Australian sexual health practitioners' use of chaperones for genital examinations: a survey of attitudes and practice

Sexual Health ◽  
2007 ◽  
Vol 4 (2) ◽  
pp. 95 ◽  
Author(s):  
Danielle C. Newton ◽  
Christopher K. Fairley ◽  
Richard Teague ◽  
Basil Donovan ◽  
Francis J. Bowden ◽  
...  
Keyword(s):  
Sexual Health ◽  
Best Practice ◽  
Current Practice ◽  
Patient Support ◽  
Male And Female ◽  
Mean Frequency ◽  
Health Practitioners ◽  
Male Patients ◽  
Female Genital

Objectives: To examine the current practice and attitudes of Australian sexual health practitioners towards the use of chaperones for genital examinations. Methods: In July 2006, an anonymous, self-completed questionnaire was mailed to members of the Australasian Chapter of Sexual Health Medicine. Results: Of the 166 questionnaires sent to practitioners, 110 (66%) were returned completed. Of the 110 respondents, only 9% and 19% reported that their clinic routinely provided chaperones for all male and female genital examinations, respectively. Among practitioners whose services did not offer chaperones routinely, chaperones were offered with a mean frequency of 19% for female examinations and 8% for male examinations (P = 0.01). Compared to female practitioners, significantly more male practitioners thought a chaperone was important for medico-legal purposes when examining females (72% v. 53%, P < 0.05). Compared to male practitioners, significantly more female practitioners thought a chaperone was sometimes important for patient support when examining male patients (52% v. 26%, P < 0.001). Only 39% (n = 18) of male practitioners and 36% (n = 23) of female practitioners felt that resources spent on chaperones were justified by the benefits they provided. Conclusions: Despite only a minority of practitioners offering chaperones to patients or using them during examinations, many feel they are important for medico-legal reasons and as support for the patient. Best practice may be for services to routinely offer a chaperone and record instances where an offer is declined. This provides patients with choice and practitioners with some level of protection.

scholarly journals Lichen sclerosus et atrophicus in pediatric and adult male patients with congenital and acquired phimosis

Medicina ◽  
2008 ◽  
Vol 44 (6) ◽  
pp. 460 ◽  
Author(s):  
Daiva Jasaitienė ◽  
Skaidra Valiukevičienė ◽  
Daiva Vaitkienė ◽  
Mindaugas Jievaltas ◽  
Vidmantas Barauskas ◽  
...  
Keyword(s):  
Adult Male ◽  
Pediatric Surgery ◽  
Lichen Sclerosus ◽  
Lichen Sclerosus Et Atrophicus ◽  
Equal Frequency ◽  
Male And Female ◽  
Histological Features ◽  
Histological Characteristics ◽  
Male Patients ◽  
Female Genital

Lichen sclerosus et atrophicus is a chronic inflammatory sclerotic and atrophic disease of unknown cause that predominantly affects male and female genital skin. This study was designed to evaluate histological characteristics of congenital and acquired phimoses among pediatric (n=60) and adult (n=60) male patients who were admitted for circumcision to the Clinics of Urology and Pediatric Surgery of Kaunas University of Medicine Hospital between 2000 and 2003 and to determine the rate of lichen sclerosus et atrophicus and other histological diagnoses among them. This study demonstrates that 45.1% of congenital and 62.3% of acquired phimoses show histological signs of lichen sclerosus et atrophicus. The rate of lichen sclerosus et atrophicus was statistically significantly higher among patients with acquired than congenital phimosis. Boys with acquired narrowing of prepuce were statistically significantly 3.9 times more likely to develop lichen sclerosus et atrophicus than those with congenital phimosis. There were no statistically significant differences between rates of lichen sclerosus et atrophicus and other dermatological diagnoses among pediatric and adult male patients if the type of phimosis (acquired or congenital) was considered. Histological features of lichen sclerosus et atrophicus and other histological diagnoses in boys and men with phimosis were detected with equal frequency irrespective the age of the subjects. The rate of lichen sclerosus et atrophicus was similar among all boys (56.7%) and men (53.3%) treated for phimosis. Only the type of phimosis had a statistically significant influence on the rate of lichen sclerosus et atrophicus and other histological diagnoses.

The standard clinic process and sexual health in primary care

2019 ◽  
pp. 47-62
Keyword(s):  
Primary Care ◽  
Sexual Health ◽  
Sexual History ◽  
Sexual Practices ◽  
Health Clinic ◽  
Consultation Process ◽  
Male And Female ◽  
Specialist Services ◽  
Levels Of Service ◽  
Female Genital

An estimated one in seven adults has visited a sexual health clinic. Many are asymptomatic, but reasons for attending are often emotive. This chapter describes attitudes, emotions, demographics, and characteristics of patients presenting to GUM services. Sexual practices and relationships are described, including medical and lay terminology. The GUM consultation process involves a detailed sexual history. An explanation of male and female genital examination includes when examination is appropriate, the importance of always offering a chaperone, and details of how to perform genital and relevant extra-genital examination, with detailed pelvic diagrams. This chapter gives an overview of management and review of patients, as well as levels of service provision within the community and specialist services.

scholarly journals Consequences of Female Genital Mutilation on Women’s Sexual Health – Systematic Review and Meta-Analysis

2021 ◽  
Author(s):  
Andy-Muller Nzinga ◽  
Stéphanie De Andrade Castanheira ◽  
Jessica Hermann ◽  
Véronique Feipel ◽  
Augustin Joseph Kipula ◽  
...  
Keyword(s):  
Systematic Review ◽  
Sexual Health ◽  
Female Genital Mutilation ◽  
Meta Analysis ◽  
Genital Mutilation ◽  
Women’S Sexual Health ◽  
Female Genital

scholarly journals Management of lymphoma in pregnancy

2009 ◽  
Vol 2 (2) ◽  
pp. 46-51 ◽  
Author(s):  
K Hodby ◽  
P A Fields
Keyword(s):  
Health Care Professionals ◽  
Personal Experience ◽  
Best Practice ◽  
Current Practice ◽  
Case Reports ◽  
Current Opinion ◽  
Diagnosis Of Cancer ◽  
Relative Rarity ◽  
The Impact ◽  
Common Malignancy

One in every thousand pregnancies is complicated by a concurrent diagnosis of cancer. Lymphoma is currently the fourth most common malignancy diagnosed during pregnancy and its incidence is rising. The diagnosis and management of any malignancy during pregnancy is clearly a clinical and emotional minefield for both patients and health-care professionals. The major challenge is to optimize medical treatment offered to the mother, while limiting the impact on the fetus. Given the relative rarity of the situation, current practice is guided by case reports and personal experience of management of similar patients. Our centre has a large and busy lymphoma practice, and has cared for several women diagnosed with a variety of subtypes of lymphoma over the years. This review aims to summarize current opinion about best practice regarding these patients and discusses options available from the current literature.

Understanding Physiology and Pathology of Sexual Health

2016 ◽  
Vol 4 (1) ◽  
Author(s):  
Sana Mohamed Abasher Haj Ali
Keyword(s):  
Sexual Health ◽  
Sexual Pleasure ◽  
World Health ◽  
Broad Area ◽  
Genital Mutilation ◽  
Health Related ◽  
New Treatment ◽  
Health Organization ◽  
Treatment Procedures ◽  
Female Genital

According to world health organization, Sexual health is a broad area that encompasses many inter-related challenges and problems. Key among the issues and concerns are human rights related to sexual health, sexual pleasure, eroticism, and sexual satisfaction, diseases (HIV/AIDS, STIs, RTIs), violence, female genital mutilation, sexual dysfunction, and mental health related to sexual health. The present review presents physiology and pathology of sexual health which helps the researchers and clinicians to understand and plan and develop new treatment procedures for better reproductive health for the benefit of population in general.

scholarly journals Effects of psoriasis and metabolic syndrome on male sexual functions

2021 ◽  
Keyword(s):  
Metabolic Syndrome ◽  
Sexual Health ◽  
Rating Scale ◽  
Life Quality ◽  
Psychosocial Health ◽  
Significant Negative Correlation ◽  
Study Patient ◽  
Psoriasis Area Severity Index ◽  
Patient Groups ◽  
Male Patients

Background and Objective: Psoriasis is a chronic inflammatory systemic skin disease triggered by psychological, genetic and environmental factors. The effect of psoriasis on sexual health has not been fully elucidated. Coexistence of psychiatric disorders also affects negatively the life quality of psoriasis patients. This study investigates the relationship between the severity of the current illness, psychosocial health problems and coexisting metabolic syndrome on sexual health in male patients with psoriasis. Materials and methods: 52 male patients diagnosed with psoriasis and 50 healthy men included for the study. Patient groups Psoriasis Area Severity Index (PASI) and The Dermatology Life Quality Index (DLQI) were tested, subsequently International Index of Erectile Function (IIEF), Hamilton Rating Scale for Depression (HAM-D) tests and Metabolic syndrome (MetS) were reported for both groups. Eventually, the patient groups treaments were recorded. Results: IIEF, HAM-D scores and MetS were significantly different between the two groups (P = 0.017, P = 0.005, P = 0.009). IIEF score had a significant negative correlation with age, HAM-D and PASI scores (r = –0.405, –0.217 and –0.394, P = 0.028, 0.043 and 0.014). It is seen that the frequency and severity of ED increased with methotrexate treatment. Conclusion: It is showed that psoriasis has negative effects on male sexual health in this study. Our opinion of the reason is the natural course of the disease, its coexistence with diseases such as metabolic syndrome and depression, and the agents used in its treatment.

scholarly journals Sex-Disaggregated Data on Clinical Characteristics and Outcomes of Hospitalized Patients With COVID-19: A Retrospective Study

2021 ◽  
Vol 11 ◽  
Author(s):  
Mengdie Wang ◽  
Nan Jiang ◽  
Changjun Li ◽  
Jing Wang ◽  
Heping Yang ◽  
...  
Keyword(s):  
Logistic Regression ◽  
Regression Analysis ◽  
Logistic Regression Analysis ◽  
Clinical Characteristics ◽  
Random Effect ◽  
Hospitalized Patients ◽  
Male And Female ◽  
Female Patients ◽  
Disease Outcomes ◽  
Male Patients

BackgroundSex and gender are crucial variables in coronavirus disease 2019 (COVID-19). We sought to provide information on differences in clinical characteristics and outcomes between male and female patients and to explore the effect of estrogen in disease outcomes in patients with COVID-19.MethodIn this retrospective, multi-center study, we included all confirmed cases of COVID-19 admitted to four hospitals in Hubei province, China from Dec 31, 2019 to Mar 31, 2020. Cases were confirmed by real-time RT-PCR and were analyzed for demographic, clinical, laboratory and radiographic parameters. Random-effect logistic regression analysis was used to assess the association between sex and disease outcomes.ResultsA total of 2501 hospitalized patients with COVID-19 were included in the present study. The clinical manifestations of male and female patients with COVID-19 were similar, while male patients have more comorbidities than female patients. In terms of laboratory findings, compared with female patients, male patients were more likely to have lymphopenia, thrombocytopenia, inflammatory response, hypoproteinemia, and extrapulmonary organ damage. Random-effect logistic regression analysis indicated that male patients were more likely to progress into severe type, and prone to ARDS, secondary bacterial infection, and death than females. However, there was no significant difference in disease outcomes between postmenopausal and premenopausal females after propensity score matching (PSM) by age.ConclusionsMale patients, especially those age-matched with postmenopausal females, are more likely to have poor outcomes. Sex-specific differences in clinical characteristics and outcomes do exist in patients with COVID-19, but estrogen may not be the primary cause. Further studies are needed to explore the causes of the differences in disease outcomes between the sexes.

scholarly journals Winklerites serbicus, a new endogean species of ground beetles (Coleoptera: Carabidae: Bembidiini) from southeastern Serbia

2013 ◽  
Vol 65 (2) ◽  
pp. 773-780
Author(s):  
S. Curcic ◽  
D. Antic ◽  
T. Radja ◽  
S. Makarov ◽  
B. Curcic ◽  
...  
Keyword(s):  
New Species ◽  
Ground Beetle ◽  
Ground Beetles ◽  
Beetle Species ◽  
Southeastern Part ◽  
Male And Female ◽  
Female Genital ◽  
Southeastern Serbia

A new endogean bembidiine ground beetle species, Winklerites serbicus sp. n., from a cave in the southeastern part of Serbia is both described and diagnosed. Male and female genital structures and other taxonomically important characters are illustrated. The new species is clearly distinct from its closest congeners. Fifteen species of the genus so far known are arranged in six groups. The new species is both endemic and relict, inhabiting southeastern Serbia only.

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