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1.
Rev. int. androl. (Internet) ; 18(2): 79-83, abr.-jun. 2020. graf
Artigo em Inglês | IBECS | ID: ibc-193764

RESUMO

Situational anejaculation means that a man can ejaculate in some situations but not in others. Intercourse type of anejaculation means existence of ejaculation by masturbation, but not during sexual intercourse. In some cases, men may be able to ejaculate and attain orgasm with one partner but not with another. Performance anxiety, hostility toward the partner, dysfunctional psychosexual development, and unconscious desire to avoid pregnancy are the possible underlying conditions. We herein reported a case of wife-specific intercourse anejaculation succesfully treated with sexual therapy. According to our best knowledge, this is an important case study in literature about intercourse type of situational anejaculation specific to the patient's wife that was treated with psychosexual counseling. The authors conclude that this clinical course of situational intercourse anejaculation suggests a psychological problem in these patients and sexual therapy is effective


La aneyaculación situacional significa que un varón puede eyacular en algunas situaciones, pero en otras no. El tipo de aneyaculación sexual implica la existencia de eyaculación mediante la masturbación, pero no durante las relaciones sexuales. En algunos casos, los varones pueden ser capaces de eyacular y alcanzar el orgasmo con un compañero, pero no con otro. La ansiedad subyacente, la hostilidad hacia la pareja, el desarrollo psicosexual disfuncional y el deseo inconsciente de evitar el embarazo son las posibles situaciones de fondo. En este documento, informamos de un caso de aneyaculación sexual específica de la esposa tratada con éxito con terapia sexual. Según nuestro mejor conocimiento, este es el primer estudio de caso en la bibliografía sobre el tipo de relación sexual de la aneyaculación situacional específica de la esposa del paciente que fue tratado con asesoramiento psicosexual. Los autores concluyen que este curso clínico de aneyaculación del coito situacional sugiere un problema psicológico en estos pacientes y la terapia sexual es efectiva


Assuntos
Humanos , Masculino , Feminino , Adulto , Disfunções Sexuais Psicogênicas/psicologia , Ejaculação/fisiologia , Disfunções Sexuais Psicogênicas/fisiopatologia , Coito/psicologia , Disfunções Sexuais Psicogênicas/etiologia
2.
Rev Saude Publica ; 54: 41, 2020.
Artigo em Inglês, Português | MEDLINE | ID: mdl-32321057

RESUMO

OBJECTIVE: To describe the sexual behavior of freshmen undergraduate students according to demographic, economic, psychosocial and behavioral characteristics, and evaluate the prevalence of risky sexual behavior and its associated factors. METHODS: A cross-sectional study of the census type with undergraduate students over 18 years old of 80 undergraduate courses of the Universidade Federal de Pelotas (UFPel), in Rio Grande do Sul (RS), who entered in the first semester of 2017 and remained enrolled in the second semester. Undergraduate students who reported having had sex were evaluated. We considered as risky sexual behavior having more than one sexual partner within the last three months and not having used condoms in the last sexual intercourse. RESULTS: The prevalence of risky sexual behavior was 9% (95%CI 7.6-10.5). Men presented more risky behavior than women, with a prevalence of 10.8% and 7.5%, respectively. Of the undergraduate students, 45% did not use condoms in the last sexual intercourse, and 24% had two partners or more within three months before the survey. Smartphone applications for sexual purposes were used by 23% of students within three months before the survey. Risky sexual behavior was associated with gender, age at first sexual intercourse, frequency of alcohol consumption, consumption of psychoactive substances before the last sexual intercourse and use of smartphone applications for sexual purposes. CONCLUSION: Although undergraduate students are expected to be an informed population, the prevalence of risky sexual behavior was important, indicating the need to expand public investment in sexual education and awareness actions.


Assuntos
Censos , Comportamentos de Risco à Saúde , Comportamento Sexual/estatística & dados numéricos , Estudantes/estatística & dados numéricos , Adolescente , Adulto , Consumo de Bebidas Alcoólicas/epidemiologia , Consumo de Bebidas Alcoólicas/psicologia , Brasil/epidemiologia , Coito/psicologia , Estudos Transversais , Feminino , Humanos , Masculino , Prevalência , Fatores Sexuais , Comportamento Sexual/psicologia , Parceiros Sexuais/psicologia , Doenças Sexualmente Transmissíveis/epidemiologia , Doenças Sexualmente Transmissíveis/psicologia , Fatores Socioeconômicos , Estudantes/psicologia , Adulto Jovem
3.
J Sex Med ; 17(4): 702-715, 2020 04.
Artigo em Inglês | MEDLINE | ID: mdl-32035833

RESUMO

INTRODUCTION: The vaginal photoplethysmograph (VPP) is a reusable intravaginal device often employed in sexual psychophysiology studies to assess changes in vaginal blood flow, an indicator of sexual arousal. AIM: To test whether placing a disposable cover on the VPP probe impacts the acquired data. A condom cover would reduce risk of disease transmission and likely increase participant comfort but may negatively impact the VPP signal. METHOD: The genital responses of 25 cisgender women (mean age = 21.3 years, standard deviation = 2.6) were assessed with VPP in a within-subjects design with 2 conditions-with and without a polyisoprene condom cover. Sexual responses were elicited by audiovisual film clips that varied in erotic intensity: nonsexual (nonsexual male-female interaction), low-intensity sexual (nude exercise), and high-intensity sexual (male-female intercourse). Women continuously rated their sexual arousal during stimulus presentations. MAIN OUTCOME MEASURE: Change in vaginal pulse amplitude and also self-reported sexual arousal. RESULTS: The magnitude of sexual response to each stimulus category and the overall pattern of results were found to be highly similar in the cover-off and cover-on conditions. The high-intensity sexual stimulus category elicited a greater sexual response than all other categories. The low-intensity sexual category elicited a (small) genital response in only the cover-on condition, although we suspect this is a spurious finding. There was no difference in the average number of edited movement artifacts across conditions. CLINICAL IMPLICATIONS: Potential benefits of encasing the VPP probe with a protective cover include enhanced participant safety and comfort, especially if assessing genital responses of high-risk or immunocompromised samples. The use of a cover complies with current guidelines for reprocessing semi-critical medical devices (eg, vaginal ultrasound probes) in many regions. STRENGTHS & LIMITATIONS: Although the idea of a VPP probe cover had been discussed among sexual psychophysiology researchers, this is the first study to empirically test whether a cover could jeopardize VPP data. Potential limitations include the use of a 10-Hz VPP sampling rate and a cover that was not tailored to the size of the VPP probe. CONCLUSION: Placing a protective cover on the VPP probe did not appear to meaningfully impact sexual arousal or the VPP data. Based on these results and the potential advantages of a protective cover, researchers may wish to integrate the use a condom cover in their experiment protocols and clinical applications. Sawatsky ML, Lalumière ML. Effect of a Condom Cover on Vaginal Photoplethysmographic Responses. J Sex Med 2020; 17:702-715.


Assuntos
Literatura Erótica/psicologia , Fotopletismografia , Comportamento Sexual/fisiologia , Vagina/fisiologia , Adolescente , Adulto , Nível de Alerta/fisiologia , Coito/psicologia , Preservativos , Emoções , Feminino , Frequência Cardíaca , Humanos , Autorrelato , Adulto Jovem
4.
J Youth Adolesc ; 49(5): 991-1004, 2020 May.
Artigo em Inglês | MEDLINE | ID: mdl-32096008

RESUMO

Adolescent risky sexual behaviors can result in negative consequences such as sexually transmitted infection. However, much research effort has been placed on understanding individual characteristics, rather than the role of neighborhood environment. This study addressed the prospective effects of neighborhood and family functioning in preadolescence on risky sexual behaviors. Participants included 4179 youth (Mage = 11.01 years, range 8.64-13.83; 51% female) and their caregivers. Using objective and self-reported measures of neighborhood and family functioning, results from multilevel regression analyses indicated that youth residing in disordered neighborhoods or had poorer family functioning in preadolescence were more likely to initiate sexual intercourse at younger ages 5 years later. Specifically, neighborhood poverty and decay were linked to early sexual initiation, whereas neighborhood social and family processes were protective against early sexual initiation. Males were more likely to engage in risky sexual behaviors in neighborhoods with greater poverty or decay; neighborhood poverty was linked with sexual initiation in White but not African American youth. Finally, parental monitoring moderated relationships between neighborhood social resources and contraceptive use, with neighborhood social resources linked with greater contraceptive use at low levels of parental monitoring, but lower contraceptive use at high levels of parental monitoring. These findings underscore the importance of neighborhood and family contexts in adolescents' risky sexual behavior, suggesting that males and White youth are more vulnerable to the effects of neighborhood poverty and that more research is needed on the possible counterproductive function of parental monitoring in neighborhoods with greater social resources.


Assuntos
Comportamento do Adolescente/psicologia , Características de Residência/estatística & dados numéricos , Assunção de Riscos , Comportamento Sexual/psicologia , Adolescente , Criança , Coito/psicologia , Coleta de Dados , Feminino , Humanos , Masculino , Relações Pais-Filho , Estudos Prospectivos , Doenças Sexualmente Transmissíveis/psicologia
5.
Med Sci Monit ; 26: e921811, 2020 Jan 07.
Artigo em Inglês | MEDLINE | ID: mdl-31907344

RESUMO

BACKGROUND The aim of this study was to investigate factors affecting the sex lives of middle-aged women, and whether surgical menopause affects sexual function differently from natural menopause, by comparing effects on sexual performance of women with similar demographic features. MATERIAL AND METHODS The study included 151 women with surgical menopause (SM), 357 women with natural menopause (NM), and 186 perimenopausal women (PM). The women were asked to complete a 6-question survey of sexual performance parameters. The relationship between the demographic and clinical features and hormone levels of the groups and sexual function parameters were evaluated. We also compared these parameters between the 3 study groups, and paired comparisons were made between the SM group and the NM group. RESULTS Demographic features, serum DHEA-S, total testosterone, and FSH levels were found to have statistically significant effects on sexual performance of women (p<0.05). The sexual function scores for the frequency of sexual desire, coitus, and orgasm were significantly higher in the PM group, whereas vaginal lubrication scores were lower compared to the NM and SM group (p<0.05). In paired comparison of NM and SM, the scores for the frequency of coitus, orgasm, and vaginal lubrication were significantly higher in the SM group, while sexual desire frequency scores were higher in the NM group (p<0.05). CONCLUSIONS Our study approached to this topic in an extended manner and found significant relationships between several demographic-clinical and hormonal factors. SM was found to not affect female sexual performance, except for sexual desire, more than NM.


Assuntos
Menopausa Precoce/fisiologia , Menopausa/fisiologia , Orgasmo/fisiologia , Adulto , Coito/fisiologia , Coito/psicologia , Desidroepiandrosterona/análise , Desidroepiandrosterona/sangue , Feminino , Hormônio Foliculoestimulante/análise , Hormônio Foliculoestimulante/sangue , Humanos , Libido/fisiologia , Pessoa de Meia-Idade , Perimenopausa , Comportamento Sexual/fisiologia , Comportamento Sexual/psicologia , Inquéritos e Questionários , Testosterona/análise , Testosterona/sangue
6.
BMJ Open ; 9(11): e029517, 2019 11 03.
Artigo em Inglês | MEDLINE | ID: mdl-31685494

RESUMO

OBJECTIVES: To investigate the relation between mode of birth and women's long-term sexual health. DESIGN: Maternal follow-up of the Danish National Birth Cohort (1996-2002) in 2013-2014 including questions on sexual health. Logistic regression was used to relate registry-based information about mode of birth and perineal tears with data on sexual problems. SETTING: Denmark. PARTICIPANTS: Of 82 569 eligible mothers in the Danish National Birth Cohort, 43 639 (53%) completed the follow-up. Of these, 37 417 women had a partner, and answered at least one question on sexual health. MAIN OUTCOME MEASURES: Self-reported sexual health. RESULTS: Participants were on average 44 years old, and 16 years after their first birth. The frequency of sexual problems among women with only spontaneous vaginal births, the reference group, was 37%. For women who only had caesarean sections, more problems were reported (OR 1.18; 95% CI 1.09 to 1.28). For women who had a spontaneous vaginal birth subsequent to a caesarean, and for women with only vaginal births who had experienced one or more instrumental vaginal births, the odds of sexual problems did not differ from women with only spontaneous vaginal births (OR 1.00; 95% CI 0.91 to 1.11) and (OR 1.01; 95% CI 0.95 to 1.08), respectively. CONCLUSIONS: These findings indicate that caesarean section does not protect against long-term sexual problems. Rather, vaginal birth, even after caesarean section, was associated with fewer long-term sexual problems.


Assuntos
Parto Obstétrico/estatística & dados numéricos , Período Pós-Parto/psicologia , Disfunções Sexuais Fisiológicas/epidemiologia , Saúde Sexual/estatística & dados numéricos , Adulto , Cesárea/estatística & dados numéricos , Estudos de Coortes , Coito/psicologia , Dinamarca , Feminino , Seguimentos , Humanos , Autoimagem , Parceiros Sexuais , Adulto Jovem
7.
J Sex Med ; 16(12): 2000-2010, 2019 12.
Artigo em Inglês | MEDLINE | ID: mdl-31708485

RESUMO

INTRODUCTION: Over the past 3 decades, our understanding of physiological synchrony (PS) has increased substantially. Research has shown that interpersonal PS is stronger in relationships characterized by emotional closeness and intimacy and that the magnitude of PS is moderated by relational satisfaction. Despite growing momentum for this area of study, no research to date has examined the relationship between PS and sexual satisfaction. AIM: The current study seeks to elucidate the relationship between PS and sexual satisfaction using study tasks that have been used in previous research to assess PS. METHODS: Heterosexual couples completed several survey measures in a laboratory setting. They were then connected to an electrocardiogram and instructed to complete baseline, gazing, and mirroring tasks. Subsequently, heart rate (HR) data for each dyad were analyzed for PS using a moderated multilevel modeling approach. MAIN OUTCOME MEASURE: Scores on the Sexual Satisfaction Scale were used to moderate dyadic coherence between male and female partner HRs over time. RESULTS: PS was detected in our sample, with both men reliably predicting the HR of their female partners, and women reliably predicting the HR of their male partners. Akaike information criterion values indicate the better fitting model for each task was for men predicting the women's HRs. A significant interaction effect was found between observed PS during the mirroring task (with male HR predicting female HR) and overall sexual satisfaction scores. There was no relationship between PS during baseline or gazing and overall sexual satisfaction. CLINICAL IMPLICATIONS: Results provide initial evidence for the relevance of PS in sexual dyanmics. STRENGTHS & LIMITATIONS: The current analysis used a dyadic psychophysiological approach to extend the growing body of literature on PS into the theoretically linked field of sexuality. Because of the small sample size and nondirectional nature of the study design, future research is needed to replicate and extend findings. CONCLUSION: The ability of couples to co-regulate while attempting actively to synchronize (as in the mirroring task) may be connected to how they perceive and experience their sexual relationship. Conversely, more sexually satisfied couples may be more likely to synchronize physiologically. Taken together, these findings reflect the first evidence that PS and sexual satisfaction may be associated at the couple-level. Freihart BK, Meston CM. Preliminary Evidence for a Relationship Between Physiological Synchrony and Sexual Satisfaction in Opposite-Sex Couples. J Sex Med 2019;16:2000-2010.


Assuntos
Coito/psicologia , Heterossexualidade/psicologia , Orgasmo/fisiologia , Satisfação Pessoal , Comportamento Sexual/psicologia , Parceiros Sexuais/psicologia , Adulto , Coito/fisiologia , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Comportamento Sexual/fisiologia , Inquéritos e Questionários , Adulto Jovem
8.
BMC Womens Health ; 19(1): 133, 2019 11 07.
Artigo em Inglês | MEDLINE | ID: mdl-31699074

RESUMO

BACKGROUND: Cerebellar ataxia affects individuals in reproductive age. To date, few clinical cases of cerebellar ataxia and involvement of the cerebellum in sexual response were reported. We report a case of a woman that need to restore skills related for execution of sexual activity and coordination of movements during sexual intercourse. CASE PRESENTATION: We present a case of idiopathic cerebellar ataxia in a 25-year-old woman who was referred for sexual health consultation. The patient complained of sexual problems as follows: "I forgot the behaviors that I should adopt in a sexual encounter, and I know what to do only after paying attention to my movements." The history of sexual behavior indicated that this patient presented a "romantic love" model. The Diagnostic and Statistical Manual of Mental Disorders (DSM-5) reports that this condition involves anorgasmia disorder and female sexual arousal disorder. In addition, there was a loss of automatism and coordination of movements in the pelvis and lower extremities. The patient's condition improved with occupational and physical therapy combined with rehabilitation therapy based on cognitive behavioral criteria for sexual therapy. CONCLUSIONS: The case evolved from the romantic-affective model to a realistic model. The patient reported being comfortable during sexual intercourse and could explain her sexual needs to her partner. She managed to coordinate lower limb and pelvic movements, but did not reach an orgasm. Moreover, vaginal lubrication occurred with a time lag of 15-30 min after the end of sexual intercourse or masturbation.


Assuntos
Ataxia Cerebelar/complicações , Coito/psicologia , Disfunções Sexuais Fisiológicas/psicologia , Disfunções Sexuais Psicogênicas/psicologia , Adulto , Feminino , Humanos , Comportamento Sexual/psicologia
9.
BMC Public Health ; 19(1): 1483, 2019 Nov 08.
Artigo em Inglês | MEDLINE | ID: mdl-31703650

RESUMO

BACKGROUND: The purpose of this study was to examine the role of low self-control as a mediator or moderator between early age at sexual debut and risky sexual behavior in young adulthood. METHODS: Data on 5734 male and female Add Health participants were used. Self-control (waves 1 & 3), age at sexual debut (wave 3) and risky sexual behavior (wave 4) were used in a structural equation modeling framework to assess the relationships of interest. RESULTS: Approximately 17% of respondents were < 15 years at first sexual intercourse. Among females only, both early age at first intercourse (Parent-report: z = 5.08, p < .001; Self-report: z = 2.05, p < .05) and low self-control at wave 3 (Parent-report: z = 2.30, p < .05; Self-report: z = 2.31, p < .05) mediated the relationship between low self-control at wave 1 and risky sexual behaviors in young adulthood. Similarly in the male-only model, both early age at first intercourse (Parent-report: z = 2.92, p < .01; Self-report: z = 3.04, p < .01) and low self-control at wave 3 (Parent-report: z = 1.99, p < .05; Self-report: z = 3.15, p < .01) mediated the relationship between low self-control and risky sexual behaviors in young adulthood. There was evidence of moderation in the male-only model (- 0.26, p < .01), such that lower impulsivity strengthened the relationship between early sex and risky sex. CONCLUSIONS: This study confirms the role of executive functions in sexual behaviors and suggests that interventions aimed at improving self-control may be beneficial in reducing risky sexual behavior.


Assuntos
Coito/psicologia , Função Executiva , Assunção de Riscos , Autocontrole/psicologia , Adolescente , Adulto , Feminino , Humanos , Comportamento Impulsivo , Masculino , Autorrelato , Adulto Jovem
10.
J Sex Med ; 16(12): 1966-1977, 2019 12.
Artigo em Inglês | MEDLINE | ID: mdl-31648950

RESUMO

INTRODUCTION: Pain during vaginal intercourse in pregnancy has largely been ignored despite physiological and psychological components of pregnancy that may be associated with its onset and persistence. AIM: The current study aimed to determine the prevalence and the characteristics of clinically significant pain during intercourse in the second (18-24 weeks) and third (32-36 weeks) trimesters of pregnancy. METHODS: Pregnant women (N = 501) recruited from a local women's hospital completed an online survey in the second and third trimesters of their pregnancy regarding the presence, intensity, and characteristics of pain during intercourse. Women with clinically significant pain (ie, pain greater than or equal to 4 of 10 on a numerical rating scale) were grouped according to whether the pain was resolved, persistent, or new onset across the 2 pregnancy time points. Following guidelines outlined by the Initiative on Methods, Measurement, and Pain Assessment in Clinical Trials (IMMPACT), we conducted a descriptive analysis assessing the intensity and characteristics (eg, quality, onset, degree of improvement over time, and treatment strategies utilized) of clinically significant pain during intercourse. MAIN OUTCOME MEASURE: The main outcome measures in this study were the prevalence, intensity, and characteristics of clinically significant pain during intercourse. RESULTS: Overall, 21% of pregnant women (106/501) reported clinically significant pain during intercourse. We found that 22% (N = 16/106) of women who had this pain at 20 weeks reported that it had resolved at 34 weeks, 33% (40/106) reported persistent pain at both time points, and 46% (50/106) reported new onset of pain during intercourse at 34 weeks. The majority of women across all pain groups reported that the pain began during pregnancy and remained at the same intensity. Most women reported not using any pain management strategies to cope with their pain. CLINICAL IMPLICATIONS: One in 5 women experienced clinically significant pain during intercourse in pregnancy, with the majority of women not seeking treatment. STRENGTHS & LIMITATIONS: This study is the first to comprehensively assess and describe the prevalence and characteristics of clinically significant pain during intercourse across 2 time points in pregnancy using IMMPACT guidelines. Small sample sizes in our pain groups may limit the generalizability of pain characteristics. CONCLUSION: Findings suggest that many pregnant women in this study experienced significant pain during intercourse in pregnancy. Understanding the characteristics of this pain may improve its identification by health care providers and inform better prevention and treatment recommendations. Rossi MA, Mooney KM, Binik YM, et al. A Descriptive and Longitudinal Analysis of Pain During Intercourse in Pregnancy. J Sex Med 2019;16:1966-1977.


Assuntos
Coito/fisiologia , Dispareunia/psicologia , Trimestres da Gravidez , Adaptação Psicológica , Adulto , Coito/psicologia , Feminino , Humanos , Manejo da Dor , Gravidez , Prevalência , Inquéritos e Questionários
11.
BMC Res Notes ; 12(1): 698, 2019 Oct 26.
Artigo em Inglês | MEDLINE | ID: mdl-31655614

RESUMO

OBJECTIVE: As adolescence is a stage in which human beings face once throughout a lifetime and it is the experimental period for this reason risky sexual behavior is common among young people, and it has several sexual and reproductive health consequences. But it doesn't get enough attention the status of risky sexual behavior practice and factors' contributing to it, so this study aimed to identify the prevalence of risky sexual behavior and factors associated with it. RESULTS: From the total respondents 115 (23.7%) had history of sexual intercourse and the mean age for sexual initiation is 15.48 ± 1.99 year. From whom 110 (98.2%) had sexual contact below the age of 18 and only 68 (60.8%) initiate first sex by their own willing. Overall 97 (19.6%) had practiced risky sexual behaviors. Students not facing peer pressure were 0.36 times less likely to develop risk sexual behavior (AOR = 0.357, 95% CI 0.172, 0.744).


Assuntos
Comportamento do Adolescente/fisiologia , Coito/fisiologia , Assunção de Riscos , Comportamento Sexual/estatística & dados numéricos , Estudantes/estatística & dados numéricos , Adolescente , Comportamento do Adolescente/psicologia , Coito/psicologia , Etiópia/epidemiologia , Feminino , Humanos , Masculino , Prevalência , Instituições Acadêmicas , Inquéritos e Questionários , Adulto Jovem
12.
Eur J Contracept Reprod Health Care ; 24(5): 390-398, 2019 Oct.
Artigo em Inglês | MEDLINE | ID: mdl-31517545

RESUMO

Background: Multipurpose prevention technologies are needed to provide protection against HIV and sexually transmitted infections. Gel-based vaginal microbicides inserted via an applicator are prone to leakage. A novel device for vaginal drug delivery was developed to contain gel-based formulations, aiming to improve gel retention and reduce leakage. The objectives of this study were to assess acceptability and performance of a nonwoven vaginal delivery device. Methods: A nonwoven vaginal delivery device was prepared, pre-saturated with a commercially available water-based lubricant, with a finger pocket for insertion and string for removal. Quantitative and qualitative methods were used to collect data from interviews with 40 women and 10 male partners recruited from a sexual and reproductive health clinic in Durban, KwaZulu-Natal, South Africa. Women wore one device in the clinic and one device overnight or with their partner during intercourse. The primary endpoint was acceptability including comfort, ease of insertion and removal, and opinions on device attributes. Results: Most women said the device was 'easy' to insert and remove. Six women reported leakage after insertion and 34 reported having sexual intercourse while wearing the device. One woman was lost-to-follow-up and five women only wore the device overnight because their partners did not agree to intercourse with the inserted device. The best-liked attribute was the device's lubrication (22 women, 7 men); the least-liked was the removal string (9 women, 8 men). Conclusions: Data are promising for further development of this nonwoven device for vaginal drug delivery. Plain English summary Multipurpose prevention technologies (MPTs) that protect against HIV and sexually transmitted infections (STIs) are urgently needed. A variety of vaginal gel-based products are actively being researched; however, these products can often have challenges with vaginal leakage and retention. This research investigates the acceptability and performance of a nonwoven device to deliver vaginal gel formulations. The gel used in this study was a currently available marketed personal lubricant. In South Africa, 40 women (and 10 male partners) were recruited and given the opportunity to comment on various device attributes after insertion, overnight wear and sexual intercourse with their male partners. Generally, participants found the device easy to use and acceptable, where many factors possibly contributed to the device's acceptability (i.e., similarity to tampons, saturation with lubricant, minimal leakage, ease of insertion, comfort during intercourse and the male partners' willingness to have vaginal intercourse with the device in place). Further studies of the vaginal delivery device for acceptability, safety and efficacy using a gel-based formulation with an active ingredient are warranted.


Assuntos
Sistemas de Liberação de Medicamentos/psicologia , Aceitação pelo Paciente de Cuidados de Saúde/psicologia , Parceiros Sexuais/psicologia , Doenças Sexualmente Transmissíveis/prevenção & controle , Cremes, Espumas e Géis Vaginais/administração & dosagem , Administração Intravaginal , Adulto , Coito/psicologia , Feminino , Humanos , Masculino , Pesquisa Qualitativa , Doenças Sexualmente Transmissíveis/psicologia , África do Sul , Resultado do Tratamento , Adulto Jovem
13.
J Sex Med ; 16(9): 1324-1327, 2019 09.
Artigo em Inglês | MEDLINE | ID: mdl-31488287

RESUMO

INTRODUCTION: Ejaculation and orgasm are important components of sexual response in men. Our understanding of both phenomena is limited. Anejaculation can be a source of substantial distress, even when procreation (ostensibly the only purpose of ejaculation itself) is not a priority. AIM: To present an opinion on male perceptions of ejaculation disorders (specifically anejaculation) based on a variety of data sources, including peer-reviewed literature. METHODS: A non-systematic review of literature on anejaculation and other impairments of ejaculatory and orgasmic response was conducted. Relevant articles were critically analyzed and reported MAIN OUTCOME MEASURE: An opinion is presented, based on existing data sources, on how and why ejaculation is deemed important to men and their sexual partners. RESULTS: The peer-reviewed literature on disorders of ejaculation is scant; existing reports oftentimes do not adequately distinguish between orgasm and ejaculation in assessment. Men's perceptions of ejaculation quality appear to be positively associated with satisfaction with sexual response, particularly regarding orgasm. Based on very limited data, female sexual partners of men appear to often (but not always) value the orgasmic experience of their partner; only a minority prioritize actual ejaculation. There is evidence that disorders of ejaculation may be particularly troublesome for men who have sex with men. CLINICAL IMPLICATIONS: The influence of medical conditions and treatments on ejaculation should be considered in the clinical context. Psychological adaptations and interventions may be of value in some cases. STRENGTHS & LIMITATIONS: Data on the clinical relevance of anejaculation outside the context of concomitant orgasmic dysfunction are sparse. Men's experience of orgasm is at least partially associated with ejaculation-specific variables; whether this association is mediated by psychological, physical, or a combination of factors remains unclear. CONCLUSIONS: Ejaculation, orgasm, and sexual satisfaction are closely intertwined but distinct phenomena. Shindel AW. Anejaculation: Relevance to Sexual Enjoyment in Men and Women. J Sex Med 2019;16:1324-1327.


Assuntos
Coito/psicologia , Ejaculação/fisiologia , Orgasmo/fisiologia , Disfunções Sexuais Fisiológicas/psicologia , Disfunções Sexuais Psicogênicas/psicologia , Parceiros Sexuais/psicologia , Adulto , Coito/fisiologia , Feminino , Humanos , Masculino , Satisfação Pessoal , Aconselhamento Sexual , Disfunções Sexuais Fisiológicas/fisiopatologia , Disfunções Sexuais Psicogênicas/fisiopatologia
14.
Actas dermo-sifiliogr. (Ed. impr.) ; 110(7): 521-525, sept. 2019. tab
Artigo em Espanhol | IBECS | ID: ibc-185523

RESUMO

Las verrugas anogenitales (VAG) debidas al virus papiloma humano son una de las enfermedades de trasmisión sexual más comunes en todo el mundo. El objetivo de este trabajo fue evaluar los efectos de las VAG en la satisfacción matrimonial y en la actividad sexual de los pacientes. Presentamos un estudio transversal que incluyó 74 pacientes consecutivos, de los cuales 37 presentaban VAG y los 37 sujetos restantes eran controles sanos. Todos los pacientes completaron y fueron analizados por la Escala de satisfacción matrimonial de ENRICH y la Escala Arizona de experiencias sexuales. Los ítems de la escala ENRICH no mostraron diferencias significativas entre los 2 grupos. La actividad sexual fue menor en las mujeres que en los hombres (p<0,001). De acuerdo con nuestros hallazgos la satisfacción conyugal no se vio afectada por las VAG. Sin embargo, el tratamiento previo del virus del papiloma humano redujo la satisfacción marital. A todo ello hay que añadir que la VAG mostró más efectos adversos sobre la actividad sexual de las mujeres que sobre la de los hombres. Nuestros hallazgos sugieren que se debe considerar el uso de tratamientos psiquiátricos en el manejo del paciente con VAG


Anogenital wart (AGW) resulting from human papilloma virus (HPV) is one of the most common sexually transmitted diseases worldwide. Herein, we aimed to evaluate the effects of AGW on patients' marital satisfaction and sexual function. This cross-sectional study was consisted of 74 consecutive patients including 37 patients with AGW and 37 healthy controls. ENRICH Marital Satisfaction Scale and Arizona Sexual Experience Scale were completed and analyzed for all patients. ENRICH scale items were not significantly different between the two groups. Sexual function was found to be lower in female than male patients (P<.001). According to our findings marital satisfaction was not affected by AGW. However, a history of previous treatment for HPV decreased the marital satisfaction. In addition, AGW had more adverse effects on females' sexual function compared to males. Our findings suggest that the psychiatric treatments should be considered when managing an AGW patient


Assuntos
Humanos , Masculino , Feminino , Adolescente , Adulto Jovem , Adulto , Pessoa de Meia-Idade , Sexualidade , Verrugas/complicações , Doenças do Ânus , Doenças dos Genitais Femininos , Doenças dos Genitais Masculinos , Infecções por Papillomavirus/terapia , Estudos Transversais , Casamento , Análise Estatística , Coito/psicologia , Qualidade de Vida
15.
Sex Med Rev ; 7(4): 597-603, 2019 10.
Artigo em Inglês | MEDLINE | ID: mdl-31378507

RESUMO

INTRODUCTION: Pelvic organ prolapse (POP) is a common condition among parous women and its prevalence increases with age. Vaginal pessaries are one of the management options for women with prolapse. In the current health climate, where there are controversy surrounding surgical procedures, an increasing number of women are considering a pessary over surgical management. AIM: This article aims to provide an overview of POP, its associated symptoms, and the different types of pessaries available. It will go on to describe how sexual activity (SA) and sexual function (SF) needs to be considered as part of the pessary selection discussion, and common concerns expressed by women. METHODS: A literature review was undertaken to record the current evidence regarding SA and pessary use, and clinical practice and experience are discussed. MAIN OUTCOME MEASURES: The main outcome of this study was to consider the preservation or restoration of SF in women using a pessary for prolapse. RESULTS: There are several pessaries available on the market that enable women to maintain SA, and for many of these it will not be noticeable to their partners. If, however, the woman or their partner finds the pessary uncomfortable or obstructing during intercourse, women can be trained to remove and reinsert their pessary as necessary. The evidence suggests that, for those women who are sexually active with their pessaries in situ, they are happy and continue with this form of management in the long term. CONCLUSION: Health care professionals need to ensure that SF or the desire to be sexually active (in whatever form that may be) is assessed and discussed as part of routine care and is considered in all decision making. Rantell A. Vaginal Pessaries for Pelvic Organ Prolapse and Their Impact on Sexual Function. Sex Med Rev 2019;7:597-603.


Assuntos
Prolapso de Órgão Pélvico/terapia , Pessários , Imagem Corporal , Coito/psicologia , Aconselhamento , Feminino , Humanos , Educação de Pacientes como Assunto , Satisfação do Paciente , Prolapso de Órgão Pélvico/psicologia , Autogestão/psicologia , Comportamento Sexual , Disfunções Sexuais Fisiológicas/psicologia , Disfunções Sexuais Psicogênicas/psicologia , Saúde Sexual
16.
Georgian Med News ; (291): 145-150, 2019 Jun.
Artigo em Inglês | MEDLINE | ID: mdl-31418748

RESUMO

The purpose of the study was to identify the most optimal sign of a victim of non-violent sexual intercourse with a minor based on the analysis of approaches to the definition of such a sign in the criminal legislation of different countries, as well as the doctrinal provisions of medicine and jurisprudence. In the process of research, such methods of scientific knowledge were used as: a dialectical approach, a comparative law method, general logical methods (analysis, synthesis, induction, deduction, generalization), as well as a dogmatic method. The study of criminal legislation of a number of foreign countries and proposals expressed in criminal law science allowed to identify the main approaches to the definition of the sign of a victim, the presence or absence of which should have criminal law significance for qualifying the act as non-violent sexual intercourse with a minor. Such approaches are: 1) the age approach, according to which a person who has not attained a certain age is recognized as a victim; 2) the medical-physiological approach, which involves reaching a victim of puberty; 3) the mixed approaches: a) cumulative, providing for a person to reach puberty and a certain age; b) alternative, providing for a person to reach puberty or a certain age. The advantages and disadvantages of each approach are analyzed. It was concluded that there is no universal approach to determining the most optimal sign of a victim of non-violent sexual intercourse with a minor, since all the considered approaches have both advantages and disadvantages. A legislator in each particular state should independently determine which approach to use, the age of sexual consent to establish, taking into account the peculiarities of the mentality, traditions, culture, priorities of criminal law protection. Moreover, when choosing an age or one of the mixed approaches, it would be advisable to raise the issue of differentiating the age of sexual consent of boys and girls.


Assuntos
Coito/psicologia , Vítimas de Crime/legislação & jurisprudência , Vítimas de Crime/psicologia , Puberdade/psicologia , Adolescente , Fatores Etários , Criança , Abuso Sexual na Infância/legislação & jurisprudência , Abuso Sexual na Infância/psicologia , Feminino , Humanos , Masculino , Maturidade Sexual
17.
J Obes ; 2019: 1952538, 2019.
Artigo em Inglês | MEDLINE | ID: mdl-31467704

RESUMO

Introduction: Obesity is increasing worldwide and in Lebanon with a negative impact on the quality of life. The primary objective of this study is to measure the quality of life in obese subjects before and after bariatric surgery, depending on age, sex, and degree of weight loss. A secondary objective is to determine the impact of bariatric surgery on comorbidities associated with obesity. Materials and methods: Patients undergoing laparoscopic sleeve gastrectomy for BMI ≥ 30 kg/m2 between August 2016 and April 2017 were included. Participants completed the Moorehead-Ardelt Quality of Life Questionnaire II (MA II) prior to operation and one year after. Statistical analysis was carried out using SPSS statistics version 20.0. Results: 75 patients participated in the study. The majority were women (75%), and the mean age was 36.3 years. The mean weight loss was 36.57 kg (16-76). Initially, the total MA II score was -0.33 ± 0.93. Postoperatively, it increased to 1.68 ± 0.62 (p ≤ 0.001). All MA II parameters improved after surgery (p ≤ 0.001), but this improvement was independent of age and sex. Improvement in self-esteem, physical activity, work performance, and sexual pleasure was influenced by the degree of weight loss (p ≤ 0.001). All comorbidities associated with obesity regressed significantly after sleeve gastrectomy (p < 0.05) with the exception of gastroesophageal reflux and varicose veins of the lower limbs. Conclusion: Sleeve gastrectomy improves quality of life and allows reduction of comorbidities.


Assuntos
Atividades Cotidianas/psicologia , Derivação Gástrica , Laparoscopia , Obesidade Mórbida/cirurgia , Perda de Peso/fisiologia , Adulto , Coito/fisiologia , Coito/psicologia , Comorbidade , Feminino , Humanos , Líbano/epidemiologia , Masculino , Pessoa de Meia-Idade , Obesidade Mórbida/complicações , Obesidade Mórbida/epidemiologia , Satisfação Pessoal , Cuidados Pós-Operatórios , Estudos Prospectivos , Qualidade de Vida/psicologia , Autoimagem , Resultado do Tratamento , Adulto Jovem
18.
BMC Res Notes ; 12(1): 499, 2019 Aug 13.
Artigo em Inglês | MEDLINE | ID: mdl-31409376

RESUMO

OBJECTIVE: To assess the magnitude and associated factors of repeat induced abortion among women aged from 15 to 49 who seek abortion care services in the health institutions of Debre Berhan town, Central Ethiopia, 2019. RESULTS: This study shows that the prevalence of repeat induced abortion among 355 respondents was to be 20.3%. Those who reported as they had more than one partner in the last 12 preceding months, (AOR = 7.3, 95% CI 3.21, 16.46), Age of the first sexual intercourse less than 18 years (AOR = 6, 95% CI 2.54, 13.95) and Perceiving abortion procedure as it was not painful (AOR = 7.7, 95% CI 2.9, 20.6) were variables positively associated with the repeatedly induced abortion among women who sought abortion services.


Assuntos
Aborto Induzido/estatística & dados numéricos , Aceitação pelo Paciente de Cuidados de Saúde/psicologia , Comportamento Sexual/psicologia , Aborto Induzido/psicologia , Adolescente , Adulto , Coito/psicologia , Estudos Transversais , Etiópia , Feminino , Conhecimentos, Atitudes e Prática em Saúde , Humanos , Pessoa de Meia-Idade , Aceitação pelo Paciente de Cuidados de Saúde/estatística & dados numéricos , Gravidez , Prevalência , Parceiros Sexuais , Fatores Socioeconômicos
19.
Enferm. clín. (Ed. impr.) ; 29(4): 254-256, jul.-ago. 2019.
Artigo em Espanhol | IBECS | ID: ibc-182921

RESUMO

Propósitos y objetivos: Revisar la bibliografía identificando los factores de riesgo asociados con el debut sexual temprano y coaccionado, con el propósito de facilitar la planificación de los profesionales sanitarios en los correspondientes servicios de salud en la provisión de estrategias de intervención comunitarias para retrasar el debut sexual precoz coaccionado o debut sexual forzado (DSC/DSF). Antecedentes: Identificar los factores de riesgo asociados con la coacción a la primera relación sexual, es crucial para profundizar en el conocimiento de la salud sexual y reproductiva, y para la promoción de la salud. Sin embargo, el conocimiento actual acerca de los factores de riesgo asociados con la coacción, debut sexual (DS) y retraso de DS entre la población joven es limitado. Los programas de educación para la salud son importantes durante la adolescencia, cuando la gente joven se encuentra desarrollando sus valores y creencias acerca de la actividad sexual y las normas sexuales. Sin embargo, poco se conoce acerca de estos factores de riesgo en la iniciación precoz del debut sexual para planificar intervenciones relevantes que puedan retrasar el DS y prevenir el DSC/DSF en esta población. Diseño: Revisión sistemática. Métodos: Revisión bibliográfica ampliada utilizando las bases de datos MEDLINE (PubMed), Nursing Journals (PubMed), Web of Science, PsychINFO y CINAHL. Resultados: La búsqueda obtuvo 39 estudios publicados que reunieron nuestros criterios de inclusión y exclusión. Treinta y dos artículos pasaron la evaluación de calidad y fueron seleccionados. Esta revisión identificó seis dominios de factores de riesgo, categorizados como:1 el dominio individual,2 el dominio familiar,3 el dominio compañero/par,4 el dominio escolar,5 el dominio de la comunidad y 6 el dominio cultural. Estos factores influyen en la toma de decisiones de adolescentes y personas jóvenes y el tiempo de su primera relación sexual. Conclusión: Es importante usar la categorización de factores de riesgo resultante de esta revisión, para facilitar a los trabajadores del cuidado de la salud la planificación de programas de salud sexual y reproductiva relevantes, así como más accesibles para los adolescentes, especialmente para mujeres jóvenes y sus padres. Esto es una necesidad para evaluar el impacto de estos programas que pueden retrasar el DS y prevenir el DSC/DSF en esta población. Relevancia para la práctica clínica: los resultados de este estudio pueden proporcionar una guía en la planificación de intervenciones efectivas para el retraso de un DSC/DSF precoz en las comunidades


No disponible


Assuntos
Humanos , Adolescente , Adulto Jovem , Fatores de Risco , Sexualidade , Comportamento Sexual/psicologia , Coito/psicologia , Coerção , Promoção da Saúde/métodos , Saúde Sexual
20.
J Sex Med ; 16(9): 1355-1363, 2019 09.
Artigo em Inglês | MEDLINE | ID: mdl-31351852

RESUMO

BACKGROUND: The association between sedentary behavior and sexual behavior has not been investigated among adolescents. AIM: The aim of this study was to: (i) investigate the association between leisure-time sedentary behavior and sexual intercourse, and (ii) test for mediation by alcohol consumption, drug use, physical activity, bullying victimization, parental support/monitoring, loneliness, and depressive symptoms in a large global sample of young adolescents. METHODS: Data were analyzed from 34,674 adolescents aged 12-15 years participating in the Global School-based Student Health Survey. Participants reported the number of hours spent in leisure-time sedentary behavior on a typical day (<1, 1-2, 3-4, 5-8, and >8 hours). Data on alcohol consumption, drug use, physical activity, bullying victimization, parental support/monitoring, loneliness, and depressive symptoms were considered as potential mediators. OUTCOME: Participants reported whether or not they had sexual intercourse in the past 12 months (yes/no). RESULTS: The prevalence of past 12-month sexual intercourse was 11.9%, whereas the prevalence of <1, 1-2, 3-4, 5-8, and >8 hours per day of leisure-time sedentary behavior were 26.7%, 35.6%, 21.4%, 11.5%, and 4.9%, respectively. There was a dose-dependent relationship between sedentary behavior and odds of reporting sexual intercourse: compared with <1 hour/day of sedentary behavior, the odds ratio (95% CI) of sexual intercourse associated with 1-2, 3-4, 5-8, and >8 hours/day of sedentary behavior were 1.12 (0.94-1.33), 1.22 (1.01-1.48), 1.34 (1.08-1.66), and 1.76 (1.37-2.27), respectively. There was no significant interaction by sex. The largest proportion of the association between sedentary behavior and sexual intercourse was explained by alcohol use (% mediated 21.2%), with other factors explaining an additional 11.2%. CLINICAL TRANSLATION: Interventions to reduce leisure-time sedentary and/or alcohol consumption may contribute to a reduction in the proportion of adolescents engaging in sexual intercourse at a young age. The strengths and limitations of this study are the large, representative sample of adolescents from 19 countries. However, the cross-sectional design means causality or temporal associations could not be established. CONCLUSIONS: In young adolescents, leisure-time sedentary behavior is positively associated with odds of having sexual intercourse in both boys and girls, in a dose-dependent manner. Alcohol consumption seems to be a key mediator of this relationship. Smith L, Jackson SE, Jacob L, et al. Leisure-Time Sedentary Behavior, Alcohol Consumption, and Sexual Intercourse Among Adolescents Aged 12-15 Years in 19 Countries From Africa, the Americas, and Asia. J Sex Med 2019;16:1355-1363.


Assuntos
Comportamento do Adolescente/psicologia , Coito , Comportamento Sedentário , Adolescente , África/epidemiologia , Consumo de Bebidas Alcoólicas/epidemiologia , Consumo de Bebidas Alcoólicas/psicologia , América/epidemiologia , Ásia/epidemiologia , Coito/psicologia , Estudos Transversais , Feminino , Comportamentos Relacionados com a Saúde , Humanos , Masculino
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