Midlife and Beyond (DRAFT)

2018 ◽  
Author(s):  
Janine A. Blackman
Keyword(s):  
Sexual Health ◽  
Hormone Replacement ◽  
Well Being ◽  
Antral Follicle ◽  
Antral Follicle Count ◽  
Integrative Approach ◽  
Misleading Information ◽  
Case Examples ◽  
Women’S Sexual Health ◽  
Health And Well Being

This chapter discusses the varying changes in female hormones that begin 20 to 30 years prior to a woman’s final menstrual period (FMP), commonly around 50 years of age. Both testosterone and progesterone begin declining in a woman’s 20s and 30s, respectively, and antral follicle count in her ovaries also declines. In contrast, estrogen levels remain relatively stable from puberty until a woman’s early 40s This chapter discusses the changes that occur in a woman’s sexual health and overall health and well-being as her hormones change throughout her lifespan. It also discusses the controversy and misleading information about conventional hormone replacement therapies and presents case examples of postmenopausal women’s sexual health and overall health and well-being being restored with an integrative approach using custom-compounded bioidentical hormone replacement. A relatively new (nonsurgical) radiofrequency treatment for vulvo-vaginal rejuvenation for vaginal atrophy and urinary leakage problems in older women is also discussed.

003 A Culturally Informed Educational Program to Promote Sexual Health and Well-being Among Refugee Women

2016 ◽  
Vol 13 (6) ◽  
pp. S239-S240
Author(s):  
H. Howard ◽  
C. Johnson-Agbakwu ◽  
G. Michlig ◽  
N. Sisterna ◽  
J. Nizigiyimana
Keyword(s):  
Sexual Health ◽  
Educational Program ◽  
Well Being ◽  
Refugee Women ◽  
Culturally Informed ◽  
Health And Well Being

How to Relate Two Specific Concepts: Sexual Health and Sexual Minority?

2016 ◽  
Vol 33 (S1) ◽  
pp. S489-S489
Author(s):  
F. Jurysta
Keyword(s):  
Sexual Health ◽  
Sexual Minority ◽  
Well Being ◽  
Hormone Treatment ◽  
Sexual Relationships ◽  
Integrative Model ◽  
Integrative Approach ◽  
Health Concept ◽  
Opposite Sex ◽  
Competing Interest

IntroductionWHO defines Sexual Health as “a state of physical, emotional, mental and social well-being in relation to sexuality… and requires a positive and respectful approach to sexuality and sexual relationships, as well as the possibility of having pleasurable and safe sexual experiences, free of coercion, discrimination and violence”.OCD-10 defines Transsexualism as “the desire to live and be accepted as a member of the opposite sex, usually accompanied by the wish to make his or her body as congruent as possible with the preferred sex through surgery and hormone treatment. The transsexual identity has been present persistently for at least two years. The disorder is not a symptom of another mental disorder or a chromosomal abnormality”.ObjectiveWe developed an integrative model in 4 axes to approach Sexual Health concept and Transsexualism.AimsHolistic and integrative model of transsexualism gives a better understanding of this disorder and ameliorates global treatment. Moreover, this model should be applied to each sexual minority.Results1. Etiology integrates psychological, biological and neuro-developmental aspects. 2. Clinical features for treatment imply large and multidisciplinary approach. 3. Scientific literature includes more than thousand papers on Transsexualism and numerous expertises as endocrinology, psychiatry, cardiology, sleep… 4. Social networks are developed in hospitals, associations… as well as between patients themselves.ConclusionsHolistic and integrative approach of Sexual Minority as Transsexualism could reach Sexual Health concept defined by WHO.Disclosure of interestThe authors have not supplied their declaration of competing interest.

Using digital storytelling to promote the sexual health and well-being of migrant and refugee young people: A scoping review

2017 ◽  
Vol 77 (7) ◽  
pp. 735-748 ◽  
Author(s):  
Jessica R Botfield ◽  
Christy E Newman ◽  
Caroline Lenette ◽  
Kath Albury ◽  
Anthony B Zwi
Keyword(s):  
Young People ◽  
Sexual Health ◽  
Scoping Review ◽  
Culturally Diverse ◽  
Digital Storytelling ◽  
Well Being ◽  
Knowledge Gaps ◽  
Diverse Backgrounds ◽  
Digital Stories ◽  
Health And Well Being

Objective: Digital storytelling and other methods of self-expression and autobiography have become an increasingly important tool for those working with young people, including those from migrant, refugee or other ‘culturally diverse’ backgrounds. A structured scoping review was undertaken to better understand the potential value and challenges of using digital stories to promote the health and well-being of these diverse groups of young people and to identify key knowledge gaps. Design: The review process comprised a systematic search of the literature and strategic consultations with professionals working with young people in the area of sexual and reproductive health promotion and care. A descriptive-analytic method was used to collate and synthesise the literature and apply narrative and thematic analyses. Results: In total, 28 papers were deemed eligible for inclusion. Findings are presented as two analyses: what is known from the literature and key knowledge gaps. Identified themes included the use of digital stories as social activism and as research intervention, recognition of digital stories as complex terrain and recommendations for good practice. Three key gaps of particular relevance to our research aims were identified. These were (1) the lack of digital stories on sexual health and relationships by ‘culturally diverse’ young people in Australia, (2) the need for discussion of the ethical considerations of using digital storytelling and related methods in sexual health fields and (3) the value of exploring opportunities to employ digital methods as self-representation and autobiography to generate new knowledge and build organisational capacity. Conclusion: As confirmed in discussions with professionals working in the youth, migrant and sexual health sectors, the literature highlighted the many potential applications of digital storytelling to promoting the sexual health and well-being of young people from diverse backgrounds. Additional research is required to understand the particular ethical and contextual issues shaping, and at times constraining, this engagement in specific cultural contexts.

scholarly journals Adolescents' Perceptions About Dating and Sexual Permissiveness in Ebonyi State, Nigeria: What Can Be Done to Enhance Adolescents' Sexual Health and Well-Being

2021 ◽  
Vol 3 ◽  
Author(s):  
Nkoli Ezumah ◽  
Ifunanya Clara Agu ◽  
Chinyere Okeke ◽  
Chibuike Agu ◽  
Chinyere Ojiugo Mbachu ◽  
...  
Keyword(s):  
Reproductive Health ◽  
Sexual Health ◽  
Sexual Behaviors ◽  
Sexual And Reproductive Health ◽  
Group Discussion ◽  
Well Being ◽  
Casual Sex ◽  
Reproductive Capacity ◽  
Southeastern Nigeria ◽  
Health And Well Being

Introduction: Adolescent sexual and reproductive health (SRH) issues constitute key health concerns as some adolescents are directly or indirectly involved in sexual engagements, with increased risks and health consequences. The study aims to explore adolescents' perceptions about dating and permissive sexual behaviors which will contribute to designing sexual and reproductive health interventions. This paper adds to knowledge on adolescents' perceptions about dating, pre-marital, casual, transactional and age-disparate sex in southeastern, Nigeria.Methods: A qualitative study was undertaken in the three senatorial zones of Ebonyi state, south eastern Nigeria. The study population comprised unmarried in- and out-of-school adolescents aged 13–18 years. Data were collected using a pre-tested focus group discussion (FGD) guide. There were six FGDs for boys and six FGDs for girls. A thematic framework approach was used for data analysis.Results: Adolescents' views about dating and other sexual behaviors were varied. The dominant view is that hugging, touching and kissing are inappropriate for unmarried adolescents. Similarly, pre-marital, casual, transactional, and age-disparate sex were viewed as unacceptable. However, some adolescents perceived pre-marital abstinence as a hindrance to the attainment of sexual satisfaction and reproductive capacity in marriage. Some boys and girls indicated that casual sex is good, because it enables girls from poor homes to socialize with more privileged boys/men, and that such relationships could lead to marriage. Some considered transactional and age-disparate sex as a means of survival from poverty and unemployment. Boys were more permissive in their views about sexual behaviors compared to the girls.Conclusion: Adolescents' perceptions of sexual behaviors as acceptable/unacceptable vary and are gendered. This should be considered in designing innovative strategies to improve adolescents' sexual health and well-being.

Addressing clients’ sexual health in occupational therapy practice

2019 ◽  
Vol 87 (1) ◽  
pp. 52-62
Author(s):  
Kelli Young ◽  
Abrielle Dodington ◽  
Catherine Smith ◽  
Carol S. Heck
Keyword(s):  
Sexual Health ◽  
Exploratory Study ◽  
Descriptive Analysis ◽  
Occupational Therapists ◽  
Clinical Work ◽  
Well Being ◽  
Health Needs ◽  
Questionnaire Data ◽  
Online Questionnaire ◽  
Health And Well Being

Background. Sexuality is an important dimension of one’s health and well-being. Studies show that occupational therapists regard clients’ sexual health as a legitimate domain of practice but do not adequately address it in their clinical work. Purpose. This study aims to describe occupational therapists’ perspectives regarding clients’ sexual health. Method. This exploratory study surveyed Canadian occupational therapists using an online questionnaire that collected information on beliefs, knowledge, comfort, barriers, and facilitators with regard to addressing sexuality. Descriptive analysis was conducted on questionnaire data, and content analysis was used to organize respondents’ comments. Findings. While most respondents believed that addressing sexuality was within their scope, few actually did so in practice. Participants reported comfort with sexuality but identified lack of knowledge as a barrier to addressing clients’ sexual health. Implications. This study provided a greater understanding of factors that require consideration for occupational therapists to effectively meet clients’ sexual health needs.

Effects of vulvo-vaginal aesthetic (VVA) surgery on sexual health and well-being

2013 ◽  
Author(s):  
Robyn Jackowich ◽  
Michael Goodman ◽  
Yvonne Erskine ◽  
Susan Hardwick-Smith ◽  
David Matlock ◽  
...  
Keyword(s):  
Sexual Health ◽  
Well Being ◽  
Health And Well Being
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