The role of sexual compulsivity in unprotected intercourse among STI patients in Shanghai, China

Background Sexual compulsivity (SC) and its relationship with unprotected intercourse (UI) have long been an intriguing topic, but its existential meaning in the management of public health or, more precisely, sexually transmitted infections (STIs) has rarely been studied to date. This study examines whether SC plays a role in UI among sexually active STI patients. Method A cross-sectional study was conducted in two sexual transmitted disease (STD) clinicals of Shanghai Skin Diseases Hospital in Shanghai. Totally 664 sexually active STI patients were included. Results The ages of the 664 participants ranged from 18 to 76 years, with 58.73% between 26 and 40 years old. 449 (191 male and 258 female) reported had UI during the past 6 months. Although the only statistically significant difference (p < 0.01) was in relation to UI with a casual sexual partner, the difference between male/female and regular/casual sexual partners remained evident. Conclusions SC is evidently a potential predictor of UI with a casual sexual partner in male STI patients, while the use of condoms is more likely to be affected by other factors. In addition to general sexual education, counseling interventions should be provided by health institutions, and specific intervention methods targeting gender and sexual partners should be considered.

Knowledge and attitudes towards emergency contraception among adolescents

Introduction. Emergency or postcoital contraception is a method of contraception that is used within 72 hours after unprotected intercourse. It is very important that adolescents consider emergency contraception with awareness. It is not a regular method of contraception. The aim of this study was to examine the knowledge and attitudes of adolescents towards the use of emergency contraception. Material and Methods. The research was a cross-sectional study that used a specially designed questionnaire for adolescents intended to assess their knowledge about emergency contraception methods. The study included an intentional sample of 108 students attending the Medical High School ?Dr. Misa Pantic? in Valjevo. Participation in the study was voluntary and anonymous. Results. The largest number of students was informed about the indications for emergency contraception (80%, c2 = 0.004); the respondents agreed that emergency contraception is not a regular method of contraception and should be used in cases of sexual abuse (c2 = 0.019). Most of the respondents believe that they need additional education (N = 95, c2 = 0.032) regarding emergency contraception methods. Conclusion. The analysis of the results showed that the adolescents who participated in the study need additional education about the methods of emergency contraception. It is necessary to improve the strategies of health education of adolescents on this topic.

MANAGEMENT OF MALE INFERTILITY (OLIGOASTHENOZOOSPERMIA) WITH AYURVEDA

Male infertility refers to a male’s inability to cause pregnancy in a fertile female. There are many reasons that aid the pathology of male infertility primary includes low sperm count, volume, motility, abnormality in shapes and few reproductive dysfunctions. Oligoasthenozoopsermia which is one of the major causes behind male infertility comprises two conditions – Oligospermia (low sperm count) and Asthenozoo-spermia (reduced motility of sperm).Researches reveals that 1 in every 3 cases of infertility are due to the male partner so nowadays diagnosis and management of both the partners is now considered as a vital tool. In this article, I report a case of a 30-year-old male patient with complaints of wanting an issue after a complete year of regular, unprotected intercourse. For which he had undergone all the regular diagnostic investigations of his wife, which reported no issues and recorded with regular and ovulatory cycles with patent tubes. Then progressing in the diagnosis, he had undergone a semen analysis and got diagnosed with Oligoasthenozoospermia. The issue was successfully treated with Ayurvedic drugs within a period of 1 month.

Does Sexual Compulsivity Play a Role in Unprotected Intercourse? A Cross-Sectional Study Among Sexually Active STI Patients in Shanghai

Background: Sexual compulsivity and its relationship with unprotected intercourse have long been an intriguing topic, but its existential meaning in the management of public health or, more precisely, STIs (sexually transmitted infections) has rarely been studied to date. This study examines whether sexual compulsivity plays a role in unprotected intercourse among STI patients and its variation regarding gender and different types of sexual partner.Method: We carried out a cross-sectional study using mixed methods including a survey of 302 men and 362 women. Two clinics were purposely chosen for the study. Data were analyzed using IBM SPSS for Windows.Results: The ages of the 664 participants ranged from 18 to 76 years, with more than half (58.73%) 26–40 years old. Of these 664 participants, 449 (157 male and 237 female) reported having unprotected intercourse during the past 6 months. Almost one-quarter of the male participants scored high on the Sexual Compulsivity Scale, compared with only 4.4% of females. Although the only statistically significant difference (p<0.01) was in relation to unprotected intercourse with a casual sexual partner, the difference between male/female and regular/casual sexual partners remained evident.Conclusions: Sexual compulsivity is evidently a potential predictor of unprotected intercourse with a casual sexual partner in male STI patients, while the use of condoms is more likely to be affected by other factors. In addition to general sexual education, counseling interventions should be provided by related health institutions, and specific intervention methods targeting each gender and different behavioral types should be considered.

A comparison of hysterosalpingography and laparoscopy in the evaluation of tubal factors in female infertility

Background: WHO defines infertility as “failure to conceive after having regular, unprotected intercourse for one year. Factors responsible - male factors (20-30%), female factors (40-55%), combined male and female factors (10-40%) and unexplained infertility (10-20%). Amongst female factors, tubal factors are responsible for 25-30% of infertility. Hysterosalpingography and diagnostic laparoscopy with chromopertubation are widely used in the evaluation of tubal factors of infertility. The aim of this study was to compare findings of HSG and diagnostic laparoscopy with chromopertubation for tubal patency in infertile women.Methods: An observational study, done on a total of 125 females suffering from primary and secondary infertility who underwent HSG and then 97 patients who gave consent, underwent diagnostic laparoscopy with chromopertubation. The data was entered in MS excel spreadsheet and analysis was done using statistical package for social sciences (SPSS) version 21.0.Results: Primary infertility cases were more than secondary infertility cases. Mean age of patients was found to be 28.92±5.33 years. Most common tubal abnormality found on hysterosalpingography and chromopertubation was bilateral tubal block. Inter rater kappa agreement used and significant agreement found between hysterosalpingography and chromopertubation with kappa value of 0.612.Conclusions: From this study authors conclude that HSG and laparoscopy with chromopertubation are complimentary to each other. Laparoscopy helps in identification of tubal and non-tubal factors like intra-abdominal and pelvic adhesions, endometriosis etc. and simultaneously they can be treated while HSG helps in evaluation of tubal factors as well as of intra-uterine factors like synechiae, polyps etc.

Zdrowie reprodukcyjne kobiet – analiza poziomu wiedzy młodych studiujących kobiet w zakresie problematyki prokreacji

The main purpose of the article is to establish the level of knowledge about fertility among female students of the University of Zielona Góra. The presented analyses used part of the empirical material from the project “The role of fertility assumptions in the formation of procreative intentions” carried out on a representative sample of full-time female students of the University of Zielona Góra. The respondents have the highest level of fertility knowledge related to changes in women’s reproductive abilities with age. However, it should be noted that their awareness in this aspect is rather medium. For the most part, they correctly identify the age at which the woman is most fertile and the age at which her ability to conceive is significantly reduced. However, the vast majority of respondents are convinced that the process of reducing the ability of women to become pregnant begins later than in reality. As for the other two dimensions of fertility knowledge – the dimension related to estimating the chances of getting pregnant and the dimension related to infertility – the women are characterised by their low or average level. Most of the respondents overestimate the chances of pregnancy of a young woman (up to 25 years old), who had unprotected intercourse at the time of ovulation and a woman who, aged 25–30, had unprotected intercourse regularly during a period of one year. More than half of female students are aware of the scale of infertility in Poland, but at the same time most of them overestimate the effectiveness of in vitro fertilisation. The results obtained are similar to those obtained by researchers from other countries. Therefore, it is necessary to postulate including to the educational program the knowledge about the specificity of the human body, which is characterised by limited ability to conceive a child and changes in the fertility level of women appearing with age.

MULTIDIMENSIONAL MANAGEMENT OF STRESS-INDUCED INFERTILE WOMEN BY IVF

It was observed that psychogenic causes were plays an important role in conception 1,2.WHO in 2006 clearly defines infertility as ‘The inability of a couple to achieve conception or to bring a pregnancy to term after a year or more of regular, unprotected intercourse'. It can be classified as either “primary” or “secondary”. While Moshi says as infertility is the ‘absence of conception after 12 months of regular, unprotected intercourse’.Even the world is suffering from a population explosion still infertility is a global health issue!. The prevalence is most common in both sex still it mainly represents dominantly with the rate of 30-40%.