Depressive ranges in infertile couples with male factor

Introduction: Depression is not uncommon among infertile couples. The objective of the study is to analyze factors that predict depression in these couples, when they are in Assisted Reproduction Techniques programs. Materials and method: We analyze the level of depression in couples referred from the Human Reproduction Unit to study the male factor using the Beck Depression Inventory and the clinical information contained in the SARAplus program. Results: Depressive ranges appear in approximately half of the participants. The degree of depression correlates in a statistically significant way between both members of the couple. Among the analyzed clinical factors, we observed relational tendency between depression and obesity and depression and smoking. Conclusions: Depression in infertile couples is a fact. ART specialists should be on the lookout for symptoms of depression in order to provide patients psychological and psychiatric care and treatments, as part of the overall therapeutic framework for infertility. (AU)

Depressive ranges in infertile couples with male factor.

INTRODUCTION: Depression is not uncommon among infertile couples. The objective of the study is to analyze factors that predict depression in these couples, when they are in Assisted Reproduction Techniques programs. MATERIALS AND METHOD: We analyze the level of depression in couples referred from the Human Reproduction Unit to study the male factor using the Beck Depression Inventory and the clinical information contained in the SARAplus program. RESULTS: Depressive ranges appear in approximately half of the participants. The degree of depression correlates in a statistically significant way between both members of the couple. Among the analyzed clinical factors, we observed relational tendency between depression and obesity and depression and smoking. CONCLUSIONS: Depression in infertile couples is a fact. ART specialists should be on the lookout for symptoms of depression in order to provide patients psychological and psychiatric care and treatments, as part of the overall therapeutic framework for infertility.

Management of Acute Cystitis in the Era of COVID-19.

Purpose of Review: No specific guidelines have been developed for acute cystitis management during the COVID-19 pandemic. This review aims to provide up-to-date information about treatment and follow-up in patients with symptoms suggesting lower urinary tract infection. Recent Findings: Uncomplicated cystitis does not need microbiological confirmation; thus, clinical diagnosis via telephone interview or questionnaires may be done. When complicated infections are suspected, in-person evaluation or close follow-up is mandatory. Antibiotic treatment is still the gold standard for treatment, although non-pharmacological strategies have also been suggested and further investigations are warranted. Summary: Urinary tract infections are still a frequent reason for consultation that needs to be addressed in both primary care and specialized levels. Their management during the pandemic is similar than in precedent years, but telehealth options have emerged which can facilitate diagnosis and treatment.

Fundamentos diagnósticos en la disfunción eréctil. A propósito de 2 estudios prospectivos. Resultados preliminares / Fundamentals of erectile dysfunction diagnostics. About 2 prospective studies. Preliminary results

Introducción: A lo largo de décadas se han planteado una serie de procedimientos diagnósticos de la disfunción eréctil (DE), partiendo de la historia clínica y sexual, con pruebas complementarias, algunas de ellas de carácter invasivo, debatiéndose la rentabilidad diagnóstica de dichas pruebas. Objetivos: Indagar claramente en cuáles son los procedimientos diagnósticos suficientemente fiables en la disfunción eréctil, con especial énfasis en la rentabilidad, o cambio en la presunción clínica y sexual de los test diagnósticos invasivos. Material y método: Para lograr nuestro objetivo realizaremos un estudio no comparativo, histórico, retrospectivo, entre 2 grupos prospectivos de pacientes, el A (n = 37) diagnosticados en el año 1995-1996 antes de la era de los iPDE5, y el B (n = 37) en 2012. Analizando demografía (A + B), comorbilidades (A + B), historia sexual (A + B), exploración física (A + B), analítica (A + B), respuesta a la inyección intracavernosa (A) y el empleo de cuestionarios sexuales validados (B). Resultados: En el estudio A hay diferencia entre los grupos en las variables edad, carácter total-parcial, antecedentes médico-quirúrgicos, diabetes, hipertensión arterial, vásculocardio-nefropatía, antecedentes psicológicos, toma de fármacos, tipos de erección (sobre todo la nocturna), signos de vasculopatía, niveles de glucemia y en la IIC PGE1. Dentro del estudio B hay diferencias en la diabetes mellitus, la hipertensión arterial y los niveles de glucemia. Discusión: Los factores predisponentes para la organicidad son la edad, la diabetes mellitus, la hipertensión arterial, cardio-vásculo y nefropatías. En la historia sexual el mejor parámetro para discernir entre categorías diagnósticas es la erección nocturna. La glucemia es el único parámetro analítico útil. Es el diagnóstico psicológico y el clínico los que mayor concordancia tienen con el diagnóstico de consenso. Conclusiones: Considerando suficiente base diagnóstica la evaluación global del paciente, pareja y entorno o circunstancias, predominando la valoración clínica (urológica y andrológica) además de psicosexual y social. La IIC no cambia la orientación diagnóstica, al igual que los cuestionarios sexuales validados, que sí resultan útiles en la cuantificación de la DE y en respuesta terapéutica (AU)

Introduction: Throughout decades a number of diagnostic procedures of erectile dysfunction (ED) based on the medical and sexual history have been raised, some of them with additional tests, part of them invasive, debating the diagnostic yield of these tests. Objectives: Which are sufficiently reliable diagnostic procedures in erectile dysfunction. With special emphasis on profitability, or change in the clinical and sexual presumption of invasive diagnostic tests. Material and method: To achieve our goal we will have a non-comparative, historical, retrospective, prospective study between two groups of patients, the A (n = 37) diagnosed in 1995-6 before the era of iPDE5, and B (n = 37) in 2012. By analyzing demographics (A + B), comorbidities (A + B), sexual history (A + B), physical examination (A + B), analytical (A + B), response to intracavernous injection (A) and the use of validated sexual survey (B). Results: In study A, no difference between groups in the variables age, total-partial, medical, diabetes, hypertension, cardio-vascular-renal disease, psychological history, taking drugs, erection background character types (especially at night), signs of vascular disease, blood sugar levels and the IIC PGE1. In study B there are differences in diabetes mellitus, high blood pressure and blood sugar levels. Discussion: The predisposing factors include age organicity, DM, hypertension, cardio-vascular and renal disease and. In sexual history, the best parameter to distinguish between diagnostic categories is nocturnal erection. Blood glucose is the only useful analytical parameter. It is both the psychological and clinical diagnosis who have greater concordance with the consensus diagnosis. Conclusions: Considering global assessment, partners and environment or circumstances sufficient for a diagnostic groundwork, where clinical (urology and andrology) plus psychosexual and social assessment prevail. IIC diagnosed orientation does not change, like sexual validated questionnaires, which are useful in quantifying ED and therapeutic response (AU)

La pareja del hombre con disfunción eréctil: la opinión del médico de Atención Primaria acerca de su papel en el diagnóstico y el tratamiento de la disfunción eréctil en España / The partner of the male with erectile dysfunction: the Primary Care physician's opinion of the role of the partner in erectile dysfunction diagnosis and treatment in Spain

Objetivo. Analizar diversos aspectos sobre la integración de la mujer en el diagnóstico y el tratamiento de la disfunción eréctil (DE) en España. Material y método. Estudio descriptivo basado en una encuesta a 544 médicos de Atención Primaria que tratan habitualmente pacientes con DE y que expusieron su percepción sobre aspectos relativos al diagnóstico y tratamiento de la DE para determinar diferencias entre las comunidades autónomas (CCAA). Se incluyeron preguntas acerca del papel de la mujer, que se presentan aquí. Las preguntas fueron valoradas mediante una escala Likert continua del 1 al 7. Resultados. El 52% de los médicos tenía registrada la DE de sus pacientes. La prevalencia global de DE fue de 5,6%, con diferencias entre las CCAA. No parece frecuente que el hombre comparta el problema con su pareja, ni que acuda a consulta impulsado por ella. La implicación de la mujer en el diagnóstico y el tratamiento es baja, y presenta diferencias significativas entre las CCAA. En un 22,3% de las ocasiones el hombre acude a consulta con su pareja, en un 67,2% lo hace solo, y en un 10,5% lo hace la mujer sola, observándose diferencias significativas entre las CCAA en estos 2 últimos aspectos. La mujer suele fomentar el tratamiento, más que impedirlo. Conclusiones. La integración de la mujer en la DE en España es baja. Es necesario educar a ambos miembros de la pareja sobre la importancia de la comunicación y de la participación conjunta en la toma de decisiones sobre la DE (AU)

ObjectiveTo analyse different aspects regarding integrating of women in the diagnosis and treatment of erectile dysfunction (ED) in Spain.Material and methodDescriptive study to determine differences across Spain based on a survey administered to 544 Primary Care physicians that regularly treat patients with ED who provided their perception about aspects related to the diagnosis and treatment of ED. Questions about the role of women were included in the survey and are presented here. Questions were assessed using a continuous Likert scale from 1 to 7.ResultsFifty-two percent of the physicians had registered their patients’ ED in the patient file. Overall prevalence of ED was 5.6%, with differences across autonomous communities (AACC). Men do not appear to share their problem with their partner frequently nor do they seek consultation prompted by their partner's request. The involvement of women in the diagnosis and treatment of the condition is low and shows significant differences among AACC. In 22.3% of visits, men come to the consultation office with their partner; in 67.2% of visits, men come for consultation alone; and in 10.5% it is the women that come alone. There are significant differences across AACC regarding these last 2 groups. Women usually encourage treatment rather than preventing it.ConclusionsThe integration of women in the management of ED in Spain is low. It is necessary to educate both members of the couple on the importance of communication and joint participation in ED decision-making (AU)

Retos en docencia y formación para la andrología, la medicina sexual y la medicina reproductiva / No disponible

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