Subject(s)
Humans , Male , Adolescent , Adult , Middle Aged , Young Adult , Selective Serotonin Reuptake Inhibitors/therapeutic use , Premature Ejaculation/drug therapy , Placebos/therapeutic use , Confidence Intervals , Odds Ratio , Meta-Analysis as Topic , Patient Satisfaction/statistics & numerical data , Selective Serotonin Reuptake Inhibitors/adverse effects , Coitus/physiology , Ejaculation/drug effects , Premature Ejaculation/psychology , Systematic Reviews as TopicABSTRACT
La disfunción sexual femenina (DSF) es un trastorno que se produce cuando hay cambio en el compor- tamiento sexual habitual de la mujer; disminuyen o incluso desaparecen los pensamientos y fantasías sexuales, posponen o evitan las relaciones sexua- les y existe incapacidad para disfrutar el acto sexual y se presenta entre el 22% a 43% de la población en general. Objetivo Conocer la prevalencia de disfun- ción sexual en la mujer en edad reproductiva de 19 a 35 años en la comunidad del bordo del rio Santa Ana en el I semestre del 2015. Pacientes y Métodos: Estudio de alcance descriptivo, corte transversal, enfoque cuantitativo. La población; 247 mujeres en edad fértil (de 19 a 35 años), muestra de 71 muje- res que consintieron participar. Criterios de exclusión mujeres menores de 19 y mayores de 35 y solteras de 19 a 35 años. La información se obtuvo median - te un instrumento tipo cuestionario con escala lic- ker, procesando los datos en programa EPI-INFO. Resultados Están satisfechas con su vida sexual 36 (51%) y 35 (49%) refirieron no estarlo, 21(30%) te - nían satisfacción plena con su vida sexual y 50(70%) no estaban satisfechas. 35 (54%) de las parejas, no le muestran afecto a la mujer, durante el acto se- xual y tampoco colaboran para tener un orgasmo. Conclusiones La prevalencia de la disfunción sexual en la mujer en edad reproductiva es elevada, casi la mitad está sufriendo algún trastorno en las fases de deseo, excitación, dolor o lubricación lo que le impi- de tener una adecuada respuesta sexual humana...(au)
Subject(s)
Humans , Female , Adult , Coitus/physiology , Reproductive Health , Sexual Dysfunction, Physiological/diagnosis , SexualityABSTRACT
CONTEXT AND OBJECTIVE:Impaired local cell immunity seems to contribute towards the pathogenesis and progression of cervical intraepithelial neoplasia (CIN), but the underlying molecular mechanisms promoting its progression remain unclear. Identification of new molecular markers for prognosis and diagnosis of early-stage CIN may aid in decreasing the numbers of CIN cases. Several novel immunoregulatory molecules have been discovered over the past few years, including the human leukocyte antigen G (HLA-G), which through interaction with its receptors exerts important tolerogenic functions. Several lines of evidence suggest that T-helper interleukin-17 (IL-17)-producing cells (Th17 cells) may play a role in antitumor immunity. However, recent reports have implicated Th17 cells and their cytokines in both pro and anti-tumorigenic processes. The aim of the study was to evaluate the roles of HLA-G and Th17 in the immunopathogenesis of CIN I.DESIGN AND SETTING:Analytical cross-sectional study with a control group using 58 cervical specimens from the files of a public university hospital providing tertiary-level care.METHODS:We examined HLA-G and IL-17 expression in the cervical microenvironment by means of immunohistochemistry, and correlated these findings with clinical and pathological features.RESULTS:There was a greater tendency towards HLA-G and IL-17 expression in specimens that showed CIN I, thus suggesting that these molecules have a contribution towards cervical progression.CONCLUSION:These findings suggest that HLA-G and IL-17 expression may be an early marker for assessing the progression of cervical lesions.
CONTEXTO E OBJETIVO:A deficiência na imunidade celular localizada parece contribuir para a patogênese e progressão das neoplasias intraepiteliais cervicais (NIC), no entanto, ainda não está totalmente esclarecido o mecanismo molecular fundamental nesse processo de progressão. A identificação de novos marcadores moleculares de prognóstico e diagnóstico das NIC em estágios precoces pode ajudar a diminuir a quantidade de casos de NIC. Várias novas moléculas com função imunorregulatória foram descobertas nos últimos anos, inclusive o antígeno leucocitário humano G (HLA-G), que, através de interação com os receptores, tem importantes funções tolerogênicas. Diversas linhas de evidência sugerem que as células T-ajudantes produtoras de interleucina-17 (IL-17, células Th17), podem desempenhar um papel na imunidade antitumoral. Porém, recentes relatos implicaram as células Th17 e suas citocinas tanto em processos pro- quanto anti-tumorigênicos. O objetivo do estudo foi avaliar o papel do HLA-G e Th17 na imunopatogênese das NIC I.TIPO DE ESTUDO E LOCAL:Estudo transversal analítico com grupo controle em 58 espécimes cervicais dos arquivos de um hospital universitário público com assistência prestada no nível terciário.MÉTODOS:Avaliamos a expressão de HLA-G e IL-17 por imunoistoquímica no microambiente cervical, associando esses achados com as características clínico-patológicas.RESULTADOS:Houve tendência aumentada da expressão de HLA-G e IL-17 em espécimes que apresentaram NIC I, sugerindo que essas moléculas têm contribuição na progressão cervical.CONCLUSÃO:Estes resultados sugerem que a expressão do HLA-G e da IL-17 pode ser um marcador precoce para avaliar a progressão das lesões cervicais.
Subject(s)
Adult , Female , Humans , Middle Aged , Young Adult , Uterine Cervical Dysplasia/metabolism , Cervix Uteri/metabolism , HLA-G Antigens/metabolism , /metabolism , Uterine Cervical Neoplasms/metabolism , Age Factors , Biomarkers, Tumor/metabolism , Biopsy , Uterine Cervical Dysplasia/pathology , Cervix Uteri/pathology , Coitus/physiology , Cross-Sectional Studies , HLA-G Antigens/analysis , Immunohistochemistry/methods , /analysis , Sexual Partners , Uterine Cervical Neoplasms/pathologyABSTRACT
Se dice que una pareja es infértil (hombre-mujer) cuando después de dos años de tener relaciones sexuales normales sin métodos anticonceptivos no se logra un embarazo, en ocasiones los problemas los puede presentar la mujer, el hombre o ambos. La ciencia ha tratado de dar una solución a este tipo de problemas, y esto ha sido mediante las técnicas de reproducción asistida. Estos procesos son el producto del trabajo de muchos científicos que han venido perfeccionándolas desde el siglo XVIII hasta la fecha. Después de que la pareja determina que por su propia cuenta no puede lograr un embarazo, busca la ayuda con su ginecólogo con una subespecialidad en endocrinología reproductiva y él/ella hará una evaluación sobre si hay una condición médica que evite la concepción: niveles hormonales relacionados, ovulación de la mujer y análisis seminal en el varón, comportamiento sobre el uso de drogas, alcohol, cigarrillo, hábitos alimenticios, edad, estrés y salud emocional para tomar la determinación de cuál de las técnicas de reproducción asistida utilizará. El embriólogo que puede ser un microbiólogo o un biólogo con un máster en técnicas de reproducción asistida, tendrá como función el análisis seminal, realizar pruebas de función espermática, las capacitaciones espermáticas para llevar a cabo la inseminación artificial, fertilización in vitro y micro inyección intracitoplasmática. Pensamos que estos problemas de fertilidad son estrictamente de países industrializados porque ellos tienen hábitos de vida que pueden favorecer esta condición, pero cada vez se presentan más casos de infertilidad en nuestro país Honduras...(AU)
Subject(s)
Humans , Coitus/physiology , Reproduction/ethics , Sex RatioABSTRACT
Sexuality is an important part of women's health, quality of life, and general well-being. There are many factors influencing the female sexual function, including psychological, physiological, couple relationship, and socio-cultural factors. Pregnancy plays an important role in the sexual function and behavior of women. This study aims to evaluate the sexual function and determine the prevalence of sexual dysfunction among women during pregnancy. The present cross-sectional study was conducted on 257 healthy pregnant women aging between18-40 years who had attended the antenatal clinic, Paymaneh Hospital, Jahrom, Iran between April and October 2011 Female Sexual Function Index [FSFI] questionnaire was used for assessing the sexual function The mean age of the participants was reported as 26.45 +/- 4.49 years. In addition, 143, 69, and 45 subjects were in their 1[st], 2[nd], and 3[rd] trimesters, respectively. Comparison of the second and the third trimesters revealed a significant difference in the scores of all FSFI domains and the mean total FSFI score was reported as 19.9 +/- 22.45. Among the study subjects, 197 ones [79.1%] had sexual dysfunction [FSFI score <26.5], while only 52 [20.9%] had normal sexual function [FSFI score >/= 26.5]. The sexual dysfunction among pregnant women was rated as 23.4%, 30.5%, and 46.2% in the 1[st], 2[nd], and 3[rd] trimesters, respectively. The prevalence of sexual dysfunction is high during pregnancy and reaches higher levels in the third trimester. Therefore, pregnant women and their partners need counseling about physical and psychological changes in pregnancy
Subject(s)
Humans , Female , Sexuality , Pregnant Women , Cross-Sectional Studies , Surveys and Questionnaires , Pregnancy Trimester, Third/physiology , Coitus/physiologyABSTRACT
Introducción: en la actualidad existe en los adolescentes una temprana iniciación de las relaciones sexuales y cambios en la actitud social hacia la sexualidad. Objetivo: identificar las particularidades y conocimientos sobre sexualidad en adolescentes. Métodos: se realizó una investigación descriptiva y transversal en adolescentes entre los 12 y 15 años, de la secundaria básica Viet Nam del municipio Arroyo Naranjo, durante los años 2009-2010. El universo estuvo constituido por 296 estudiantes y la muestra por 150, seleccionados mediante sorteo hasta completar 50 estudiantes de cada año. La información se obtuvo de una encuesta validada por el Ministerio de Educación. Todos los seleccionados expresaron su consentimiento para participar en la investigación. Resultados: predominó el sexo masculino y los adolescentes de 15 años. El inicio de las relaciones sexuales fue a los 14 años en los muchachos y a los 15 en las muchachas; 72 (56,69 porciento) adolescentes utilizaron el condón en su primera vez. Las principales vías de obtención de información fueron los padres, profesores y la información televisiva. Hubo mayor conocimiento sobre VIH-sida, gonorrea y sífilis y menor sobre, herpes simple y clamidia. El condón resultó ser el método anticonceptivo más conocido. Conclusiones: hay un inicio precoz en las relaciones sexuales y poco conocimiento acerca de los métodos anticonceptivos biológicos o naturales, lo que pudiera estar indicando la importancia que tiene la familia, sobre todo los padres, los profesores y médicos de familia, en incrementar y mantener la labor educativa con los jóvenes en relación con la sexualidad
Introduction: there exists an early onset of sexual relations in adolescents at present, together with changes in the social attitude towards sexuality. Objective: to identify the particularities of and the knowledge on sexuality in adolescents. Methods: a cross-sectional and descriptive research study was conducted in 12 to 15 years-old adolescent students from Viet Nam junior high school located in Arroyo Naranjo municipality, during 2010 and 2011. The universe of study was 296 students from whom 150 finally made up the sample. They were randomly selected to complete 50 students representing each grade. A survey validated by the Ministry of Education served to collect information. All the participants gave their consent to be included in the study. Results: males and 15 years-old adolescents prevailed. The onset of sexual relations occurred at the age of 14 years for boys and 15 years for girls. Seventy two (56.69 percent) adolescents used condom in their first sexual intercourse. The main channels of information were the parents, the professors and the TV programs. There were greater knowledge on HIV-aids, gonorrhea, and syphilis than on herpes simple and Chlamydia. Condom was the most common and known contraceptive method. Conclusions: this study showed the early onset of sexual relations and the poor knowledge about biological and natural contraceptive methods, which might point to the importance of the family, particularly the parents, the professors and the family physicians, in the increase and continuation of the educational work with the young people in terms of sexuality
Subject(s)
Humans , Male , Female , Adolescent , Coitus/physiology , Coitus/psychology , Condoms , Sex Education/methods , Sexual Behavior/education , Sexuality/statistics & numerical data , Sexuality/ethnology , Cross-Sectional Studies , Epidemiology, DescriptiveABSTRACT
Purpose: Both the diagnosis of prostate cancer (PCa) and the physiologic outcomes of surgical treatment impact the males psychological sphere. However, current research advocates a refocusing of outcomes directed to the PCa couple. Herein we acquire insight into perspective and concordance regarding male physiological function from the standpoint of a couple recovering from PCa surgery. Materials and methods: Couples whereby the male partner had undergone primary surgical treatment for PCa were mailed a Retrospective Sexual Survey (RSS) packet consisting of male and female partner questionnaires. RSS questions surveyed physiological changes in libido, foreplay, erection and arousal, orgasm and ejaculation in addition to perceived psychological impact. Patients and partners scores were evaluated to determine the concordance of both individual items as well as domain sums. Results: Twenty-eight couples completed the questionnaires. Only about 40 percent of men and women were happy with their levels of sexual interest with 82 percent concordance. Urine loss during orgasm was reported by 43 percent of men; the majority of participants were bothered by it. Ejaculation changes were observed by 96 percent of men (concordance 96 percent) with most reporting anejaculation. A change in orgasm experience was noted by 86 percent of men (and 36 percent of their female partners, p < 0.0001). Despite the change, the majority of men and women reported being satisfied with their ability to climax. Conclusion: Our results indicate that patients and their female partners may interpret differently the same physiological outcomes of PCa surgery. This information could be useful to better counsel the PCa couple and help patients and partners adjust after surgery.
Subject(s)
Aged , Female , Humans , Male , Middle Aged , Coitus , Prostatic Neoplasms/surgery , Sexual Dysfunction, Physiological/etiology , Spouses/psychology , Coitus/physiology , Coitus/psychology , Prostatic Neoplasms/psychology , Surveys and Questionnaires , Sexual Dysfunction, Physiological/psychologyABSTRACT
Sexuality is a major way of intimacy in human being and it is very important in gender relationship, contributing to over all health. However, since association between sexual activity and sudden death determined by forensic autopsies related to cardiac or cerebral causes has been reported, some people with heart disease often abstain from sexual activity that could affect the quality of life. It is therefore important to learn the physical demand of sexual activity and the risk it may trigger. For decades, the cardiologists have conducted observational studies and clinical trials on healthy volunteers or patients. The most common indices responding to cardiovascular risks of sexuality were variances of blood pressure (BP) and heart rate (HR), monitored by ambulatory blood pressure and dynamic electrocardiogram recording. BP and HR increase during the coitus just briefly and quickly recover to baseline level. Peak coital BP occurred at onset of plateau phase and quickly decreased, instead of emerged at orgasm as most people supposed. The metabolic equivalent of energy expenditure during the orgasm was relatively modest when compared with other physical exertion such as cycling. Epidemiological studies have suggested that sexual activity has favorable effect on health in the long term. This review summarizes and discusses the advances in the researches dealing with cardiovascular effects of sexual activity to better inform the cardiac patients.
Subject(s)
Blood Pressure , Cardiovascular Diseases/etiology , Cardiovascular Physiological Phenomena , Coitus/physiology , Coitus/psychology , Death, Sudden, Cardiac/etiology , Female , Heart Rate , Humans , Male , Sexual Behavior/physiology , Sexual Behavior/psychologyABSTRACT
OBJECTIVE: This study aims to evaluate the sexual function and to determine the prevalence of sexual dysfunction among teenagers and adult women during pregnancy using the Female Sexual Function Index (FSFI). METHODS: A cohort study was conducted with 271 healthy pregnant women presenting a stable relationship with their partners. These women contributed to the survey since the laboratory diagnosis of their present pregnancy. Anonymous questionnaires evaluated aspects of sexual activity and female sexual function. This last item was assessed through the FSFI questionnaire. RESULTS: The women sexual function showed a similar pattern during the first and second trimesters; however, it presented a significantly clear decrease in the third trimester. There was a significant difference in the scores of all FSFI domains when comparing the second and third trimesters. The sexual dysfunction among pregnant teenagers was rated 40.8 percent in the first trimester, 31.2 percent in the second and 63.2 percent in the third. For pregnant adults, the dysfunction was rated, respectively, 46.6 percent, 34.2 percent and 73.3 percent. CONCLUSION: The sexual function is affected during pregnancy with a significant decrease in all FSFI domains in the third trimester considering both pregnant teenagers and adults. Prevalence of sexual dysfunction is high during pregnancy and reaches higher levels in the third trimester in both age groups; however, teenagers presented better sexual function ratings.
OBJETIVO: Avaliar a função sexual e determinar a prevalência da disfunção sexual em mulheres adolescentes e adultas durante a gravidez, usando o Índice da Função Sexual Feminina (FSFI). MÉTODOS: Realizou-se estudo de corte prospectivo com 271 gestantes saudáveis, envolvidas na pesquisa desde o primeiro diagnóstico da atual gravidez, que mantinham relacionamento estável com parceiro. Foram utilizados questionários anônimos e a função sexual das gestantes foi avaliada pelo índice da função sexual feminina, em cada trimestre gestacional. RESULTADOS: Existiu diferença significante para os escores médios dos domínios do FSFI ao longo da gestação, mais especificamente no terceiro trimestre, onde houve diminuição significativa dos escores de todos os domínios do FSFI quando comparado ao segundo trimestre (p<0,001). Quando a função sexual foi comparada de acordo com a idade da paciente, existiu diferença estatisticamente significante entre as gestantes adolescentes e adultas no terceiro trimestre (p=0,008). A disfunção sexual entre as gestantes adolescentes foi de 40,8 por cento no primeiro trimestre, 31,2 por cento no segundo e 63,2 por cento no terceiro. Entre as grávidas adultas, foi de 46,6 por cento, 34,2 por cento e 73,3 por cento no primeiro, segundo e terceiro trimestres, respectivamente. Não existiu diferença significativa na prevalência da disfunção sexual quando comparada por faixa etária; entretanto, ao comparar por trimestre gestacional, houve diferença significante entre o segundo e o terceiro trimestre (p<0,001). CONCLUSÃO: A função sexual é afetada durante a gravidez, com significativo declínio de todos os domínios do FSFI no terceiro trimestre, tanto nas adolescentes quanto nas adultas. A prevalência da disfunção sexual é elevada durante a gestação, atingindo níveis mais elevados no terceiro trimestre, em ambos os grupos etários, contudo as adolescentes apresentaram melhores índices de função sexual.
Subject(s)
Adolescent , Adult , Female , Humans , Pregnancy , Young Adult , Sexual Dysfunction, Physiological/epidemiology , Brazil/epidemiology , Coitus/physiology , Libido/physiology , Pregnancy Trimester, Third/physiology , Prevalence , Prospective Studies , Surveys and Questionnaires , Statistics, Nonparametric , Young AdultABSTRACT
OBJETIVO: Analisar determinantes sociais da iniciação sexual precoce de jovens pertencentes a uma coorte de nascimentos. MÉTODOS: Foram entrevistados em 2004-5 os indivíduos da coorte de nascimentos de Pelotas (RS), em 1982 (N=4.297). A iniciação sexual precoce (<13 anos) foi o desfecho. Análises descritivas e estratificadas foram realizadas segundo o sexo. As variáveis analisadas foram renda familiar em 1982, cor da pele, escolaridade do jovem e mudança de renda (1982-2004-5). Usaram-se dados etnográficos para complementar a análise dos resultados. RESULTADOS: A prevalência de iniciação sexual precoce foi maior para homens com cor da pele preta/parda, baixa escolaridade, renda familiar baixa em 1982 e em 2004-5. As exigências para que os papéis sexuais masculinos mais tradicionais (virilidade, iniciativa sexual) mostraram ter maior repercussão e adesão desde cedo no grupo dos homens. Jovens mulheres de família com maior renda e de maior escolaridade tenderam a postergar a iniciação sexual...
OBJECTIVE: To analyze social determinants of early sexual initiation among young adults from a birth cohort. METHODS: Individuals from the 1982 birth cohort (N=4,297) were interviewed in 2004-5, city of Pelotas, Southern Brazil. Early sexual initiation (<13 years of age) was the outcome. Descriptive and stratified analyses were performed according to sex. Variables analyzed were family income in 1982, ethnicity, young adult's level of education and change in income (between 1982 and 2004-5). Ethnographic data were used to complement result analysis. RESULTS: Prevalence of early sexual initiation was higher among black and mixed men, and those with low level of education and low family income in 1982 and 2004-5. More traditional male sexual role requirements, such as virility and sexual initiative, showed more repercussion and adherence from an early age among men. Young family women with higher income and level of education tended to delay their sexual initiation...
OBJETIVO: Analizar las determinantes sociales de la iniciación sexual precoz de jóvenes pertenecientes a una cohorte de nacimientos. MÉTODOS: Fueron entrevistados en 2004-5 los individuos de la cohorte de nacimientos de Pelotas (Sur de Brasil), en 1982 (N= 4.297). La iniciación sexual precoz (<13 anos) fue el desenlace. Análisis descriptivos y estratificados fueron realizados según el sexo. Las variables analizadas fueron renta familiar en 1982, color de la piel, escolaridad del joven y mudanza de renta (1982-2004-5). Se usaron datos etnográficos para complementar el análisis de los resultados. RESULTADOS: La prevalencia de iniciación sexual precoz fue mayor en hombres con color de piel negra/parda, baja escolaridad, renta familiar baja en 1982 y en 2004-5. Las exigencias para los papeles sexuales masculinos más tradicionales (virilidad, iniciativa sexual) mostraron tener mayor repercusión y adhesión desde temprano en el grupo de hombres. Jóvenes mujeres de familia con mayor renta y de mayor escolaridad tendieron a postergar la iniciación sexual...
Subject(s)
Female , Humans , Male , Young Adult , Attitude to Health , Coitus/physiology , Age Factors , Brazil , Cohort Studies , Coitus/psychology , Educational Status , Gender Identity , Income , Sex Distribution , Sex Factors , Sexual Behavior/statistics & numerical data , Sexuality , Young AdultABSTRACT
FUNDAMENTO: O retorno à atividade sexual após síndrome coronária aguda (SCA), apesar da importância clínica e social, é assunto pouco abordado pela equipe de saúde, e que tem recebido pouca ênfase durante a internação. A disfunção erétil tem sido uma queixa freqüente entre pacientes cardiopatas, aliada a dúvidas sobre a segurança no retorno à atividade sexual após evento cardiovascular. OBJETIVO: Descrever o conhecimento dos pacientes quanto ao infarto agudo do miocárdio (IAM) e às orientações recebidas para o retorno à atividade sexual. MÉTODOS: Estudo transversal realizado entre junho e julho de 2005. Foram incluídos pacientes que se encontravam no sexto dia pós-IAM. Foi aplicado um instrumento relacionado ao conhecimento sobre o IAM, à freqüência e às expectativas de retorno à atividade sexual no período pós-alta hospitalar. RESULTADOS: Foram incluídos 96 pacientes, dos quais 70 por cento eram do sexo masculino, com média de idade de 59 ± 12 anos, e 80 por cento eram vítimas de primeiro infarto agudo do miocárdio. Desses pacientes, 96 por cento desconheciam as manifestações clínicas e as possíveis limitações provocadas pelo IAM, 63 por cento relataram ter vida sexual ativa antes do evento, 60 por cento tinham dúvidas quanto ao retorno à atividade sexual após a alta, e apenas 4 por cento dos pacientes receberam orientações pelos profissionais de saúde durante o período de internação. CONCLUSÃO: Nossos achados indicam que as orientações dispensadas pela equipe aos pacientes durante a internação são subótimas, no que tange tanto ao IAM quanto ao retorno à atividade sexual. A atualização da equipe de saúde, principalmente dos enfermeiros que despendem mais tempo com os pacientes, são estratégias que podem melhorar esses resultados.
BACKGROUND: Despite its clinical and social relevance, resumption of sexual activity after an acute coronary syndrome (ACS) is a subject that is poorly addressed by healthcare providers and one that is given scant emphasis during hospitalization. Erectile dysfunction is a common complaint among cardiac patients, and these patients are in doubt regarding the safety of resuming sexual activity after a cardiovascular event. OBJECTIVE: To describe how well informed patients are in regard to acute an myocardial infarction (AMI) and what sort of guidance they receive regarding resumption of sexual activity. METHODS: A cross-sectional study was performed from June to July 2005 with patients on the sixth day of AMI. A questionnaire was applied to assess not only patients' knowledge of AMI, but also their expectations regarding their resumption of sexual activity - and frequency of same - following hospital discharge. RESULTS: Ninety-six patients were included in the study (mean age 59 ± 12); 70 percent of them were male and 80 percent had experienced their first AMI. Of these, 96 percent lacked any knowledge of AMI clinical manifestations and possible limitations, 63 percent reported an active sex life before the event, 60 percent were in doubt regarding their sex life following hospital discharge, and only 4 percent received sexual guidance from healthcare providers during their hospital stay. CONCLUSION: According to our findings, the recommendations patients receive during hospitalization are suboptimal in regard to both AMI and resumption of sexual activity. The updating of healthcare providers may change this situation. This is especially true for the nursing staff, since they spend more time with patients.
Subject(s)
Adolescent , Adult , Female , Humans , Male , Middle Aged , Young Adult , Coitus/physiology , Health Knowledge, Attitudes, Practice , Myocardial Infarction/rehabilitation , Chi-Square Distribution , Erectile Dysfunction/etiology , Erectile Dysfunction/psychology , Myocardial Infarction/physiopathology , Myocardial Infarction/psychology , Patient Care Team , Patient Education as Topic , Quality of Life/psychology , Statistics, Nonparametric , Surveys and Questionnaires , Young AdultABSTRACT
OBJECTIVES: To evaluate the impact of surgical treatment of stress urinary incontinence on the sexual function of women and to identify whether such treatment can improve their sexual function and overall quality of life. MATERIALS AND METHODS: 64 heterosexual women with such indication were studied using the Female Sexual Function Index (FSFI) questionnaire, modified by introducing one question to evaluate the impact of urine loss. This was applied preoperatively and six months after surgery. RESULT: Among these 64 patients, 60.94 percent had regular sexual activity, while 39.06 percent did not. Among sexually active patients, 59 percent had urine loss during sexual intercourse and, of these, 87 percent had urine losses in half or more of sexual relations. There were no statistically significant differences in assessments of desire, arousal, lubrication, orgasm, satisfaction and pain, or in totaling the scores, between the preoperative period and six months after surgical treatment. However, the scores for urine losses during sexual intercourse were significantly better after the operation. CONCLUSIONS: Analysis of the results allowed the following conclusions to be reached: Urine lost during sexual activity was frequent among patients with stress urinary incontinence. Suburethral support surgery did not jeopardize sexual activity. Patients cured of stress urinary incontinence did not present improvement in sexual function.
Subject(s)
Adult , Aged , Aged, 80 and over , Female , Humans , Middle Aged , Quality of Life , Sexual Dysfunction, Physiological/physiopathology , Sexuality/physiology , Urethra/surgery , Urinary Incontinence, Stress/surgery , Age Factors , Coitus/physiology , Orgasm , Surveys and Questionnaires , Sexual Dysfunction, Physiological/diagnosis , Sexual Dysfunction, Physiological/etiology , Treatment Outcome , Urethra/physiopathology , Urinary Incontinence, Stress/complicationsABSTRACT
OBJETIVO: Estimar a prevalência da disfunção erétil (DE) e fatores de risco associados em amostra da população brasileira. MÉTODOS: Estudo transversal com amostra de conveniência de 2.862 homens, maiores de 18 anos, por meio de questionário anônimo e auto-responsivo. A prevalência de DE na amostra foi obtida mediante questão global derivada diretamente da definição de DE. Os dados foram submetidos a testes Qui-quadrado e t de Student. Foram utilizadas análises de regressão logística para cálculos dos riscos. RESULTADOS: A prevalência encontrada de DE foi 45,1 por cento (31,2 por cento mínima, 12,2 por cento moderada e 1,7 por cento completa). Indivíduos com DE apresentaram comprometimento da auto-estima, dos relacionamentos interpessoais, menos relações sexuais por semana, mais relações extraconjugais, queixas de falta de desejo sexual e ejaculação rápida. Comparados aos homens com idades entre 18 e 39 anos, aqueles com 60 a 69 têm 2,2 (95 por cento IC; 1,4-3,4; p < 0,01) mais risco para DE, enquanto para aqueles com 70 anos ou mais, a chance triplica (95 por cento IC; 1,4-6,3; p < 0,01). Houve associação inversa entre nível educacional e risco para DE. Raça amarela, desemprego, alguma afiliação religiosa, história de tumor de próstata, hipertensão arterial sistêmica (HAS) e depressão aumentaram a chance para DE. CONCLUSÃO: A prevalência de DE é alta e comparável à de outros estudos. Homens com DE apresentam menos atividade sexual e prejuízo da qualidade de vida. Idade e condição socioeconômica precária agravam o risco para DE. Ações terapêuticas e preventivas devem ser implementadas para minimizar o impacto negativo desta condição, particularmente em países em desenvolvimento.
OBJETIVE: To estimate the prevalence of ED and related risk factors in a sample of the Brazilian male population. METHODS: Cross-sectional study was carried out with a convenience sample of 2,862 men, 18 years of age or older, using an anonymous self-administered questionnaire. ED prevalence in the sample was obtained by a general question which was directly derived from the ED definition. Data were submitted to chi-square or Student's t tests. Logistic regression analyses were used for risk factor calculations. RESULTS: The prevalence of ED was 45.1 percent (31.2 percent mild, 12.2 percent moderate and 1.7 percent complete). Subjects with ED presented lower self-esteem, hindered interpersonal relationships, fewer sexual intercourses per week, more extra-marital relationships, complaints of lack of libido and premature ejaculation. When compared with men aged 18-39 years, men aged 60-69 presented 2.2 higher risk of ED (95 percent CI; 1.4-3.4; p < 0.01), whereas men aged 70 or older presented 3.0 higher risk of ED (95 percent CI; 1.4-6.3; p < 0.01). Level of education was inversely proportional to risk of ED. Yellow race, unemployment, religious affiliation, prostate tumor, hypertension and depression were variables that increased ED risk. CONCLUSION: The prevalence of ED was high and comparable to that found in other studies. Subjects with ED suffer from less sexual activity and poorer quality of life. Age and lower socioeconomic level are directly proportional to ED risk. Therapeutic and preventive measures should be implemented to minimize the negative impact of this condition, especially in developing countries.
Subject(s)
Humans , Male , Adolescent , Adult , Erectile Dysfunction/epidemiology , Sexual Behavior/statistics & numerical data , Brazil/epidemiology , Coitus/physiology , Coitus/psychology , Ejaculation/physiology , Epidemiologic Methods , Health Status , Erectile Dysfunction/physiopathology , Erectile Dysfunction/psychology , Penile Erection/psychology , Sexual Behavior/psychology , Socioeconomic FactorsABSTRACT
Analisamos a iniciação sexual masculina como um momento de aquisição de conhecimento, com base em 62 entrevistas de cunho etnográfico com homens jovens (18-24 anos) residentes em Porto Alegre, Rio de Janeiro e Salvador, Brasil, numa etapa da Pesquisa GRAVAD. Adotando uma perspectiva antropológica e comparativa, o exame dos relatos da primeira experiência amorosa e sexual revela que a primeira experiência sexual dos homens é um aprendizado corporal e social, através do qual os jovens adquirem conhecimento técnico sobre o uso de seus corpos e habilidade para se relacionar com outros, especialmente as mulheres. Estes são importantes demarcadores no processo de passagem à vida adulta. Consideramos, além de diferenças em termos de pertença a diferentes segmentos sócio-econômicos, as relações de gênero, especialmente modelos de masculinidade, demonstrando que a primeira relação sexual de um jovem é um momento social e simbolicamente marcante, que não se limita a um evento isolado, sendo, pelo contrário, uma experiência que envolve aprendizados de diferentes ordens e que integra um processo de se tornar homem.
Subject(s)
Adolescent , Adult , Female , Humans , Male , Coitus/physiology , Human Body , Psychosexual Development , Sexuality/psychology , Brazil , Gender Identity , Health Knowledge, Attitudes, Practice , Interview, Psychological , Men/psychology , Women/psychologyABSTRACT
O uso de preservativos pelos jovens aumentou, o que não significa que sejam utilizados em todas as relações sexuais; além disso, seu uso varia durante a trajetória afetivo-sexual. Estudou-se a prevalência e fatores associados ao uso de preservativo na iniciação sexual e na última relação sexual, para moças e rapazes de 18-24 anos. Os dados são da Pesquisa GRAVAD, um estudo transversal com amostra probabilística estratificada, através de entrevistas domiciliares, em três capitais brasileiras. Na análise, utilizou-se regressão logística multinomial seguindo modelo hierarquizado. A prevalência de uso de preservativo na iniciação, dentre os usuários de métodos contraceptivos, foi 80,7 por cento pelas moças e 88,6 por cento pelos rapazes. Este uso cai para 38,8 por cento e 56 por cento, respectivamente, na última relação. Nos dois eventos, o uso de preservativo esteve associado, para ambos os sexos, ao pertencimento social e à idade da iniciação. A utilização do preservativo na iniciação determina o uso na última relação (OR = 2,42 para os rapazes e 1,89 para as moças). O maior uso de preservativo entre os jovens não implica uso continuado. As moças utilizaram menos preservativo, comparadas aos rapazes, nos eventos estudados.
Subject(s)
Adolescent , Adult , Female , Humans , Male , Adolescent Behavior/psychology , Condoms , Sexual Behavior/psychology , Brazil , Chi-Square Distribution , Choice Behavior , Cross-Sectional Studies , Coitus/physiology , Educational Status , Health Knowledge, Attitudes, Practice , Logistic Models , Sex Distribution , Sex Education , Sexual PartnersABSTRACT
Actualmente existe una alta proporción de RPM (2-22 por ciento) y es una de las patologías obstétricas más frecuentes, considerada un problema de salud pública, por ser responsable de la mayoría de partos pretermino (30 por ciento); tiene estrecha relación con la morbi-mortalidad materno-perinatal. Su incidencia es muy variable y depende en gran parte de la situación socioeconómica de la embarazada debido a la menor probabilidad de recibir cuidados médicos prenatales adecuados. Puede presentarse al final del embarazo causada por un debilitamiento natural de las membranas y por la fuerza de las contracciones; también ocurre en etapas tempranas del embarazo y fundamentalmente se asocia a infecciones locales (cervicovaginitis) e infecciones del tracto urinario; mala nutrición y sobredistensión uterina. Otros factores vinculados son los antecedentes de parto pretermino, hemorragia vaginal y tabaquismo. Produce numerosas complicaciones en el binomio materno-fetal como infecciones (corioamnioitis), parto pretermino, compresión del cordón umbilical y prolapso del cordón provocando sufrimiento fetal e incluso muerte fetal. Existen 2 tipos de manejo: activo (culminación del embarazo por cesárea o inducción del trabajo de parto) y expectante (espera del inicio espontáneo del trabajo de parto).
Subject(s)
Humans , Female , Fetal Membranes, Premature Rupture/classification , Fetal Membranes, Premature Rupture/diagnosis , Fetal Membranes, Premature Rupture/physiopathology , Tobacco Use Disorder/adverse effects , Vaginosis, Bacterial/etiology , Coitus/physiology , Chorioamnionitis/etiology , Bacterial Infections/diagnosis , Obstetrics/education , Prolactin/physiology , Public Health/trendsABSTRACT
OBJETIVO: Correlacionar a capacidade orgástica (durante a relação sexual e/ou a masturbação solitária) de mulheres pós-menopausadas, saudáveis e sem tratamento hormonal com fatores climatéricos, psicossociais, comportamentais, hormonais e interpessoais. MÉTODOS: De um total de 999 mulheres avaliadas com idade entre 41 e 60 anos, selecionaram-se 60 mulheres saudáveis, sexualmente ativas, com pelo menos um ano de amenorréia, útero íntegro, relacionamento estável com parceiro capacitado ao coito e não usuárias de terapia hormonal. Elaborou-se um modelo estatístico de regressão logística que avaliou a capacidade de orgasmo (variável dependente) em função de 17 variáveis independentes, que representavam fatores psicossociais, comportamentais, interpessoais, climatéricos e hormonais. RESULTADOS: A capacidade orgástica está significativamente correlacionada à prática da masturbação (p=0,000), ao gostar de abraçar e acariciar o corpo do parceiro (p= 0,036) e à presença de secura vaginal (p=0,021). CONCLUSÕES: Nas mulheres pós-menopausadas avaliadas, a capacidade orgástica relacionou-se positivamente com o relacionamento mais afetivo com o companheiro e com a prática da masturbação. Mulheres que apresentam secura vaginal, mas que praticam a masturbação e mantêm relacionamento afetivo com o parceiro, conseguem obter o mesmo número ou um número maior de orgasmos se comparados à freqüência do coito.
Subject(s)
Humans , Female , Adult , Middle Aged , Coitus/physiology , Masturbation , Orgasm/physiology , Postmenopause/physiology , Sexual Behavior/physiology , Chi-Square Distribution , Libido/physiology , Masturbation/psychology , Personal Satisfaction , Postmenopause/psychology , Surveys and Questionnaires , Sexual Behavior/psychology , Socioeconomic FactorsABSTRACT
A close study of ancient works of ayurveda and Kamasutra shows that the knowledge of anatomy and physiology of different parts of reproductive organs particularly of female genitals is lacking. Hymen, defloration and clitoris do not find any mention in earlier works. Works of medieval and late medieval period mention the different parts and their utility and function especially in the sexual enjoyment. Worship of vagina or Yonipuja was a common practice in some sects of Tantrists like Kaulas, Kapalikas and others. This practice resulted in the close observation of different parts and thereby knowing their importance and role in the sexual enjoyment, which was also a part of the practices of Tantrism. This knowledge appears to have been incorporated in works like Bhavaprakasa of ayurveda and Paururavamanasijasutra and others of Kamasutra. They describe three Nadis in the female genitalia and clitoris others.
Subject(s)
Coitus/physiology , Erotica/history , Female , Hinduism/history , History, 15th Century , History, 16th Century , History, Ancient , History, Medieval , Humans , India , Male , Sexual Behavior/historyABSTRACT
Women may experience some mental and sexual problems between the ages of 40 years and 60 years due to serious changes in the hormonal system. The aim of this study was to examine the relationships between the changes in sex hormones, sexual behaviours, depression and anxiety levels of women who were in either the premenopausal, perimenopausal or postmenopausal period. The subjects of this cross-sectional study consisted of 324 women who attended the Gynaecology and Obstetrics Out-Patient Ward of Celal Bayar University Hospital. Of this group, 37.0 (n = 124) were postmenopausal, 27.2 (n = 84) perimenopausal and 35.8 (n = 116) premenopausal. Beck Depression Inventory (BDI), State and Trait Anxiety Inventories (STAI-I and II) and a questionnaire on sexual behaviour which was prepared for this study by the authors, were applied to all of the attendees and serum sex hormone levels were analyzed. Beck Depression Anxiety, STAI-I and STAI-II scores and sexual behaviours did not show any statistically significant difference among these three groups. The frequency of sexual intercourse was lower in women with high BDI scores. The rate of painful intercourse was higher in women with high STAI-I scores. The frequency of sexual intercourse, sexual desire and orgasm decreased and painful intercourse increased in women with high STAI-II scores. The frequency of sexual intercourse decreased significantly as the age or follicle stimulating hormone level of women increased. These findings have revealed that the menopausal state did not affect the sexual behaviour, and psychological state of women between the ages of 40 and 60 years, but the increase in anxiety and depression scores affected the sexual life in a negative manner