Type Of Sexual Activity Research Articles

A retrospective chart review and thematic analysis of patients seeking mpox vaccination during the initial outbreak in 2022–2023: evaluation of access, motivations, and stigma

BackgroundMpox was identified in many previously non-endemic countries, including Canada, as of May 2022. In response to the increase in cases in Canada, and more specifically the province of Ontario, the vaccine Imvamune was rolled out. Eligibility was governed by provincial health authorities, and the response varied by region. In addition, because eligibility language was describing certain types of sexual activity, there was potential for harm. The aim of this study was to further explore the experiences of vaccine recipients as it pertained to obtaining the vaccine, access to information and vaccination, self-assessment of risk, perspectives on vaccine rollout, stigma, and community support.MethodsAs a part of care, a clinic in downtown Toronto, Ontario, began hosting mpox immunizations clinics between July of 2022 and March of 2023 with a standard set of clinical intake questions. Following this period, we conducted a retrospective chart review of 113 Imvamune vaccine recipients. Both descriptive quantitative data and thematic qualitative analysis was completed.ResultsOne hundred thirteen patients received one or two doses of Imvamune between July 2022 and March 2023. The average age was 49 (range 17–78). Patients were not asked sex or gender; however, 111 patients had a male sex listed on their health card and three female sex, one of whom self-identified as a transwoman, with the remainder not having had their sex inputted into their medical records. Through descriptive thematic analysis, this study found the following recurrent themes mentioned by patients in the data set: 1) eligibility, 2) rollout and access, 3) mis/information in the media, 4) stigma.ConclusionsThere is little Canadian data on mpox vaccine rollout beyond epidemiologic and cohort information. Understanding the difficulties and stigma that were faced by vaccine recipients is crucial to ensure that when a public health initiative is initiated, that past traumas are not replicated. This study provides valuable patient perspectives in how to improve ongoing rollout, as well as how a campaign that includes a sexual health component may be more sensitively considered in the future.

Development of the Indonesian sexual quality of life scale for women (ISQOL-W)

Sexual quality of life is greatly influenced by sexual function, yet thorough measures remain limited and vary across regions. In Indonesia, diverse cultural and religious contexts notably shape sexual quality of life. Thus, it is important to have a tool that considers both internal and external aspects. The aim of this study was to develop a valid and reliable scale that specifically measures Indonesian sexual quality of life for women (ISQOL-W), considering cultural and social factors. A total of 228 participants were recruited from April 30, 2023, to September 30, 2023. The ISQOL-W was developed through two phases: item generation and psychometric evaluation. In the first phase, 68 items were drafted based on definitions and dimensions of sexual quality of life. In the second phase, exploratory factor analysis resulted in 34 items with a loading factor greater than 0.4 (ranging from 0.41 to 0.84) which were categorized into four domains/factors: sexual-related emotion, sexual fantasy, sexual arousal, and sexual relationship. The Cronbach’s α coefficient for the overall questionnaire was 0.915, with subscale reliability ranging from 0.826 to 0.903. Further analysis revealed significant differences in ISQOL-W scores across relationship status, educational level, history of last sexual activity, and type of sexual activity. In conclusion, the ISQOL-W demonstrated robust psychometric properties, supporting its use in future studies. This study represents the first effort to develop and validate a sexual quality of life scale specifically for Indonesian women.

Sexual Activity of Older Adults: A Systematic Review of the Literature

Objective: The goal was to conduct a literature review of studies that examined sexual activity in older adults. Method: A systematic search was conducted to identify studies that had examined sexual activity in adults aged 60 years and older. The main characteristics of each study and results were examined and reported according to PRISMA guidelines. Results: Sixty-three articles were found. These articles were classified into three main groups based on the results they presented: percentage of older adults that were sexually active; frequency of sexual activity; and type of sexual activities. The results show that older adults are sexually active, engage in frequent sexual activity, and participate in a wide variety of activities. Conclusions: Although older adults remain sexually active, differences in the way sexual activity is assessed limit the drawing of firm conclusions and our understanding of the sexual activity of older adults. We propose a series of recommendations to gain a better understanding of this topic.

Sociocultural understanding of Tuberculosis and implications for care-seeking among adults in the province of Zambezia, Mozambique: Qualitative research.

Mozambique has a high burden of Tuberculosis (TB) with an incidence of 368 per 100,000 population in 2020, coupled with a low all-form TB detection rate. The COVID-19 pandemic has exacerbated delays in timely diagnosis and treatment of new TB cases. Promoting active TB case finding is a national priority in Mozambique. We conducted qualitative research to explore factors influencing TB testing in Zambezia province in Mozambique. One-to-one, semi-structured, audio-recorded telephone interviews were conducted to explore TB-related knowledge, and barriers and facilitators to TB testing. A sample of two TB Program staff, two community providers of TB services, and 19 community members (10 women and 9 men) was recruited, with support from provincial government TB staff, from four districts in Zambezia with a high TB burden. Interviews were transcribed verbatim, and thematic analysis was conducted. The Mozambican National Bioethics Committee for Health approved the study protocol. Our study highlights that knowledge about TB symptoms and its causes is low, which could delay timely TB testing. Sociocultural beliefs often implicate certain types of sexual activity and women as causes of TB symptoms; for example, having sex with a widow who has not been traditionally purified, or with a woman who has had an abortion. Therefore, people usually tend to first seek care from traditional healers instead of going to a health facility. Additionally, stigma associated with HIV and TB also delays care seeking. Gender-related disparities in TB care seeking were also evident. This study provides valuable insights into how healthcare seeking for TB is influenced by sociocultural understanding of symptoms and gender dynamics. Therefore, interventions to promote timely and appropriate care seeking for TB should be contextually tailored, culturally appropriate, and gender sensitive.

Clinical Review of Urethral and Vaginal Discharge Syndrome: A Comprehensive Case Series from Primary Care Centers in Bahrain

Background: This case series presents a comprehensive clinical review of twelve cases exhibiting symptoms of urethral and vaginal discharge syndrome in men and women attending primary care centers in Bahrain. The cases encompassed a diverse range of clinical manifestations, including dysuria, frequency, pyuria, urethral pruritus, malodorous urine, vulval itching, purulent vaginal discharge, abnormal vaginal bleeding, dyspareunia, lower abdominal pain, anorectal pain, and anal skin lesions. The individuals included in the case series engaged in various types of sexual activities, ranging from heterosexual intercourse, unsafe sexual behavior, a history of sexual abuse, to homosexual activity. This study aims to provide a scientifically rigorous analysis of these cases, highlighting the clinical presentation, potential risk factors, and implications for diagnosis and management of urethral and vaginal discharge syndrome in the primary care setting in Bahrain. Methods: The clinical evaluation of the patients encompassed a comprehensive assessment of their medical history, physical examination, and laboratory investigations. Urethral and vaginal swabs were collected for culture and sensitivity testing, urine analysis, microscopy, and imaging studies were performed. The most frequently identified etiological agents in this study were Neisseria gonorrhoeae, Chlamydia trachomatis, Trichomonas vaginalis, Candida yeasts infection. This study provides valuable insights into the clinical management of urethral and vaginal discharge syndrome, aiding in accurate identification and appropriate treatment of patients with similar symptoms. Results: Management of the patients involved a combination of antibiotic therapy, antifungal medications, and symptomatic relief measures. Safe sexual behaviors were highlighted as a preventive measure against sexually transmitted infections, which were identified as the primary causative agents of urethral and vaginal discharge syndrome. These findings have significant implications for primary care providers, offering valuable insights into the clinical presentation, diagnosis, and management of these conditions, particularly in primary care.

(092) What is Sexuality?: Moving Toward Inclusive and Comprehensive Measurement

Abstract Introduction Sexuality is complex and multifaceted, broadly composed of psychological, physiological, interpersonal, identity, and social/political phenomena. The term “sexuality” is used inconsistently in the literature, both in how it is defined by researchers and in how it is measured. Some researchers define sexuality in a narrow, heteronormative, and genital-focused way that negates the subjective experiences of individuals, in turn, affecting how the construct is measured (i.e., measuring sexual function exclusively, overlooking measures of pleasure, self-esteem, and satisfaction). This limited view of sexuality ignores many of the psychosocial and resilience factors that are integral to the construct and results in non-representative measurement tools, especially for equity-seeking groups (i.e., transgender and non-binary (TNB) or intersex individuals provided measures that presume binary anatomy). In order to develop more accurate measurement tools, a comprehensive and inclusive definition of sexuality is warranted. Objective This cross-sectional exploratory survey is the first to formally characterize and define sexuality by assessing how members of the public describe the construct through open-ended questions. Recruitment strategies were aimed towards equity-seeking groups (i.e., sexual and gender minorities, BIPOC, and consensual non-monogamous populations) to ensure the lived experiences of these diverse communities were represented in the definition. Methods A total of 456 individuals (Mage = 28.50, SD = 9.57) identifying as Man (N = 172), Woman (N = 191), Non-Binary (N = 72), Transgender (N = 43), Other (N = 13) were recruited for an online survey asking them to first define sexuality, and then to identify biological, behavioural, psychological, and social components of sexuality. Analyses included a thematic analysis of several open-ended questions. Results Results from a thematic analysis resulted in the following definition of sexuality; Sexuality is a multifaceted concept that is uniquely experienced and expressed. It encompasses a broad range of psychological, physiological, behavioural, and social elements which are experienced to varying degrees. Sexuality is primarily psychological, reflecting one’s emotions, mental state, attractions, desires, fantasies, and identity. Psychological elements of sexuality give meaning to and are expressed via physiological and behavioural elements including objective and subjective bodily reactions, various physical behaviours, and different types of sexual activity. Sexuality is also a social concept, reflected in people’s interactions, relationships, and connections to others. Sexuality is influenced by one’s society and culture, both historically and in present day. Specifically, experiences with norms, taboos, social scripts, and stigma influence one’s sexuality. Conclusions An inclusive definition of sexuality provided by the general public emphasized the importance of psychological components, as well as various physiological, behavioural, and social elements. This demonstrates that the subjective experiences of sexuality are integral to its definition. Therefore, our next step is to generate a comprehensive measure of sexuality that accounts for how diverse people feel about their sexuality. Disclosure No

"Your Skin Crawled Every Time He Touched You": A Secondary Qualitative Analysis Exploring Bagwell-Gray's Taxonomy of Intimate Partner Sexual Violence.

Bagwell-Gray et al. developed a taxonomy of intimate partner sexual violence (IPSV) focusing on type of force (physical or nonphysical) and type of sexual activity (penetration or no penetration). The current secondary descriptive qualitative analysis of interviews with 89 Canadian women IPV victims assessed IPSV that fit Bagwell-Gray's taxonomy. About half (46 or 51.7%) described sexual violence, most commonly sexual abuse (26 or 29.2%), sexual assaults (17 or 19%), and sexual coercion (16 or 17.9%), with overlap across categories. Forced sexual activity was seldom mentioned (3 or 3.4%). Implications for service providers and researchers are provided.

“A STUDY OF SOCIO-DEMOGRAPHIC FACTORS OF SEXUAL ASSAULT SURVIVORS IN A MEDICAL COLLEGE IN INDORE”

Background: In India Women continue to face horrendous acts of violence which includes many sex related crimes like rape, sexual assault, sexual abuse of children and trafcking of women for the purpose of sexual exploitation. The most vulnerable group of sexual violence survivors aged from 11 to 18 years. Social and demographic factors play very important part in such offences. This study aims to assess the Objective: socio-demographic factors of sexual assault cases brought in a medical college And to provide awareness to the extent of sexual violence. Method: This is a prospective study carried out in the Department of Obstetrics and Gynaecology, MTH Hospital & MGMMC Indore from October 2022 to March 2023. This study is based on the data collected while examining the survivors of sexual violence who came to medical college during the study period. In the prescribed study period, 134 Results: victims were examined. Majority of the victims belonged to the age group between 11 years to 18 years amounting to 45.5% of the cases. 32 (24%) survivors were still pursuing their secondary or higher secondary education. Unmarried survivors were the maximum. In most of these cases accused was a known individual (88.8%) 22 cases were pregnant after sexual assault and out of them 14 cases reported with abortion by self-medication. Our study shows that younger age females are more vulnerable to the se Conclusion: xual assault. In the majority of such cases, type of sexual activity is consensual. So, formal education regarding legal implications associated with such sexual violence will go a long way in preventing their occurrence. And a myriad of measures needs to be adopted by the government to tackle such crime against women.

Premature ejaculation among Chinese urban men: prevalence and correlates.

Premature ejaculation (PE) is a common male sexual dysfunction worldwide. It leads to substantial distress in men and their partners, constitutes a serious threat to the quality and stability of romantic relationships, and results in a decreased quality of life in a large part of the population. We investigated the prevalence of PE and correlated factors in an urban sample of Chinese men. In total, 1976 Chinese men aged 18 to 50 years responded to an online questionnaire regarding background information, present and previous sexual experience, frequency of different types of sex, as well as erectile and ejaculatory function. Participants' age, assigned sex at birth, sexual identity, relationship status, present and previous sexual experience, frequency of sexual activities, International Index of Erectile Function-5, and Checklist for Early Ejaculation Symptoms were used in the analyses. Forty-four (2.3%) participants had scores that were indicative or strongly indicative of PE, which was highly correlated with erectile problems. Men with more sexual experience (ie, more sexual partners and longer duration of being sexually active) had fewer ejaculatory problems. More frequent masturbation was associated with ejaculatory problems when controlling for age and education. More frequent partnered sex (ie, penile-vaginal sex) was associated with fewer ejaculatory problems. Ejaculation latency times for different types of sexual activities were positively correlated. The results indicated that ejaculatory problems have complex relationships with sexual experience that clinicians should be aware of. This study was the first to investigate PE with the Checklist for Early Ejaculation Symptoms as the measurement tool and the associations between PE and sexual experience, frequency of sexual activities, and sexual function in a large Chinese sample. However, self-reported ejaculation latency times may suffer from problems with validity. Men's sexual experience (ie, more sexual partners and longer duration of being sexually active) has an effect on their sexual function, which in turn affects their sexual activity.

Awareness and Willingness to use Condoms and Preexposure Prophylaxis among Gay, Bisexual, and Other Cisgendered Men who Have sex with men in Slum Communities in Ghana. BSGH-004.

Introduction: Research has begun to examine human immunodeficiency virus (HIV) prevention strategies within the Ghanaian context. Still, little is known about specific populations such as gay, bisexual, and other cisgender men who have sex with men (GBMSM) living in slum communities. We studied HIV prevention strategies such as condoms and preexposure prophylaxis (PrEP) in slum communities and the awareness and willingness to use these choices among GBMSM. This qualitative study examines HIV prevention strategies, specifically examining PrEP and condom use behaviors among GBMSM in Ghana. Methods: We conducted in-depth face-to-face interviews among 12 GBMSM from slums in Accra and Kumasi cities in Ghana. Data were analyzed through a summative content analysis with multiple reviewers to develop codes. Data were collected from participants in January 2022. Results: We found the fear and perceived risk of infection were motivators for consistent condom use, especially during anal sex. GBMSM living with HIV receiving antiretroviral therapy were more inclined to use condoms. We found motivations for using PrEP were influenced by the type of sexual activity and a history of negative HIV status. Also, the barriers to PrEP for GBMSM included limited access to healthcare facilities and the distance to these facilities. Conclusions: To improve condom and PrEP access and uptake, we recommend addressing structural barriers by increasing the number of health facilities and implementing targeted interventions to address the lack of information on HIV awareness and prevention. Involving peer educators may also effectively promote HIV prevention strategies, especially in communities with limited access to healthcare such as slums. Overcoming these access constraints could significantly enhance awareness and prevention of HIV, leading to improved health outcomes for GBMSM living in slum communities.

A mentira que invalida o consentimento sexual: limites à criminalização do estupro mediante fraude

The legal systems of countries such as Germany and the United Kingdom only allow punishment for the practice of a sexual act through fraud in certain situations. Conversely, art. 215 of the Brazilian Penal Code is broad enough to allow punishment whenever fraud constitutes a condition without which sexual consent would not have been obtained. Both models deserve criticism: the former is generally guided by the classic distinction between fraud in the factum and fraud in the inducement, which lacks clarity and foundation, and the later reaches conducts that should not receive any attention from criminal law. The present article discusses and criticizes these models with the aim of investigating the range in which the legislator is, in principle, authorized to criminally prohibit sexual fraud. Based on the understanding of the negative and positive dimensions of the right to sexual autonomy and the reach of the duties related to them, it is proposed to interpret art. 215 in a way that restricts the hypotheses of incrimination to those included in three groups: 1) frauds regarding the sexual nature of the act, the type of sexual act, and the identity of the person with whom the sexual act is practiced; 2) frauds that exercise coercive pressure or involve exploitation of a special trust relationship; and 3) frauds with the potential to cause harm (physical, financial, or emotional).

Sexual Function, Behavior, and Satisfaction in Masters Athletes

Objectives Masters athletes are endowed with high functional capacity, long-term health, and psychological outlook. However, their sexual activity and function are largely unknown. We investigated the influence of sustained moderate to vigorous exercise on sexual life using a model of masters athletes. Methods A 55-item survey adapted from previous American Association of Retired People (AARP) sexuality study were distributed to masters athletes associations. The responses from 166 masters athletes were compared with AARP dataset that represented a general population. Results Both male and female masters athletes demonstrated more frequent sexual desire and greater involvements in different types of sexual activities (i.e., kissing or hugging, touching or caressing, sexual intercourse, oral sex, and self-stimulation; all p < 0.05). Sexual satisfaction was greater in female masters athletes than in female general population (p = 0.025), but no such group difference was observed in men. Male athletes had a lower degree of erectile dysfunction. No difference was observed in orgasm frequency between the two population groups. Age-associated decline in sexual activity was apparent in general population (p < 0.05) but absent in masters athletes. Females recorded lower engagements in partner-involved sexual behaviors than men in the general population, but no such gender difference was observed in women. The primary factor predicting improvement in sexual satisfaction was “better health for myself” (29.7%) in the general population, whereas master athletes identified “better health for partner” (23.5%). Conclusion Masters athletes in general and female athletes in particular demonstrate superior sexual function, satisfaction, and behavior presumably due to their better overall health status.

Are the Criteria for the Diagnosis of Premature Ejaculation Applicable to Gay Men or Sexual Activities Other than Penile-Vaginal Intercourse?

IntroductionThe criteria for premature ejaculation (PE) have generally been limited to the diagnosis of heterosexual men engaging in penile-vaginal intercourse and therefore the applicability of PE diagnostic criteria to gay men and to activities beyond penile-vaginal intercourse has yet to be explored in depth.AimTo compare the prevalence of PE in gay and straight men and to assess whether PE-related diagnostic measures (ejaculatory control, ejaculation latency [EL], and bother/distress) can be applied with confidence to gay men or to men engaging in sexual activities other than penile-vaginal intercourse.MethodsGay and straight participants (n = 3878) were recruited to take an online survey assessing sexual orientation, sexual function/dysfunction (including specific PE-related measures), sexual relationship satisfaction, and various other sexual behaviors during partnered sex or masturbation.OutcomesComparison of ejaculatory control, EL, and bother/distress across gay and straight men, as well as across different types of sexual activities.ResultsA slightly lower PE prevalence among gay men became undetectable when other predictors of prevalence were included in a multivariate analysis (aOR = 0.87 [95% CI: 0.60–1.22]). Gay men with PE reported longer typical ELs (zU = -3.35, P < .001) and lower distress (zU = 3.68, P < .001) relative to straight men, but longer ELs and lower distress were also associated with anal sex.Clinical TranslationClinicians can feel confident about using existing criteria for the diagnosis of PE in gay men but should be aware of potentially longer ELs and lower PE-related bother/distress—probably related to the practice of anal sex—compared with straight men.Strengths and LimitationsAlthough well-powered and international in scope, this study was limited by biases inherent to online surveys, the lack of a sizable sample of bisexual men, and a lack of differentiation between men with acquired vs lifelong PE.ConclusionsIrrespective of sexual orientation, gay and straight men with PE reported shorter ELs, lower satisfaction, and greater bother/distress than functional counterparts. While PE-related diagnostic criteria (ejaculatory control, EL, and bother/distress) are applicable to gay men, accommodation for longer ELs and lower bother/distress in gay men should be considered.McNabney SM, Weseman CE, Hevesi K, et al. Are the Criteria for the Diagnosis of Premature Ejaculation Applicable to Gay Men or Sexual Activities Other than Penile-Vaginal Intercourse?. Sex Med 2022;10:100516.

Premature Ejaculation Measures During Partnered Sex and Masturbation: What These Findings Tell Us About the Nature and Rigidity of Premature Ejaculation

Men with premature ejaculation (PE) during partnered sex (as defined by poor ejaculatory control) show significantly reduced PE symptomology during masturbation, but the reasons for this disparity are not clear. This study investigated the other two PE-related diagnostic criteria, namely ejaculatory latency (EL) and bother/distress, in order to explore possible explanations for this disparity between types of sexual activity. Specifically, 1,447 men with either normal or poor ejaculatory control were compared on EL parameters, bother/distress, and sexual satisfaction/pleasure during both partnered sex and masturbation. Results indicated that men with PE reported longer ELs during masturbation than partnered sex, in contrast with men without PE who reported shorter ELs during masturbation. Bother/distress was lower for both groups during masturbation, but bother/distress in men with PE during masturbation was comparable to that of men without PE during partnered sex. Minimal difference in these patterns was found across lifelong and acquired PE subtypes, whereas men with PE with comorbid erectile dysfunction appeared to represent a distinct group. These findings have implications for PE management or treatment as well as for the overall conceptualization of PE as a pathophysiological condition.

Modern investigation of cervico-vaginal infections (from microbiome disorders to pelvic inflammatory disease)

Vaginitis is the general term for disorders of the vagina caused by infection, inflammation, or changes in the normal vaginal flora, while cervicitis refers to inflammation of the uterine cervix. Symptoms of vaginitis include vaginal discharge, pruritus, odor, and/or discomfort. Women with cervicitis may have presenting symptoms such as purulent or mucopurulent (yellow) vaginal discharge, intermenstrual or postcoital bleeding, dysuria, vulvovaginal irritation and dyspareunia. The initial evaluation typically consists of a medical history, physical examination, microscopy examination of vaginal swab, and cervical tests for sexually transmitted infections. Evaluation of patient risk factors is important and should include a detailed discussion about the sexual history (number of partners, type of sexual activity, condom use, new sex partner, sex partner with a diagnosed sexually transmitted infection, sex partner with concurrent sex partners), vaginal hygiene (douching), and age (&lt; 25). All women with symptoms suggestive of cervicitis or vaginitis undergo a physical examination that includes pelvic and vaginal evaluations. Vaginitis is often the result of the presence of infectious agents. The most common infections, such as bacterial vaginosis, Candida vulvovaginitis and trichomoniasis, account for over 90 percent of the vaginal infections. Cervicitis, typically acquired from sexually transmitted infections such as gonorrhea, chlamydia, and mycoplasma, can present with nonspecific vaginal symptoms.

An insight into the work of sexual assault referral centres and the role of the forensic nurse examiner.

It is more likely than ever that healthcare staff of all grades and in all settings will encounter cases of sexual assault, so it is crucial that they know how to respond appropriately to support survivors. Health and social care workers engage with clients in a range of situations, which means that they are well placed for such disclosure. In some cases, particularly if the assault is a recent incident, time is of the essence to ensure that there is no loss of evidence that could be crucial in gaining a conviction. This article explores the role of a sexual assault referral centre (SARC), a service that few people know about or think they will ever need. The type of sexual activity that constitutes a criminal offence will be discussed and information presented that offers direction for those who want to involve the police, and for those who do not. Links to a range of organisations are also included that survivors of recent or historic sexual assault can access for support and advice.

Sexual Risk-Taking in Adolescents; a Narrative Review

A review of recent literature on sexual activity in adolescents revealed a prevalence range of 6-65 % in different countries that may relate to sampling different age groups as well as various types of sexual activity. Many risk factors have been researched including parental factors (e.g. parent risk behavior), peer variables (e.g. peer pressure), religiosity (e.g. spiritual intelligence), mood (e.g. depression), health-related behavior (e.g. sexting), substance use (e.g. marijuana) and physiological markers (e.g. activation of various areas of the brain on fMRI scans). The few interventions have included motivational interviewing by clinician or computer and classroom education and condom distribution. Limitations of this literature include a paucity of longitudinal studies and intervention research.

Sexual Response Differs during Partnered Sex and Masturbation in Men With and Without Sexual Dysfunction: Implications for Treatment

BackgroundIt is unclear whether men who experience sexual difficulty during partnered sex experience similar difficulty during masturbation. AimTo determine whether sexual functionality and dysfunctionality were similar or different during masturbation vs partnered sex. MethodsWe compared sexual responsivity during masturbation vs partnered sex in a multinational sample of 4,209 men with and without a sexual dysfunction to determine whether dysfunctionality was greater, less, or about the same during these 2 types of sexual activity. OutcomesConsistently lower impairment of sexual function was found during masturbation compared with partnered sex for all 3 sexual problems assessed: erectile dysfunction, premature ejaculation, and delayed ejaculation. Clinical TranslationThese findings reiterate the potential value of assessing sexual responsivity during masturbation as well as melding masturbation strategies with couples therapy in order to attenuate impaired response during partnered sex. Strength & LimitationsAlthough this study provides the first empirical evidence based on a large multinational sample indicating that sexual functionality is consistently higher during masturbation than partnered sex, it does not provide an empirically-derived explanation for this difference. ConclusionUnderstanding a man's response potential during masturbation may be important to improving sexual response during partnered sex, with the need for more targeted research that more directly evaluates the use of such strategies in the treatment of men's sexual problems.Rowland DL, Hamilton BD, Bacys KR et al. Sexual Response Differs during Partnered Sex and Masturbation in Men With and Without Sexual Dysfunction: Implications for Treatment. J Sex Med 2021;18:1835–1842.

Isolated upper vaginal wall laceration in an underage: a need to re-examine child sexual abuse in South-South Nigeria.

&lt;p&gt;Child sexual abuse includes any sexual act between a minor and an adult, or between two minors, when one exerts power over the other. It involves forcing, coercing or persuading a child to engage in any type of sexual act. It also involves non-contact acts such as exhibitionism, exposure to pornography, voyeurism, and communicating in a sexual manner by phone or internet. An eight-year-old girl was rushed to the gynaecological emergency unit of the Federal medical centre, Yenagoa with complaints of a three-hour history of sudden onset vaginal bleeding following a fall astride in their house. There was no injury to the vulva and the child and her relatives denied any form of sexual abuse by anyone within or outside their home. She had examination under anaesthesia in theatre and a 3 cm laceration was identified at the proximal one-third of the left lateral wall of the vagina, covered with a blood clot; not bleeding actively. Repair was done and she was subsequently discharged home on the fourth post-operative day after counselling of mother and child. Child sexual abuse is common in our environment. Education and bonding with children, education of the public via outreaches, social media campaigns and other means possible, and improvement in the socio-economic situation of people will help reduce the incidence of child sexual abuse and encourage reporting and early disclosure where they occur.&lt;/p&gt;

Sexual Experiences of Young Transgender Persons During and After Gender-Affirmative Treatment.

Early gender-affirmative treatment (GAT) of adolescents may consist of puberty suppression, use of affirming hormones, and gender-affirmative surgeries. This treatment can potentially influence sexual development. In the current study, we describe sexual and romantic development during and after treatment. The participants were 113 transgender adolescents treated with puberty suppression, affirmative hormones, and affirmative surgery who were assessed as young adults (38 transwomen and 75 transmen; mean age 20.79 years, SD 1.36) during and after their GAT. A questionnaire on sexual experiences, romantic experiences, and subjective sexual experiences was administered and compared to the experiences of a same-aged sample from a Dutch general population study (N = 4020). One year post surgery, young transgender adults reported a significant increase in experiences with all types of sexual activities: masturbation increased from 56.4% to 81.7%, petting while undressed increased from 57.1% to 78.7%, and sexual intercourse increased from 16.2% to 37.6% post surgery compared to presurgery. Young transmen and transwomen were almost equally experienced. In comparison with the general population, young transgender adults were less experienced with all types of sexual activities. Early GAT (including puberty suppression, affirmative hormones, and surgeries) may provide young transgender adults with the opportunity to increase their romantic and sexual experiences.