scholarly journals Impact of infertility duration on female sexual health

2021 ◽  
Vol 19 (1) ◽  
Author(s):  
Meng Dong ◽  
Xiaoyan Xu ◽  
Yining Li ◽  
Yixian Wang ◽  
Zhuo Jin ◽  
...  
Keyword(s):  
Sexual Dysfunction ◽  
Sexual Health ◽  
Sexual Life ◽  
Psychological Pain ◽  
Multivariable Logistic Regression Model ◽  
Factors Affecting ◽  
Group Iii ◽  
Arousal Disorder ◽  
Group I ◽  
Patient Health

Abstract Background Infertility, an important source of stress, could affect sexual life. Extensive studies suggest that the incidence of sexual dysfunction is highly prevalent in infertile women. As the duration of infertility increases, the level of stress is also likely to increase even further, and this could aggravate psychological pain and cause sexual dysfunction. However, the effect of infertility duration on sexual health is unclear. Methods We conducted a case-control study in which 715 patients participated between September 1,2020 and December 25, 2020. We included patients diagnosed with infertility (aged between 20 to 45), who were divided into four groups according to their infertility durations: ≤ 2 years (Group I, n = 262), > 2 years but ≤ 5 years (Group II, n = 282), > 5 years but ≤ 8 years (Group III, n = 97), and > 8 years (Group IV, n = 74). A questionnaire survey on female sexual functions and psychological depression was administered to participants, and their female sexual functions and depression status were measured using the Female Sexual Function Index (FSFI) and Patient Health Questionnaire (PHQ-9), respectively. Results As the number of years of infertility increased, the PHQ-9 score as well as the incidence of psychological depression increased significantly (p < 0.05), but the total score of FSFI and those of its six domains/sub-scales were not significantly different among the four groups. An analysis of the relevant factors affecting sexual functions, using the multivariable logistic regression model, revealed that when the infertility duration was greater than 8 years, there was a significant increase in the incidence of sexual dysfunction [adjusted odds ratios (AOR) = 5.158, 95% confidence interval (CI): 1.935–13.746, P = 0.001], arousal disorder (AOR = 2.955, 95% CI: 1.194–7.314, P = 0.019), coital pain (AOR = 3.811, 95% CI: 1.045–13.897, P = 0.043), and lubrication disorder (AOR = 5.077, 95% CI: 1.340–19.244, P = 0.017). Conclusions An increasing infertility duration is a risk factor for the occurrence of sexual dysfunction. Hence, as the infertility duration increases, the incidence of female sexual dysfunction and psychological distress could also increase, especially when the infertility duration is more than 8 years.

Impact of Infertility Duration on Female Sexual Health

2021 ◽  
Author(s):  
Meng Dong ◽  
Xiaoyan Xu ◽  
Yining Li ◽  
Yixian Wang ◽  
Zhuo Jin ◽  
...  
Keyword(s):  
Risk Factor ◽  
Sexual Dysfunction ◽  
Sexual Health ◽  
Sexual Function ◽  
Equation Model ◽  
Sexual Life ◽  
Female Sexual Function ◽  
Psychological Pain ◽  
Multivariable Logistic Regression Model ◽  
Group I

Abstract BackgroundAs an important source of stress, infertility may affect the quality of sexual life, with extensive studies believing that the incidence of sexual dysfunction in infertile women is highly prevalent. As the years of infertility increase, the greater this stress is likely to increase, which may aggravate psychological pain and cause sexual dysfunction. However, the effect of infertility duration on sexual health is unclear.Methods We performed a case-control study, and a total of 715 patients participated in this research between September 1, 2020, and December 25, 2020. Patients diagnosed with infertility (aged between 20 to 45 years) were included. Patients with infertility were divided into four groups according to infertility duration: ≤ 2 years (Group I, n=262), 2< infertility duration ≤5 years (Group II, n=282), 5 < infertility duration ≤8 years (Group III, n=97), and infertility duration > 8 years (Group IV, n=74). A questionnaire survey of female sexual function and psychological depression of patients with infertility was performed. The female sexual function was measured by the Female Sexual Function Index (FSFI), depression status was measured by the Patient Health Questionnaire (PHQ-9).ResultsAnalysis of the relevant factors that affect sexual function using a multivariable logistic regression model revealed that infertility duration of less than 8 years was not a risk factor for sexual dysfunction. However, when infertility duration was greater than 8 years, the incidence of sexual dysfunction (AOR=5.158,95%CI: 1.935-13.746, P=0.001) and 3 domains [arousal disorder (AOR=2.955 ,95%CI: 1.194-7.314, P=0.019, coital pain (AOR=3.811 ,95%CI: 1.045-13.897, P=0.043), and lubrication disorder (AOR=5.077 ,95%CI: 1.340-19.244, P=0.017)] increases. ConclusionsThe multivariate regression equation model reveals that the infertility duration is more than 8 years, which is a risk factor for the occurrence of sexual dysfunction. As the infertility duration increases, the incidence of female sexual dysfunction and psychological distress may increase.

scholarly journals Insufficient Assessment of Sexual Dysfunction: A Problem in Gynecological Practice

Medicina ◽  
2013 ◽  
Vol 49 (7) ◽  
pp. 49 ◽  
Author(s):  
Ieva Briedite ◽  
Gunta Ancane ◽  
Andrejs Ancans ◽  
Renars Erts
Keyword(s):  
Sexual Dysfunction ◽  
Sexual Health ◽  
Well Being ◽  
Sexual History ◽  
Sexual Life ◽  
Sexual Disorders ◽  
Oncologic Patients ◽  
Sexual History Taking ◽  
Gynecological Care ◽  
Main Barrier

Background and Objective. Sexual health is an important part of a woman’s life and well-being. Female sexual dysfunction is a complicated problem, it is often underestimated in the healthcare process, and its management is complex. Giving women the opportunity to talk about sexual problems is a fundamental part of healthcare and may improve their quality of life. The aim of this study was to find out patients’ experience and attitudes toward the involvement of gynecologists addressing sexual issues, to disclose the main barriers to initiate a conversation, and to assess the prevalence of sexual disorders among patients in a gynecological clinic. Material and Methods. A questionnaire-based approach was used to survey 18- to 50-year-old voluntary patients in the gynecological clinic. The study population comprised 300 different gynecological (except oncologic) patients independently of reasons for being in the clinic. The duration of the study was 6 months. Results. Only one-third of the patients had ever been asked about their sexual life by a gynecologist, whilst the majority (80%) of the respondents reported they would like to be asked and discuss sexual issues. The patients mostly did not complain because of psychoemotional barriers, and shame was the main barrier for patients to talk about their problems. Sexual dysfunction was a frequent disorder among gynecological patients, reaching especially high levels in the arousal (46.41%) and lubrication (40.67%) domains. Conclusions. The assessment of sexual health is insufficient in gynecological care, and sexual history-taking and evaluation of sexual functions should be included in routine gynecological health assessments.

Erectile dysfunction cause in men with urination disorders

2020 ◽  
Vol 1 (1) ◽  
pp. 50-59
Author(s):  
Pavel Rasner ◽  
Dmitrii Pushkar ◽  
Keyword(s):  
Erectile Dysfunction ◽  
Sexual Dysfunction ◽  
Sexual Health ◽  
Age Of Onset ◽  
Moscow Region ◽  
Sexual Life ◽  
Age Group ◽  
Urination Disorders ◽  
Peak Period ◽  
Age Related

Introduction. Erectile dysfunction is an urgent problem of modern urology. There is a consistent correlation between the sexual dysfunction incidence and the aging changes in the man’s body. In this study, an attempt was made to analyze the causes of the discussed correlation. An analysis comparing the data obtained with the worldwide figures and the results previously reported in Russia was performed. Materials and methods. The prospective multicenter epidemiological study was carried out using the data acquired from April 1 to May 31, 2017 during the anonymous questioning of 525 men (average age 64.2±9.93) living in Moscow, who had contacted the urologist due to urination disorders. The respondents answered the questions of the specially developed 140-point questionnaire. All demographic and medical data was taken into account, including information on comorbidities and age of onset. The IIEF, IPSS, QoL and AMS (Aging Male Screening) questionnaires were completed. Statistical processing of the results was carried out. Results. Complaints of sexual dysfunction are a relatively rare reason for the urologist’s consultation in men with LUTS living in the Moscow region. However, the survey has revealed that 39.9% of men did not consider themselves sexually active. The particularly low sexual health rate was detected in the age group over 70. The average IIEF questionnaire score for the respondents was 39.40±21.14. Less than a third of respondents reported their sexual life quality as acceptable. The correlation coefficient between the total IIEF score and the birth year was +0.422, and for the IPSS score it was -0.205. Correlations were considered significant when p<0.001. The erectile dysfunction risk increases with age, however, according to numerous publications it is not due to natural aging process, but due to severe comorbidities, particularly hypertension, infections, vascular diseases and diabetes mellitus. The patients' compliance with healthy lifestyle, abstention from smoking and regular drinking, is of great importance. In this study, the 152 of 525 (29%) respondents were smokers at the time of the survey. Strong liquor was routinely consumed by 250 respondents (47.6%), and low-alcohol beverages were consumed by 167 people (31.8%). The onset of the listed above comorbidities occurs at the age of 50–60, which makes it possible to explain the rapid ED incidence increase in the corresponding age group. The pattern identified constitutes evidence of the organic causes of erectile dysfunction. Conclusion. Analysis of the erectile dysfunction type and incidence in patients with LUTS living in the Moscow region demonstrated certain differences between the results obtained and the results of similar American and European studies. A steady trend of sexual health deterioration was observed in patients aged over 55–65. We have proved correlation between these changes and various cardiovascular diseases manifestations (CAD, hypertension), the peak period of which falls on the described age group. Comparison of the data obtained to those of 2012 has demonstrated increased severity of the “age-related” symptoms.

Psychological Screening of Impotence with Finney's MMPI-Derived Impotence Scale

1995 ◽  
Vol 77 (3) ◽  
pp. 1019-1026 ◽  
Author(s):  
Robert J. Craig ◽  
Bridgit Cannon ◽  
Ronald E. Olson
Keyword(s):  
Erectile Dysfunction ◽  
Sexual Dysfunction ◽  
Clinical Evaluation ◽  
Screening Tool ◽  
Substance Abusers ◽  
Penile Prosthesis ◽  
Drug Rehabilitation ◽  
Group Iii ◽  
Group I ◽  
Scale Scores

Three groups of patients in treatment were assessed for impotence, using the MMPI-derived Impotence Scale. Group I were 46 patients who had been screened and scheduled for a penile prosthesis when the impotence resulted from known organic causes (biogenic). Group II were 198 patients in a sexual dysfunction clinic, for whom biogenic causes had been ruled out (psychogenic). Group III were 51 substance abusers in drug rehabilitation. While scores on the Impotence Scale did not distinguish between the biogenic and psychogenic groups, the scores were almost three times higher than average scores among subjects in the standardization sample. MMPI-derived Impotence Scale scores were similarly elevated among the substance abusers. Results suggest that the Impotence Scale may serve as a useful screening tool to alert clinicians to the possibility of erectile dysfunction for which further clinical evaluation would be required.

scholarly journals Uterine Characteristics of Prepubertal Gilts at Fixed Body Weight

2019 ◽  
Vol 19 (2) ◽  
pp. 373-381
Author(s):  
Hanna Jankowiak ◽  
Wojciech Kapelański ◽  
Maria Bocian
Keyword(s):  
Body Weight ◽  
Reproductive Tract ◽  
Great Variability ◽  
Morphometric Parameters ◽  
Uterine Weight ◽  
Factors Affecting ◽  
Group Iii ◽  
Group I ◽  
Size Variability ◽  
Selection For

AbstractReproduction is one of the most important factors affecting the efficiency of animal production. Within the scope of uterine capacity and other morphometric parameters, the objective of this study was to evaluate the size variability of uterus dissected from prepubertal gilts. The research was conducted on 100 PLW gilts and 100 PL gilts at a pig testing station. After slaughter, the reproductive tract was dissected, and each element was measured and weighed. The obtained results were combined and analyzed in three groups differentiated by uterine capacity: I, II and III. Group I consisted of gilts with a uterine capacity below 115 cm3 (n=69); group II comprised gilts with a uterine capacity between 115 and 175 cm3 (n=85); uterine capacity in group III was above 175 cm3 (n=46). Ontogenesis of the reproductive tract showed great variability with respect to the uterine capacity of gilts of both breeds. Uterine weight with and without ligament was different between the analyzed groups of PLW gilts (P<0.01), and also between the groups of PL gilts (P<0.01; P<0.05). The uterine horns of the PLW gilts in group I were slightly longer than in the PL gilts (90.76 cm vs. 84.20 cm; P<0.05). A slightly higher variability of uterine capacity was observed with respect to the PLW gilts (80.92 cm3 to 243.13 cm3), as compared with the PL gilts (92.61 cm3 to 235.23 cm3). The determined uterine capacity was significantly correlated with all parameters of uterine size (P<0.01), apart from the length of the uterus and cervix in PLW gilts. The proportion between the uterine weight and the length of its horns, which characterizes the thickness of uterine walls, was significantly correlated with the length of uterine horns only in PL gilts (r=0.382**). This study may be used to forecast the potential fertility of related females (littermate gilts and their daughters); it may also be used in sow selection for litter size.

scholarly journals Sex After Menopause: Why Not?

2016 ◽  
Vol 9 (1) ◽  
pp. 106-106
Author(s):  
R. Hamilton ◽  
Keyword(s):  
Sexual Dysfunction ◽  
Sexual Health ◽  
Sexual Pleasure ◽  
Sexual Life ◽  
Clinical Psychologist ◽  
Menopausal Woman ◽  
Health History ◽  
Age Related ◽  
Menopausal Women ◽  
Post Menopausal

Objective: Why do we care whether the menopausal woman engages in – let alone enjoys – sexual pleasure or not? It is surely a very individual area and should be addressed on an individual basis. Today, the majority of menopausal women are busy with work, looking after children and grandchildren and lead fulfilling, busy lives. Why not a great sexual life too? Design and Method: Retrospective analysis of peri and post-menopausal women, experiencing problems related to sexual dysfunction. Detailed sexual health history was obtained, detailing specifics around gynaecological and sexual health screenings and interventions. This gave rise to key factors that displayed sexual dysfunction elements, but once addressed, diminished or resolved the dysfunction. Results: It was found that the majority of women were guarded in discussing sexual problems from a psychosexual framework, however, it remained less challenging to subscribe to the perceived problem being a medical/gynaecological problem. Awareness of age-related health issues and discussion around this influenced appropriate management. Conclusions: Adequate baseline screening is a key concept to address practical impediments and discuss these from a normal aging process. A direct approach, practical information, engagement with the partner and awareness of options around sexual positions and exploration drive these consultations positively. Support and education via linking with a Clinical Psychologist during this process was found to be a key aspect to outcome.

scholarly journals AB0718 ASSESSMENT OF SEXUAL DYSFUNCTION IN WOMEN AND MEN WITH FIBROMYALGIA SYNDROME

2021 ◽  
Vol 80 (Suppl 1) ◽  
pp. 1390.2-1390
Author(s):  
G. Mouna ◽  
J. Mahbouba ◽  
S. Zrour ◽  
I. Bejia ◽  
M. Touzi ◽  
...  
Keyword(s):  
Rheumatoid Arthritis ◽  
Sexual Dysfunction ◽  
Sexual Health ◽  
Fibromyalgia Syndrome ◽  
Meta Analysis ◽  
Sexual Life ◽  
Cross Sectional ◽  
Female Patients ◽  
Significant Difference ◽  
Male Patients

Background:Fibromyalgia syndrome is a chronic musculoskeletal disease, which compromises physical, mental, and sexual health. Although concerns related to sexuality are commonly reported, the literature on sexual functioning in patient with fibromyalgia is limited to female patients.Objectives:The aim of our study is to identify sexual dysfunction in women and men with fibromyalgia syndrome compared with patients with rheumatoid arthritis.Methods:This is a cross-sectional comparative study: ‘34 patients with fibromyalgia syndrome compared to 100 patients with rheumatoid arthritis’ conducted in the rheumatology department of CHU Fattouma Bourguiba de Monastir over a period from February to November 2017. We used the Female Sexual Function Index (FSFI) and the Sexual Health Inventory for Men (SHIM).Results:Our sample comprised 34 patients with fibromyalgia (31 females and 3 males) and 100 patients with rheumatoid arthritis (58 females and 15 males).Sexual dysfunction was present in 100% of female patients with fibromyalgia syndrome compared to 60% of female patients with rheumatoid arthritis. Female patients with fibromyalgia syndrome had a decreased FSFI score: 10,3±8,74 versus 16,86±8,87 in the rheumatoid arthitis group with p=0.001. While among the male patients, we found no significant difference between the two groups.Conclusion:Fibromyalgia syndrome had negative side effect on the sexual life of female patients. Recognition of this dysfunction and its inclusion in the multidisciplinary management of fibromyalgia must be part of the treatment.References:[1]P. Romero-Alcalá et al., « Sexuality in male partners of womenwithfibromyalgiasyndrome: A qualitative study », PLoS One, vol. 14, no 11, nov. 2019, doi: 10.1371/journal.pone.0224990.[2]M. D. H. Besiroglu et M. D. M. Dursun, « The association betweenfibromyalgia and femalesexualdysfunction:asystematicreview and meta-analysis of observationalstudies », Int J ImpotRes, vol. 31, no 4, p. 288-297, juill. 2019, doi: 10.1038/s41443-018-0098-3.[3]T. M. Matarín Jiménez, C. Fernández-Sola, J. M. Hernández-Padilla, M. Correa Casado, L. H. Antequera Raynal, et J. Granero-Molina, « Perceptions about the sexuality of womenwithfibromyalgiasyndrome:aphenomenologicalstudy », J Adv Nurs, vol. 73, no 7, p. 1646-1656, juill. 2017, doi: 10.1111/jan.13262.[4]L. Bazzichiet al., « Fibromyalgia and sexualproblems », Reumatismo, vol. 64, no 4, p. 261-267, sept. 2012, doi: 10.4081/reumatismo.2012.261.Disclosure of Interests:None declared

Ultrastructural Lesions Produced by Alcohol and Sucrose in the Heart and Liver of C57BL Mice

1970 ◽  
Vol 28 ◽  
pp. 208-209
Author(s):  
K.K. SEKHRI ◽  
C.S. ALEXANDER ◽  
H.T. NAGASAWA
Keyword(s):  
Osmium Tetroxide ◽  
Male Mice ◽  
Alcohol Group ◽  
Group Iii ◽  
Group I ◽  
C57bl Mice ◽  
Group Ii

C57BL male mice (Jackson Lab., Bar Harbor, Maine) weighing about 18 gms were randomly divided into three groups: group I was fed sweetened liquid alcohol diet (modified Schenkl) in which 36% of the calories were derived from alcohol; group II was maintained on a similar diet but alcohol was isocalorically substituted by sucrose; group III was fed regular mouse chow ad lib for five months. Liver and heart tissues were fixed in 2.5% cacodylate buffered glutaraldehyde, post-fixed in 2% osmium tetroxide and embedded in Epon-araldite.

The Quantitative Ultrastructure of the Heart Muscle of Japanese Quail by Hypergravitation, Hypodynamy and Combination

1990 ◽  
Vol 48 (3) ◽  
pp. 188-189
Author(s):  
Anton Bózner ◽  
Mikuláš Gažo ◽  
Jozef Dostál
Keyword(s):  
Japanese Quail ◽  
Heart Muscle ◽  
Relative Size ◽  
Combination Group ◽  
Control Group ◽  
Group V ◽  
Group Iii ◽  
Space Flights ◽  
Group I ◽  
Quantitative Ultrastructure

It is anticipated that Japanese quail /Coturnix coturnix japonica/ will provide animal proteins in long term space flights. Consequently this species of birds is of research interest of international space program INTERCOSMOS. In the year 1987 we reported on an experiment /2/ in which the effect of chronic acceleration of 2 G hypergravitation, the hypodynamy and the simultaneous effect of chronic acceleration and the location in the centre of the turntable of the centrifuge on the protein fractions in skeletal muscles was studied. The ultrastructure of the heart muscle was now in this experiments examined as well.Japanese quail cockerels, aged 48 days were exposed to 2 G hypergravitation /group IV/ in a 6,4 m diameter centrifuge, to hypodynamy /group III/ and their combination /group V/, respectively for 6 days / Fig.1/. The hypodynamy in group III was achieved by suspending the birds in jackets without contact the floor. The group II was located in the centre ofthe turntable of the centrifuge. The control group I. was kept under normal conditions. The quantitative ultrastructure of myocard was evaluated by the methods of Weibel/3/ - this enables to determine the number, relative size and volume of mitochondria volume of single mitochondria, defficiency of mitochondrial cristae and volume of myofibrils.

Sexual dysfunction and sexual health concerns in women with diabetes

1998 ◽  
Vol 1 (2) ◽  
pp. 83-87 ◽  
Author(s):  
Meeking ◽  
Fosbury ◽  
Cummings ◽  
Alexander ◽  
Shaw ◽  
...  
Keyword(s):  
Sexual Dysfunction ◽  
Sexual Health ◽  
Health Concerns
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