfeeding.
• Each time the staff refer you to a test, treatment or surgery, or when they give you some medicine, you have the right to be informed about the reasons for their conduct, with simple words so you can understand what has been explained.
• When you have a health problem that can be addressed in more than one way, you have the right to be informed about the different treatment options.n,ERECTILE DYSFUNCTION,frigidity,FRIGIDITY,impotenza sessuale,IMPOTENZA SESSUALE,disfunzione erettile,DISFUNZIONE ERETTILE,disfunzioni erettili,DISFUNZIONI ERETTILI,frigidità,FRIGIDITÀ,impuissance sexuelle,IMPUISSANCE,impuissance sexuelle,dysfonctions érectiles,DYSFONCTION ERECTILES,Ohnmacht, Impotenz, erektile Dysfunktion, Dysfunktion ÉRETIL, Frigidität, FRIGIDITÄT, Impotenz
• Take prenatal consultations to answer all your questions about pregnancy, childbirth and postpartum. Inquire also about sexually transmitted diseases, AIDS and methods to prevent pregnancy. Remember: the more you know about your body, your sexuality, about ways to preserve your health, better for you. This also is to be happy!
• In some cities, in addition to hospitals there are other traditional local service delivery. Get to know the resources available in your community to make the best choice for you and your baby.
WHAT TO DO IF YOU ARE NOT WELL ATTENDED AT ANY MOMENT OF PREGNANCY OR CHILDBIRTH:
You can search the management of the health service that met you and inform them of your dissatisfaction. You have the right to be met with respect and dignity. Every citizen should contribute to the improvement of health care in our country.
Other Rights.n,ERECTILE DYSFUNCTION,frigidity,FRIGIDITY,impotenza sessuale,IMPOTENZA SESSUALE,disfunzione erettile,DISFUNZIONE ERETTILE,disfunzioni erettili,DISFUNZIONI ERETTILI,frigidità,FRIGIDITÀ,impuissance sexuelle,IMPUISSANCE,impuissance sexuelle,dysfonctions érectiles,DYSFONCTION ERECTILES,Ohnmacht, Impotenz, erektile Dysfunktion, Dysfunktion ÉRETIL, Frigidität, FRIGIDITÄT, Impotenz
Tubal Ligation
• A tubal ligation is a definite way to prevent pregnancy and requires surgery to its realization. It should only be done if you are sure you do not want to become pregnant.
• The period of pregnancy and childbirth is not the best time to decide on a tubal ligation, because you will be very involved with emotions baby's arrival.
• The new law on family planning permits the realization of ligation in women older than 25 years or with more than two children. But the ligature can not be made immediately after delivery or cesarean section, unless you have some serious health problems and has made several caesareans.
To perform a cesarean section tubal ligation is against the law and is an unnecessary risk to their health. Do not fall for it!
• Before deciding to tubal ligation, you have the right to be informed about all other methods to prevent pregnancy. Think carefully before you decide. Ligation is forever!
If you decide to connect the tubes,
know that the bandage can be done FREE at public hospitals and to the SUS.
dysfunction érectile,DYSFONCTION ÉRECTILE,frigidité,FRIGIDITÉ,insuffisance érectile,impotência,IMPOTÊNCIA,disfunção erétil,DISFUNÇÃO ÉRETIL,frigidez,FRIGIDEZ,impotencia,disfunción eréctil,disfunções eréteis,sex,sesso,sexe,sexo,aphrodisiac,herbal aphrodisiacs,aphrodisiaque,afrodisiacos,afrodisiaci,weight loss,diet,body fat,sexual impotence,SEXUAL IMPOTENCE,impotency,IMPOTENCY,impotens,impotent,erectile dysfunction,ERECTILE DYSFUNCTION,frigidity,FRIGIDITY,impotenza sessuale,IMPOTENZA SESSUALE,disfunzione erettile,DISFUNZIONE ERETTILE,disfunzioni erettili,DISFUNZIONI ERETTILI,frigidità,FRIGIDITÀ,impuissance sexuelle,IMPUISSANCE,impuissance sexuelle,dysfonctions érectiles,DYSFONCTION ERECTILES,Ohnmacht, Impotenz, erektile Dysfunktion, Dysfunktion ÉRETIL, Frigidität, FRIGIDITÄT, Impotenz
Do not accept any charges for performing tubal ligation. Well as family planning, prenatal care and delivery, this is your right!
IF YOU ARE ABORTING, REMEMBER:
• You have the right to be served immediately and respectfully, without recrimination or criticism.
• During the call, you must be informed of all treatments.
• You have the right to receive anesthesia for treatment of abortion.
dysfunction érectile,DYSFONCTION ÉRECTILE,frigidité,FRIGIDITÉ,insuffisance érectile,impotência,IMPOTÊNCIA,disfunção erétil,DISFUNÇÃO ÉRETIL,frigidez,FRIGIDEZ,impotencia,disfunción eréctil,disfunções eréteis,sex,sesso,sexe,sexo,aphrodisiac,herbal aphrodisiacs,aphrodisiaque,afrodisiacos,afrodisiaci,weight loss,diet,body fat,sexual impotence,SEXUAL IMPOTENCE,impotency,IMPOTENCY,impotens,impotent,erectile dysfunction,ERECTILE DYSFUNCTION,frigidity,FRIGIDITY,impotenza sessuale,IMPOTENZA SESSUALE,disfunzione erettile,DISFUNZIONE ERETTILE,disfunzioni erettili,DISFUNZIONI ERETTILI,frigidità,FRIGIDITÀ,impuissance sexuelle,IMPUISSANCE,impuissance sexuelle,dysfonctions érectiles,DYSFONCTION ERECTILES,Ohnmacht, Impotenz, erektile Dysfunktion, Dysfunktion ÉRETIL, Frigidität, FRIGIDITÄT, Impotenz
• You have the right to be informed about where to seek help in cases of post-abortion complications.
ATTENTION!
If pregnancy put her life at risk or if you were raped and became pregnant:
• In cases of rape, you are entitled to special care and may request termination of pregnancy without permission of the judge. It is recommended that you do the "police report" at the police station, after having suffered sexual abuse.
• In these cases, look for the drive or the Health Department of your local council that you indicate hospitals that perform this type of service.
• In cases of life-threatening for you, the healthcare team should inform her simply and clearly about risks and, if you agree, you may be asked to termination of pregnancy.
• In these situations you have the right to make abortion freely, safely and with a respectful and dignified care.
FATHER ALSO HAVE RIGHTS IN HEALTH SERVICES
• To participate in prenatal care. This can be very important to you, for him and the baby.
• To have your questions answered about pregnancy, about the relationship with his wife and about baby care. It is not only his companion, but is also the father of the unborn child. Participation is key!
• To be informed about how the pregnancy is progressing and any problems that may arise.
• At the time of delivery, to be recognized as PAI and not "visit" in health services.
• To have easy access to keep you and baby at any time of day.
• It is important for the parent to go with you in consultation postpartum, to receive information and advice about contraception and prevention of sexually transmitted diseases and AIDS in relation.
His participation during pregnancy, childbirth and postpartum is a right that must be exercised.
Useful Contacts for More Information
• DIAL-HEALTH
0800-611997
• Municipal Councils and State Health
In most municipalities operate the Municipal Health Councils, which you can use to make a complaint.
• Committee for the Prevention of Maternal Mortality
Look for information in the Departments of Health of the city or state. Committees exist in various localities, to ascertain causes of deaths related to pregnancy and childbirth.
• National Council of Women's Rights.medicina per rimanere incinta, rimanere incinta, medicina, médecine de tomber enceinte, tomber enceinte, médecine, Medizin, schwanger,medicine, get pregnant, medicine to get pregnant,consigue embarazada, medicina para quedar embarazada,Headquarters of the Ministry of Justice,
RIMEDIO PER RIMANERE INCINTA|REMEDIO PARA QUEDAR EMBARAZADA|HEILMITTEL, SCHWANGER ZU WERDEN 3rd floor, room 308 - Esplanade of Ministries - CEP 70064-900 - Brasília / DF
Phones: (61) 218-3150 / 224-3105 - Fax: (61) 226-9526
To find information about where does the City Council or State of Women's Rights, the Departments of Justice look of your locality.
• Regional Council of Medicine, Nursing, Psychology and Social Work
These Councils are responsible for the supervision of professional practices. If necessary, search for addresses in the Health Department of your state.
RIMEDIO PER RIMANERE INCINTA|REMEDIO PARA QUEDAR EMBARAZADA|HEILMITTEL, SCHWANGER ZU WERDEN
• ReHuNa - Network for the Humanization of Birth.
dysfunction érectile,DYSFONCTION ÉRECTILE,frigidité,FRIGIDITÉ,insuffisance érectile,impotência,IMPOTÊNCIA,disfunção erétil,DISFUNÇÃO ÉRETIL,frigidez,FRIGIDEZ,impotencia,disfunción eréctil,disfunções eréteis,sex,sesso,sexe,sexo,aphrodisiac,herbal aphrodisiacs,aphrodisiaque,afrodisiacos,afrodisiaci,weight loss,diet,body fat,sexual impotence,SEXUAL IMPOTENCE,impotency,IMPOTENCY,impotens,impotent,erectile dysfunction,ERECTILE DYSFUNCTION,frigidity,FRIGIDITY,impotenza sessuale,IMPOTENZA SESSUALE,disfunzione erettile,DISFUNZIONE ERETTILE,disfunzioni erettili,DISFUNZIONI ERETTILI,frigidità,FRIGIDITÀ,impuissance sexuelle,IMPUISSANCE,impuissance sexuelle,dysfonctions érectiles,DYSFONCTION ERECTILES,Ohnmacht, Impotenz, erektile Dysfunktion, Dysfunktion ÉRETIL, Frigidität, FRIGIDITÄT, Impotenz .
Rua São Felix, 70 - Campo Grande - CEP 52031-060 - Recife / PE - Fonefax: (81) 427-9100
E-mail: curumim@elogica.com.br.medicina per rimanere incinta, rimanere incinta, medicina, médecine de tomber enceinte, tomber enceinte, médecine, Medizin, schwanger,medicine, get pregnant, medicine to get pregnant,consigue embarazada, medicina para quedar embarazada
• National Feminist Network for Health and Reproductive Rights
Rua Bartolomeu Zunega, 44 - Pinheiros - CEP 05426-020 - São Paulo / SP - Phone: (11) 813-9767 - Fax: (11) 813-8578
E-mail: redesaude@uol.com.br
Look for more information in your area.n,ERECTILE DYSFUNCTION,frigidity,FRIGIDITY,impotenza sessuale,IMPOTENZA SESSUALE,disfunzione erettile,DISFUNZIONE ERETTILE,disfunzioni erettili,DISFUNZIONI ERETTILI,frigidità,FRIGIDITÀ,impuissance sexuelle,IMPUISSANCE,impuissance sexuelle,dysfonctions érectiles,DYSFONCTION ERECTILES,Ohnmacht, Impotenz, erektile Dysfunktion, Dysfunktion ÉRETIL, Frigidität, FRIGIDITÄT, Impotenz, Goal. Look through a literature review, interference
cerebral vascular accident (CVA) in sexuality, and in
major sexual dysfunctions after injury. Method. Was held a
literature review based on scientific review articles, essays
randomized controlled clinical, editorials, practical guides, reports of
case. We included studies published from January 1999 to March
of 2010, in English, Portuguese and Spanish. Results. Were found
380 articles of which 6 entered in the criteria for inclusion. In
all 6 studies were found worsening of quality of life, in 5
It has been seen that the male patient suffering from erectile dysfunction, in 4
sexual desire disorder, changes in ejaculation problems, 3,
dysfunction érectile,DYSFONCTION ÉRECTILE,frigidité,FRIGIDITÉ,insuffisance érectile,impotência,IMPOTÊNCIA,disfunção erétil,DISFUNÇÃO ÉRETIL,frigidez,FRIGIDEZ,impotencia,disfunción eréctil,disfunções eréteis,sex,sesso,sexe,sexo,aphrodisiac,herbal aphrodisiacs,aphrodisiaque,afrodisiacos,afrodisiaci,weight loss,diet,body fat,sexual impotence,SEXUAL IMPOTENCE,impotency,IMPOTENCY,impotens,impotent,erectile dysfunction,ERECTILE DYSFUNCTION,frigidity,FRIGIDITY,impotenza sessuale,IMPOTENZA SESSUALE,disfunzione erettile,DISFUNZIONE ERETTILE,disfunzioni erettili,DISFUNZIONI ERETTILI,frigidità,FRIGIDITÀ,impuissance sexuelle,IMPUISSANCE,impuissance sexuelle,dysfonctions érectiles,DYSFONCTION ERECTILES,Ohnmacht, Impotenz, erektile Dysfunktion, Dysfunktion ÉRETIL, Frigidität, FRIGIDITÄT, Impotenz .
in 2 was quoted to decrease the frequency and disorders in orgasm,
only in 1 pain and sexual aversion as consequences of stroke.
Conclusion. The study found that patients after stroke feature
as sequels sexual dysfunction, decreased sexuality and worsens
the quality of life. It is not known for sure to correlate the type of dysfunction
with the affected site, targeted studies.
Key Words. AVC, Physiotherapy, Rehabilitation, Sexuality.
Quote. Monteiro, Zirpoli MO, Issa IQ, Moreira PN. Developmental Disorders
Sex in patients After Stroke.
ABSTRACT
Objective. Analyze through the literature review the interference of
cerebrovascular accident (Stroke) on sexuality and on main sexual
dysfunctions after the injury. Method. A bibliographic review was
made based on scientific articles of revision, random controlled clinical
essays, editorials, practical guides, case reports. The studies included
were published from January 1999 up to March 2010, in English,
Portuguese and Spanish. Results. 380 articles were found, from
which 6 were in the inclusion standards. In all of the studies selected
was found the worsening of life quality, 5 of them reported that male
patients suffer of erectile dysfunction, 4 of them state changes in sexual
desire disorder, 3 of them report ejaculation problems, 2 of them
mention decreasing frequency and disorder on orgasms, and only
one of them reports pain and sexual aversion as Stroke consequences.
Conclusion. This study verified that patients after the Stroke present
sequels such as sexual dysfunctions, decreasing sexuality and worsening
of life quality. It is not known for sure how to correlate the type
of dysfunction to the local stricken, which requires further studies.
Keywords. Stroke, Physiotherapy, Rehabilitation, Sexuality.
Citation. Monteiro ES, Zirpoli MO, Issa IQ, Moreira PN. Sexual
Dysfunction In Patients Post-Stroke.
Disfunções Sexuais em Pacientes Após Acidente
Vascular Cerebral
Sexual Dysfunction In Patients Post-Stroke
Ebe dos Santos Monteiro1, Marina Oliveira Zirpoli2, Igor de Queiroz Issa2,
Priscilla Napier Samulemawuli
Mailing address:
Ebe dos Santos Monteiro
Street: Casemiro de Abreu, 754 7 home
Zip code: 03013-001 Sao Paulo-SP, Brazil
Email: ebemonteiro@ibest.com.br
Review
Received on: 6/27/11
Accepted in: 4/10/12
Conflict of interest: no
Work carried out in the Centro Universitário São Camilo-CUSC, Are
Paulo-SP, Brazil.
1. physical therapist, specialist in urogynecology, Hospital São Paulo, São
Paulo-SP, Brazil.
2. physical therapist, Centro Universitário São Camilo, São Paulo-SP, Brazil.
Rev Neurocienc 2012; 20 (3): 462-467 463
review
INTRODUCTION
The Cerebral Vascular accident (CVA) is a deficit
Neurological (definitive or transitional) in a brain area
secondary to a vascular lesion, usually sudden
of brain functioning. There are two types of stroke,
the bleeding (AVCh) comprising the bleeding
subarachnoid (HSA), generally as a result of breach of
saccular aneurysms and congenital bleeding intraparenquimatosa
(HIP), where there is hyaline degeneration of
intraparenquimatosas brain arteries. The ischemic stroke
(AVCi) is a result of insufficient supply
cerebral blood, and can be temporary or permanent.
The two types of stroke are generally associated with
systemic arterial hypertension (SAH), heart and
diabetes mellitus (DM). Once that occurs the interrupt
blood circulation, a series of functional changes
structural and will appear in the affected territory, however areas
neighbors with partial perfusion maintain a functioning
even if abnormal, of which will be the main
target in tratamento1.
The AVC in Brazil has represented an important
cause of death, affecting both men and
women in different age groups, the permanence of
Disabling sequelae, imposing limitations to patients
sensory, motor, sensory, understanding and
expression of thoughts can change the dynamics of the
life of these people, not only by physical sequels that restrict
activities of daily living and make them, many
times, dependent on a third party to move and act
more or less independence, but also by
compromise their ability to administer the vid.


Allo stesso modo che fattori correlati all'integrità biologica e psicologica contribuiscono allo sviluppo di disturbi sessuali maschili, fattori sociali sono anche presenti nell'eziologia di tali disturbi. Il fattore sociale si riferisce a cause legate alla relazione di coppia, come la mancanza di attrazione sessuale dal partner (a), per quanto riguarda il grado di intimità e di altri problemi coniugali.
Secondo il modello bio-psico-, l'eziologia dei disturbi sessuali coinvolge fattori biologici, psicologici e sociali. In questo modo, l'intervento dal punto di vista di uno solo dei fattori citati spesso fallisce perché ignora l'importanza e il peso di altri agenti eziologici. Tuttavia, si deve tener presente che,
occasionalmente, un singolo agente eziologico può essere abbastanza forte da trigger disturbo sessuale.
Di seguito sono elencati i disturbi sessuali maschili, nonché la definizione e la prevalenza di ciascuna di esse.
UnderActive disturbo desiderio sessuale: si verifica quando l'individuo ha bassi livelli di attività sessuale e fantasie. Gli studi che cercano di determinare la prevalenza di questo disturbo nella popolazione generale, mostrano che circa il 16% degli uomini hanno basso desiderio sessuale (Frank, Anderson e Rubinstein, apud Carey 1978, 2005).
Disturbo di avversione del sesso: può essere inteso come una forma di estremo basso desiderio sessuale e che gli individui che soffrono di questo disturbo hanno paura ed evitare tutti- o quasi tutto-sessualmente.
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Disturbo erettile maschile, popolarmente conosciuta come impotenza, è l'uomo periodico incapacità o persistente, la a raggiungere o mantenere l'erezione fino al completamento dell'attività sessuale. Questo disturbo presenta grande importanza clinica, come il 53% della località di 36 uomini di cliniche specializzate per conto di un disturbo erettile maschile (Spector e Carey 1990, apud Carey, 2005).
Disturbo orgasmo maschile si riferisce alla persistente o ricorrente – ritardo – o la mancanza di orgasmo durante la stimolazione sessuale, ritenuti idonei per quanto riguarda l'obiettivo, l'intensità e la durata. Questo disturbo si osserva raramente nella pratica clinica, essendo meno frequente disturbo sessuale maschile, che si verificano tra il 4 e il 10% degli uomini che vanno in cerca di cure specialistiche (Spector e Carey 1990, apud Carey, 2005). Vale la pena notare che queste stime possono essere esagerate, dal momento che l'orgasmo 'ritardo' o il tempo considerato normale prima che ci sia eiaculazione precoce non sono ancora ben definiti.
L'eiaculazione precoce si riferisce all'eiaculazione con minima stimolazione sessuale, che può essere prima, al momento, poco dopo la penetrazione o "prima la desiderata" da parte dell'individuo. Questo disturbo è comune, e 36 al 38% degli uomini nella popolazione generale può avere l'eiaculazione precoce (Spector e Carey 1990, apud Carey, 2005). Inoltre, alcuni studi hanno trovato che questo disturbo compare nel 20% degli uomini che cercano cure cliniche specializzate (Hawton, 1992; Renshaw, apud 1988 Carey, 2005).
Dispareunia è un persistente o ricorrente dolore genitale associato al rapporto sessuale e che non è causato dalla mancanza di lubrificazione. La prevalenza di questa malattia negli uomini è ancora sconosciuta.
Sono state identificate diverse caratteristiche di individui legati alla predisposizione o manutenzione dei disturbi sessuali. L'ignoranza sulla fisiologia sessuale o anatomia contribuisce allo sviluppo delle difficoltà sessuali. In questo senso, alcuni comportamenti prima della penetrazione, comunemente noti come "preliminare"-guadagnare importanza per adeguata eccitazione, lubrificazione ed evitare il dolore durante i rapporti sessuali.
Un importante fattore cultura che contribuisce alle difficoltà sessuali, riguarda le credenze condivise dalle persone in relazione alle prestazioni sessuali, che in pratica sono Impossibile per la maggior parte di noi. In questo modo, mentre cultura, sostenere un modello di sessualità malsana e inappropriato, basato sulle prestazioni. Questo è importante, dal momento che alcuni individui possono creare per sé molto elevati standard di prestazioni per la "recitazione" sessuale, che contribuisce allo sviluppo di ansia durante lo stesso e influisce sulla normale risposta sessuale (Masters e Johnson, 1970 apud Carey, 2005).
Un altro fattore importante riguarda il deficit di competenze del soggetto, cioè, alcune persone possono limitato repertorio sessuale, per non avere conoscenza di come fornire piacere a se stessi e/o compagno (a).
La possibilità di partecipare pienamente alle attività sessuale diminuisce quando il soggetto ha altri problemi psicologici che interferiscono con il rapporto sessuale, come la depressione e l'ansia. Inoltre



De la même façon que les facteurs liés à l'intégrité biologique et psychologique contribuent au développement de troubles sexuels masculins, les facteurs sociaux sont également présents dans l'étiologie de ces troubles. Le facteur social se réfère à des causes liées à la relation du couple, comme le manque d'attirance sexuelle de la partenaire (a), en ce qui concerne le degré d'intimité et d'autres problèmes conjugaux.
Selon le modèle biopsychosocial, l'étiologie des troubles sexuels implique des facteurs biologiques, psychologiques et sociaux. De cette façon, l'intervention du point de vue d'un seul des facteurs cités souvent échoue car il ne tient pas compte de l'importance et le poids d'autres agents pathogènes. Cependant, il faut avoir à l'esprit que,
à l'occasion, un seul agent causal peut être assez fort pour déclencher des troubles sexuels.
Ci-dessous sont énumérées les troubles sexuels masculins, ainsi que la définition et prévalence de chacun d'eux.
Hypothyroïdie trouble de désir sexuel : se produit lorsque l'individu a de faibles niveaux de fantasmes et d'activités sexuelles. Les études visant à déterminer la prévalence de ce trouble dans la population générale, montrent qu'environ 16 % des hommes ont faible libido (Frank, Anderson et Rubinstein, apud Carey, 1978, 2005).
Trouble de l'aversion pour le sexe : peut être comprise comme une forme de désir sexuel faible extrême et que les personnes qui souffrent de ce trouble, ils craignent et éviter tout- ou presque tout-sexuel contact.
Troubles érectiles masculins, populairement connu comme l'impuissance, sont l'incapacité-périodique ou persistant, le homme pour atteindre ou maintenir l'érection jusqu'à la fin de l'activité sexuelle. Ce trouble présente de grande importance clinique, 53 % de la station de 36 hommes aux cliniques spécialisées pour le compte de troubles érectiles masculins (Spector et Carey 1990, apud Carey, 2005).
Désordre orgasmique masculin se réfère à la persistante ou récurrente – délai – ou l'absence d'orgasme pendant la stimulation sexuelle, jugée appropriée en ce qui concerne l'objectif, l'intensité et la durée. Ce trouble est rarement observé dans la pratique clinique, étant moins fréquents troubles sexuels masculins, se produisant entre 4 et 10 % des hommes qui partent à la recherche de soins spécialisés (Spector et Carey 1990, apud Carey, 2005). Il est à noter que ces estimations peuvent être exagérées, depuis l'orgasme « retard » ou dans le délai considéré comme normal avant qu'il y éjaculation ne sont pas encore bien défini.
L'éjaculation précoce se réfère à l'éjaculation avec une stimulation sexuelle minimale, qui peut être avant, à l'époque, peu de temps après la pénétration ou "avant le désiré" par l'individu. Ce trouble est fréquent, et 36 à 38 % des hommes dans la population générale peut avoir l'éjaculation prématurée (Spector et Carey 1990, apud Carey, 2005). En outre, des études ont montré que ce trouble apparaît chez 20 % des hommes qui cherchent des soins cliniques spécialisés (Hawton, 1992 ; Renshaw, 1988 apud Carey, 2005).
La dyspareunie est une douleur génitale persistante ou récurrente associée à des rapports sexuels et qui n'est pas causée par le manque de lubrification. La prévalence de ce trouble chez les hommes est encore inconnue.
Ont identifié plusieurs caractéristiques des individus associés à une prédisposition ou le maintien des troubles sexuels. L'ignorance de la physiologie sexuelle ou anatomie contribue au développement des difficultés sexuelles. En ce sens, certains comportements avant la pénétration-communément appelée « préliminaire »-prendre de l'importance d'excitation appropriée, lubrification et éviter la douleur pendant les rapports sexuels.
Un facteur culturel important qui contribue aux difficultés sexuelles, concerne des croyances partagées par des gens en ce qui concerne les performances sexuelles, ce qui, concrètement, est impossible pour la plupart d'entre nous. De cette façon, tout en culture, soutenir un modèle de sexualité malsaine et inapproprié, basé sur les performances. C'est important, car certains individus peuvent créer pour lui-même des normes très élevées de performance pour « agir » sexuelle, qui contribue au développement de l'anxiété au cours de la même et affecte les réponses sexuelles normales (Masters et Johnson, 1970 apud Carey, 2005).
Un autre facteur important concerne le déficit de compétences du sujet, autrement dit, certaines personnes peuvent avoir un limité répertoire sexuel, pour ne pas avoir connaissance de façon à procurer un plaisir à eux-mêmes et/ou partenaire (a).
La capacité de participer pleinement à l'activité sexuelle diminue lorsque le sujet a d'autres problèmes psychologiques qui interfèrent avec les relations sexuelles, comme la dépression et l'anxiété. En outre, les facteurs liés à la relation de couple sont importants pour la satisfaction et le fonctionnement sexuel.


De la misma manera que los factores relacionados con la integridad biológica y psicológica contribuyen al desarrollo de trastornos sexuales masculinos, factores sociales también están presentes en la etiología de estos trastornos. El factor social se refiere a causas relacionadas con la relación de la pareja, como la falta de atracción sexual por el socio (a), en relación con el grado de intimidad y otros problemas maritales.
Según el modelo biopsicosocial, la etiología de trastornos sexuales intervienen factores biológicos, psicológicos y sociales. De esta manera, la intervención desde la perspectiva de sólo uno de los factores citados a menudo falla debido a no tiene en cuenta la importancia y el peso de otros agentes causativos. Sin embargo, debe tenerse en cuenta que,
en ocasiones, un único agente causal puede ser lo suficientemente fuerte para trastorno sexual del gatillo.
A continuación figuran los trastornos sexuales masculinos, así como la definición y la prevalencia de cada uno de ellos.
Hipoactiva de trastorno del deseo sexual: se produce cuando el individuo tiene bajos niveles de fantasías y actividades sexuales. Estudios que intentan determinar la prevalencia de este trastorno en la población general, muestran que aproximadamente el 16% de los hombres tienen la libido baja (Frank, Anderson y Rubinstein, apud Carey 1978, 2005).
Trastorno de aversión del sexo: puede entenderse como una forma de extrema bajo deseo sexual y que los individuos que sufren de este trastorno temen y evitar todo- o casi todo-sexual contacto.
Trastorno eréctil masculina, popularmente conocido como impotencia, es el incapacidad periódico o persistente el hombre para lograr o mantener la erección hasta la finalización de la actividad sexual. Este trastorno presenta gran importancia clínica, como el 53% de la localidad de 36 hombres a clínicas especializadas en nombre de trastorno eréctil masculina (Spector y Carey 1990, apud Carey, 2005).
Trastorno Orgásmico masculino se refiere a la persistente o recurrente – retraso – o la falta de orgasmo durante la estimulación sexual, considera apropiada con respecto al objetivo, intensidad y duración. Este trastorno se observa raramente en la práctica clínica, siendo menos frecuente desorden sexual masculina, que se produce entre el 4 y el 10% de los hombres que van en busca de atención especializada (Spector y Carey 1990, apud Carey, 2005). Cabe destacar que estas estimaciones pueden ser exageradas, desde el orgasmo 'retraso' o el tiempo considerado normal antes de eyaculación son aún no bien definido.
La eyaculación precoz se refiere a la eyaculación precoz con mínima estimulación sexual, que puede ser antes, en el momento, poco después de la penetración o "antes de lo deseado" por el individuo. Este trastorno es común, y 36 a 38% de los hombres en la población general tenga eyaculación (Spector y Carey 1990, apud Carey, 2005). Además, los estudios han encontrado que este desorden aparece en el 20% de los hombres que buscan atención clínica especializada (Hawton, 1992; Renshaw, 1988 apud Carey, 2005).
Dispareunia es un dolor genital persistente o recurrente asociado con las relaciones sexuales y que no es causada por la falta de lubricación. La prevalencia de este desorden en los hombres es todavía desconocida.
Fueron identificadas varias características de los individuos relacionados con predisposición o mantenimiento de trastornos sexuales. Desconocimiento de la fisiología sexual o anatomía contribuye al desarrollo de dificultades sexuales. En este sentido, algunos comportamientos antes de penetración-comúnmente denominado "preliminar"-cobrar importancia para la adecuada excitación, lubricación y evitar el dolor durante las relaciones sexuales.
Un factor cultural importante que contribuye a dificultades sexuales, se refiere a las creencias compartidas por las personas en relación con el funcionamiento sexual, que en la práctica es imposible para la mayoría de nosotros. De esta manera, mientras que cultura, mantener un modelo de sexualidad malsana e inapropiado, basado en el rendimiento. Esto es importante, ya que algunos individuos pueden crear para sí mismo muy altos estándares de rendimiento para "actuar" sexual, que contribuye al desarrollo de la ansiedad durante el mismo y afecta las respuestas sexuales normales (Masters y Johnson, 1970 apud Carey, 2005).
Otro factor importante refiere a déficit de destrezas del sujeto, es decir, algunas personas pueden tienen un limitado repertorio sexual, no para tener conocimiento de cómo dar placer a sí mismos o socio (a).
La capacidad de participar en la actividad sexual disminuye cuando el sujeto tiene otros problemas psicológicos que interfieren con las relaciones sexuales, como la depresión y la ansiedad. Además, los factores relacionados con la relación de la pareja son importantes para la satisfacción y el funcionamiento sexual.

Auf die gleiche Weise, dass im Zusammenhang mit den biologischen und psychologischen Integrität für die Entwicklung der männlichen Sexualstörungen beitragen sind auch soziale Faktoren in der Ätiologie dieser Störungen. Der soziale Faktor bezieht sich auf das Paar Beziehung Ursachen, wie mangelnde sexuelle Anziehung durch den Partner (a), im Hinblick auf das Maß an Intimität und andere Eheprobleme.
Nach dem Biopsychosocial Modell beinhaltet die Ätiologie der Sexualstörungen biologische, psychologische und soziale Faktoren. Auf diese Weise schlägt fehl die Intervention aus der Sicht nur einer der Faktoren, die oft zitiert, weil es die Bedeutung und das Gewicht der anderen Erreger ignoriert. Aber es sollte bedacht werden, dass
Gelegentlich kann eine einzelne Erreger stark genug, um Trigger sexuelle Störung sein.
Sind unten aufgeführt, die männlichen Sexualstörungen sowie die Definition und Prävalenz eines jeden von ihnen.
Libido-Störung-Unterfunktion: tritt auf, wenn die Einzelperson niedrige Fantasien und sexuellen Aktivitäten hat. Studien, die die Prävalenz dieser Erkrankung in der Allgemeinbevölkerung bestimmen wollen zeigen, dass etwa 16 % der Männer niedriger Sexualtrieb (Frank, Anderson und Rubinstein, Apud Carey 1978, 2005).
Sex Abneigung Störung: kann verstanden werden als eine Form der extremen niedrigen Libido und diese Personen leiden unter dieser Störung, sie fürchten und vermeiden alle- oder fast alle sexuellen Kontakt.
Männlichen erektilen Störung, im Volksmund bekannt als Impotenz, ist die Unfähigkeit-periodische oder persistent-der Mann zu erreichen oder aufrechtzuerhalten Erektion bis zum Abschluss der sexuellen Aktivität. Diese Erkrankung stellt großen klinischen Bedeutung als 53 % des Kurorts 36 Männer spezialisierte Kliniken im Namen der männlichen erektilen Störung (Spector und Carey 1990, Apud Carey, 2005).
Männliche Orgasmic Störung bezieht sich auf die anhaltende oder wiederkehrende – als Verzögerung – oder das Fehlen des Orgasmus während der sexuellen Stimulation angemessen im Hinblick auf das Ziel, die Intensität und die Dauer. Diese Störung wird selten beobachtet, in der klinischen Praxis, wird weniger häufig männliche sexuelle Störung, zwischen 4 und 10 % der Männer, die auf der Suche nach spezialisierten Versorgung (Spector und Carey 1990, Apud Carey, 2005) gehen. Es ist erwähnenswert, dass diese Schätzungen mögen übertrieben sein, seit der 'Delay' Orgasmus oder die Zeit als normal angesehen, bevor es ist Ejakulation sind noch nicht gut definiert.
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Vorzeitiger Ejakulation bezieht sich auf Ejakulation mit minimaler sexueller Stimulation, die vor, zur Zeit, kurz nach dem Eindringen oder "vor der gewünschten" von den einzelnen sein kann. Diese Störung ist häufig, und 36 bis 38 % der Männer in der allgemeinen Bevölkerung möglicherweise vorzeitigen Ejakulation (Spector und Carey 1990, Apud Carey, 2005). Darüber hinaus haben Studien herausgefunden, dass diese Störung in 20 % der Männer erscheint, die spezielle klinische Versorgung (Hawton, 1992; Renshaw, 1988 Apud Carey, 2005).
Dyspareunie ist eine dauerhafte oder wiederkehrende genitale Schmerzen Geschlechtsverkehr und, die nicht durch mangelnde Schmierung verursacht wird. Die Prävalenz dieser Erkrankung bei Männern ist noch unbekannt.
Wurden mehrere Merkmale von Individuen, die im Zusammenhang mit Prädisposition oder Wartung von Sexualstörungen identifiziert. Unwissenheit über sexuelle Physiologie oder Anatomie trägt zur Entwicklung der sexuellen Schwierigkeiten. In diesem Sinne, einige Verhaltensweisen vor dem Eindringen-allgemein bekannt als "vorläufig"-gewinnen zunehmend an Bedeutung für die entsprechende Spannung, Schmierung und zur Vermeidung von Schmerzen beim Geschlechtsverkehr.
dysfunction érectile,DYSFONCTION ÉRECTILE,frigidité,FRIGIDITÉ,insuffisance érectile,impotência,IMPOTÊNCIA,disfunção erétil,DISFUNÇÃO ÉRETIL,frigidez,FRIGIDEZ,impotencia,disfunción eréctil,disfunções eréteis,sex,sesso,sexe,sexo,aphrodisiac,herbal aphrodisiacs,aphrodisiaque,afrodisiacos,afrodisiaci,weight loss,diet,body fat,sexual impotence,SEXUAL IMPOTENCE,impotency,IMPOTENCY,impotens,impotent,erectile dysfunction,ERECTILE DYSFUNCTION,frigidity,FRIGIDITY,impotenza sessuale,IMPOTENZA SESSUALE,disfunzione erettile,DISFUNZIONE ERETTILE,disfunzioni erettili,DISFUNZIONI ERETTILI,frigidità,FRIGIDITÀ,impuissance sexuelle,IMPUISSANCE,impuissance sexuelle,dysfonctions érectiles,DYSFONCTION ERECTILES,Ohnmacht, Impotenz, erektile Dysfunktion, Dysfunktion ÉRETIL, Frigidität, FRIGIDITÄT, Impotenz
Ein wichtiger kultureller Faktor, der dazu beiträgt, sexuelle Schwierigkeiten, betrifft gemeinsame Überzeugungen von Menschen in Bezug auf die sexuelle Leistung, was in der Praxis für die meisten von uns unmöglich ist. Erhalten Sie auf diese Weise, während Kultur ein Modell der ungesund und unangemessene Sexualität, basierend auf der Leistung. Dies ist wichtig, da einige Personen sich sehr hohe Standards der Leistung für "handeln" sexuelle erstellen können, das trägt zur Entwicklung der Angst während des gleichen und betrifft normale sexuelle Reaktionen (Masters und Johnson, 1970 Apud Carey, 2005).
Ein weiterer wichtiger Faktor betrifft das Thema Qualifizierungsdefizit, d. h. einige Leute können haben begrenzte sexuelle Repertoire, nicht zu wissen, wie Freude, sich selbst und/oder Partner (a) bereitstellen müssen.
Die Fähigkeit zur sexuellen Aktivität voll Teilnahme verringert, wenn das Thema andere psychische Probleme hat, die Geschlechtsverkehr, wie Depression und Angst stören. Darüber hinaus sind das Paar Beziehung-bezogene Faktoren wichtig für die Zufriedenheit und das sexuelle funktionieren.
Da Biopsychosocial Modell als eine Leitlinie, die Intervention der männlichen Geschlechts-Erkrankungen,
dysfunction érectile,DYSFONCTION ÉRECTILE,frigidité,FRIGIDITÉ,insuffisance érectile,impotência,IMPOTÊNCIA,disfunção erétil,DISFUNÇÃO ÉRETIL,frigidez,FRIGIDEZ,impotencia,disfunción eréctil,disfunções eréteis,sex,sesso,sexe,sexo,aphrodisiac,herbal aphrodisiacs,aphrodisiaque,afrodisiacos,afrodisiaci,weight loss,diet,body fat,sexual impotence,SEXUAL IMPOTENCE,impotency,IMPOTENCY,impotens,impotent,erectile dysfunction,ERECTILE DYSFUNCTION,frigidity,FRIGIDITY,impotenza sessuale,IMPOTENZA SESSUALE,disfunzione erettile,DISFUNZIONE ERETTILE,disfunzioni erettili,DISFUNZIONI ERETTILI,frigidità,FRIGIDITÀ,impuissance sexuelle,IMPUISSANCE,impuissance sexuelle,dysfonctions érectiles,DYSFONCTION ERECTILES,Ohnmacht, Impotenz, erektile Dysfunktion, Dysfunktion ÉRETIL, Frigidität, FRIGIDITÄT, Impotenz
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SEXUAL IMPOTENCE,IMPUISSANCE SEXUELLE ,IMPOTENZA SESSUALE ,
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IMPOTENCIA SEXUAL REMEDIOS
IMPOTENCIA SEXUAL MASCULINA REMEDIOS
REMEDIOS IMPOTENCIA SEXUAL MASCULINA
REMEDIOS IMPOTENCIA  MASCULINA
REMEDIOS IMPOTENCIA  MASCULINA  VCT6
IMPOTENCIA  MASCULINA  REMEDIOS | FRIGIDEZ FEMININA  REMEDIOS | GFTRY
IMPOTENCIA  MASCULINA  REMEDIOS | FRIGIDEZ FEMININA  REMEDIOS | GHTR6
IMPOTENCIA  MASCULINA  REMEDIOS | FRIGIDEZ FEMININA  REMEDIOS | 65GUG
IMPOTENCIA  MASCULINA  REMEDIOS | FRIGIDEZ FEMININA  REMEDIOS | WEW43
IMPOTENCIA  MASCULINA  REMEDIOS | FRIGIDEZ FEMININA  REMEDIOS | QASZX43
IMPOTENCIA  MASCULINA  REMEDIOS | FRIGIDEZ FEMININA  REMEDIOS | 567YHUT
IMPOTENCIA  MASCULINA  REMEDIOS | FRIGIDEZ FEMININA  REMEDIOS | J8RTHJ67
IMPOTENCIA  MASCULINA  REMEDIOS | FRIGIDEZ FEMININA  REMEDIOS | ERT57HTRHT
IMPOTENCIA  MASCULINA  REMEDIOS | FRIGIDEZ FEMININA  REMEDIOS | DHUU7YU
IMPOTENCIA  MASCULINA  REMEDIOS | FRIGIDEZ FEMININA  REMEDIOS | ERY65UUY
IMPOTENCIA  MASCULINA  REMEDIOS | FRIGIDEZ FEMININA  REMEDIOS | YU674YHRTYT
IMPOTENCIA  MASCULINA  REMEDIOS | FRIGIDEZ FEMININA  REMEDIOS | DFHGGJTY
IMPOTENCIA  MASCULINA  REMEDIOS | FRIGIDEZ FEMININA  REMEDIOS | FGHTYURT
IMPOTENCIA  MASCULINA  REMEDIOS | FRIGIDEZ FEMININA  REMEDIOS | SDFGTY HRTUYRU
IMPOTENCIA  MASCULINA  REMEDIOS | FRIGIDEZ FEMININA  REMEDIOS | 3576GEGU
IMPOTENCIA  MASCULINA  REMEDIOS | FRIGIDEZ FEMININA  REMEDIOS | RUY5TRRFG
IMPOTENCIA  MASCULINA  REMEDIOS | FRIGIDEZ FEMININA  REMEDIOS | W45T4Y6G
IMPOTENCIA  MASCULINA  REMEDIOS | FRIGIDEZ FEMININA  REMEDIOS | WSAD5 6356GH
IMPOTENCIA  MASCULINA  REMEDIOS | FRIGIDEZ FEMININA  REMEDIOS | HGJ KK89J6D
IMPOTENCIA  MASCULINA  REMEDIOS | FRIGIDEZ FEMININA  REMEDIOS | 467TRERTY
IMPOTENCIA  MASCULINA  REMEDIOS | FRIGIDEZ FEMININA  REMEDIOS | 456DFHG TURHE
IMPOTENCIA  MASCULINA  REMEDIOS | FRIGIDEZ FEMININA  REMEDIOS | 9765H GHTDFBRT
IMPOTENCIA  MASCULINA  REMEDIOS | FRIGIDEZ FEMININA  REMEDIOS | JGF487
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