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1.
Clín. investig. ginecol. obstet. (Ed. impr.) ; 46(4): 143-147, oct.-dic. 2019. graf
Artigo em Espanhol | IBECS | ID: ibc-184301

RESUMO

Introducción: La fertilidad y la virilidad suelen relacionarse socialmente con el concepto de masculinidad; esto genera cierto grado de incertidumbre debido a que podría conllevar una serie de procesos emocionales al relacionar los conceptos anteriores con la palabra infertilidad. Objetivo: El objetivo del presente trabajo fue relacionar las respuestas sobre las percepciones de la calidad seminal con algunos conceptos relacionados con la masculinidad. Materiales y métodos: Se llevó a cabo una encuesta virtual anónima a 500 hombres en la cual se realizaron preguntas con relación a la percepción de algunas variables sobre la calidad seminal. Resultados: Respecto a la pregunta ¿para usted qué significa tener un conteo alto de espermatozoides?, en hombres con y sin pareja la respuesta más frecuente fue buena capacidad para fecundar, siendo mayor en hombres con pareja (p = 0,013); en contraste, la segunda respuesta más frecuente (buena salud) fue más alta en el grupo que no tenía pareja (p = 0,028), mientras que la mayoría de los participantes respondieron que no sentirían nada (58,8% sin pareja y 64,5% con pareja) frente a las preguntas ¿qué sentiría si tiene un conteo bajo de espermatozoides? y ¿qué sentiría si no tiene ningún espermatozoide?, respectivamente. Por otro lado, en cuanto a la respuesta «avergonzado», los participantes sin pareja decían sentirse más avergonzados en ambas preguntas (p = 0,011 y p = 0,0057). Conclusión: El termino infertilidad debería ser usado cuidadosamente, pues es de gran impacto en la vida del individuo, afecta tanto el bienestar de la pareja como el bienestar psicosocial y la propia satisfacción sexual


Introduction: Fertility and virility are often socially related to the concept of masculinity, and this generates a certain degree of uncertainty because it could lead to a series of emotional processes by relating these concepts with the word infertility. Objective: The objective of the present work was to relate the responses on the perceptions of seminal quality with some concepts related to masculinity. Materials and methods: An anonymous virtual survey of 500 men was carried out, in which questions were asked regarding the perception of some variables on seminal quality. Results: As regards the question, 'what does it mean for you to have a high sperm count?'; in men with and without partners, the most frequent response was, good ability to fecundate, being higher in men with a partner (P = .013). In contrast, the second most frequent response (good health) was higher in the group that had no partner (P = .028). While the majority of participants answered that they would not feel anything (58.8% without a partner, and 64.5% with a partner) in response to the questions, 'How would you feel if you have a low sperm count?', and 'How would you feel if you did not have any sperm?', respectively. On the other hand, as regards the response 'embarrassed', the participants without a partner said they felt more embarrassed in both questions (P = .011 and P = .0057). Conclusion: The term infertility should be used carefully, since it has a significant impact an individual's life. It affects the well-being of the couple, as well as psychosocial well-being and sexual satisfaction itself


Assuntos
Humanos , Masculino , Fertilidade/fisiologia , Análise do Sêmen , Comportamento Sexual/estatística & dados numéricos , Infertilidade Masculina/epidemiologia , Masculinidade , Coito/fisiologia , Contagem de Espermatozoides/estatística & dados numéricos , Colômbia/epidemiologia
2.
BMJ Case Rep ; 12(5)2019 May 27.
Artigo em Inglês | MEDLINE | ID: mdl-31133549

RESUMO

A sexual headache or coital cephalgia is a headache associated with sexual activity and is a well-recognised condition. It is usually benign, primary and self-limiting. However, occasionally sexual headaches can result from more sinister causes. Intraparenchymal and subdural haemorrhages have been reported as secondary causes of sexual headaches. We present the case of a 61-year-old woman with no comorbidities who presented acutely with a sexual headache and vision loss, and was found to have an occipital and parietal intraparenchymal haemorrhage. She was normotensive and after extensive workup was found to have no predisposing condition for her haemorrhage. The patient had an uneventful recovery with physical rehabilitation and had regular follow-ups, with no residual weakness. She was in a completely normal state of health 1 year after her event, and continued to be off any medications.


Assuntos
Coito/fisiologia , Cefaleia/etiologia , Hemorragias Intracranianas/complicações , Doença Aguda , Feminino , Cefaleia/diagnóstico , Cefaleia/fisiopatologia , Humanos , Hemorragias Intracranianas/diagnóstico , Hemorragias Intracranianas/reabilitação , Pessoa de Meia-Idade , Comportamento Sexual/fisiologia , Resultado do Tratamento
3.
J Obstet Gynaecol ; 39(5): 659-663, 2019 Jul.
Artigo em Inglês | MEDLINE | ID: mdl-30856026

RESUMO

Human papilloma virus infection (HPV) is the most common sexually transmitted disease. It may increase the risk of several cancers, including those of the cervix, vulva, vagina, head and neck. HPV is usually transmitted during sexual intercourse; there are limited data about sexual dysfunction (SD) after infection with this virus. We aimed to measure the incidence of SD in women with HPV. In this study, we evaluated 67 HPV-infected female patients and 66 healthy controls. The Arizona Sexual Experience Scale (ASEX), Beck Depression Inventory (BDI), Beck Anxiety Inventory (BAI) and Socio Demographic Form were used for evaluation. Gynaecologists and psychiatrists evaluated the participants. Women with HPV were found to have significantly higher Arizona Sexual Experience Scale (ASEX) total scores and ASEX sub scores than the control group in the domains of sexual desire, arousal, genital response, orgasmic experience and their satisfaction from orgasm (p ≤ .05). The study group shows a statistically significant difference in the Beck Depression Inventory (BDI), but Beck Anxiety Inventory (BAI) scores show no significant differences between the experimental and control groups. Our study shows that HPV positivity in female patients is associated with a significant impairment in sexual function and that this impairment is not related to depression or anxiety. Impact statement What is already known on this subject? There are only a few studies concerned with sexual dysfunction in HPV patients. These studies have methodological problems, as they do not rule out the effect of depression on sexual dysfunction. It is very difficult to perform studies on sexual dysfunction and sexually transmitted diseases, because both physicians and patients are reluctant to talk about sexual problems. In the present study, only 6 out of 15 physicians accepted to contribute to the study. Although the physicians gave a questionnaire to more than 400 patients, only 133 of them completed that questionnaire. The most important difficulties in this study was to find enough patients. What do the results of this study add? Depression and sexual dysfunction are frequently seen in HPV patients. Although depression is one of the most common causes of sexual dysfunction, an HPV infection may lead to sexual dysfunction even in the patients without depression. What are the implications of these findings for clinical practice and/or further research? HPV infections may be associated with mental health problems and sexual dysfunction. The gynaecologists and other clinicians working with HPV patients should also evaluate patients psychologically and refer patients to psychiatry if required. The psychiatric problems associated with an HPV infection do not only impair sexual functions, but also may lead to difficulties in social life.


Assuntos
Infecções por Papillomavirus/complicações , Disfunções Sexuais Fisiológicas/virologia , Disfunções Sexuais Psicogênicas/virologia , Adulto , Ansiedade , Colo do Útero/patologia , Colo do Útero/virologia , Coito/fisiologia , Coito/psicologia , Depressão , Dispareunia/virologia , Feminino , Humanos , Orgasmo , Comportamento Sexual , Disfunções Sexuais Fisiológicas/psicologia , Disfunções Sexuais Psicogênicas/psicologia , Turquia
5.
Rev. int. androl. (Internet) ; 17(1): 24-30, ene.-mar. 2019. tab
Artigo em Espanhol | IBECS | ID: ibc-182211

RESUMO

Objetivo: El nivel de acuerdo entre medidas subjetivas y objetivas de la excitación sexual se denomina concordancia sexual. El sexo es uno de los principales moderadores y existe más correspondencia en los hombres que en las mujeres. El objetivo de este estudio es examinar la validez predictiva de las escalas Valoración de Excitación Sexual (VES) y Valoración de las Sensaciones Genitales (VSG), relacionando sus puntuaciones con la respuesta genital ante estímulos sexuales visuales, en hombres y en mujeres. Material y método: Se empleó una muestra formada por 159 jóvenes heterosexuales (69 hombres y 90 mujeres) que completaron, en primer lugar, un cuestionario sociodemográfico y de la historia sexual, las escalas Sexual Inhibition/Sexual Excitation Scales-Short Form y el SOS-6. En segundo lugar, en el laboratorio de sexualidad, eran expuestos a un vídeo neutro y otro de contenido sexual explícito, mientras se les evaluaba la excitación sexual subjetiva con las escalas VES y VSG, y se les registraba la respuesta genital a través de pletismografía (hombres) y fotopletismografía (mujeres). Resultados: Se obtuvieron correlaciones significativas entre la excitación sexual subjetiva y objetiva únicamente en los hombres: la escala VSG mostró capacidad para predecir la respuesta de erección ante estímulos sexuales visuales. Conclusiones: Se avala la teoría de las diferencias entre hombres y mujeres en concordancia sexual. Al encontrarse evidencias modestas solo en hombres sobre la validez predictiva de las escalas de evaluación de la excitación sexual subjetiva, se plantea la necesidad de realizar evaluación subjetiva y objetiva de la excitación sexual en el ámbito clínico y en investigación


Objective: The level of agreement between subjective and objective measures of sexual arousal is referred as sexual concordance. Sex is one of the principal moderators and there is a higher level of correspondence in men than in women. The aim of this study is to evaluate the predictive validity of the scales Ratings of Sexual Arousal (RSA) and Ratings of Genital Sensations (RGS), relating their scores with the genital response to visual sexual stimuli in men and women. Material and method: A sample of 159 young heterosexuals was used (69 men and 90 women) which completed, firstly, a sociodemographic and sexual story questionnaire, the Sexual Inhibition/Sexual Excitation Scales Short-Form and the SOS-6. At the laboratory, they were exposed to a neutral film and to an explicit sexual content film. The subjective sexual arousal was evaluated with the RSA and RGS scales and the genital response was registered through a plethysmography (men) and a photo-plethysmography (women). Results: Significant correlations were obtained between subjective and objective sexual arousal only in men. The RGS scale has the capacity to predict the erection response toward sexual stimuli. Conclusions: The theory of differences in sexual concordance between men and women was endorsed. Modest evidence about the predictive validity of the subjective sexual arousal evaluation scale was found only in men. It arises the need for subjective and objective assessment of sexual arousal, in clinical settings and research area


Assuntos
Humanos , Masculino , Feminino , Comportamento Sexual/estatística & dados numéricos , Coito/fisiologia , Libido/fisiologia , Sensação/fisiologia , Distribuição por Sexo , Reprodutibilidade dos Testes , Psicometria/instrumentação
6.
Rev Bras Ginecol Obstet ; 41(3): 183-190, 2019 Mar.
Artigo em Inglês | MEDLINE | ID: mdl-30769367

RESUMO

Considering that myths and misconceptions regarding natural procreation spread rapidly in the era of easy access to information and to social networks, adequate counseling about natural fertility and spontaneous conception should be encouraged in any kind of health assistance. Despite the fact that there is no strong-powered evidence about any of the aspects related to natural fertility, literature on how to increase the chances of a spontaneous pregnancy is available. In the present article, the Brazilian Federation of Gynecology and Obstetrics Associations (FEBRASGO, in the Portuguese acronym) Committee on Endocrine Gynecology provides suggestions to optimize counseling for non-infertile people attempting spontaneous conception.


Assuntos
Fertilização/fisiologia , Cuidado Pré-Concepcional , Adulto , Fatores Etários , Atitude Frente a Saúde , Brasil , Coito/fisiologia , Aconselhamento , Dieta , Feminino , Fertilidade/fisiologia , Humanos , Infertilidade Feminina/diagnóstico , Lubrificantes/administração & dosagem , Masculino , Idade Materna , Pessoa de Meia-Idade , Ovulação/fisiologia , Idade Paterna , Postura , Gravidez , Processos de Determinação Sexual/fisiologia , Fumar/efeitos adversos , Adulto Jovem
7.
Patient Educ Couns ; 102(3): 436-442, 2019 03.
Artigo em Inglês | MEDLINE | ID: mdl-30314828

RESUMO

OBJECTIVES: Breast cancer patients' sexual health needs are frequently unmet. We examined the prevalence and content of communication about sexual health between breast cancer patients and clinicians. METHODS: Female breast cancer patients being seen in oncology clinic follow-up had a clinic visit audio recorded and self-reported sexual problems after the visit. Transcripts were coded for sexual health communication; data were analyzed descriptively or using Chi-square tests. RESULTS: We recorded 67 patients (81% participation rate) interacting with one of 7 cancer clinicians (5 physicians; 2 advanced practice clinicians). Approximately 1/3 of women (n = 22) reported sexual problems; sexual health communication occurred with 10/22 of those women (45%). Across all 67 patients, 27 (40%) visits contained communication about sexual health. Seventy-percent of sexual health communication was clinician-initiated. When in-depth sexual health discussions occurred, the most common topics discussed were sexual inactivity (6), body image (5), vaginal dryness (4), and safety of sexual activity (2). CONCLUSION: Communication about sexual health was uncommon even for women reporting sexual problems and was largely initiated by clinicians. PRACTICE IMPLICATIONS: Because women with breast cancer often do not raise sexual concerns during clinic visits, breast cancer clinicians should raise the topic of sexual health for all patients.


Assuntos
Neoplasias da Mama/psicologia , Coito/psicologia , Comunicação , Relações Médico-Paciente , Qualidade de Vida/psicologia , Comportamento Sexual/psicologia , Disfunções Sexuais Fisiológicas/psicologia , Saúde Sexual , Sobreviventes/psicologia , Adulto , Idoso , Neoplasias da Mama/complicações , Neoplasias da Mama/cirurgia , Coito/fisiologia , Feminino , Humanos , Entrevistas como Assunto , Masculino , Mastectomia , Pessoa de Meia-Idade , Pesquisa Qualitativa , Saúde Reprodutiva , Disfunções Sexuais Psicogênicas/psicologia , Sexualidade/psicologia , Inquéritos e Questionários
8.
Sex Med Rev ; 7(1): 13-28, 2019 01.
Artigo em Inglês | MEDLINE | ID: mdl-30301705

RESUMO

INTRODUCTION: Pelvic floor muscle exercise (PFME) is recommended as a first-line treatment for urinary incontinence. However, a review of the literature suggests the effect of PFME on sexual function (SF), particularly during pregnancy and the postpartum period, is understudied. AIM: To assess the effect of PFME on SF during pregnancy and the postpartum period. METHODS: The following databases were searched: CINAHL (EBSCOhost), Health Collection (Informit), PubMed (National Center for Biotechnology Information), Embase (Ovid), MEDLINE, Cochrane, Health Source, Scopus, Wiley, Health & Medical Complete (ProQuest), Joanna Briggs Institute, and Google Scholar. Results from published randomized controlled trials (RCTs) and non-RCTs from 2004 to January 2018 on pregnant and postnatal women were included. PEDro and Critical Appraisal Skills Programme scores were used to assess the quality of studies. Data were analysed using a qualitative approach. MAIN OUTCOME MEASURE: The primary outcome was the impact of antenatal or postnatal PFME on at least 1 SF variable, including desire, arousal, orgasm, pain, lubrication, and satisfaction. The secondary outcome was the impact of PFME on PFM strength. RESULTS: We identified 10 studies with a total of 3607 participants. These included 4 RCTs, 1 quasi-experimental study, 3 interventional cohort studies, and 2 long-term follow up cohort studies. No studies examined the effect of PFME on SF during pregnancy. 7 studies reported that PFME alone improved sexual desire, arousal, orgasm, and satisfaction in the postpartum period. CONCLUSION: The current data needs to be interpreted in the context of the studies' risk of bias, small sample sizes, and varying outcome assessment tools. The majority of the included studies reported that postnatal PFME was effective in improving SF. However, there is a lack of studies describing the effect of PFME on SF during pregnancy, and only minimal data are available on the postpartum period. More RCTs are needed in this area. Sobhgol SS, Priddis H, Smith CA, et al. The Effect of Pelvic Floor Muscle Exercise on Female Sexual Function During Pregnancy and Postpartum: A Systematic Review. Sex Med Rev 2019;7:13-28.


Assuntos
Coito/fisiologia , Terapia por Exercício , Diafragma da Pelve , Período Pós-Parto/fisiologia , Complicações na Gravidez/terapia , Disfunções Sexuais Fisiológicas/terapia , Saúde Sexual , Estudos de Coortes , Coito/psicologia , Feminino , Seguimentos , Humanos , Diafragma da Pelve/fisiologia , Gravidez , Complicações na Gravidez/fisiopatologia , Complicações na Gravidez/psicologia , Ensaios Clínicos Controlados Aleatórios como Assunto , Disfunções Sexuais Fisiológicas/fisiopatologia , Disfunções Sexuais Fisiológicas/psicologia , Resultado do Tratamento
9.
In. Wong Arocha, Haydee. Sexualidad y enfermedades urológicas. La Habana, Editorial Ciencias Médicas, 2019. , ilus.
Monografia em Espanhol | CUMED | ID: cum-74535
10.
Lymphology ; 51(1): 38-43, 2018.
Artigo em Inglês | MEDLINE | ID: mdl-30248730

RESUMO

Lymphedema is a chronic disease in which lymph accumulates under the subcutaneous tissue. The condition may be due to either congenital or acquired lymphatic system abnormalities. Genital lymphedema (scrotal lymphedema) has a high psychological and functional impact, and many surgical techniques have been tried in an attempt to improve function and cosmetic appearance. The aim of this study is to present our experience in treatment of a series of patients with scrotal lymphedema. Twenty patients suffering from moderate to severe scrotal lymphedema underwent treatment by using three flaps technique (2 inguinoscrotal flap and one perineoscrotal flap). The technique showed improvement in cosmetic, sexual, and voiding function with low incidence of recurrence up to 23 months of followup.


Assuntos
Linfedema/cirurgia , Procedimentos Cirúrgicos Reconstrutivos/métodos , Escroto/cirurgia , Retalhos Cirúrgicos , Adulto , Coito/fisiologia , Seguimentos , Humanos , Linfedema/patologia , Linfedema/psicologia , Masculino , Pessoa de Meia-Idade , Satisfação do Paciente/estatística & dados numéricos , Qualidade de Vida/psicologia , Recidiva , Escroto/patologia , Índice de Gravidade de Doença , Micção/fisiologia
11.
PLoS One ; 13(7): e0198095, 2018.
Artigo em Inglês | MEDLINE | ID: mdl-29965968

RESUMO

BACKGROUND: In Cambodian context, female entertainment workers (FEWs) are young women working at establishments such as karaoke bars, restaurants, beer gardens or massage parlors. FEWs may sell sex to male patrons and are considered a high-risk group for HIV. This study aimed to identify factors associated with recent HIV testing among FEWs in Cambodia to inform future prevention activities. METHODS: Data were collected in 2014 as part of the evaluation of a larger HIV prevention project. A two-stage cluster sampling method was used to select participants from Phnom Penh and Siem Reap for face-to-face interviews using a structured questionnaire. A logistic regression model was constructed to identify independent factors associated with recent HIV testing. RESULTS: Data were collected from 667 FEWs with a mean age of 25.6 (SD = 5.5). Of total, 81.7% reported ever having had an HIV test, and 52.8% had at least one test in the past six months. After adjustment for other covariates, factors independently associated with recent HIV testing included living in Phnom Penh (AOR = 2.17, 95% CI = 1.43-3.28), having received HIV education in the past six months (AOR = 3.48, 95% CI = 2.35-5.15), disagreeing with a statement that 'I would rather not know if I have HIV' (AOR = 2.15, 95% CI = 1.41-3.30), agreeing with a statement that 'getting tested for HIV helps people feel better' (AOR = 0.32, 95% CI = 0.13-0.81) and not using a condom in the last sexual intercourse with a non-commercial partner (AOR = 0.48, 95% CI = 0.26-0.88). CONCLUSIONS: FEWs with greater knowledge and positive attitudes towards HIV testing got tested for HIV more frequently than those with lesser knowledge and less positive attitudes. These findings suggest that future interventions should focus on disseminating tailored health messages around testing practices as well as specific topics such as condom use with non-commercial partners.


Assuntos
Infecções por HIV/epidemiologia , Infecções por HIV/transmissão , Comportamento Sexual , Adulto , Camboja/epidemiologia , Coito/fisiologia , Preservativos , Feminino , Infecções por HIV/virologia , Conhecimentos, Atitudes e Prática em Saúde , Humanos , Masculino , Programas de Rastreamento , Fatores de Risco , Profissionais do Sexo/psicologia , Parceiros Sexuais , Inquéritos e Questionários , Mulheres Trabalhadoras , Adulto Jovem
12.
Menopause ; 25(10): 1094-1104, 2018 10.
Artigo em Inglês | MEDLINE | ID: mdl-29916947

RESUMO

OBJECTIVE: To evaluate factors associated with incident self-reported vaginal dryness and the consequences of this symptom across the menopausal transition in a multiracial/ethnic cohort of community-dwelling women. METHODS: We analyzed questionnaire and biomarker data from baseline and 13 approximately annual visits over 17 years (1996-2013) from 2,435 participants in the Study of Women's Health Across the Nation, a prospective cohort study. We used discrete-time Cox proportional-hazards regression to identify predictors of incident vaginal dryness and to evaluate vaginal dryness as a predictor of pain during intercourse and changes in sexual intercourse frequency. RESULTS: The prevalence of vaginal dryness increased from 19.4% among all women at baseline (ages 42-53 years) to 34.0% at the 13th visit (ages 57-69 years). Advancing menopausal stage, surgical menopause, anxiety, and being married were positively associated with developing vaginal dryness, regardless of partnered sexual activity. For women not using hormone therapy, higher concurrent levels of endogenous estradiol were inversely associated (multivariable-adjusted hazard ratio: 0.94 per 0.5 standard deviation increase, 95% confidence interval: 0.91-0.98). Concurrent testosterone levels, concurrent dehydroepiandrosterone sulfate levels, and longitudinal change in any reproductive hormone were not associated with developing vaginal dryness. Both vaginal dryness and lubricant use were associated with subsequent reporting of pain during intercourse, but not with a decline in intercourse frequency. CONCLUSION: In these longitudinal analyses, our data support many clinical observations about the relationship between vaginal dryness, menopause, and pain during intercourse, and suggest that reporting of vaginal dryness is not related to androgen level or sexual intercourse frequency.


Assuntos
Dispareunia/enzimologia , Dispareunia/epidemiologia , Menopausa/fisiologia , Doenças Vaginais/etnologia , Doenças Vaginais/epidemiologia , Adulto , Fatores Etários , Análise de Variância , Ansiedade , Distribuição de Qui-Quadrado , Coito/fisiologia , Estudos Transversais , Sulfato de Desidroepiandrosterona/sangue , Estradiol/sangue , Grupos Étnicos , Feminino , Seguimentos , Terapia de Reposição Hormonal , Humanos , Histerectomia/efeitos adversos , Incidência , Estudos Longitudinais , Estado Civil , Pessoa de Meia-Idade , Análise Multivariada , Modelos de Riscos Proporcionais , Estudos Prospectivos , Autorrelato , Inquéritos e Questionários , Testosterona/sangue
13.
Prog Urol ; 28(11): 515-522, 2018 Sep.
Artigo em Francês | MEDLINE | ID: mdl-29866492

RESUMO

INTRODUCTION: Urinary incontinence may seriously impact quality of life, self-image and subsequently the sexual life. Beside this fact, urinary leakage can specifically occur during sexual intercourse, formally named coital incontinence, and thus lead to specific alteration of the sexual life. AIM: To analyse the prevalence, pathophysiological mechanisms and possible therapeutic options for coital urinary incontinence. METHODS: Related terms to urinary incontinence and sexual dysfunction were search on PubMed database. RESULTS: Whereas at least a quarter of incontinent women have a coital incontinence, this symptom was rarely spontaneously reported. Some women had only coital incontinence (7.6 to 20% of cases). In men, urinary incontinence during sexual intercourse was mainly observed after prostatectomy in 20 to 64% of cases. Coital incontinence requires precise assessment. Indeed, it can occur whatever the phase of coitus: local stimulation (20-30%), excitement (13-18%), penetration (62.9-68%), movements back and forth, orgasm (27-37.1%). Cervico-urethral hypermobility, sphincter incompetence, urethral instability, detrusor overactivity could be the principal physiopathological mechanisms. In men, the main cause was a stress incontinence secondary to sphincter deficiency. Specific therapeutic strategies have proved their effectiveness. The rehabilitative approach (RR=0.25, CI [0.06-1.01]), medicinal (anticholinergic were effective in 59% of cases) or surgical therapeutic (slings with an efficiency of 87%) was proposed to patients. CONCLUSION: Coital incontinence is a common and troublesome symptom. Its precise assessment may suggest a specific mechanism and thus a specific treatment.


Assuntos
Disfunções Sexuais Fisiológicas/epidemiologia , Incontinência Urinária/epidemiologia , Coito/fisiologia , Feminino , Humanos , Masculino , Prevalência , Fatores de Risco , Disfunções Sexuais Fisiológicas/etiologia , Disfunções Sexuais Fisiológicas/terapia , Incontinência Urinária/etiologia , Incontinência Urinária/terapia
14.
Rev. int. androl. (Internet) ; 16(2): 75-81, abr.-jun. 2018. ilus
Artigo em Espanhol | IBECS | ID: ibc-174628

RESUMO

El orgasmo constituye un componente fundamental de la respuesta sexual. Su investigación ha generado resultados que señalan su importancia en la sexualidad humana. El objetivo del presente estudio fue realizar una revisión bibliográfica sobre la experiencia subjetiva del orgasmo, su evaluación y su asociación con variables personales, interpersonales y psicosociales. Tras la búsqueda en diferentes bases de datos, se obtienen 121 artículos científicos publicados entre 2000 y 2016, en los cuales la experiencia subjetiva del orgasmo es la variable principal. El análisis de las variables asociadas indica que las personales (por ejemplo, el estado de salud o factores demográficos) y las interpersonales (por ejemplo, el funcionamiento sexual) son las más consideradas. En conclusión, se puede señalar la necesidad de desarrollar instrumentos estandarizados para evaluar específicamente la experiencia subjetiva del orgasmo y estudiar de forma conjunta las variables asociadas de cara a proponer modelos explicativos del orgasmo que sean útiles para la práctica clínica


Orgasm is an essential component of the sexual response. Its study has generated results that point out its importance in human sexuality. The aim of the present study was to review the subjective orgasm experience, its evaluation and its association with personal, interpersonal and psychosocial variables. After conducting a literature search in major databases, we provide a total of 121 scientific articles published between 2000 and 2016, in which the subjective orgasm experience was the main variable. The analysis of the related variables shows that personal variables (for example, health and demographic factors) and interpersonal variables (for example, sexual functioning) are the most considered. To conclude, we observe the need to develop standardized instruments to evaluate specifically the subjective orgasm experience and the need to study jointly the associated variables in order to propose explanatory models of orgasm that are useful for clinical practice


Assuntos
Humanos , Masculino , Feminino , Orgasmo/fisiologia , Sexualidade , Comportamento Sexual/fisiologia , Coito/fisiologia , Protocolos/métodos , Inquéritos e Questionários , Sexo
15.
J Sex Med ; 15(6): 888-893, 2018 06.
Artigo em Inglês | MEDLINE | ID: mdl-29753800

RESUMO

BACKGROUND: Sex has been deemed taboo for athletic performance going back to ancient Rome and Greece, as the act of sex was thought to promote ease and a sense of relaxation. AIM: This study examined the effect of sexual intercourse completed 12 hours before a bout of isokinetic dynamometry on muscle force production in strength-trained men. METHODS: 12 Healthy physically active men (age = 25.6 ± 3.8 years) who were sexually active participated in this study. After men completed a familiarization session on day 1, muscle force was measured during 5 sets of maximal unilateral knee extension (KE) and knee flexion exercise at 30 deg/s after men engaged in or abstained from sexual intercourse within the previous 12 hours. The order of this treatment was randomized across participants, and time of day was maintained across all sessions. OUTCOMES: Lower extremity muscle strength and endurance were measured. RESULTS: Data showed no significant effect (P = .34 and P = .39) of sexual intercourse on peak or average KE or knee flexion torque. For example, after sexual intercourse, KE torque was similar in set 1 (198.9 ± 39.1 ft/lb vs 190.2 ± 28.7 ft/lb) and set 5 (163.2 ± 30.8 ft/lb vs 159.4 ± 35.2 ft/lb) compared to when men abstained from sexual intercourse. CLINICAL TRANSLATION: Engaging in sexual intercourse on the night before exercise is not detrimental to muscular strength in active men. CONCLUSIONS: This study is strengthened by use of a homogeneous sample of active men as well as precise determination of changes in muscle function via isokinetic dynamometry. However, completion of sexual intercourse was confirmed through self-report rather than direct observation, so it is not certain if participants actually met the requirements of each condition. Results demonstrate that sexual intercourse does not significantly impact lower extremity muscle force, which suggests that restricting sexual activity before short-term, high-force activity is unnecessary. Valenti LM, Suchil C, Beltran G, et al. Effect of Sexual Intercourse on Lower Extremity Muscle Force in Strength-Trained Men. J Sex Med 2018;15:888-893.


Assuntos
Coito/fisiologia , Força Muscular/fisiologia , Músculo Esquelético/fisiologia , Torque , Adulto , Feminino , Grécia , Humanos , Articulação do Joelho/fisiologia , Extremidade Inferior/fisiologia , Masculino , Treinamento de Resistência , Adulto Jovem
16.
Sultan Qaboos Univ Med J ; 18(1): e107-e109, 2018 Feb.
Artigo em Inglês | MEDLINE | ID: mdl-29666692

RESUMO

Rectovaginal fistulae after sexual intercourse are rare. We report a healthy recently married 21-year-old woman who presented to the Jordan Healthcare Centre, Amman, Jordan in 2014 with a five-week history of passing flatus and stool from the vagina. Six weeks prior, she had sustained a rectovaginal injury during initial consensual sexual intercourse, leading to the development of a distal rectovaginal fistula. A successful transvaginal repair was performed nine weeks after presentation which resulted in the complete resolution of her symptoms.


Assuntos
Fístula Retovaginal/diagnóstico , Fístula Retovaginal/cirurgia , Comportamento Sexual/fisiologia , Coito/fisiologia , Feminino , Humanos , Jordânia , Reto/lesões , Vagina/lesões , Adulto Jovem
17.
J Obstet Gynaecol Res ; 44(7): 1302-1307, 2018 Jul.
Artigo em Inglês | MEDLINE | ID: mdl-29672997

RESUMO

AIM: This study aimed to evaluate sexual activity and quality of life (QOL) after transvaginal mesh (TVM) surgery in Japanese patients with pelvic organ prolapse (POP). The objective cure rate and associated complications were also investigated. METHODS: The cases of patients who underwent TVM surgery were retrospectively analyzed. QOL was assessed using the Prolapse Quality of Life Questionnaire (P-QOL), and sexual function was evaluated using the Female Sexual Function Index (FSFI) before surgery and 12 months after surgery. RESULTS: A total of 237 patients completed the planned follow-up examinations. All P-QOL domains were significantly improved after surgery. In total, 6 (2.5%), 5 (2.1%), 13 (5.5%), 4 (1.7%) and 1 (0.4%) patients developed recurrent POP, mesh extrusion, de novo stress urinary incontinence, inguinal pain and de novo dyspareunia, respectively. Before surgery, 124 of the 237 patients (52.3%) refused to complete the FSFI because they had not engaged in any sexual activity. Among the 113 patients who completed the FSFI, 13 (11.5%) were sexually active. After surgery, 79 patients completed the FSFI, and 14 (17.7%) were sexually active. The overall scores for sexual function and arousal were significantly improved after surgery. CONCLUSION: Patients who underwent TVM surgery at our institution exhibited quite low sexual activity levels both before and after the operation. But TVM surgery achieved good QOL outcomes, a high success rate and a low complications rate at 12 months in Japanese POP patients. TVM implantation for POP is safe and effective in sexually inactive patients.


Assuntos
Coito/fisiologia , Procedimentos Cirúrgicos em Ginecologia/métodos , Prolapso de Órgão Pélvico/cirurgia , Qualidade de Vida , Disfunções Sexuais Fisiológicas/cirurgia , Telas Cirúrgicas , Idoso , Idoso de 80 Anos ou mais , Feminino , Humanos , Japão , Pessoa de Meia-Idade
19.
J Exp Zool B Mol Dev Evol ; 330(2): 66-75, 2018 03.
Artigo em Inglês | MEDLINE | ID: mdl-29537732

RESUMO

In human females, direct or indirect stimulation of the clitoris plays a central role in reaching orgasm. A majority of women report that penetrative coitus alone is insufficient for triggering orgasm, puzzling researchers who expect orgasm to be an outcome of procreative intercourse. In the present paper, we turn our attention to the evolutionary role that such unreliability of orgasm at coitus might have played in human evolution. We emphasize that we do not thereby attempt an explanation of its origin, but its potential evolutionary effect. The present proposal suggests that the variable female orgasm, the position of the clitoris remote from the vagina, and the mismatch of the male refractory period with the female capacity for multiple orgasms, may have contributed to the evolution of human prosocial qualities.


Assuntos
Evolução Biológica , Empatia/genética , Empatia/fisiologia , Coito/fisiologia , Biologia do Desenvolvimento , Feminino , Humanos , Masculino , Orgasmo/fisiologia , Seleção Genética
20.
J Plast Surg Hand Surg ; 52(4): 210-216, 2018 Aug.
Artigo em Inglês | MEDLINE | ID: mdl-29519186

RESUMO

Although vaginal reconstructions with intestinal segments require particularly complex surgical procedures, this technique has become popular with respect to fairly good functional and esthetic outcomes. This study describes cases of vaginal reconstruction performed using a modified rectosigmoid colon held in an ischemic state in order to reduce secretion and denervated in order to prevent defecation problems. Vaginal reconstructions with rectosigmoid colon were performed on 43 patients. In this retrospective study, 34 patients had Müllerian agenesis, while nine had undergone male to female sex reassignment surgery in which adequate vaginal depth had not been achieved. A rectosigmoid colon with its vascular pedicle was used and left in an ischemic state. All nerve structures within the pedicle were excised intraoperatively. Follow-up period was between 12 and 60 months. Partial necrosis occurred in one patient which was reconstructed with local flap. Hematoma developed beneath the skin incision in two cases, but resolved with conservative treatment. A good esthetic outcome was achieved in all cases. Sexual function was assessed using the Female Sexual Function Index (FSFI) in 15 patients. Fourteen out of 15 patients scored above 26.5 on this scale and were determined as having no sexual dysfunction (FSFI score ≥26.5). In conclusion, vaginal reconstruction with denervated rectosigmoid held in an ischemic state appears to be a reasonable option among several available reconstruction techniques.


Assuntos
Transtornos 46, XX do Desenvolvimento Sexual/cirurgia , Colo Sigmoide/transplante , Anormalidades Congênitas/cirurgia , Ductos Paramesonéfricos/anormalidades , Procedimentos Cirúrgicos Reconstrutivos/métodos , Cirurgia de Readequação Sexual/métodos , Vagina/cirurgia , Adolescente , Adulto , Coito/fisiologia , Estética , Feminino , Hematoma/etiologia , Humanos , Masculino , Pessoa de Meia-Idade , Ductos Paramesonéfricos/cirurgia , Necrose/etiologia , Complicações Pós-Operatórias , Procedimentos Cirúrgicos Reconstrutivos/efeitos adversos , Estudos Retrospectivos , Inquéritos e Questionários , Pessoas Transgênero , Vagina/anormalidades , Vagina/patologia , Adulto Jovem
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