Quality Of Sexual Intercourse Research Articles

Analysis of Association of Dyspareunia in Menopausal Women with The Quality of Sexual Intercourse: Literature Review

In postmenopausal women, sexual function may worsen with increasing menopausal status. Dyspareunia is a common complaint that is experienced by women who have experienced menopause and this also causes a decrease in the quality of sexual intercourse in women who have experienced menopause. The aim of this study is to determine the relationship between dyspareunia in menopausal women and the quality of sexual intercourse. This research method uses a literature review. Literature review means reviewing various types of literature, both national journals and international journals obtained from an academic database on Google Scholar, PubMed NCBI, and Science Direct from 2013 to 2023, without language restrictions, and full-text research journals with the keywords that related between “Dyspareunia”, “Quality of Sexual Intercourse”, and “Menopause Women”. Data were obtained from twenty-two research journals that met the inclusion criteria. Results showed that overall the article supports the effect of dyspareunia in postmenopausal women on the quality of sexual intercourse. All of the 22 articles show a relationship between dyspareunia in postmenopausal women and the quality of sexual intercourse. As a conclusion, dyspareunia experienced by postmenopausal can lead to a decrease in the quality of sexual intercourse in postmenopausal women. These findings may contribute to the development of a valid association of dyspareunia in menopausal women with the quality of sexual intercourse.

Andi Arlina, Winda, Dian Factors Related to the Frequency of Sexual Intercourse in Pregnant Women at the Kapasa Health Center in Makassar City in 2023

Sexual in pregnancy is an important aspect of health but rarely discussed well. Sexual intercourse can occur during pregnancy, but the frequency varies greatly, a decrease in the frequency and quality of sexual intercourse can give rise to sexual dysfunction that can cause serious problems with the harmony of the husband and wife. The purpose of this study is to determine the factors related to the frequency of sexual relations in pregnant women at the Kapasa Health Center, Makassar City in 2023.
 This research is an analytical research with a cross-sectional approach. The sample was 24 people with a random sampling technique. Data collection using questionnaire sheets, then analyzed using the Chi-Square Test. The results of the study obtained were that there was a relationship between physical changes and the frequency of sexual intercourse with a p value of 0.000 (<0.05). The second result was a relationship between maternal knowledge and the frequency of sexual intercourse with a p value of 0.029 (<0.05). The third result is a relationship between the work and the frequency of sexual intercourse in pregnant women with a p value of 0.022 (<0.05)

FOURNIERS GANGRENE OF THE EXTERNAL GENITALIA: PLASTIC RECONSTRUCTION BY THIN SKIN GRAFT

To present our contribution to surgical reconstruction ofFourniers Gangrene of the External Genitalia (FG-EG), depending on the lesions.This is a retrospective study of 32 patients initially treated in the urology department of the Mohammed VI University Hospital of Marrakech, between January 2016 and December 2021. The mean age of the patients was 51. (30-72) years. All were men. All of them presented an infectious picture, thirteen of them were treated by hydroelectrolytic resuscitation and tri-antibiotic therapy. The skin lesions observed concerned the external genitalia (EG) in 08 cases (25%), then the scrotum and perineum in 24 cases (75%). All skin lesions were stripped, followed by local dressings. Thus, 28 patients (87.5%) had healed after a thin skin graft taken from the inner thigh, and 04 patients (12.5%) presented with a graft release and were then led in directed healing. Gangrene of the external genitalia FG-EG is a serious condition, which realizes, on the one hand, a toxi-infection treated by resuscitation and tri-antibiotic therapy, on the other hand, more or less extensive skin lesions requiring debridement, stripping, dressing, and then a plastic surgical reconstruction that restores an adequate penoscrotal environment that does not compromise the quality of sexual intercourse as well as the reproductive function of the testicles, especially in the young subject.

Long-Term Follow-Up after Laparoscopic Uterovestibular Anastomosis in Patients with Cervical Atresia and Complete Absence of the Vagina

The surgical treatment of girls with cervical atresia and complete absence of the vagina remains a problem because of the rarity of cases and the controversial study results. To describe the surgical technique and long-term results of laparoscopically assisted uterovestibular anastomosis in patients with cervical atresia and complete absence of the vagina STUDY DESIGN: Sixteen consecutive patients with cervical atresia and complete absence of the vagina were conservatively treated with laparoscopically assisted uterovestibular anastomosis in 2 tertiary care referral centers. The follow-up assessments included clinical examination, determination of the presence and quality of sexual intercourse, and vaginoscopy. All patients underwent laparoscopically assisted uterovestibular anastomosis. No perioperative complications occurred. The mean follow-up period was 8±3.2 years. In all patients, the length of the neovagina was greater than 4cm at 1 year after the surgery and approximately 6cm after 2 years. After the start of sexual intercourse, the neovagina exceeded 7cm in length in 2 of the 11 sexually active patients. At 12 months after the surgery, iodine-positive epithelium was present in all patients and was maintained over time. The continuity of the neovagina, neocervix, and uterine body was maintained without further interventions in 15 of the 16 patients. During the follow-up, 11 patients were sexually active, 5 were married, 4 were seeking conception, and 2 had spontaneous pregnancy. Laparoscopically assisted uterovestibular anastomosis seems to be a safe and effective treatment for patients with cervical atresia and complete absence of the vagina, at least in terms of the recovery of menstrual function and sexual activity.

The International Female Coital Incontinence Questionnaire (IFCI-Q): Development, Validation and Reliability Study

Coital urinary incontinence is an underestimated urinary symptom characterized by urine leakage during intercourse with a serious impact on female sexual function, which often may lead to the abandon of sexual activity. To date, there are no specific validated questionnaires for coital incontinence (CI). Aim of the study was to develop and validate a questionnaire "International Female Coital Incontinence- Questionnaire" (IFCI-Q) to evaluate the presence, severity and type of CI and its impact on quality of sexual intercourse. The IFCI-Q validation process included the following stages: (i) Questionnaire development and expert focus group (urologists and gynecologists experts in the field of functional urology); (ii) Administration of IFCI-Q to sexually active women complained for CI, by cognitive interview; (iii) Expert focus group to assess for content validity; (iv) Psychometric assessment of internal consistency by Cronbach's alpha calculation; (v) Test-retest reliability. Aim of the questionnaire was to evaluate the presence, severity and type of CI, its impact on quality of sexual intercourse and psychological status and to identify concomitant urinary symptoms. Psychometric properties outcomes: internal consistency and reliability are considered acceptable for Cronbach's α coefficient >0.7 and Cohen's k-test >0.6, respectively. Test-retest reliability was detected by administering the questionnaire twice to the all included women with a time interval of 2 weeks. The content validity was evaluated by a panel of clinical experts. Thirty women (mean ± SD age: 43.4 ± 17.1 years) complained of CI completed the IFCI-Q. A total of 43.4% of patients had OAB symptoms, 23.3% had mixed urinary incontinence (UI) and 6.6% complained of stress UI. Patients with CI during penetration had a higher prevalence of predominant SUI (7/10), and all women suffering from CI during orgasm had OAB symptoms (11/11). A total of 80% women feel depressed and 56.6% patients reported that CI restricts their sexual activity. Internal consistency and replicability of data were in the adequate range (Cronbach α=0.737). The test-retest procedure revealed that the k-values of each item are very good. IFCI-Q is a reliable questionnaire on CI and demonstrated a high level of internal consistency and reliability. Gubbiotti M, Giannantoni A, Rubilotta E, et al. The International Female Coital Incontinence Questionnaire (IFCI-Q): Development, Validation and Reliability Study. J Sex Med 2022;19:158-163.

Постковидный транзиторный гипогонадизм и эректильная дисфункция

Introduction. The SARS-CoV-2 virus pandemic is one of the biggest public health challenges in the modern era. Currently, along with the continuing high incidence rate, the immediate and long-term consequences of COVID-19 are predictably becoming increasingly important. The impact of the COVID-19 on andrological health and erectile function has been studied insufficiently. The aim of this study was to assess the impact of COVID-19 infection on erectile function. Material and methods. From May 2020 to April 2021 44 men after COVID-19 pneumonia were consulted for decrease in libido, erectile function and the quality of sexual intercourse in three Astrakhan medical centers. The examination of patients included standard general clinical methods, hormonal profile studying (testosterone, luteinizing homone, prolactin) and number of standardized questionnaires. Results. No changes in the levels of luteinizing hormone and prolactin were observed. Total testosterone levels ranged from 8.0 to 14.8 nmol / L. According the testosterone level patients were divided into two groups. In group 1 patients testosterone level was 12.0 nmol/L and more, in group 2 patients – less than 12 nmol/L. In patients of the group 1 erectile dysfunction was regarded as one of the manifestations of asthenic syndrome and was relatively easily corrected by the administration of PDE-5 inhibitors and antiasthenic therapy. Patients of the group 2 had more severe complaints, «worse» scores on questionnaire scales and more significant asthenic syndrome. Discussion. The possible mechanisms of androgen deficiency and hormonal profile changes in those patients may be a direct damaging of gonadal cells by virus and nonspecific suppression of the hypothalamic-pituitary system caused by a severe illness. In some cases, testosterone preparations were prescribed to those patients to achieve a therapeutic effect. Conclusions. COVID infection may have a negative impact on erectile function. The main causes of this are decrease of testosterone level, endothelial dysfunction, and long-term asthenization. Those changes may be reversible by rehabilitation and drug correction. One should not rush to begin hormone replacement therapy. It makes sense to start treatment with antiasthenic drugs, and add testosterone preparations in the absence of an effect only. This study addresses only some aspects of the COVID-19 influence on the men's health. In the context of the ongoing pandemic and the inevitable increase in the number of ill patients, further comprehensive studies are needed to clarify all the details and organize adequate andrological care for these patients.

COVID-19 pandemic and the quality of couples’ sexual relationships

Aim: COVI-19 pandemic causes stress between individuals, and this stress can affect the quality of couples’ sexual relationships. This study aimed to examine the quality of women’s sexual life during the COVID-19 pandemic. Material and Methods: This prospective cross-sectional study was conducted at May-June 2020. 235 sexually active women aged 18 to 51 years participated in this study. The Female Sexual Function Index (FSFI) was used to examine women’s sexuality from six different perspectives: desire, arousal, lubrication, orgasm, satisfaction, and pain. Due to quarantine restrictions, questionnaires were emailed to participants. Results: The participants’ age range was 18 to 51, with an average of 29.6 ± 6.08 years. The total FSFI score with a minimum of 1 and a maximum of 26.75 had an average of 18.12 ± 6.23. Since the cut-off value for female sexual dysfunction is 26.0, it can be concluded that, on average, participants had poor function and quality of sexual intercourse in the previous four weeks during the lockdown. The values of the FSFI score were significantly different according to the age of the woman (p-value = 0.003), the age of the man (p-value = 0.005), and months of marriage (p-value = 0.006). The woman’s age (Sig. = 0.008), the man’s age (Sig. = 0.004), and the month of marriage (Sig. = 0.02) had a significant and negative correlation with the total FSFI score. Conclusion: This study showed that the COVID-19 pandemic and lockdown reduced women’s sex life quality. Our results also show that the older women and men are, the lower their sexual satisfaction will be, which may be due to the higher risk of COVID-19 for the elderly.

The effect of fear of covid-19 transmission on male sexual behaviour: A cross-sectional survey study.

IntroductionIn December 2019, cases of pneumonia, a new type of corona virus (SARS‐CoV‐2), began to be reported in Wuhan, China. We aimed to evaluate changes in sexual behaviour of men in the Covid‐19 outbreak in Turkey.Material‐MethodIn our cross‐sectional and descriptive study, an online questionnaire evaluating sexual habits during the Covid‐19 outbreak was conducted on the men living in the Western Black Sea Region between 8 and 25 June6 2020. In the questionnaire, questions were asked to evaluate the sociodemographic data of the participants, their comprehensive medical history, their sexual preferences, their family and social life during the Covid‐19 outbreak, their concerns about Covid‐19 and their changes in their sexual behaviour after the Covid‐19 outbreak.ResultsA total of 536 participants with mean age of 38.6 ± 10.3 years were included in the study. 23.9% (128) respondents stated that they had the fear of transmitting Covid‐19 to their partner during sexual intercourse. It was observed that 19.4% (104) of the participants developed a fear of Covid‐19 transmission from her sexual partner during the relationship. While the number of weekly sexual intercourse of the participants before the pandemic was 2.34 ± 1.35, this number was found to be 1.54 ± 1.45 during the epidemic period (P = .001).ConclusionThe fear of infection and transmission of the disease to the partner that occurs during the Covid‐19 pandemic manifests itself in the form of a decrease in the frequency and quality of sexual intercourse.

A trifunctional contraceptive gel enhances the safety and quality of sexual intercourse

Current contraceptive methods come with a number of drawbacks, including low efficacy, in the case of commercial contraceptive gels, and a reduction in the quality of sexual intercourse, in the case of condoms. Adding pharmacologically-active agents to contraceptive gels holds the potential to improve sexual experience, and hardbor safety and hygiene. In this study, we fabricated a carbomer-based contraceptive gel consisting of three agents: tenofovir, gossypol acetate, and nitroglycerin (TGN), with pH adjusted to 4.5 (to be compatible with the vagina). In vitro, the gossypol component of the contraceptive gel proved to be an effective spermicide. When the concentration of gossypol acetate was 10 mg/ml, the spermicidal ability reached 100% after 30 s. In addition, tenofovir in the gel significantly inhibited lentiviral transfection efficiency in cell-containing media. In 6 pairs of rats, the gel successfully prevented all females from conceiving after successful mating. Moreover, increased sexual frequency and enhanced erection, which were promoted by the nitroglycerin in the components, were observed in male rats that had the gel applied to their penises. This novel TGN contraceptive gel yielded a higher contraceptive success rate than that of the commercial contraceptive gel (Contragel®). In addition, it has the added benefits to prevent sexually transmitted diseases and improve male libido and erectile function during sexual intercourse. Combining three FDA-approved and marketed agents together, our trifunctional TGN gel has a great potential for further translation and commercialization.

Sexual Function of Women Practicing Sex in Nonconventional Settings

The quality of sexual intercourse in the context of conjugal visits by women to their jailed partners is unknown. This study aimed to assess the quality of the sex lives and psychological conditions of women attending conjugal visits with their jailed inmate partners. This controlled study involved 124 women between the ages of 18 to 40 years who engaged in sexual relations with their inmate partners (conjugal visit group) or with their partners at home (control group). Sexual function was assessed using a semi-structured questionnaire and the Female Sexual Function Index, and psychological parameters were evaluated using the Hospital Anxiety and Depression scale. The total Female Sexual Function Index scores was similar in the 2 groups. The percentage of women reporting good quality of the relationship was significantly higher in the conjugal visit group. Also, the Hospital Anxiety and Depression scale scores were higher in the conjugal visit group. Depression was a risk factor for sexual dysfunction and had a negative effect on scores in the desire, excitement, lubrication, and sexual satisfaction domains, whereas anxiety was associated with lower sexual desire scores. A regular + poor quality of the relationship and being religious were factors associated with sexual dysfunction. Sexual practices in jail were not a risk for sexual dysfunction in this sample.

The Influence of Consent on College Students’ Perceptions of the Quality of Sexual Intercourse at Last Event

ABSTRACT. The current study assessed consent's relation to quality of sexual intercourse. College students (n = 640) participated in a survey assessing their most recent intercourse. Hierarchical regression was conducted: alcohol consumption, relationship status, and age were entered in Step 1; the Internal and External Consent Scale factors were entered in Step 2. For women, three internal consent factors explained a significant proportion of variance in quality of intercourse beyond Step 1 (ΔR2 = .17, p < .001). For men, one internal and two external consent factors were significant predictors beyond Step 1 (ΔR2 = .24, p < .001). Preliminary findings suggest consent is associated with quality of intercourse.

Prevalence and Risk Factors for Dyspareunia and Unsatisfying Sexual Relationships in a Cohort of Primiparous and Secondiparous Women After 12 Months Postpartum

ABSTRACT Dyspareunia is a common short-term pregnancy complication, rarely lasting longer than 1 year after delivery. Our study aims to determine postpartum dyspareunia prevalence and its impact on women's sexual health. In this retrospective study, we asked 602 women about dyspareunia and the quality of sexual intercourse through telephone interviews. The influence of dyspareunia on the quality of sexual intercourse and couple relationship is scored on a 4-point verbal scale according to its severity. Data were analyzed by R (version 2.8.0), considering significant p < .05. Nearly 100% of women (99.9%) resumed their sexual activity; 16.2% of them reported dyspareunia significantly compromising their sexual intercourse and couple relationships. In univariate analysis, severe perineal tears are associated with persistent dyspareunia (p < .05). By multivariate analysis, postpartum dyspareunia results independently influenced by operative delivery, previous dyspareunia, recurrent urogenital infections and urge incontinence (p < .05), as well as by the Kristeller maneuver and partoanalgesia (p = .084) in the case of women who had a vaginal delivery. Dyspareunia significantly compromises women's sexual health postpartum, mostly caused by perineal trauma by means of delivery management and recurrent urogenital infections.

Extracorporal Shock Wave Therapy in the Treatment of Peyronie’s Disease

Objective: To test whether extracorporal shock wave therapy (ESWT) has an effect in the treatment of Peyronie’s disease.Methods: 22 patients with Peyronie’s disease and previous unsuccessful oral drug therapy were treated with ESWT in a prospective design with a follow–up of at least 3 months; 23 age–matched patients without previous therapy received oral placebo drug for 6 months daily as control. The standard follow–up included palpation, ultrasound, autophotography and evaluation of symptomatology based on a symptom score. The shock waves were applied under ultrasound guidance using the ‘Storz Minilith SL1’ lithotripter.Results: The results show a significant decrease in penile curvature in the patients treated with ESWT. Concerning the decrease in pain, subjective improvement and improvement in the quality of sexual intercourse, there was no significant difference to the case–control group. The inhomogeneity of the 2 groups may influence these results due to the questionable varying natural history.Conclusions: A prospective, controlled multicenter study with standardized parameters (concerning technique and patients) is urgently required to test the effect of ESWT.

Safety and efficacy of sildenafil in postmenopausal women with sexual dysfunction

Objectives. Sildenafil has been demonstrated to be safe and effective in the treatment of men with erectile dysfunction. The role of sildenafil in treating women with sexual dysfunction has heretofore not been reported. The purpose of this preliminary study was to ascertain the response of postmenopausal women with self-described sexual dysfunction treated with sildenafil for 3 months. Methods. Thirty-three consecutive postmenopausal women with sexual dysfunction based on history were entered in this open-label, nonrandomized study. All patients received 50 mg of sildenafil. Efficacy was assessed at weeks 4, 8, and 12 using a newly developed 9-item, self-administered Index of Female Sexual Function (IFSF) and a global efficacy question ([GEQ] Did treatment improve your sexual function?). The IFSF quantifies the domains of desire, quality of sexual intercourse, overall satisfaction with sexual function, orgasm, lubrication, and clitoral sensation. Results. Of the group, 30 women (91%) completed the study and were available for follow-up at 3 months. Mean baseline IFSF score before therapy was 24.8 ± 9.8. Mean usage of sildenafil was 3.1 ± 1.4 times per week for the duration of the study. The IFSF score improved to 29.5 ± 7.6, 30.3 ± 8.5, and 31.4 ± 10.4 at 4, 8, and 12 weeks, respectively ( P = 0.25). Mean scores for questions 2 (lubrication), 8 (orgasm), and 9 (clitoral sensation) improved by 23.2%, 7.4%, and 31.3%, respectively, at 12 weeks. Seven women (21%) noted improvement on the GEQ. Overall, only 6 (18.1%) of 33 patients had a significant (more than 60% improvement in IFSF score) therapeutic response. Clitoral discomfort and “hypersensitivity” occurred in 7 women (21%), 3 of whom withdrew from the study. Other side effects, which did not result in withdrawal from the study, included headache (n = 5), dizziness (n = 4) and dyspepsia (n = 3). Conclusions. The data suggest that sildenafil is well tolerated in postmenopausal women with sexual dysfunction. Overall sexual function did not improve significantly, although there were changes in vaginal lubrication and clitoral sensitivity. The role of sildenafil in treating sexual dysfunction in various cohorts of women remains to be determined.