scholarly journals Peculiarities of Sexual Health of Women of Reproductive Age Depending on the Types of Localization of Paraurethral Glands

Health of Man ◽  
2021 ◽  
pp. 102-108
Author(s):  
Maryna Kosyuhno
Keyword(s):  
Sexual Health ◽  
Well Being ◽  
Reproductive Age ◽  
Sexual Life ◽  
Sociocultural Factors ◽  
Sexual Relations ◽  
Medical Sciences ◽  
Women Of Reproductive Age ◽  
Reconstructive Urology ◽  
The Relationship

Sexual health is a state of physical, emotional, mental and social well-being associated with sexuality. The complexity of the female sexual reaction lies in its dependence on many physiological, psychological and sociocultural factors. The objective: a comprehensive analysis of erogenous zones in women of reproductive age, taking into account the types of localization of the paraurethral glands, assessment of their sexual function and the causes of its disorders. Materials and methods. A comprehensive study to confirm the existence of female paraurethral glands and their functional activity, performed at the Institute of Urology of the National Academy of Medical Sciences of Ukraine (Department of Reconstructive Urology and Advanced Technologies), took 94 relatively healthy women of reproductive age, who as a result of a comprehensive examination paraurethral glands of different types of localization (anterior, posterior, diffuse). Analytical-synthetic, comparative analyzes were used. Average values with their standard error were calculated; in cases of comparison of statistical values, Student’s test was used. Results. The relationship between the localization of the paraurethral glands in women of reproductive age and the peculiarity of the manifestation of sexual relations has been traced. Differences in the number and severity of the reaction of erogenous zones among this category were revealed. Sexual dysfunctions in 24 (25.5%) of 94 women were predominantly in the posterior type of localization of the glands (50% versus 37.5% and 12.5% in the anterior and diffuse types, respectively). Among the reasons for dissatisfaction with sexual relations, women most often indicated satisfaction (36.2%), then – reaching orgasm (22.4%) every fifth noted the absence (decrease) of sexual arousal and 13.7% – a decrease in desire; dyspareunia was observed in 8.6% of cases, was inconsistent and manifested itself with individual partners. These features were mostly manifested in cases with the posterior type of localization of the paraurethral glands of different reproductive ages. Conclusion. The results obtained made it possible to reveal the features of the sexual life in women, depending on the type of localization of their paraurethral glands.

scholarly journals ESTIMATION TO EFFICIENCY OF THE MULTIFUNCTION METHOD ОF ENDOMETRIOSIS OVARIЕS TREATMENT

2020 ◽  
Vol 73 (5) ◽  
pp. 868-872
Author(s):  
Iryna M. Nikitina ◽  
Volodymyr I. Boiko ◽  
Svitlana A. Smiian ◽  
Tetiana V. Babar ◽  
Natalia V. Kalashnyk ◽  
...  
Keyword(s):  
Gonadotropin Releasing Hormone ◽  
Inhibin B ◽  
Reproductive Age ◽  
Sexual Life ◽  
Control Group ◽  
Women Of Reproductive Age ◽  
Releasing Hormone ◽  
Antral Follicles ◽  
Group I ◽  
Laparoscopic Removal

The aim: The aim of the study was to improve the results of treatment of patients with endometriosis by using a combination method of therapy. Materials and methods: For two years, 136 women of reproductive age who underwent laparoscopic surgeries for ovarian endometriosis were monitored: Group I (n = 24) did not receive any hormonal treatment in the perioperative period; Group II (n = 32) – received gonadotropin-releasing hormone agonists within 3 months after surgery; Group III (n = 80) prior to laparoscopic removal of the ovarian cyst used gonadotropin-releasing hormone agonists – Triptorelin 3.75 mg intramuscularly for 2 months, as well as three months after surgery. The control group consisted of 30 healthy women of reproductive age with regular menstrual periods. All patients underwent transvaginal ultrasound, counting the number of antral follicles before and after treatment. Serum hormone levels (FSH, prolactin, thyrotropic hormone, anti-Mullerian hormone, inhibin B) were determined by enzyme-linked immunosorbent assay on Cobas e-411 analyzer (Roche Diagnostics, Switzerland) on day 2-3 of the menstrual cycle and on day 2–3 of the first menstrual period after the end of treatment. Laparoscopic removal of the cyst was performed with exfoliation of the cyst, hemostasis on the wound surface of the bed of the cyst was performed with a bipolar electrocoagulator. Bipolar coagulation and resection of the ovarian tissue with no potential was used during surgical treatment of the ovaries, which made it possible to preserve the intact portion of the ovary as much as possible. Results: Analysis of ovarian reserve indices, namely number of antral foliculs, number of antral follicles, AMG, and inhibin B levels in all examined patients with ovarian endometriomas were significantly lower than those of the control group before the start of treatment: in the ovarian endometrial group group 1.26 times (p <0.01), inhibin B – 1.5 times (p <0.01), the number of antral follicles – 1.2 times (p <0.01), due to the development dystrophic changes of the follicular apparatus due to prolonged compression, hypoxia, fibrosis in the ovaries. Patients who planned pregnancy were advised to have an active sexual life before menstruation was restored. In 23 (46.9%) of 49 patients who had reproductive plans, pregnancy occurred without first menstruation after a course of gonadotropin-releasing hormone agonists, 12 (24.5%) women became pregnant during the first three menstrual cycles. Extracorporeal fertilization was recommended for women who did not have pregnancy within 6 months of surgery. For two years in women who did not plan pregnancy, recurrence of endometriosis was not observed. Conclusions: The combination of laparoscopic treatment with gonadotropin-releasing hormone agonists in patients with endometriosis with infertility allowed to restore reproductive function in 71.4% of women, which indicates the effectiveness of the treatment method used. In addition, it helps to achieve lasting remission and addresses the socio-social problems of women’s health and maternity.

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.

The level of vitamin D and its relationship with the amount of fatty tissue and adipocytokine content in the women of reproductive age

2013 ◽  
Vol 58 (6) ◽  
pp. 19-23 ◽  
Author(s):  
T. L. Karonova ◽  
E. N. Grineva ◽  
E. P. Mikheeva ◽  
O. D. Belyaeva ◽  
E. I. Krasil’nikova ◽  
...  
Keyword(s):  
Vitamin D ◽  
Body Weight ◽  
Waist Circumference ◽  
Negative Correlation ◽  
Distribution Patterns ◽  
Reproductive Age ◽  
Fatty Tissue ◽  
Women Of Reproductive Age ◽  
25 Hydroxy Vitamin D ◽  
The Relationship

The patients with obesity are known to suffer 25-hydroxy vitamin D (25(OH)D) deficiency, but the relationship between these two conditions remains unclear. The blood 25(ON)D levels in practically healthy women were compared with the amount and distribution patterns of the fatty tissue and with the content of plasma adipocytokines. The absence or deficit of vitamin D was documented in 61.3% of the women included in the present study. They exhibited negative correlation between 25(ON) D levels and body weight. The patients with obesity were characterized by correlation between the 25(ON)D levels and waist circumference, body weight, BMI, and the amount of fatty tissue. The women of reproductive age with the reduced blood 25(ON)D level (OR 1.86 [0.88—3.95]; CI 95%) or 25(ON)D deficiency (OR 2.23 [1.03—4.80]; CI 95%) were at a higher risk of development of obesity compared with the women in whom the 25(ON)D levels were in excess of 75 nmol/l. The study confirmed correlations between adypocytokine levels and the amount of fatty tissue even though it failed to demonstrate a significant relationship between the levels of adipocytokines and vitamin D.

scholarly journals A CASE REPORT ON EFFECTIVE MANAGEMENT OF PREMENSTRUAL SYNDROME WITH AYURVEDA

2020 ◽  
pp. 57-62
Author(s):  
Khushboo Jha ◽  
K. Bharathi ◽  
Hetal H. Dave ◽  
Sonu
Keyword(s):  
Premenstrual Syndrome ◽  
Well Being ◽  
Reproductive Age ◽  
Behavioral Symptoms ◽  
Thought Process ◽  
Effective Management ◽  
Women Of Reproductive Age ◽  
Presenting Symptoms ◽  
Physical Discomfort ◽  
Patient Reported

Menstruation is a normal physiological process in females starting at the age of twelve years and lasts till the age of fifty years. It is a cyclical phenomenon usually occurring every twenty-one to thirty five days and includes uterine bleeding for about three to seven days. Most well adjusted women experience minor psychological and somatic changes for a few days preceding menstruation. These menstrual molimina give way to a sensation of relief and well being once menstruation is established. Most women of reproductive age have some physical discomfort or dysphoria in the weeks before menstruation. Pre-Menstrual Syndrome is one such commonly reported and highly prevalent disorder characterized by constellation of physical, emotional, cognitive and behavioral symptoms. An 18-year-old female patient reported to OPD with the complaints of pain during menses since six years, extreme mood swings, irritability, sudden tearfulness, anger outbursts, nervousness. These symptoms were also associated with vomiting and loose motions. On physical examination, no abnormalities were detected. Mental Status Examination revealed abnormality in mood and affect, attention, concentration and thought process Based on history, presenting symptoms and diagnostic criteria the case was established as Premenstrual Syndrome. So, the protocol for treatment planned was symptomatic. Internal administration of Gokhura churna plus Yastimadhu with Munnaka kshirapaak was given for 15 days. Rajaswalacharya was advised.

scholarly journals Development and Psychometric Properties of an Instrument for the Assessment of Assertiveness in Sexual Relations

2021 ◽  
Author(s):  
María Dolores Gil-Llario ◽  
Olga Fernández-García ◽  
Beatriz Gil-Juliá ◽  
Verónica Estruch-García ◽  
Rafael Ballester-Arnal
Keyword(s):  
Factor Analysis ◽  
Sexual Health ◽  
Psychometric Properties ◽  
Factor Structure ◽  
Well Being ◽  
Policy Implications ◽  
Sexual Relations ◽  
Sexual Assertiveness ◽  
Men And Women ◽  
Assertive Behavior

Abstract Introduction The potential consequences of being assertive or non-assertive for people’s sexual health and sexual well-being highlight the importance of assessing sexual assertiveness (SA). The currently available measures have limitations because they do not take recent social changes into account, they are designed to only assess women, and/or they ignore several components of SA. This study tests the psychometric properties of the Assertiveness in Sexual Relations Questionnaire (ASRQ). Methods Thus, 2370 participants (aged 18–69 years) of Spain completed the ASRQ, along with other scales that assesses related dimensions (e.g., family values in relation to sexual assertiveness, sexual esteem). Data were collected during 2020. Results Exploratory factor analysis yielded a four-factor structure: Assertive behavior as initiative, sub-assertive behavior, overly assertive behavior as initiative, and assertive behavior as a response, which was verified by confirmatory factor analysis (CFA). A multigroup CFA was also conducted in men and women, confirming the adequacy of this four-factor structure across genders. The reliability of the factors ranged from 0.72 to 0.87. Similarly, correlations with related scales were mostly significant and in the expected direction. Conclusions The psychometric results obtained support the use of the ASRQ as a reliable and valid measure to assess sexual assertiveness in both men and women. Policy Implications The availability of an instrument to assess sexual assertiveness, whose psychometric properties have been satisfactorily tested, benefits society by contributing to the improvement of the sexual health of the population, allowing for more effective interventions and the early detection of skills that contribute to the establishment of risky sexual interactions.

scholarly journals Revealing the enigma of coagulation in endometriosis: the risk of thrombosis and the role of antithrombotic treatment

2020 ◽  
Vol 19 (2) ◽  
pp. 65-76
Author(s):  
Theoni Kanellopoulou
Keyword(s):  
Independent Risk Factor ◽  
Chronic Inflammatory Disease ◽  
Review Article ◽  
Reproductive Age ◽  
Coagulation Cascade ◽  
Antithrombotic Treatment ◽  
Women Of Reproductive Age ◽  
The Relationship ◽  
Ectopic Endometrium

Endometriosis is a chronic inflammatory disease of women of reproductive age that is defined by the presence of ectopic endometrium. The pathophysiology of the disease is poorly understood, however platelet activation play a crucial role in initiation of inflammation and fibrinogenesis, which in term further activate the coagulation cascade. The relationship between inflammation and coagulation motivated researchers to study whether patients are in a hypercoagulable state and if endometriosis represent an independent risk factor for venous thromboembolism or cardiovascular risk. This review article focuses on the role of coagulation, the risk of thrombosis and a possible beneficial effect of antithrombotic-treatment.

Awareness and practices of menstrual hygiene among females of reproductive age in rural Puducherry – a mixed method study

2018 ◽  
Vol 0 (0) ◽  
Author(s):  
Deepika Chandar ◽  
Yamini Vaishnavi ◽  
Shanthosh Priyan ◽  
Ganesh Kumar S
Keyword(s):  
Urinary Tract Infection ◽  
Urinary Tract ◽  
Tract Infection ◽  
External Genitalia ◽  
Well Being ◽  
Physiological Process ◽  
Reproductive Age ◽  
Women Of Reproductive Age ◽  
Menstrual Hygiene ◽  
Hygiene Practices

Abstract Background Menstruation is a physiological process. Unfortunately, there is substantial lacuna in knowledge related to menstrual hygiene among females. Objectives To assess the awareness and prevailing practices of menstrual hygiene, prevalence of symptoms related to genito-urinary tract infection, and the factors influencing menstrual hygiene practices, among women of reproductive age in rural Puducherry. Methodology The study was conducted in March 2017 in rural Puducherry adopting a mixed-methods approach. A pre-tested semi-structured questionnaire was used for a quantitative survey among 357 women of reproductive age. Qualitative data was collected through focused group discussions (FGDs). Results The mean age of the participants was 28.25 + 9.25 years. Thirty-three percent of the respondents had menstrual knowledge prior to menarche. A total of 90.8% were aware that menstruation is a physiological process. The majority of respondents 94.1%, used sanitary napkins as absorbents during menstruation and 60.7% of them changed it 3 times a day. Regarding the method of disposal, 47.6% participants threw it into the routine waste and 43.8% burnt it after use. Among 8.9% of cloth users 62.5% used a new cloth for each cycle and 37.5% of respondents washed and reused the cloth. Satisfactory cleaning of external genitalia was practised by 62.2%. Only 11.2% respondents had symptoms related to genito-urinary tract infection. From FGDs it was observed that the several socio-cultural factors and taboos restrict them from practising safe menstrual hygiene practices. Conclusion Our study has revealed that most of the females are still unaware of menstrual hygienic practices which suggest the need for appropriate health intervention measures to be implemented for their well-being.

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