Fertility, contraception, and pregnancy

Author(s):  
Frank P Edenborough

This chapter describes the physiological effect of CFTR dysfunction on the development of the reproductive system. Young people with CF and their parents are poorly educated regarding sexual function and becoming parents themselves. They often wish to learn this from their CF teams. Male and female potency, reproductive genetics, and the need for genetic and general counselling before embarking on pregnancy are covered. Contraception, emphasizing the need to avoid unwanted pregnancy and sexually transmitted diseases, and assisted reproductive techniques are described. We discuss the evolving medical and obstetric management of pregnancy, including the likely need for optimizing drug treatment or escalating to more intensive treatment for intercurrent infection. Optimal delivery in the context of maternal health, fetal risks, and longer term maternal outcomes are discussed. Pregnancy post transplantation and termination of unwanted pregnancy or where the mother is too poorly to continue conclude the chapter.

Author(s):  
Dinesh Bhugra ◽  
Antonio Ventriglio

Sexual acts form the basis of human life. In urban areas, both male and female sex workers and their mental health have been studied. The risks of resulting sexually transmitted diseases are higher and, consequently, physical and psychiatric comorbidity may be higher. The theory of sex markets focuses on sexual partnering and emphasizes that it is fundamentally a local process, meaning that the two people must live within reasonable geographical proximity to initiate and develop a sexual relationship that is physical. Of course, often people do indulge in cybersex, for which adequate electronic and WiFi facilities have to be available. Economic needs and perspectives may play a major role in transient sexual partnering.


1970 ◽  
Vol 19 (1) ◽  
pp. 7-10
Author(s):  
CM Ali ◽  
TK Sikdar ◽  
N Sultana ◽  
N Ahmed ◽  
AKMR Haque ◽  
...  

The study was conducted among 568 patients of STDs out of 58560 male and female patients in the OPD of Dermatology Department of Dhaka Medical College Hospital (DMCH) during the period of March 2009 to February 2010 irrespective of sex and age >15 years with a view to assess the prevalence of sexually transmitted diseases. In this study prevalence of STDs such as gonorrhea, syphilis, non gonococcal urethritis, chancroid, genital herpes and genital warts were 29.58%, 12.68%, 41.58%,4.93%,8.45% and 2.82% respectively; male and female ratio were 3.73:1. The highest prevalence rate was found in age group of 25-34 years (42.25%). According to educational status of the respondents, 33.80% were up to secondary level and only 2.82% were master degree holder. Among occupation 36.62% were in service, and 15.49% were students. According to socioeconomic status 40.14% were poor and only 9.86% were from upper middle class. Key words: Sexually transmitted diseases; prevalence. DOI: 10.3329/jdmc.v19i1.6243 J Dhaka Med. Coll. 2010; 19(1) : 7-10.


2020 ◽  
Vol 4 (2) ◽  
pp. 157-164
Author(s):  
Tomislav Filipović ◽  
Zrinka Puharić ◽  
Drita Puharić ◽  
Mario Gašić

Introduction. Sexuality of children and adolescents in Croatia is still considered a taboo, and sexually transmitted diseases are a significant global public health problem that is constantly growing. As a frequent consequence of irresponsible sexual behaviour and early sexual intercourse, we are faced with the problem of juvenile, most often unwanted, pregnancy. Contraceptives are used to prevent sexually transmitted diseases and unwanted pregnancies, and the most vulnerable group are the adolescents. The primary task is to educate the youth prior to them entering active sexual life. Aim. To collect and analyse data on sexual habits, attitudes and knowledge of adolescents. To assess the need for additional education and preventive programmes. Methods. 130 high school students, aged 17-19, participated in the survey. For testing purposes, a questionnaire was used. The questionnaire was conducted voluntarily and was completely anonymous, and a written consent was obtained from parents of juvenile participants. Results. The adolescent subjects in this study showed insufficient knowledge of sexuality, namely the menstrual cycle, contraceptives and emergency contraception, and sexually transmitted diseases. They showed knowledge of things they could get acquainted with on a daily basis through the media and other information outlets. Conclusion. According to the results obtained by the research, we can conclude that higher quality education of the youth is necessary, with the aim of expanding their knowledge of sexuality in order to prevent sexually transmitted diseases and the occurrence of unwanted juvenile pregnancies.


Medicina ◽  
2021 ◽  
Vol 57 (8) ◽  
pp. 841
Author(s):  
Magdalena Iorga ◽  
Lavinia-Maria Pop ◽  
Nicoleta Gimiga ◽  
Luminița Păduraru ◽  
Smaranda Diaconescu

Background and Objectives: Without mandatory school-based education, Romania is a leading European country in teen pregnancy. This survey aimed at assessing the level of knowledge and the opinions about sexual education and sexual-related issues among mothers of female teenagers aged 13–18 years old. Material and Methods: The survey was conducted between 2015 and 2017 and had four parts, collecting data about sociodemographic variables, the level of knowledge about sexuality, sexually transmitted diseases, and contraception. The respondents were mothers of female teenagers hospitalized in a tertiary pediatric clinic. Data were analyzed using IBM Statistical Package for Social Sciences (SPSS) Statistics for Windows, version 25 (Inc., Chicago, IL, USA). Results: One hundred and thirty-five mothers (42.46 ± 6.81 years old) were included in the research. Most of them were from rural areas, had graduated secondary school, were Christian-orthodox, married, and with a stable job. More than half of the mothers (61.42%) declared that they personally knew adolescents that were already mothers. In great proportion, mothers proved good knowledge about sexual education, contraception, and STDs. They considered that the minimum age for becoming married, in general, is about M = 18.62 ± 2.09 years old but in the case of their daughters, mothers appreciated that the best age would be 23.56 ± 9.37. Mothers considered that they had good communication with their daughters (M = 4.28 ± 0.99) and two-thirds sustained that they had discussed with them about sexual activity, pregnancy, sexually transmitted diseases, and contraception. In case of unwanted pregnancy of their daughters, one-third of the mothers (38.50%) would advise their girls to continue the pregnancy and 7.40% mentioned the termination of pregnancy. Two-thirds of them (74.10%) agreed to school-based sexual education. In the order of preferred sources for sexual education, mothers mentioned parents (85.90%), teachers (33.30%), and family doctors (24.40%). Comparative results regarding their own sex life and that of their daughters are presented. Conclusions: School-based programs should meet parental beliefs about sexuality and sexual education. School, as a creator of values and models, should find the golden ratio to better shape the personal, familial, and social needs for the healthy sexual behavior of the new generation.


2019 ◽  
pp. 82-91
Author(s):  
T.G. Romanenko ◽  
◽  
O.M. Krotik ◽  
O.L. Mitina ◽  
◽  
...  

This article is devoted to the actual problem of reproductive health of married couple with urogenital infections in anamnesis.The review of modern research summarizes the theoretical and statistical data of recent years. It was considered the contemporary ideas about the etiopathogenesis of male and female infertility, namely the effects of transmitted urogenital infections on the occurrence of disorders in the female and male genitourinary systems. The attention is paid to the analysis of the complications of further planned pregnancy in the couple with the urogenital infections in anamnesis. Key words: reproductive health, urogenital infections, infertility, pregnancy, mixed infection, married couple, sexually transmitted diseases (STDs).


1998 ◽  
Vol 82 (1) ◽  
pp. 201-202 ◽  
Author(s):  
Yuehua Cao ◽  
X. Zhou ◽  
X. Q. Wang ◽  
Q. W. He ◽  
Z. P. Lui ◽  
...  

422 medical students at a conservative campus in Yunnan reported their sexual knowledge, behaviors, and attitudes of reproductive health service to help students acquire necessary sexual knowledge and avoid unwanted pregnancy, abortion, and sexually transmitted diseases.


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