With advancing age, there is an increase in the complaints of a lack of a libido in women and erectile dysfunction in men. The efficacy of phosphodiesterase type 5 inhibitors, together with their minimal side effects and ease of administration, revolutionized the treatment of erectile dysfunction. For women, testosterone administration is the principal treatment for hypoactive sexual desire disorder. We sought to evaluate the use of androgens in the treatment of a lack of libido in women, comparing two periods, i.e., before and after the advent of the phosphodiesterase type 5 inhibitors. We also analyzed the risks and benefits of androgen administration. We searched the Latin-American and Caribbean Health Sciences Literature, Cochrane Library, Excerpta Medica, Scientific Electronic Library Online, and Medline (PubMed) databases using the search terms disfunção sexual feminina/female sexual dysfunction, desejo sexual hipoativo/female hypoactive sexual desire disorder, testosterona/testosterone, terapia androgênica em mulheres/androgen therapy in women, and sexualidade/sexuality as well as combinations thereof. We selected articles written in English, Portuguese, or Spanish. After the advent of phosphodiesterase type 5 inhibitors, there was a significant increase in the number of studies aimed at evaluating the use of testosterone in women with hypoactive sexual desire disorder. However, the risks and benefits of testosterone administration have yet to be clarified.

O presente artigo discute o problema da autonomia da arte e suas implicações hermenêuticas e ontológicas, tomando por base as concepções de Herbert Marcuse e de Luigi Pareyson.

This article discusses the problem of artistic autonomy and its hermeneutic and ontological implications from the point of view of Herbert Marcuse's and Luigi Pareyson's theory.

OBJETIVO: Estudar a relação entre o consumo de substâncias psicoativas e o comportamento sexual de estudantes de uma escola pública de segundo grau na cidade de São Paulo. MATERIAL E MÉTODOS: Foram colhidos 689 questionários, que foram respondidos por alunos com idades entre 13 e 21 anos. Os questionários continham questões sobre o consumo de substâncias psicoativas e comportamento sexual. Assim, comparou-se as diferenças de comportamento sexual entre os usuários e os não usuários de drogas. RESULTADOS: Os usuários de drogas ilícitas (n=366) referiram: maior história de relação sexual completa: 80,8% dos usuários contra 57,6% dos não usuários (n=305), (p< 0,001); início mais precoce da atividade sexual (média de 15,2 anos entre os usuários contra 15,7 anos dos não usuários, p<0,05); mais pagamento por sexo (31,1% entre os usuários contra 15% dos não usuários, p<0,001); e tendência a menor uso de preservativos (56,8% entre os usuários contra 65,3% dos não usuários, p<0,10). Estes resultados também se repetiram quando foi estudado cada tipo de droga separadamente e a associação de diferentes tipos de drogas. CONCLUSÕES: A freqüência de uso de drogas não alterou o comportamento sexual. As substâncias que apresentaram associação com mais comportamento sexual de risco foram o álcool e a maconha. O uso de crack esteve associado com início precoce de vida sexual.

OBJECTIVE: Investigate the relationship between drug consumption and sexual behavior in a population of high school students attending a public school in the city of São Paulo. METHOD: Questionnaires (a total of 689) were gathered from students with ages between 14 and 21 years old who responded to this study. The questionnaires contained questions about the consumption of psychoative substances and sexual behavior. Then, sexual behavior was compared for differences between drug users and non-users. RESULTS: Illicit drug users (n=366) demonstrated a higher prevalence of complete sexual intercourse: 80,8% of users versus 57,6% of non-users (n=305), p<0,0001); earlier initiation of sexual activity (on average 15,2 years in users versus 15,7 in non-users, p<0,005); more payments for sexual acts (31,1% of users versus 15% of non-users, p<0,001); and a trend toward lesser usage of condoms (56,8% of users versus 65,3% of non-users, p<0,10). The results also were similar when we studied each type of drug separately and the associaton of different types of drugs. CONCLUSIONS: Frequency of drug use was not related to sexual behavior. Alcohol and cannabis were the drugs most associated with sexual risk behavior. Crack use was associated with earlier initiation of sexual activity.