[Sexual problems and experiences with sexual and physical violence in gynecological patients].

OBJECTIVE

To determine the frequency of sexual difficulties and of sexual and physical abuse.

DESIGN

Descriptive survey study.

SETTING

Outpatient gynaecology clinic of the University Hospital of Leiden, the Netherlands.

PATIENTS AND METHOD: During 3 months, December 1994-February 1995, all consecutive new female patients were questioned by the gynaecologist by means of a short standardised questionnaire. Oncology patients and non-Dutch-speaking patients were excluded. Data were analysed with descriptive statistical procedures; relationships among variables were tested with the chi 2 test with Yates' correction or Fisher's exact test.

RESULTS

Of 325 patients 34.2% reported sexual difficulties, 15.4% reported sexual abuse and 7.4% physical molestation. Age of the patient and presence or absence of the partner during the consultation were not associated with differences in the patients' reports. 18.8% of the patients with these complaints answered affirmatively when asked if they needed specialised help.

CONCLUSION

Sexual difficulties and sexual and physical abuse were common among gynaecology patients. Less than one-fifth of them required specialised help.