Frequency Of Sexual Relations Research Articles

(O-29) QUALITY OF LIFE AND SELF-ESTEEM IN SPANISH MEN WITH ERECTILE DYSFUNCTION

Abstract Introduction Sexuality is an important aspect for men, so suffering from pathologies such as erectile dysfunction (ED) can affect different areas of their lives beyond sexual health. Aim To evaluate the degree of affectation and the factors associated with the self-esteem and quality of life of men with ED. Methods and patients Men over 18 years old with ED treated in different cities in Spain participated. The general quality of life (World Health Organization Quality of Life-BREF, WHOQOL-BREF), quality of sexual life (Sexual Life Quality Questionnaire-SLQQ), and the degree of self-esteem (Self-Esteem and Relationship-SEAR) were evaluated, and identified factors associated with these constructs. How ED affects areas and quality of life was qualitatively explored with semi-structured interviews. Results 356 men participated in the quantitative phase and 21 in the qualitative phase. The average age was 58.2 years old (SD 12.2), 13.2% lived in Madrid, 55.6% worked, 59% lived with their partner, 98% were heterosexual, and 72.2% presented comorbidities related to ED. The mean IIEF was 11.4 (SD 6.6) and the mean time with ED was 5.9 years. In 17.4% the general quality of life was very bad or regular and in 55.3% quite good or very good, with no association found between this value and the quality of the erection or the degree of ED. The average score for the SLQQ questionnaire was 48.7 (SD 1.4) and for the SEAR questionnaire was 36.4 (SD 17.76), with an average score of 37.9 (SD 18.5) on the self-esteem subscale. Time with ED and frequency of sexual relations was associated with low self-esteem and confidence, and the severity of ED was associated with a low score in the social relationships domain (p<0.05). In the qualitative evaluation, few patients considered that ED affects other areas of their lives in addition to their sexual health. Conclusions ED can negatively affect the quality of sexual life and self-esteem in Spanish men, but other areas of their lives are not affected. Financing Boston Medical Group.

Влияние гормонального статуса на сексуальную активность женщин репродуктивного возраста с бесплодием

Androgens play a key role in the physiology of the female body and the reproductive system. Androgen receptor expression in the various tissues points to the importance of androgens in the regulation of the female sexual and social functioning. The study aimed to evaluate sexual functioning in women with infertility and diminished ovarian reserve (DOR) using the Female Sexual Functioning Index questionnaire (FSFI). A cross-sectional study of 496 patients with infertility and DOR assessed the degree of sexual dysfunction in conjunction with the changes in the androgenic profiles as indicated by the androstenedione levels in the blood serum. Women with infertility and DOR were significantly more likely to report changes in sexual functioning, including a decrease in libido and in the quality and frequency of sexual relations. Furthermore, patients with normal androstenedione levels generally significantly outscored patients with decreased androstenedione levels (average questionnaire scores 21.2 ± 7.2 and 15.17 ± 3.0 respectively), indicating a lesser degree of sexual dysfunction in the former group; on the other hand, the latter group reported increased pain and decreased attraction, arousal, lubrication, orgasm, and satisfaction. Hormonal profile changes in patients with DOR, including decreased androstenedione levels, significantly impact sexual functioning, and their detection in clinical practice will allow to objectify complaints at an earlier state in order to assess the severity of sexual dysfunction and determine further personalized management tactics.

Frekuensi Hubungan Seksual dan KB Pil Kombinasi terhadap Terjadinya Erosi Portio pada Wanita Pasangan Usia Subur

Portio erosion is a wound or inflammation of the cervix (portio). Inflammation can be caused by hormonal changes, during pregnancy, contraceptive pill use, installation and removal of IUDs, and lack of personal hygien. This erosion can bleed easily and cause bleeding or metrorrhagia. This study aims to determine the relationship between the frequency of sexual relations and the use of the combined oral contraceptive pill to erosion of portion in reproductive women. This research is an analytic study with a cross sectional design with accidental sampling. Data collection was carried out using interviews and direct observation. Data analysis by a cross tabulation with Spearman Rank test through SPSS software. The results obtained are severe portio erosion covering more than 2/3 of the total cervical area of ​​8 women (53%) based on the frequency of sexual intercourse, and mild portio erosion covers less than 1/3 of the total cervical area of ​​10 women (67%) based on the combined oral contraceptive pill. The study concludes that the frequency of sexual intercourse affected the incidence of portio erosion. The use of the combined oral contraceptive pill has affected the incidence of portio erosion in the POSKESDES Binor Paiton Probolinggo. The results of this study are input for women of childbearing age who are sexually active and use combined pill contraceptives to be more aware of the health of their reproductive organs by routinely performing an IVA or Pap smear at least once a year.

The effect of vulvar lichen sclerosus on sexual dysfunction

Lichen sclerosus (LS) is a chronic inflammatory dermathosis that affects the vulva. Many women with LS complain about pain in the vulva, which usually often affects a patient’s life quality. This study describes the results of comparing the sexual function of patients with vulva lichen sclerosis (VLS) with reports of pain and without, to a control group of healthy people.The objective: a determination of the spread of sexual dysfunction in women with VLS.Materials and methods. On the basis of the gynecological office for routine screening / preventive care of the outpatient department in the National Cancer Institute and the clinic “Verum”, a case-control study was carried out to determine the relationship between VLS and sexual dysfunction. A total of 235 women were included in the study. 140 women with a confirmed by biopsy the diagnosis VLS were compared with a control group. We studied the current health complaints, medical and surgical history, current symptoms such as pain and itching, the type and frequency of sexual intercourse and level of satisfaction with sexual activity. The assessment of the severity of pain was carried out according to the McGill scale, the type and frequency of sexual relations and the level of satisfaction with sexual activity - according to the results of questionnaires.Results. Women with VLS reported less sexual activity than women of the control group (p=0.007). In the study, sexually active women with VLS were significantly less likely to report vaginal intercourse (71.6%) than «healthy» controls (89.0%, p=0.003), although similar proportions of all groups indicated that vaginal contact was important for them. Satisfaction with the quality of sexual activity was significantly lower among the women with VLS compared with the control group of «healthy» patients. 25% of women with VLS reported that sexual activity was rarely or never satisfying, compared with 2,11% of the control group of healthy women (p<0.0001).Conclusion. Women with vulva lichen sclerosis have less frequent and less satisfying sexual activity compared to the control group.

Comportamiento sexual y aislamiento social a causa del COVID-19

Como una de las tantas implicaciones de la crisis sanitaria producto del COVID-19, la que se presenta como daño colateral es el aislamiento social el cual provoca que la mayoría de los comportamientos habituales y cotidianos se vean alterados; dentro de estos el comportamiento sexual, tal vez invisibilizado por la aparente trascendencia de otras necesidades humanas; así se pueden distinguir ciertos comportamientos sexuales que en algunos casos se han reforzado como: el consumo de pornografía, el sexting y la masturbación y en otros casos se han visto mermados como la frecuencia de las relaciones sexuales en las parejas que mantienen un contacto prolongado. Así mismo se ha evidenciado el incremento de la violencia sexual en algunos hogares donde ya estaba presente antes de la pandemia.

Approach to sexuality and sexual dysfunction by reproductive doctors in France

Summary Numerous studies have examined the negative impact of medically assisted reproduction (MAR) on patients’ sex lives. It appears necessary to question patients and sometimes to counsel them about management for their sexual and reproductive health. In this study prospective, quantitative, multicenter trial conducted from December 2018 through February 2019, we contacted the offices of all clinical MAR centers registered with the Agence de la Biomedecine (Biomedical Agency) to obtain a list of email addresses of the doctors working there and sent them questionnaires. We received 171 responses. The respondents were very predominantly women (89%), and their median age was 34 years (range: 28–64). Overall, 56% always discussed sexual function during their first consultation, 30% often, and 14% sometimes. We compared two groups: the “regular discussion” (RD) group, which included the doctors (n = 147) who responded “always” and “often”. The “occasional discussion” (OD) group included those (n = 24) who responded “sometimes”. The RD group discussed scheduling sexual relations less often than the OD group (P = 0.029). The RD and OD groups differed significantly in their rates of questions about the frequency of sexual relations (P = 0.04) and about problems of penetration (P = 0.025) and desire (P = 0.041); the RD group asked more often about all of these topics. In the RD group, 37% of the respondents had a sex therapist working at their center, and in the OD group, 21%, while respectively 9% and 17% did not know to whom or where to refer these patients, and 93% and 75% thought a sex therapist with expertise in MAR would be useful at their center. This study shows deficiencies in the management of sexual dysfunctions in MAR patients. Some actions that might improve the situation include: the creation of a directory of sex therapists, the creation of job lines at MAR centers for sex therapists specialized in this field, and the development of patient brochures and questionnaires.

Factors Associated with Sexual Debut in Mexican Adolescents: Results of the National Survey on Drug Use among Students in 2014

IntroductionAlthough first sexual experience (understood as first sexual intercourse) is one of the most commonly assessed characteristics of adolescents, recent research emphasizes the importance of understanding other related social factors. This study highlights factors associated with first sexual experience in a nationally representative sample of adolescent students in Mexico. AimsThe goals of this study were (i) to determine the proportion of adolescents aged 12–17 who had had their first sexual experience; (ii) to identify the factors associated with first sexual experience; and (iii) to analyze the conditions (condom use, substance use) in which first sexual experience takes place. MethodThe data presented in this study are drawn from the 2014 National Survey on Drug Use in Students (Spanish acronym ENCODE), undertaken with the purpose of identifying the prevalence of drug use and associated variables, including sexual activity, in Mexican students. Kaplan-Meier analysis was used to estimate the probability of first sexual experience at a given age, taking sex as an outcome variable and age as a follow-up period. Logistic regression was used to assess possible factors for sexual initiation. Main Outcome MeasuresValidated standard questionnaires were used to assess sociodemographic characteristics, first sexual experience (framed as first sexual intercourse), frequency of sexual relations, sexual partners, sexual preference (framed as preferred sex of partners), substance use, having a physical illness or a behavioral problem, condom or other contraceptive use, as well as the absence or presence of parents, parents’ educational attainment, and parents’ substance use. ResultsA total of 26,187 students aged 12–17 participated. Of this total, 14.8% had already had their first sexual experience, at a median age of 15; 64.5% used some type of contraceptive, and 53.2% used condoms. Proportional probabilities for having first sexual experience using age as a follow-up period showed that the probability of having sex earlier was higher among boys than girls: the probability of having sex at age of 15 was 26.5% for boys and 13.9% for girls. Predictors of first sexual experience included substance use (alcohol OR = 2.5, tobacco OR = 2.6, and other drugs OR = 2.3), having a mother who used drugs (OR= 2.2), sexual preference (female homosexual, OR = 2.2), and sex (male, OR = 2.1). ConclusionsBoys are more likely to have had a first sexual experience than girls. Future strategies should incorporate specifically targeted elements with different messages that consider adolescents’ sex and age.Barragán V, Berenzon S, Tiburcio M, et al. Factors Associated with Sexual Debut in Mexican Adolescents: Results of the National Survey on Drug Use among Students in 2014. J Sex Med 2019;16:418–426.

Psychological and Social Determinants of HIV: Path Analysis Evidence from Jepara, Central Java

Background: HIV/AIDS was a global problem as a challenge in health discipline and a very important burden of disease to be addressed. Moreover, it had high mortality. This study aimed to analyze the risk factors for HIV/AIDS infection. Subjects and Method: This was a case control study conducted in Jepara, Central Java, from April to May 2019. A sample of 200 study subjects was selected by fixed disease sampling. The dependent variable was HIV/AIDS. The independent variables were age, gender, unsafe sex behavior, sexual orientation, frequency of intercourse, injection drug abuse, social capital, perceived susceptibility, perceived seriousness, perceived threat, self-efficacy, and geographical location. The data were obtained from medical record and questionnaire. The data were analyzed by path analysis . Results: HIV / AIDS had a direct relationship with the frequency of sexual intercourse (b= 1.23; 95% CI= 0.27 to 2.19; p= 0.012), injecting drug use (b = 2.19; 95% CI= 0.01 to 4.37; p= 0.049), behavior unsafe sex (b= 3.10; 95% CI= 2.21 to 3.99; p <0.001), and sexual orientation (b= 3.69; 95% CI= 1.35 to 6.04; p= 0.002). HIV / AIDS had an indirect relationship with perceptions of threats, gender, geographical location, social capital, perceptions of vulnerability, perception of seriousness, self-efficacy, and age. Conclusions: HIV / AIDS has a direct relationship with the frequency of sexual relations, sexual orientation, unsafe sexual behavior, and injecting drug use. HIV / AIDS has an indirect relationship with age, gender, perception of vulnerability, perception of seriousness, perception of threats, self-efficacy, social capital, and geographical location. Keywords : HIV / AIDS, sexual behavior, social capital, path analysis Correspondence : Ita Fijanah Puspita, Masters Program in Public Health, Universitas Sebelas Maret. Jl. Ir. Sutami 36A, Surakarta 57126, Central Java. Email: itapuspita713@gmail.com. Mobile: 081347970482. Journal of Health Promotion and Behavior (2019), 4(1): 43-54 https://doi.org/10.26911/thejhpb.2019.04.01.05

Sexual behaviour and risk of sexually transmitted infections in young female healthcare students in Spain.

Background. Several authors have examined the risk for sexually transmitted infections (STI), but no study has yet analyzed it solely in relation with sexual behaviour in women. We analyzed the association of sexual behaviour with STI risk in female university students of healthcare sciences.Methods. We designed a cross-sectional study assessing over three months vaginal intercourse with a man. The study involved 175 female university students, without a stable partner, studying healthcare sciences in Spain. Main outcome variable: STI risk (not always using male condoms). Secondary variables: sexual behaviour, method of orgasm, desire to increase the frequency of sexual relations, desire to have more variety in sexual relations, frequency of sexual intercourse with the partner, and age. The information was collected with an original questionnaire. A logistic regression model was used to estimate the adjusted odds ratios (ORs) in order to analyze the association between the STI risk and the study variables.Results. Of the 175 women, 52 were positive for STI risk (29.7%, 95% CI [22.9–36.5%]). Factors significantly associated with STI risk (p < 0.05) included: orgasm (not having orgasms →OR = 7.01, 95% CI [1.49–33.00]; several methods →OR = 0.77, 95% CI [0.31–1.90]; one single method →OR = 1; p = 0.008) and desiring an increased frequency of sexual activities (OR = 0.27, 95% CI [0.13–0.59], p < 0.001).Conclusions. Women’s desire for sexual activities and their sexual function were significant predictors of their risk for STI. Information about sexual function is an intrinsic aspect of sexual behaviour and should be taken into consideration when seeking approaches to reduce risks for STI.

40대 기혼남녀의 성생활의 질(SQOL)에 미치는 요인

본 연구는 40대 기혼남녀의 성생활의 질(SQOL)을 8개의 인구학적 변인, 8개의 성과 관련된 변인, 6개의 부부 관계적 변인으로 구분하여 그 관계를 조사함으로서 중년 기혼남녀들의 성 건강증진을 위한 중재 프로그램의 기초자료를 구축하고자 시도되었다. 2015년 1월 19일부터 2015년 3월 5일에 걸쳐 서울의 강남 2곳과 강북 2곳의 건강검진센터 방문 대상자로부터 자료를 수집하였으며, 40세~49세까지의 기혼 남녀 187명의 설문지를 분석하였다. 본 연구결과 인구학적 변인 중에는 학력(p<.05), 건강상태(p<.001), 결혼기간(p<.01), 월평균 수입(p<.01) 변인이 성생활의 질에 유의미한 변인이었으며, 성 관련 변인 중에서는 성지식 정도(p<.01), 포르노 접촉(p<.001), 분만시 남편의 참여 여부(p<.001) 등의 변인이 성생활의 질에 유의미한 것으로 나타났다. 부부 관계적 변인 즉 배우자와의 갈등 유무(p<.05), 성생활의 빈도(p<.001), 배우자와의 애정강도(p<.001), 가족전체와의 화목도(p<.001), 부부간의 일반적 의사소통(p<.001) 및 성적 의사소통 정도(p<.001)에서는 6개의 변인 모두 성생활의 질에 유의미함을 보여 주어 결론적으로 성생활의 질을 높이는데 미치는 요인으로는 인구학적 또는 성관련 변인보다 부부 관계적 변인이 더 중요함을 보여 주었다. The purpose of this study was to examine the relationship of 22 selected variables for the sexual quality of life(SQOL) of married men and women in their 40s in an effort to lay the foundation for the development of intervention programs geared toward promoting the sexual health of married middle-aged men and women. The selected variables were eight demographic ones, eight sex-related ones and sex marital relationship ones. The subjects in this study were the visitors of four different health examination centers in Seoul. Two of the health examination centers were located in the region of Gangnam, and the others were located in the area of Gangbuk. After a survey was conducted from January 19 to March 5, 2015, the answer sheets from 187 respondents who were aged between 40 and 49 were analyzed. As a result, academic credential(p<.05), health status(p<.001), duration of marriage(p<.01) and monthly mean income(p<.01) were identified significant demographic variables to affect the sexual quality of life. Among the sex-related variables, the level of sex knowledge(p<.01) and exposure to pornography exercised(p<.001) and the husband's participation in delivery(p<.001) had a significant influence the sexual quality of life. All the variables of marital relationship that were marital dilemma(p<.05), the frequency of sexual relations(p<.001), love toward the spouse(p<.001), overall family harmony(p<.001), nonsexual communication(p<.001) and sexual communication(p<.001) had a significant impact on the improvement of the sexual quality of life. In conclusion, the variables of marital relationship were found to have been more important factors to affect the improvement of the sexual quality of life than the demographic and sex-related ones.

Altered Sexual and Reproductive Functions in Epileptic Men Taking Carbamazepine

Epileptic men may experience hormonal changes that may alter semen quality and sexual function. Alterations in male sexual and reproductive parameters may also be due to treatment with antiepileptic drugs to control seizures. To evaluate serum hormone concentrations, semen quality, the frequency of sexual intercourse (FSI), and erectile function in men with epileptic seizures controlled by carbamazepine (CBZ). The five-question form of the International Index of Erectile Function (IIEF-5), and semi-structured questionnaire. One hundred and eighteen men, aged 18-45 years, were included in this controlled, cross-sectional study: 63 men taking CBZ (epileptic group) were compared to 55 healthy men (control group). Blood sample was collected to determine hormones concentrations. Erectile function and the frequency of sexual relations were assessed by using questionnaires. Sperm morphology was analyzed by examining the quality of the head, intermediate part and tail of the spermatozoa. Using the IIEF-5, we observed a significant association between erectile dysfunction (ED) and groups (P < 0.01), where epileptic men had 17.33 (95% CI 3.59, 83.52) odds to have erectile dysfunction. Adjusted odds ratio to group considering luteinizing hormone, prolactin, Serum total testosterone, androstenedione, and dehydroepiandrosterone, androstenedione levels and free androgen index, we observed only group effect where epileptic men had 10.47 (95% CI 2.75, 39.83) odds to have FSI < 3 times a week. Sperm vitality was altered in 27% of the epileptic subjects compared with 5.4% of the control group (P < 0.002). Sperm motility differed significantly between groups, with A + B motility ≤50% observed in 98.4% of the epileptic group and in 85.4% of the control group (P < 0.01). Sperm morphology <14% was observed in 93.7% of the epileptic men, compared with 34.6% of the controls (P < 0.001). CBZ users, showed less sexual intercourse then controls (P ≤ 0.001). Epileptic men taking CBZ present with changes in hormonal levels, altered semen quality, ED, and a reduction in coital frequency.

Gay, Lesbian, and Heterosexual Adoptive Parents: Couple and Relationship Issues

This study explored some dynamics of couples’ relationships in 106 adoptive families headed by 29 gay, 27 lesbian, and 50 heterosexual couples with young children. Regardless of sexual orientation, most couples reported long-term relationships, secure attachments, and high relationship satisfaction. Parental sexual orientation was related to how often couples reported having sex. Lesbian couples reported having sex the least often, while gay couples reported having sex the most often. Sexual relationship satisfaction did not, however, differ as a function of parental sexual orientation. Overall relationship satisfaction was significantly correlated with sexual satisfaction, frequency of sexual relations, and greater attachment security. We discuss these results in context of earlier research on sexual orientation, parenting, and couple relationships.

Re: Erectile dysfunction in patients with chronic renal failure

To the Editor:Although it is a major factor affecting qual-ity of life in end stage renal disease (ESRD), sexualdysfunction receives very limited attention in fol-low up of dialysis patients (1). Successful dialysisimproves most symptoms of ESRD, yet many pa-tients continue to experience many forms of sexualdysfunction during the dialysis treatment (2). Sexu-ality was the fifth most important life stressor citedby 135 dialysis patients in a study of quality-of-lifeissues (3). More than half of patients suffering fromESRD and receiving dialysis treatment describesexual dysfunction, most commonly a loss of inter-est in sexual activity (1,4). Despite the importanceof these issues, only 25 % of patients discuss sexualfunction with their physicians (3). Moreover, it hasbeen noted that lack of knowledge about sexuality,conservative attitudes toward sexuality, and anxi-ety when discussing sexual concerns are widespreadamong health care providers (5).Sexual dysfunction addresses alterations re-lated to drive, arousal, penile erection/vaginal lu-brication, ability to reach orgasm and satisfactionwith orgasm (6); all are affected by ESRD. A ques-tionnaire given to dialysis patients revealed that 65% were dissatisfied with sex since starting dialysis,40% have stopped having sex, 27 % have no desirefor sex, and 23 % reported they could not achieveorgasm (2). There is no known single cause for thesechanges, but there are several physical and psycho-logical factors that are thought to contribute to them.Stress, depression and anxiety due to kidney diseaseand treatment may affect patients’ sexual desire andability to enjoy sex (4). Other factors that may in-fluence a patient’s interest in sex include medica-tions, diet, anemia, lack of sleep, inadequate dialy-sis, uremia and changes in hormone balance (1,3,7).Complaints of reduction in libido, impotenceand marked reduction in the frequency of sexual re-lations have been reported in more than 50% of maleESRD patients (7). Proposed factors that may causesexual dysfunction in male dialysis patients are ure-mia, decreased penile blood supply, hormonal dis-turbances, low hematocrit level, drugs such as beta-blockers, fatigue, psychological problems such asdepression and anxiety, and difficulties with part-ner (1,2,8).In comparison to males, sexual dysfunctionis more common in healthy females as well as fe-males on dialysis (1). A study comparing sexual func-tion before and after renal insufficiency found thatthe percentage of females who completely abstainedfrom sexual intercourse increased from 9 to 40%.Among the females on dialysis who continued tohave sexual activities, the anorgasmic percentage in-creased from 9 to 31% (8,9). In another study, 100%of the women on hemodialysis, 67% of those onperitoneal dialysis, and 31% of those with kidneytransplants reported a lack of desire for sexual ac-tivity and lack of sexual fantasy (10). Numerous hy-potheses have been put forward as to the origin of

Particularidades del desempeño sexual en pacientes con Cardiopatía Isquémica

Starting at the end of the sixties in the last century psychology began an interesting process in which it has compromised the study and attention of problematic health-illness issues. When we immerse ourselves in the analisis of the health problems of the Cuban population, it is imposible not to think about the cardiovascular problems and especially isquemica cardiopathy. The isquemica cardiopathies cause a great physical and emotional impact on the population. After an event of this nature, a great anxiety of fear and danger is generated because the event may repeat with terminal consequences. This fear can also be transposed to the area of sexuality so that the person looses, in manycases, the sexual life they had before the event. Considering this was the motive to complete the present work with the object to determine the sexual peculiarities of 80 patients diagnosed with the illness who were being given care in the Provincial Clinical Surgical University Hospital «Camilo Cienfuegos» of Sancti – Spiritus. Interviews and questionaires were used to diagnos the increase of sexual disfuncions in the patients, the reduction in the frequency of sexual relations and the increase in doubts and fears caused by the lack of proper counsuling. For all these reasons arises the need to propose a strategy of psychological intervention with the objective to give proper counseling to tose patients who have been diagnosed with Isquemica Cardiopathy so that they can find rehabilitation in their future sexual perfomance.

Problematic Issues in the Early Years of Marriage: Content for Premarital Education

This article presents findings about problematic issues from a national study of couples married five years or less. It argues that the top 10 issues identified as problematic suggest key content areas for premarital education and makes suggestions for both program development and existing program evaluation. The top three issues reported by this sample are balancing job and family, frequency of sexual relations, and financial issues. For each of the 10 issues, comparisons by gender, parental status, cohabitation status, and age are also reported.

Enquête régionale sur le retentissement psychique et sexuel à court terme de l’hystérectomie

Hysterectomy is one of the most common operations done throughout the world. Patients’ concerns about sexual functioning after hysterectomy is great. Objective – We wanted to evaluate, through a local investigation based on a questionnary, the psychosexual impact of this operation and to compare our data to those available in the literature. Patients and methods – 534 patients operated between of 01.01.1997 and 31.12.1997 for a benign uterine pathology (prolapse excluded) were included. Questions were about sexual and psychological functioning after hysterectomy. The main outcome measures were changes in the sexual life, sexual desire, orgasm, dyspareunia, frequency of sexual relations. Abdominal and vaginal surgical approaches were compared for some items when possible. Results – After the operation, 83.3 % of the patients felt better, 30.4 % of the patients mentioned changes in their sexual life, 32 % of low libido rates was noticed (and there was a significant difference between abdominal and vaginal surgical approaches), 27.6 % of the patients had less frequent orgasm and only 8.8 % experienced orgasm more frequently, 15 % suffer from dyspareunia, and 15 % were more engaged in sexual intercourse. Conclusion – Psychosexual impact of hysterectomy is limited and is not more frequent when vaginal surgery is performed, but pre- and post-operative prevention can be useful.

Agranulocytose liée à la prise de miansérine: une complication à redouter chez le sujet âgé

Epileptic men may experience hormonal changes that may alter semen quality and sexual function. Alterations in male sexual and reproductive parameters may also be due to treatment with antiepileptic drugs to control seizures.To evaluate serum hormone concentrations, semen quality, the frequency of sexual intercourse (FSI), and erectile function in men with epileptic seizures controlled by carbamazepine (CBZ).The five‐question form of the International Index of Erectile Function (IIEF‐5), and semi‐structured questionnaire.One hundred and eighteen men, aged 18–45 years, were included in this controlled, cross‐sectional study: 63 men taking CBZ (epileptic group) were compared to 55 healthy men (control group). Blood sample was collected to determine hormones concentrations. Erectile function and the frequency of sexual relations were assessed by using questionnaires. Sperm morphology was analyzed by examining the quality of the head, intermediate part and tail of the spermatozoa.Using the IIEF‐5, we observed a significant association between erectile dysfunction (ED) and groups (P < 0.01), where epileptic men had 17.33 (95% CI 3.59, 83.52) odds to have erectile dysfunction. Adjusted odds ratio to group considering luteinizing hormone, prolactin, Serum total testosterone, androstenedione, and dehydroepiandrosterone, androstenedione levels and free androgen index, we observed only group effect where epileptic men had 10.47 (95% CI 2.75, 39.83) odds to have FSI < 3 times a week. Sperm vitality was altered in 27% of the epileptic subjects compared with 5.4% of the control group (P < 0.002). Sperm motility differed significantly between groups, with A + B motility ≤50% observed in 98.4% of the epileptic group and in 85.4% of the control group (P < 0.01). Sperm morphology <14% was observed in 93.7% of the epileptic men, compared with 34.6% of the controls (P < 0.001). CBZ users, showed less sexual intercourse then controls (P ≤ 0.001).Epileptic men taking CBZ present with changes in hormonal levels, altered semen quality, ED, and a reduction in coital frequency. Reis RM, de Angelo AG, Sakamoto AC, Ferriani RA, and Lara LAS. Altered sexual and reproductive functions in epileptic men taking carbamazepine. J Sex Med **;**:**–**.

High school athletic participation, sexual behavior and adolescent pregnancy: a regional study

Purpose: To determine whether high school athletic participation among adolescents in Western New York was associated with reduced rates of sexual behavior and pregnancy involvement. Methods: A secondary analysis of data from the Family and Adolescent Study, a longitudinal study of a random sample of adolescents (ages 13–16 years) from 699 families living in households in Western New York. A general population sample was obtained with characteristics closely matching the census distributions in the area. Interview and survey methods provided data on athletic participation, frequency of sexual relations during the past year, and risk for pregnancy. Bivariate correlations were used to examine relationships among athletic participation, demographic and control variables, and measures of sexual behavior and pregnancy rates. Next, path analyses were done in order to test for hypothesized relationships between athletic participation, sexual behavior, and pregnancy involvement while controlling for age, race, income, family cohesion, and non-athletic forms of extracurricular activity. Variables that were significantly associated with sexual behavior and/or pregnancy involvement were presented for both sexes within the resulting multivariate models. Results: Lower income and higher rates of sexual activity were associated with higher rates of pregnancy involvement for both sexes. Family cohesion was associated with lower sexual activity rates for both sexes. For girls, athletic participation was directly related to reduced frequency of sexual behavior and, indirectly, to pregnancy risk. Male athletes did not exhibit lower rates of sexual behavior and involvement with pregnancy than male non-athletes. Boys who participated in the arts, however, did report lower rates of sexual behavior and, indirectly, less involvement with pregnancy. Conclusions: Female adolescents who participated in sports were less likely than their non-athletic peers to engage in sexual activity and/or report a pregnancy. Among male adolescents, athletic participation was unrelated to sexual behavior and pregnancy involvement. Teen pregnancy prevention efforts for girls should consider utilizing sport as a strategic tool.

Trends in Unwanted Childbearing in the Developing World

This study analyzes trends in unwanted fertility in 20 developing countries, based on data from the World Fertility Surveys and the Demographic and Health Surveys. Although wanted childbearing almost invariably declines as countries move through the fertility transition, the trend in unwanted fertility was found to have an inverted U shape. During the first half of the transition, unwanted fertility tends to rise, and it does not decline until near the end of the transition. This pattern is attributed to the combined effects of an increase in the duration of exposure to the risk of unwanted pregnancy and a rise in contraceptive use as desired family size declines. The substantial variation in unwanted fertility among countries at the same transition stage is caused by variation in the degree of implementation of preferences, the effectiveness of contraceptive use, the rate of induced abortion, and other proximate determinants, such as age at marriage, duration of breastfeeding, and frequency of sexual relations. The principal policy implication from this analysis is that vigorous efforts to reduce unwanted pregnancies through family planning programs and other measures are needed early in the fertility transition because, in their absence, unwanted fertility and abortion rates are likely to rise to high levels.

The frequency of coitus during breastfeeding.

New mothers and clinicians would benefit from an understanding of typical sexual behavior during breastfeeding. Unfortunately, little information is available about both the typical length of time to resumption of coitus and the frequency of sexual relations during breastfeeding. This paper describes the commencement and frequency of coitus among breastfeeding women in a variety of settings. The analysis draws on data from two separate research studies. The first was undertaken in three sites (Birmingham, United Kingdom; Montreal, Canada; Sydney, Australia), the purpose of which was to correlate natural observations of fertility with the underlying hormonal profile among breastfeeding women using the symptom-thermal method of natural family planning. The second was a clinical trial of the lactational amenorrhea method of family planning conducted in Manila, the Philippines. Coital frequency reported by these populations of breastfeeding women appears to be lower than that reported in other studies for married women in general. As other research demonstrated, we found coital frequency and postpartum resumption of coitus to be associated with age, but not with the number of children in the household. A better understanding of the level of sexual activity among breastfeeding women could inform and improve programs that offer postpartum support and counseling about family planning.