Identifying Female Sexual Dysfunction in Primary Care

POSTER

Identifying Female Sexual Dysfunction in Primary Care Quinta Johnson, BSN, RN; Melissa Boll, MSN, CNM; Pamela Phares, PhD, APRN, CNM Key Take . Away Incorporation of the FSFI-6 screening tool into routine primary care visits is an efficient and effective way to increase identification of FSD, validate concerns related to sexual function, and increase awareness of both patients and providers regarding the importance of sexual function in women’s health care. Background Results • Female sexual dysfunction (FSD) is an umbrella term used to encompass various deficits within female sexual health. • FSD affects approximately 41% of reproductiveaged women. • Occurrence of FSD increases with age, well into the menopausal and post-menopausal years. • FSD is associated with increased healthcare costs, comorbidities, psychologic distress, and interpersonal distress. • • • • • • • • • Methods • Administration of pre- and post- provider survey, evaluating comfort, confidence, and knowledge addressing concerns related to female sexual function. • Implementation of routine FSFI-6 screening process into annual/well-women exams via template insertion in EMR document, MA training, and provider briefing. • Development of provider toolkit containing resources for provider education, patient education, and referral. • Intermittent chart audits conducted to evaluate use of screening tool, toolkit, and referrals. 169 Conclusions 158 • 119 92 68 CLINIC 1 63 CLINIC 2 Annuals exams completed Patients offered screening = 223 (50% of annual exams) Patients screened with FSFI-6 = 38 (17%) Patients with positive screen = 18 (46%) Poor response to pre- and post-survey did not allow measurement of change in users knowledge, confidence and comfort screening for FSD 7 providers returned post surveys and indicated that the FSFI-6 was helpful in practice. Toolkit use varied amongst providers - those using it found resources to be helpful. Referral to specialist rarely occurred (n=3). Most reported barrier was time. FSFI-6 administration appeared to be more reliant on provider interest then MA/clinic support. • • FSFI-6 incorporation into primary care proved to be successful for identifying women with FSD. Additional provider training is necessary to improve levels of provider comfort, confidence and knowledge when addressing concerns related FSD Sustainability requires toolkit adaptation to increase use and improved relationships between primary care providers and specialists to improve referral process. CLINIC 3 Tool used in annual exams @uofunursing @utnurseresearch