[Sexual dysfunctions and infertility]. / Dysfonctions sexuelles et infertilité.

OBJECTIVES: Sexuality is a fundamental part of the life of the individual and the couple particularly sensitive to the crisis that is infertility. The objective of this review is to describe sexual disorders that may be involved in infertility as well as sexual dysfunctions that can appear during medically assisted reproduction. MATERIAL AND METHODS: We performed a literature reviewed from Medline Database and selected 27 articles. RESULTS: Sexual problems are common in infertile couples. Sometimes primary they need to be assessed before the process of assisted reproduction. Mostly secondary (erectile dysfunction, hypoactive sexual desire, decreased sexual activity…), they must be explained and be sought throughout the diagnostic and therapeutic process. A multidisciplinary approach integrating sexological adapted to the specific torque is required and may extend beyond the birth or adoption of the child. CONCLUSIONS: In the treatment for infertility it is important to systematically open discussion on issues of sexuality, and to evaluate the significance and severity of sexual dysfunction. Finally, in some cases it is necessary to help patients rebuild their sexuality as a source of pleasure to the end of the period of assisted reproduction.

[Sexual function and quality of life in locally advanced cervical cancer]. / Qualité de vie sexuelle et cancer du col localement avancé

OBJECTIVES: Sexual dysfunction is currently the most common complication of cancer. Most of the time, patients who are concerned by locally advanced cervical cancer are in a period of sexual activity. The primary objective of this study was to assess the quality of life and sexual function of patients with locally advanced cervical cancer who were in remission. The secondary objective was to correlate the prognostic factor with sexual dysfunction. PATIENTS AND METHODS: This multicentric and prospective study included the patients with locally advanced cervical cancer diagnosis from three centres. Thirty-one patients with diagnosis of locally advanced cervical cancer were enrolled from February 2007 to October 2008. The mean age was 49years old. Inclusion criteria were to have received the standard therapy by chemoradiotherapy and have been in remission for 2years. Both self-administered questionnaires BISF-W and EORTC QLQ-CX24 allowed scoring quality of life and sexual function. RESULTS: The rate of completion was 42%. The results confirmed that sexual function was impaired in accordance with sexual satisfaction. After therapy, the frequency of sexual activity was decreased. The functional quality of life was significantly correlated with sexual function. Marital status was a significant prognostic factor. Age, stage and the type of centre were not. DISCUSSION AND CONCLUSION: This preliminary study suggests that after 2years of remission of the disease after treatment, patients and their partners need to be helped as regards their sexual function. We propose to perform a prospective study on a larger cohort.

[Psychological approach to patients suffering from cavernous venous insufficiency]. / Abord psycho-somatique du patient atteint d'une insuffisance veino-caverneuse.

Venogenic impotence is an organic disorder of erection. The author discusses the role of psychological supports during medical treatment and, on the basis of his experience, he concludes on the necessity to combine psychosex therapy, even when the problem is originally organic.

[The results of two years of artificial insemination (author's transl)]. / Bilan de deux années d'inséminations artificielles.

Artificial insemination donor (AID) is the solution for the sterility of many couples where the man is irreversibly sterile. We present the results of AID using frozen sperm in the two first years of work at the Centre d'Etudes et de Conservation du Sperme (C.E.C.O.S.), which is situated in the Midi-Pyrénées region of France. The results that have been obtained are satisfactory and prove the value of this method, but the means at present at the disposal of the Center do not always meet the demands made on it.