scholarly journals FEMALE SEXUAL DYSFUNCTION IN SUBFERTILITY PATIENTS VERSUS THOSE SEEKING FERTILITY CONTROL

2021 ◽  
Vol 9 (01) ◽  
pp. 911-919
Author(s):  
Mostafa Abdulla Elsayed Mahmoud ◽  

Background: Female sexual dysfunction (FSD) and subfertility are common problems affecting approximately 43 and 20% of women respectively. Studies on association of female sexual dysfunction and infertility is not much .the presented study compare the prevalence of female sexual dysfunction in patients on assessment for sub-fertility and those either seeking or already on fertility control services at a private sonolive clinic in Benha. Methods:This was an analytical cross sectional study. Eligible women of reproductive age (20–43 years), attending the private sonolive infertility clinic in Benha Egypt in the period from January 2019 to July 2020 with complaints of subfertility and those seeking fertility control services (as controls)were requested to fill a general demographic tool containing personal data and the Female Sexual Function Index (FSFI) questionnaire after informed consent. Sexual dysfunction was calculated as a percentage of patients not achieving an overall FSFI score of 26.55. Results:The prevalence of female sexual dysfunction was 45% in the subfertile group and 35% in fertility control group. The difference was statistically significant (p = 0.006).the important affected items were desire and lubrication also infrequent coitus in the fertility window Conclusion:The present study demonstrated a significant association between the fertility status and the prevalence female sexual dysfunction. Subfertility type was associated with sexual dysfunction especially the desire and lubrication which affect the whole score of sexual dysfunction.

2019 ◽  
Vol 5 (1) ◽  
Author(s):  
Felix Mwembi Oindi ◽  
Alfred Murage ◽  
Valentino Manase Lema ◽  
Abraham Mwaniki Mukaindo

Abstract Background Sexual function plays an essential role in the bio-psychosocial wellbeing and quality of life of women and disturbances in sexual functioning often result in significant distress. Female sexual dysfunction (FSD) and subfertility are common problems affecting approximately 43 and 20% of women respectively. However, despite the high prevalence of both conditions, little has been studied on the effects of subfertility on sexual functioning especially in sub-Saharan Africa. We set out to compare the prevalence of female sexual dysfunction in patients on assessment for sub-fertility and those either seeking or already on fertility control services at a private tertiary teaching hospital in Kenya. Methods This was an analytical cross sectional study. Eligible women of reproductive age (18–49 years), attending the gynaecological clinics with complaints of subfertility and those seeking fertility control services were requested to fill a general demographic tool containing personal data and the Female Sexual Function Index (FSFI) questionnaire after informed consent. Prevalence of sexual dysfunction was calculated as a percentage of patients not achieving an overall FSFI score of 26.55. Univariate and multivariate analysis were done to compare clinical variables to delineate the potential association. Results The prevalence of female sexual dysfunction was 31.2% in the subfertile group and 22.6% in fertility control group. The difference was not statistically significant (p = 0.187). The mean domain and overall female sexual function scores were lower in the subfertile group than the fertility control group though this was not statistically significant. The most prevalent sexual domain dysfunctions in both the subfertility and fertility control groups were desire and arousal while the least in both groups was satisfaction dysfunction. Subfertility type was not associated with sexual dysfunction. Higher education attainment was protective of female sexual dysfunction in the subfertile group while use of hormonal contraception was associated with greater sexual impairment in the fertility control group. On logistic regression analysis, higher maternal age and alcohol use appeared to be protective against sexual dysfunction. Conclusion The present study demonstrated no association between the fertility status and the prevalence female sexual dysfunction. Subfertility type was not associated with sexual dysfunction. Education level and hormonal contraception use were associated with female sexual dysfunction in the subfertile and fertility control groups respectively while alcohol use and higher maternal age appeared to be protective against sexual dysfunction.


Medicina ◽  
2019 ◽  
Vol 55 (6) ◽  
pp. 240
Author(s):  
Ivan Radoja ◽  
Dunja Degmečić

Background and objectives: Urinary incontinence is defined as the involuntary leakage of urine. Studies have reported that the severity of urinary incontinence symptoms can cause decreased quality of life and female sexual dysfunction in women, but the association between the duration of the incontinence and the aforementioned disturbances has not been evaluated. The objective of this study was to evaluate the differences in the occurrence of decreased quality of life and female sexual dysfunction in Croatian women with urinary incontinence, with regard to the duration and subtype of urinary incontinence. Materials and Methods: We conducted a cross-sectional study from March 2017 to July 2018 at our neurourology and urodynamics outpatient clinic, among 120 women with urinary incontinence symptoms. Based on medical history, physical exam and urodynamic assessment, participants were divided into groups with stress-, urgency- and mixed urinary incontinence. Several quality of life and female sexual dysfunction questionnaires were used for evaluation. The differences between the three UI groups were tested by the Kruskal–Wallis test. All p values were two-sided. The level of significance was set to Alpha = 0.05. Results: The mixed urinary incontinence group had a significantly inferior quality of life (p = 0.003) and lower scores on the female sexual dysfunction questionnaires (p = 0.02). The longer the duration of incontinence King’s Health Questionnaire total score was worse (p = 0.003) and Female Sexual Function Index total score was worse (p < 0.001). Conclusions: Our results showed that there was a statistically significant difference in the occurrence of decreased quality of life and female sexual dysfunction considering the duration and subtype of incontinence in Croatian women.


Author(s):  
Aparajita Dasgupta ◽  
Nivedita Roychoudhury ◽  
Dipak Pal ◽  
Lina Bandyopadhyay ◽  
Sweta Suman ◽  
...  

Background: Emergency Contraception (EC) is an important option for women exposed to unprotected sex to prevent unintended pregnancy and induced abortion. EC has a potential to offer women an important option for fertility control. The objective of the study was to assess knowledge about Emergency Contraception among currently married women of reproductive age in a rural area of West Bengal.Methods: A community based cross sectional study was conducted on 608 currently married women of reproductive age for 1 year from May 2017 to April 2018. Questionnaire was administered to women on knowledge of emergency contraception (EC). Data was analyzed in SPSS version 16.Results: Among the study participants 66% had knowledge of emergency contraception. A small number (8.9%) of the total participants ever used EC to prevent pregnancy. Only 65.3% of them had correct knowledge regarding timing of EC. Effectiveness of post-coital pill was known to them while none of these women were aware of the existence of Intra Uterine Contraceptive Device (IUCD) insertion as an option for EC.Conclusions: Marked lacunae were observed regarding knowledge and practice of emergency contraceptives among the WRA. Proper and correct knowledge on Emergency Contraception is of urgent need among all sexually active women especially in this country for population stabilization.


Author(s):  
Muharam Natadisastra ◽  
Valencia Yuwono ◽  
Ririn Febri ◽  
Asmarinah Asmarinah

Objective: To investigate the HOXA11 gene profile on endometriosispatients with infertility in Indonesia.Methods: This cross sectional study was conducted in Dr. CiptoMangunkusumo Hospital from July 2015- June 2016. The subjectswere endometriosis patients with infertility who have beenconfirmed histopathological. The control group was taken fromnon-endometriosis and fertile patients. Eutopic endometriumsamples were taken and examined for the methylation of HOXA 11gene.Results: Both groups consist of six patients. The difference ofmethylation of HOXA 11 gene between those two groups isstatistically significant (p=0.03). There was hyper methylation inendometriosis group.Conclusion: There is a hyper methylation of HOXA 11 gene ineutopic endometrium of endometriosis patients with infertility.Thus, possibly can explain the poor endometrial receptivityin endometriosis patient and give a broad research area inepigenetic therapy of endometriosis.[Indones J Obstet Gynecol 2018; 6-2: 110-113]Keywords: endometriosis, epigenetic, HOXA 11, infertility,methylation


2021 ◽  
Vol 2 (7) ◽  
pp. 604-609
Author(s):  
Duygu Zorlu ◽  
Veysel Akca

Introduction: Sleep disturbances and anxiety are the first physical reflections observed in healthcare professionals. The aim was to reveal the sleep characteristics and moods of healthcare professionals during the pandemic for making improvements and provide support. Methods: This study is observational and cross-sectional study and was carried out in a training and research hospital in Kirsehir, Turkey. A total of 48 nurses, 25 doctors, 37 assistant health personnel, 12 security guards, and 25 medical secretaries were included, of which 147 were healthcare professionals and 50 were not healthcare professionals (control group). Three questionnaires were used; two to measure sleep, one to measure stress. The volunteer participants were administered face-to-face Pittsburgh Sleep Quality Index (PSQI), Epworth Sleepiness Scale, and Beck Stress Scale (BSS) simultaneously and scored individually. These scores were evaluated separately for demographic characteristics and their association with occupational groups. Results: A total of 197 people were included in the study, of which 147 were healthcare professionals, and 50 were not healthcare professionals (control group). The average age of the participants was 34.15 ± 9.18 years. The participants’ average PSQI (6.25 ± 3.24), ESS (7.46 ± 3.16), and BSS (11.26 ± 4.65) were calculated. The difference between the BSS (p < 0.01) and PSQI (p < 0.05) values of women and men was statistically significant. BSS and PSQI values were low in security guards. However, these values were high in nurses. The occupational experience of the participants in all three scales was not statistically significant. It was higher in the control group than the healthcare professional group. However, these differences between the groups were not statistically significant. Discussion and Conclusion: In the COVID-19 pandemic, there was no difference in sleep and anxiety characteristics between health workers and non-health workers and the most common group of healthcare professionals with anxiety, sleep disorders was nurses. Based on the results, women and nurses between the ages of 31-35 should be given priority in support of healthcare professionals.


2018 ◽  
Vol 2018 ◽  
pp. 1-8 ◽  
Author(s):  
Xianling Zeng ◽  
Yafei Zhang ◽  
Taohong Zhang ◽  
Yan Xue ◽  
Huiqiu Xu ◽  
...  

Purpose. To explore risk factors of vulvovaginal candidiasis (VVC) among women of reproductive age in Xi’an district and then to offer reference for clinical prevention and treatment of VVC. Methods. Patients from the outpatient department of gynecology and obstetrics in the First Affiliated Hospital of Xi’an Jiaotong University from June 2016 to May 2017 were recruited strictly according to the inclusion and exclusion criteria. Participants diagnosed as simple VVC were assigned to the case group, while women who underwent routine gynecological examination and had normal vaginal microflora were assigned to the control group. Then we conducted a questionnaire survey of the two groups and used the logistic regression model to explore the related risk factors of VVC. Results. In the present study, ninety-seven cases were sample VVC patients and eighty-seven cases were healthy women. This cross-sectional study showed that occasionally or never drinking sweet drinks (odds ratio [OR] =0.161, 95% confidence interval [CI] =0.056-0.462, P=0.001), occasionally or never eating sweet foods (OR=0.158, 95%CI=0.054-0.460, P=0.001), and the use of condom (OR=0.265, 95%CI=0.243-0.526, P=0.001) were regarded as protective factors for VVC. In addition, sedentary life style (OR=7.876, 95%CI=1.818-34.109, P=0.006), frequently wearing tights (OR=6.613, 95%CI=1.369-27.751, P=0.018), frequent intravaginal douching (OR=3.493, 95%CI=1.379-8.847, P=0.008), having the first sexual encounter when under 20 years old (OR=2.364, 95%CI=1.181-7.758, P=0.006), the number of sexual partners being over two (OR=3.222, 95%CI=1.042-9.960, P=0.042), history of curettage (OR=3.471, 95%CI=1.317-9.148, P=0.012), history of vaginitis (OR=8.999, 95%CI=2.816-28.760, P<0.001), and not cleaning the vulva before or after sexual encounters (OR=13.684, 95%CI=2.843-65.874, P=0.001) were considered to be risk factors of VVC. Conclusion. In conclusion, risk factors of VVC are various, involving ages, hygienic habits, disease history, and other aspects.


2017 ◽  
Vol 55 (2) ◽  
pp. 220-225 ◽  
Author(s):  
Ieva Bagante ◽  
Inta Zepa ◽  
Ilze Akota

Objective: Rhinoplasty in patients with complete unilateral cleft lip and palate (UCLP) is challenging, and the surgical outcome of the nose is complicated to evaluate. The aim of this study was to assess the nasolabial appearance of patients with UCLP compared with a control group. Design: Cross-sectional study. Setting: Riga Cleft Lip and Palate Centre, Latvia. Participants: All consecutive 35 patients born between 1994 and 2004 with nonsyndromic complete UCLP were included. Of 35 patients, 29 came for checkup; the mean age was 14.7 years (range 10-18). In the control group, 35 noncleft participants at 10 years of age were included. Interventions: Nasolabial appearance was evaluated from 3-dimensional images using a 3-dimensional stereo-photogrammetric camera setup (3dMDface System), the results being analysed statistically. Results: In UCLP group, a statistically significant difference between cleft and noncleft side was found only in alar wing length ( P < .05). The difference of nasolabial anthropometric distances in the control group between the left and right side was not significant. The difference between the UCLP group and the control group was significant in all anthropometric distances except the lateral lip length to cupid’s bow. Conclusions: The nasolabial appearance with acceptable symmetry after cleft lip and reconstructive surgery of the nose was achieved. Symmetry of the nasolabial appearance in patients with UCLP differed from those in the control group. The 3D photographs with a proposed set of anthropometric landmarks for evaluation of nasolabial appearance seems to be a convenient, accurate, and noninvasive way to follow and evaluate patients after surgery.


2017 ◽  
Vol 24 (10) ◽  
pp. 1550-1555
Author(s):  
Kausar Abbas Saldera ◽  
Sanum Ali ◽  
Ahsan Ashfaq

Objectives: To compare the adiponectin/leptin ratio and intima media thicknessbetween normal and atherosclerotic individuals. To find out the association of A/L ratio withIMT in atherosclerotic patients. Study Design: Comparative cross sectional study. Placeand Duration of Study: This study was conducted at department of Physiology, BMSI incollaboration with Radiology department, Jinnah Postgraduate Medical Centre Karachi, from16th December 2014 to 15th December 2015. Methodology: 160 subjects having Dopplerultrasound of neck were selected on the basis of pre-determined criteria. They were grouped incases i.e. atherosclerotic group (80 subjects) and control i.e. healthy group (80 subjects). Age> 20 years, both genders, patients for ultrasound Doppler for neck region irrespective of theirprovisional diagnosis, patients suffering from co-morbid conditions like diabetes, hypertension,chronic kidney disease, chronic liver disease, asthma and COPD and Healthy individuals(Controls) were included in this study. Patients who fail to gave consent and patients whoseultrasound findings were not up to the mark required for diagnosis were excluded from thisstudy. Results: Out of 160 patients in this study in control Male: Female ratio was 1:1.1 whilein cases, Male: Female ratio = 1:1. Majority (53.1%) of cases had age >50 years {41(51.25%)in controls and 44(55%) in cases}. Mean ages in two groups (controls and cases) were49.39+12.30 years and 53.31+10.09 years respectively (p = 0.029).44 (22.5%) patients weresmoker and 116 (72.5%) were non-smoker. In control group, 13 (16.3%) were smokers whereasin cases 31 (38.8%) were smokers (p = 0.002). Mean triglyceride levels were statistically highin atherosclerotic subjects as compared to healthy individuals (138.31+62.65 mg/dl and125.73+46.17 mg/dl respectively; p=0.024). Mean IMT of both right and left carotid arteriesexamined via carotid Doppler ultrasound were statistically high in atherosclerotic individuals ascompared to healthy subjects {(Right carotid; 0.83+0.23 mm and 0.63+0.16 mm respectively;p=0.022) (Left carotid; 0.85+0.25 mm and 0.64+0.16 mm respectively; p=0.004)}. MeanLeptin levels were statistically high in atherosclerotic individuals as compared to healthysubjects (332.32+555.31 ng/ml and 254.55+224.66 ng/ml respectively; p=0.001). However,the difference in Adiponectin levels was insignificant (7.93+4.80 μg/ml and 9.45+4.73 μg/mlrespectively; p=0.343). Conclusion: We conclude that plasma levels of Adiponectin and Leptinare significantly higher in atherosclerotic than normal individuals.


2021 ◽  
Vol 14 (1) ◽  
Author(s):  
Naeela Ansari ◽  
Farha Rizwan

Background:Although all parts of the world have seen a huge increase in contraceptive usage, at least 200 million women still currently lack access to modern contraceptives(Manae-hamaltadabeer). Today about 53.4% eligible couples are still unprotected against conception. Successful fertility control leads to many social and economic advantages for women from educational attainment, personal autonomy to relationship stability and satisfaction. Material and Method:A cross-sectional study was carried out from Jan 2018 to Jan 2019 to analyse the awareness, perceptions and various patterns of contraceptives usage among 1000 women of reproductive age in western Maharashtra. Observation and Result:Data were collected from 1000 women participants. 266 (26.6%) belong to the age group of 25-29 years of age and Mean age of women was 32.78 years with SD + 7.58 yrs. 100% Awareness was observed whilemajority of 622 (62.2%) use contraceptive methods. About 226 (22.6%) preferred Condom.There was a significant association between age 2 2 2 (X =49.37, p=0.0001), educational status (X =439.46, p=0.0001),Socio Economic Status (X =72.1311, P=0.000),family 2 2 Type (X =14.44, p=0.001) and Parity (X =55.79, p=0.00001) with the knowledge scores.There was significant association 2 2 between preference of contraceptive methods scores and the age (X =104.32, p=0.000), Education (X =99.97, p=0.000), SES 2 2 (X =77.953, p=0.000) and parity (X =65.50, p=0.000). Conclusion:Despite 100% awareness and favourable attitude, significant number of reproductive age women did not use contraceptive methods due to various reasons. This study shows the association between socio-demographic variables and family planning acceptance ratio.


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