S132 Topic 9: Sexual Dysfunctions T09-O-48 Women with sexual problems and with sexual dysfunctions: how distant are they? S. Vilarinho 1 , P. Nobre 2 . 1 Universidade de Coimbra, Coimbra, Portugal; 2 Universidade de Trás-Os-Montes e Alto Douro, Trás-Os-Montes, Portugal Our aim was to investigate if and how women diagnosed with a sexual dysfunction (SD) differ from women without a diag- nosis but with sexual problems. Following the most recent recommendations on women's SDs, from the 2nd International Consultation on Sexual Med- icine, we focused particularly on descriptors relating to contextual factors and degree of distress associated. We also investigated the role of relational and psychological factors. Participants were 40 women with SD and 40 women from the community sample (matching ages with the clinical group) scoring lower than the cut-off score in FSFI but with- out a diagnosis of SD neither searching for clinical help. Questionnaires assessed sexual functioning, satisfaction and activity; self-report of sexual problems and associated distress; psychopathology and medical conditions; relation- ship satisfaction, sexual beliefs, sexual self-esteem, affect and general well-being. We found that women with SD scored significantly lower on sexual satisfaction, desire, arousal and orgasm but not on lubrication or pain. Associated with the self-reported sexual problem, they presented a higher level of personal distress, life's interference and distress perceived in partner. How- ever, no differences were found between the two groups for relationship status. Women with SD referred more health problems and use of medication. Psychopathology didn't discriminate the groups. Women with sexual problems (but without a clinical diag- nosis) scored significantly higher on sexual self-esteem, satisfaction, pleasure and positive emotions during sexual activity. Findings will be discussed addressing recent classification proposals for SD and diagnostic criteria such as degree of dis- tress and interpersonal difficulty. T09-P-01 After the treatment of women with vaginismus: dealing with erectile dysfunction in their partners N. Andrade . State University of Campinas – Unicamp, Campinas, Brazil Fifty-two women with vaginismus receiving care at the Sex- ology Outpatient Clinic at UNICAMP were submitted to sex therapy using systematic in vivo desensitization techniques. When they were considered ready for coitus, they were instructed to return to the clinic after three attempts at penile penetration. Twenty-two patients (42%) succeeded in completing full coitus by the third attempt. The remaining 30 patients did not succeed in having coitus by the third attempt because of a state of situational erectile dysfunction in their partner, prob- ably as a result of anxiety, inexperience and/or lack of confidence. In these 30 cases, 15 couples were treated only with sex therapy (once a week), and the other 15 were treated with oral administration of 20 mg of tadalafil to the partner. Results showed that 12/15 cases treated with tadalafil succeeded in having full coitus at the first attempt and 3 at the second attempt. On the other hand, among the couples who received only sex therapy, 6 succeeded in having com- plete coitus by the 9th therapeutic session, while 9 needed as many as 12 sessions to achieve success. Conclusion: The use of tadalafil in situational erectile dysfunction in the partners of women receiving treatment for vaginismus shortens the time of follow-up by 2 to 3 months, avoiding greater emotional stress for a couple already highly compromised with anxiety. The shortening of treatment time is an important factor in public service, since it leads to improved attendance in the unit. T09-P-02 Sexual dysfunction in epileptic male outpatients: preliminary data R. Calabrò 1 , F. Quattrini 2 , R. Tallarico 1 , D. Imbesi 1 , E. Ferlazzo 1 , R. Musolino 1 , A. Magaudda 1 . 1 Centro Interdipartimentale per la Diagnosi e Cura dell'epilessia, Policlinico Universitario Messina, Messina Italy; 2 Istituto Italiano di Sessuologia Scientifica, Roma, Italy Objective: To evaluate the prevalence and the etiology of the sexual dysfunctions in a group of epileptic outpatients, with particular regard to the role that psychological factors could carry out. Methods: Male patients, between 18 and 55 years, followed at the Center for Cure and Diagnosis of Epilepsy of the Uni- versity General Hospital of Messina were enrolled in the study. All the patients were investigated to point out the social, economical, occupational and work-related conditions. Patients underwent Neurological and General examination, EEG, CT and/or MRI, hormonal dosage and Hamilton Depres- sion Scale and Hamilton Anxiety Scale administration. A “semi-structured” questionnaire and the short form of the SESAMO was performed to evaluate the sexual activity Patients affected by symptomatic epilepsy due to pro- gressive neurological disease, severe psychiatric conditions, mental retardation, complicated diabetes mellitus, endo- crinological diseases were excluded from the study. The prevalence of sexual dysfunctions will be compared to the one of a control group of healthy volunteers, matched for sex and age and coming from the same geographical area of the studied group. Results: Of the 15 patients (mean age 32 years) to date enrolled in our study, 3 were affected by retard ejaculation, 2 by premature ejaculation and 2 by erectile dysfunction. 6 patients were affected by mild depression Moreover patients with uncontrolled seizures presented alteration in their affective and sexual area.