Your browser doesn't support javascript.
Mostrar: 20 | 50 | 100
Resultados 1 - 20 de 2.416
Filtrar
1.
Urologiia ; (4): 112-115, 2019 Sep.
Artigo em Russo | MEDLINE | ID: mdl-31535816

RESUMO

This review is dedicated to orgasmic function which is one of the most intimate and crucial aspects of quality of life in patients who underwent radical prostatectomy for prostate cancer. The main risk factors that affect orgasmic function and recovery period after surgery are described.


Assuntos
Disfunção Erétil , Neoplasias da Próstata , Humanos , Masculino , Orgasmo , Prostatectomia , Qualidade de Vida
2.
Sex Reprod Healthc ; 21: 75-80, 2019 Oct.
Artigo em Inglês | MEDLINE | ID: mdl-31395237

RESUMO

OBJECTIVES: Few studies, with contradictory results, evaluate intrauterine contraceptives (IUC) and sexual function specifically. This study compares perception of sexual desire related to IUC use and aspects of sexual function in women who use the Lng-IUS with those using the Cu-IUD. STUDY DESIGN: A secondary analysis regarding IUC use based on a larger cross-sectional survey of contraceptive use in Sweden, conducted in 2013. In total, 153 IUC users (103 Cu-IUD and 50 Lng-IUS users) answered the questionnaire. The only inclusion criterion was intrauterine contraceptive use. MAIN OUTCOME MEASURES: Were self-reported sexual desire changes related to contraceptive method. We also analysed aspects of sexual functioning; sexual desire level, sexual activity, orgasm frequency, satisfaction with sex life and satisfaction of desire level. RESULTS: A negative effect on sexual desire due to contraceptive method was reported by 28% of the Lng-IUS users and by 10.1% of the Cu-IUD users (p < 0.05). Results were more marked after adjusting for age, body mass index, depression, parity, switching behaviour, and partnership (OR 5.0; CI: 1.8-13.8). The adjusted odds of reporting low sexual desire level (never or almost never feeling sexual desire) (OR 3.5; CI: 1.1-11.2) as well as low satisfaction with sex life (OR 2.7; CI: 1.2-6.3) was higher in the Lng-IUS group (adjusted for same confounders as above). CONCLUSIONS: The women in this study using the Lng-IUS more often report negative sexual desire effects of their contraception as well as lower sexual desire level compared with women using the Cu-IUD.


Assuntos
/efeitos adversos , Dispositivos Intrauterinos de Cobre/efeitos adversos , Levanogestrel/efeitos adversos , Libido/efeitos dos fármacos , Sexualidade , Adulto , Estudos Transversais , Feminino , Humanos , Orgasmo , Percepção , Satisfação Pessoal , Inquéritos e Questionários , Adulto Jovem
3.
Health Qual Life Outcomes ; 17(1): 143, 2019 Aug 17.
Artigo em Inglês | MEDLINE | ID: mdl-31420041

RESUMO

PURPOSE: Because the currently available questionnaires to evaluate sexual changes on breast cancer women only address the sexual sphere with a few questions our purpose was to develop a questionnaire that assesses changes in sexual dysfunction and satisfaction in women treated for breast cancer. METHODS: A sample was selected of women aged between 18 and 65 who had had surgery for breast cancer, completed neoadjuvant/adjuvant chemotherapy treatment and could be receiving adjuvant hormonal treatment, with an active sex life at least 3 months before starting treatment. Metastatic disease was excluded. A questionnaire structured in 4 dimensions was developed. The MOS SF-12 and QLQ-BR23 questionnaires were also provided. The following metric properties were evaluated: item analysis; internal consistency; temporal stability; construct validity; concurrent, convergent and divergent validity; and feasibility. RESULTS: Three samples were recruited: a pilot sample of 20; a reduction sample of 152; and a validation sample of 148. The presence of 6 dimensions was confirmed: 1) Loss of sex drive; 2) worsening of body image; 3) psychological coping; 4) discomfort during intercourse; 5) satisfaction with sexual relations; and 6) satisfaction with breast reconstruction. Good goodness-of-fit statistics were obtained (χ2/df = 1.5, GFI = 0.9, AGFI = 0.84, CFI = 0.959, RMSEA = 0.062). Reliability was good (α = 0.855), as was test-retest stability (r = 0.838). The correlation with the convergent questionnaires proved to be higher than that obtained with generic measurements. CONCLUSIONS: We were able to develop a short questionnaire (17 items) capable of measuring sexual satisfaction in women with breast cancer with good metric properties.


Assuntos
Neoplasias da Mama/psicologia , Orgasmo , Qualidade de Vida , Inquéritos e Questionários/normas , Adaptação Psicológica , Adulto , Idoso , Imagem Corporal/psicologia , Estudos Transversais , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Reprodutibilidade dos Testes
4.
Qual Life Res ; 28(11): 3025-3035, 2019 Nov.
Artigo em Inglês | MEDLINE | ID: mdl-31264125

RESUMO

PURPOSE: The objective of this study was to examine whether sexual satisfaction is associated with subjective well-being longitudinally. METHODS: Data from 2002, 2008 and 2011 were drawn from a nationally representative study among individuals residing in private households aged 40 and over (n = 12,105 in regression analysis). The established Satisfaction with Life Scale was used to assess life satisfaction. The well-recognized Positive and Negative Affect Schedule was used to quantify positive and negative affect, respectively. A single-item measure was used to quantify sexual satisfaction, ranging from 1 to 5 (higher values correspond to higher sexual satisfaction). The analysis was stratified by sex and age group (40-59 years, 60 years and over). RESULTS: The mean sexual satisfaction score was 3.4 (± 1.0) in men and 3.5 (± 0.9) in women. Fixed-effects regressions revealed that sexual satisfaction was positively associated with life satisfaction (total sample: ß = .08, p < .001; men: ß = .08, p < .001; women: ß = .07, p < .001) and positive affect (total sample: ß = .04, p < .001; men: ß = .04, p < .001; women: ß = .03, p < .01) as well as was negatively associated with negative affect (total sample: ß = - .05, p < .001; men: ß = - .05, p < .001; women: ß = - .04, p < .001). CONCLUSION: This study emphasizes the longitudinal association between sexual satisfaction and subjective well-being both in men and women. Life satisfaction is associated with satisfaction with sex life in both age groups. We conclude that sexual satisfaction is a life domain related to life satisfaction among older men and women. Thus, maintaining or improvement of sexual satisfaction could have an impact on successful ageing. Research is required to further elucidate the underlying mechanisms.


Assuntos
Satisfação Pessoal , Qualidade de Vida/psicologia , Comportamento Sexual/psicologia , Sexualidade/psicologia , Adulto , Idoso , Idoso de 80 Anos ou mais , Feminino , Humanos , Estudos Longitudinais , Masculino , Pessoa de Meia-Idade , Orgasmo , Análise de Regressão , Comportamento Sexual/estatística & dados numéricos , Inquéritos e Questionários
5.
Trends Psychiatry Psychother ; 41(2): 136-143, 2019 May 30.
Artigo em Inglês | MEDLINE | ID: mdl-31166564

RESUMO

OBJECTIVE: To assess the relationship between sexual hormones, sexual function and quality of life in postmenopausal women. METHOD: A cross-sectional study was conducted with a convenience sample of 36 postmenopausal women between the ages of 45 and 65 in follow-up at a climacteric outpatient clinic. Mood, quality of life, sexual function and hormonal profile were assessed. RESULTS: With regard to sexual hormones and sexual function, a relationship was found between orgasm and luteinizing hormone (r=0.37), orgasm and sex hormone-binding globulin (SHBG) (r=0.39), SHBG and less pain (r=0.44), dehydroepiandrosterone (DHEA) and desire (r=-0.45), as well as between prolactin and lubrication (r=0.33). Sexual hormones and quality of life were related as follows: progesterone and limitations due to physical aspects (r=0.35), SHBG and social aspects (r=0.35), cortisol and pain (r=0.46), DHEA and social aspects (r=-0.40). Finally, the following relationships were found between sexual function and quality of life: sexual desire and vitality, social aspects, state of general health and mental health (r=0.46, r=0.51, r=0.35, and r=0.38, respectively). Arousal, orgasm and satisfaction with sexual life showed a relationship with less physical pain (r=0.40, r=0.42, and r=0.43, respectively). Satisfaction with sexual life was correlated with vitality (r=0.33). CONCLUSION: Different correlations than expected were found in this study regarding the effect of some hormones on sexual function and some aspects of the quality of life of postmenopausal women.


Assuntos
Pós-Menopausa/sangue , Pós-Menopausa/psicologia , Qualidade de Vida/psicologia , Comportamento Sexual/psicologia , Idoso , Estudos Transversais , Desidroepiandrosterona/sangue , Feminino , Humanos , Hormônio Luteinizante/sangue , Pessoa de Meia-Idade , Orgasmo/fisiologia , Satisfação Pessoal , Progesterona/sangue , Globulina de Ligação a Hormônio Sexual/análise , Inquéritos e Questionários
6.
Artigo em Inglês | MEDLINE | ID: mdl-31159185

RESUMO

Background: The horsepower not only of doctors' cars correlates with personal income and social status. However, no clear relationship has previously been described between the horsepower of doctors' cars and cardiovascular health or sexual dysfunction and/or satisfaction. Objective: Cross-sectional online survey to evaluate associations between self-reported horsepower of physicians' cars and health aspects. Methods: Of 1877 physicians from the two University-Hospitals in Austria that were asked to participate in the study, 363 (37.7 ± 8.0 years, 208 (57.3%) men) were included into the final analysis. Results: Physicians that own a car with a stronger engine were significantly older, were more often male, had more often a leading position, had a higher monthly income (all p < 0.001), had a higher scientific output (p = 0.030), and had hypercholesteremia more often (p = 0.009). They also tended to have a higher body mass index (p = 0.088), reported a higher maximum weight in previous years (p = 0.004) and less often reported regular healthy commuting to and from work (p = 0.010). No significant associations were found for self-reported physical fitness, smoking status, and arterial hypertension. In addition, sexual satisfaction and sexual dysfunction were also not related to horsepower in the whole population and the male subgroup. The findings essentially persisted after controlling for age. Conclusion: The horsepower of Austrian physicians' cars correlates with senior position and increased cardiovascular risk. However, our data shows no relationship between sexual dysfunction or lack of sexual satisfaction and the horsepower of doctors' cars.


Assuntos
Automóveis , Doenças Cardiovasculares/epidemiologia , Médicos/estatística & dados numéricos , Comportamento Sedentário , Comportamento Sexual , Adulto , Fatores Etários , Idoso , Áustria , Índice de Massa Corporal , Estudos Transversais , Feminino , Humanos , Renda , Masculino , Pessoa de Meia-Idade , Orgasmo , Fatores de Risco , Autorrelato
7.
Andrologia ; 51(7): e13295, 2019 Aug.
Artigo em Inglês | MEDLINE | ID: mdl-30995702

RESUMO

Artificial urinary sphincter (AUS) implantation is the gold standard treatment in total stress urinary incontinence (SIU). Our aim is to evaluate the effect of AUS implantation on erectile function and sexual satisfaction (SS). Fourteen patients aged 58-73 years (mean: 66.92 ± 4.51 years) who underwent AUS implantation by a perineal approach between May 2015 and April 2018 were included in our study. Patients with neurogenic disease or very low or no erectile function and those who underwent non-nerve-sparing radical prostatectomy were excluded. Erectile function and intercourse satisfaction were evaluated pre-operatively and post-operatively at 6-month follow-up using international index of erectile function (IIEF) questionnaires. After AUS implantation; eight patients were totally dry, four achieved social continence (less than one pad/day), and two still had SUI (two or more pads/day). Mean pre- and post-operative IIEF values of the patients were 16.14 ± 3.18 and 17.42 ± 4.43 respectively. Mean pre- and post-operative SS values were 8.57 ± 1.78 and 8.71 ± 2.19 respectively. There was no statistically significant difference between pre- and post-operative IIEF-5 and intercourse satisfaction scores (p > 0.05). Although we did not see a significant effect of AUS implantation in our study, in SIU patients, coital incontinence or unpleasant odour during intercourse can lead to sexual avoidance and reduced SS, and AUS implantation may improve SS.


Assuntos
Orgasmo/fisiologia , Ereção Peniana/fisiologia , Implantação de Prótese , Incontinência Urinária por Estresse/cirurgia , Esfíncter Urinário Artificial , Idoso , Disfunção Erétil/etiologia , Seguimentos , Humanos , Masculino , Pessoa de Meia-Idade , Satisfação do Paciente , Prostatectomia/efeitos adversos , Resultado do Tratamento , Incontinência Urinária por Estresse/etiologia
8.
Med Sci Monit ; 25: 3108-3114, 2019 Apr 27.
Artigo em Inglês | MEDLINE | ID: mdl-31028694

RESUMO

BACKGROUND Obesity and associated comorbidities increase the probability of sexual disorders. The present study evaluated sexual satisfaction levels in obese women prior to and following bariatric surgery, utilizing the validated Female Sexual Function Index (FSFI) to also evaluate the sexual satisfaction in obese and non-obese women. MATERIAL AND METHODS 60 obese women (mean initial BMI of 43.7±5.9 kg/m²; mean age of 41.7±10.8 years) were administered the questionnaire on sexual function (FSFI) preceding bariatric surgery (laparoscopic adjustable gastric banding, 22 women; gastric plication, 33 women; and biliopancreatic diversion, 5 women), 6 months and 12 months after the procedure, i.e., following substantial weight reduction (final mean BMI of 35.5±5.5 kg/m²). The control group comprised 60 non-obese women (mean BMI of 22.2±1.9kg/m²; mean age of 36.4±10.7 years). RESULTS Our findings indicate that baseline sexual function in the preoperative obese females was significantly lower than in non-obese women, with p<0.01 in each domain. Data gathered at the 6- and 12-month points following the procedure indicated no significant difference. Before the procedure, 31 obese subjects (51.6%) exceeded the cutoff for FSD, at the 6-month evaluation point, 17 women (39.5%) exceeded the cutoff, and at 12 months postoperatively, 18 subjects (41.9%) exceeded the cutoff, indicative of FSD. Among the non-obese controls, only 9 subjects (15%) exceeded the cutoff threshold. CONCLUSIONS These findings show that substantive weight reduction resulting from bariatric surgery results in reduced sexual dysfunction in female subjects.


Assuntos
Cirurgia Bariátrica , Obesidade/fisiopatologia , Obesidade/cirurgia , Orgasmo/fisiologia , Disfunções Sexuais Fisiológicas/fisiopatologia , Adulto , Comorbidade , Feminino , Humanos , Pessoa de Meia-Idade , Obesidade Mórbida/fisiopatologia , Obesidade Mórbida/cirurgia , Disfunções Sexuais Fisiológicas/cirurgia , Inquéritos e Questionários , Perda de Peso
9.
Ann Dermatol Venereol ; 146(4): 273-278, 2019 Apr.
Artigo em Inglês | MEDLINE | ID: mdl-30928124

RESUMO

Since sexual satisfaction is a key factor in quality-of-life scores, the aim of this review article is to examine current knowledge concerning the impact on male sexuality of psoriasis, particularly genital psoriasis. Risk factors for sexual dysfunction, and more specifically erectile dysfunction, demonstrated to date include severity of psoriasis, genital psoriasis, psoriatic arthritis, smoking, psychological disorders (anxiety-depression), cardiovascular comorbidities and side effects of psoriasis treatments. Studies evaluating the burden of genital psoriasis on male sexuality are contradictory: while the link between genital psoriasis and global sexual functioning has been clearly established in relation to question 9 of the DLQI, discrepancies exist between the scoring systems used concerning sexual satisfaction. Finally, psoriasis patients have expressed a wish to receive more care from their dermatologist in terms of their genital psoriasis and its impact on their sexual activity.


Assuntos
Orgasmo , Psoríase/psicologia , Qualidade de Vida/psicologia , Comportamento Sexual/psicologia , Transtornos de Ansiedade/psicologia , Artrite Psoriásica/psicologia , Comorbidade , Transtorno Depressivo/psicologia , Disfunção Erétil/psicologia , Doenças dos Genitais Masculinos/psicologia , Necessidades e Demandas de Serviços de Saúde , Humanos , Masculino , Fumar/psicologia
10.
J Obstet Gynaecol ; 39(6): 782-787, 2019 Aug.
Artigo em Inglês | MEDLINE | ID: mdl-31020887

RESUMO

The aim of this study was to examine the sexual experiences and quality of life in women using methods of contraception. The sample of this descriptive study consisted of 259 women. The data were collected by the Personal Information Form, the Arizona Sexual Experiences Scale (ASES) and the World Health Organisation Quality of Life Scale (WHOQOL-BREF). It was found that 35.1% of the women use condoms, 30.1% of them use the Intrauterine Device (IUD), 22.0% had problems using the method and 39% had the side effects while using the method. There was a statistically significant difference between the state of having problems using the methods and quality of life average scores and between the state of having side effects and sexual life and quality of life average scores (p < .05). Impact statement What is already known on this subject? Sexual problems are common health problems among women and can lead to loss of self-esteem in women, depression and emotional stress. What do the results of this study add? Women who experience problems using a contraception method have a lower quality of life. Sexual dysfunctions were higher among those who experienced side effects of the methods, quality of life scores were lower. What are the implications of these findings for clinical practice and/or further research? Health professionals should provide information and counselling about possible problems or side effects and ways to cope with these problems or side effects.


Assuntos
Anticoncepção/efeitos adversos , Anticoncepção/métodos , Qualidade de Vida , Disfunções Sexuais Fisiológicas/epidemiologia , Adulto , Preservativos/efeitos adversos , Feminino , Humanos , Dispositivos Intrauterinos/efeitos adversos , Orgasmo , Comportamento Sexual/fisiologia , Comportamento Sexual/psicologia , Disfunções Sexuais Fisiológicas/etiologia , Inquéritos e Questionários , Turquia/epidemiologia
11.
Univ. salud ; 21(1): 38-47, ene.-abr. 2019. tab
Artigo em Espanhol | LILACS, COLNAL | ID: biblio-986194

RESUMO

Resumen Introducción: La anorgasmia es el retraso persistente, o recurrente o ausencia de orgasmo después de una fase de excitación sexual normal, resultando en dificultades personales o interpersonales. El tratamiento se aborda desde diferentes perspectivas. Objetivo: Presentar los resultados de la efectividad y seguridad del uso del dispositivo EROS-CTD en el manejo de la anorgasmia femenina, en un grupo de mujeres del Quindío. Materiales y métodos: Estudio de reporte de casos, de tipo observacional, descriptivo, prospectivo, de mujeres intervenidas por trastorno del orgasmo, en Armenia, Quindío, Colombia, en el periodo de 2012 a 2017. Resultados: Se intervino 39 mujeres; edad media de 35,1 (DS ± 3,7) años. La anorgasmia primaria fue del 61,53% y la secundaria del 38,36%. El promedio de seguimiento del uso del dispositivo EROS-CTD, fue de 23,7 (DS ± 4,5) meses por paciente. Al finalizar el estudio, la satisfacción global con el uso del dispositivo es del 89,74%, ninguna de las mujeres presentó complicaciones relacionadas con el uso del aparato. Conclusiones: La efectividad del tratamiento de la anorgasmia femenina con el dispositivo EROS-CTD, ha beneficiado favorablemente a las mujeres del estudio.


Abstract Introduction: Anorgasmia is the persistent, or recurrent, or absence of orgasm after a normal phase of sexual arousal, resulting in personal or interpersonal difficulties. Treatment is approached from different perspectives. Objective: To present the results of the effectiveness and safety of the use of the EROS-CTD in the management of female anorgasmia in a group of women from Quindío. Materials and methods: A descriptive, prospective observational study of case reports was carried out with women intervened by orgasm disorder in Armenia, Quindío, Colombia, from 2012 to 2017. Results: 39 women were intervened whose average age was 35.1 (DS ± 3.7). Primary anorgasmia was 61.53% and the secondary was 38.36%. The average follow-up of the use of EROS-CTD was 23.7 (DS ± 4.5) months per patient. At the end of the study, overall satisfaction with the use of the device is 89.74%, none of the women presented complications related to the use of the appliance. Conclusions: The effectiveness of the treatment of female anorgasmia with EROS-CTD has benefited the women of the study.


Assuntos
Feminino , Orgasmo , Mulheres , Segurança , Terapêutica , Efetividade
12.
Biomed Res Int ; 2019: 3726957, 2019.
Artigo em Inglês | MEDLINE | ID: mdl-30834263

RESUMO

Objectives: To evaluate the impact on metabolism, bleeding, and sexual function of Nexplanon, a subdermal implant. Study Design: We recruited women (n=101) receiving the Nexplanon implant at two university centers in Italy between 2011 and 2016 into this prospective, observational, multicenter research trial. Participants completed the Interview for Ratings of Sexual Function (IRSF) and the Female Sexual Function Index (FSFI) questionnaires before and 3 and 6 months after the implant was inserted. In addition, all blood parameters were assessed at these visits. All women were given a menstrual diary card and a pictorial blood assessment chart to record daily any vaginal bleeding. Results: The studied metabolic parameters remained in the normal range, showing no alarming modifications: minimal statistical reductions (in aspartate aminotransferase, alanine aminotransferase, total cholesterol, triglycerides, and activated partial thromboplastin time) and increases (in glucose and prothrombin activity) were observed. Changes in IRSF score over 6 months showed a significant increase in pleasure, personal initiative, orgasm, intensity of orgasm, and satisfaction, and a significant decrease in anxiety and discomfort. Mean Body Mass Index decreased, and the weekly frequency of sexual intercourse increased. Conclusions: Nexplanon showed not only a lower metabolic and bleeding impact, but also important positive effects on sexual function. It expands the range of possibilities for women, 38 and couples, in the modern concepts of sexual and reproductive wellbeing.


Assuntos
Desogestrel/administração & dosagem , Orgasmo/efeitos dos fármacos , Comportamento Sexual/efeitos dos fármacos , Hemorragia Uterina/tratamento farmacológico , Adulto , Alanina Transaminase/sangue , Aspartato Aminotransferases/sangue , Índice de Massa Corporal , Colesterol/sangue , Coito , Anticoncepcionais Femininos , Feminino , Humanos , Itália/epidemiologia , Menstruação/efeitos dos fármacos , Tempo de Tromboplastina Parcial , Satisfação Pessoal , Inquéritos e Questionários , Triglicerídeos/sangue , Hemorragia Uterina/sangue , Hemorragia Uterina/fisiopatologia , Adulto Jovem
13.
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
16.
Breast Cancer Res Treat ; 175(1): 171-179, 2019 May.
Artigo em Inglês | MEDLINE | ID: mdl-30701349

RESUMO

BACKGROUND: Considering different dimensions of life, special sex life for survivors of breast cancer (BC) is important because their life expectancy has increased. OBJECTIVE: We designed this study to improve the sexual function, satisfaction and quality of sexual life. METHODS: In a randomized controlled clinical trial study, from a total 286 breast cancer survivors (BCS), 118 women enrolled to the study. After providing informed consent, the participants were randomly assigned either to the intervention group or to the waitlist control group. The intervention consisted of six weekly psychosexual counseling sessions that lasted from 90 to 120 min. Data were collected by the demographic and clinical forms, Beck Depression Inventory, Female Sexual Function Index (FSFI), Larson Sexual Satisfaction Questionnaire and sexual quality of life-female (SQOL-F) questionnaire. RESULTS: Mean age of patients in control and intervention groups were 43.8 ± 6.6 and 44.84 ± 6.7, respectively. More than 65% of the patients in the both groups were either normal or showed a low level of depression. Sexual function (FSFI) scores and sexual quality of life (SQOL-F), showed a significant statistic differences after intervention (P < 0.001 in both tools). Sexual satisfaction (Larson) has showed improvement in some subclasses, however, change in total score was not statistically significant (P = 0.073). CONCLUSIONS: The psychosexual intervention program was effective in improving sexual function and quality of sexual life among BCS. This intervention has clinical significance as it provided an opportunity for the women to discuss their sexual issues.


Assuntos
Neoplasias da Mama/epidemiologia , Neoplasias da Mama/psicologia , Sobreviventes de Câncer , Qualidade de Vida , Comportamento Sexual , Neoplasias da Mama/complicações , Neoplasias da Mama/tratamento farmacológico , Aconselhamento , Feminino , Humanos , Irã (Geográfico)/epidemiologia , Orgasmo , Fatores de Risco , Inquéritos e Questionários
18.
Geriatr Gerontol Int ; 19(4): 299-304, 2019 Apr.
Artigo em Inglês | MEDLINE | ID: mdl-30811813

RESUMO

AIM: The aim of the present study was to investigate the effect of female pelvic floor dysfunction on sexual function and quality of life among different age groups. METHODS: An observational study was carried out on 648 patients with pelvic organ prolapse (POP) or/and stress urinary incontinence. We assessed female sexual function and quality of life through the Prolapse/Urinary Incontinence Sexual Questionnaire Short Form and Incontinence Quality of Life Scale before surgeries, respectively. Patients were assigned into different age groups. RESULTS: The mean age of all patients was 62.04 ± 9.39 years. A total of 436 patients had POP, 120 patients had stress urinary incontinence and the remaining patients had both. Although sexual frequency decreased with increasing age, 517 patients still remained sexually active. A total of 10.83% of the patients aged ≥70 years were still sexually active, and 8.51% of them had sex less than one time per month. The Prolapse/Urinary Incontinence Sexual Questionnaire Short Form score and sexual frequency decreased with increasing age. However, the Incontinence Quality of Life Scale score increased with increasing age. Patients with only POP and aged ≥70 years showed a higher Incontinence Quality of Life Scale score (P < 0.001). CONCLUSIONS: The present study showed that POP and stress urinary incontinence are common among older Chinese women, and re associated with decreased sexual satisfaction and quality of life in China. It suggests that the existing sexual requirement of these patients should also be reconsidered before surgical assessment. Doctors should take sexual satisfaction into consideration when choosing a personalized type of surgery to improve the patients' quality of life physiologically and psychologically. Geriatr Gerontol Int 2019; 19: 299-304.


Assuntos
Diafragma da Pelve/fisiopatologia , Prolapso de Órgão Pélvico , Qualidade de Vida , Disfunções Sexuais Fisiológicas , Incontinência Urinária por Estresse , Idoso , China/epidemiologia , Feminino , Humanos , Pessoa de Meia-Idade , Orgasmo , Prolapso de Órgão Pélvico/complicações , Prolapso de Órgão Pélvico/diagnóstico , Prolapso de Órgão Pélvico/epidemiologia , Pesquisa Qualitativa , Disfunções Sexuais Fisiológicas/epidemiologia , Disfunções Sexuais Fisiológicas/etiologia , Disfunções Sexuais Fisiológicas/fisiopatologia , Disfunções Sexuais Fisiológicas/psicologia , Incontinência Urinária por Estresse/complicações , Incontinência Urinária por Estresse/diagnóstico , Incontinência Urinária por Estresse/epidemiologia
19.
Neurología (Barc., Ed. impr.) ; 34(1): 55-61, ene.-feb. 2019.
Artigo em Espanhol | IBECS | ID: ibc-177278

RESUMO

Todas las vivencias del ser humano, incluidas las experiencias místicas y religiosas, tienen que ver en último término con la actividad funcional de su cerebro. El estudio, mediante técnicas de neuroimagen estructural (RM) y funcional (RMf, PET, SPECT) y técnicas neurofisiológicas con registros y estimulación mediante electrodos intracraneales, de casos de epilepsia extática nos ha proporcionado un mejor conocimiento de ciertos estados mentales, en los que hay síntomas con especiales connotaciones placenteras-afectivas y de clarividencia. Se postula que tales estados de éxtasis se producen por activación de la corteza insular anterior, conexionada con redes neuronales (por defecto, saliencia y neuronas en espejo), que intervienen en la introspección, cognición social, el procesado emocional y la memoria. De este modo, la neurociencia puede aportar una explicación científica, incluso de un modo retrospectivo, a algunos hechos y situaciones relacionados con personajes relevantes (Pablo de Tarso, Teresa de Cepeda y Ahumada, Dostoievski), que, en ámbitos extracientíficos, se consideran de origen paranormal o hasta sobrenatural. Con la epilepsia extática comparten síntomas y mecanismos fisiopatológicos la epilepsia orgásmica (excitación sexual que puede desembocar en orgasmos espontáneos en el transcurso de crisis comiciales), la epilepsia musicogénica (crisis comiciales desencadenadas por particulares emociones generadas al escuchar un determinado fragmento musical), así como en el síndrome de Stendhal (cuadros neuropsiquiátricos precipitados por una contemplación masiva de obras de arte) y algunos fenómenos autoscópicos (sobre todos las experiencias extracorporales, que ocasionalmente tienen lugar en situaciones de muerte inminente): en todos ellos existe sintomatología placentera-afectiva de alto impacto para los sujetos afectados


All human experiences, including mystical and religious ones, are the result of brain functional activity. Thanks to the study of cases of ecstatic epilepsy with structural (MRI) and functional neuroimaging (fMRI, PET, SPECT) and neurophysiological technologies (recording and stimulation with intracranial electrodes), we now have a better knowledge of certain mental states which involve pleasant and affective symptoms and clarity of mind. These ecstatic experiences are thought to be caused by the activation of the anterior insular cortex and some neuronal networks (basically related to mirror neurons and salience) participating in introspection, social cognition, memory, and emotional processes. Thus, neuroscience could explain in a retrospective way some facts surrounding the situations of such relevant figures as Paul the Apostle, Teresa de Cepeda y Ahumada, and Dostoevsky, whose origin was previously considered paranormal or supernatural. Ecstatic epilepsy shares symptoms and mechanisms with orgasmic epilepsy (spontaneous orgasms in the course of epileptic seizures), musicogenic epilepsy (epileptic seizures triggered by listening to a certain musical piece), and also with Stendhal syndrome (neuropsychiatric disturbances caused when an individual is exposed to large amounts of art) and some autoscopic phenomena (out-of-body experiences that occasionally take place in imminent death situations). In all these events, there are pleasant and affective symptoms which have a great impact on patients


Assuntos
Humanos , Masculino , Feminino , Adulto , Epilepsia Reflexa/fisiopatologia , Epilepsia Reflexa/psicologia , Religião e Psicologia , Transtornos Psicofisiológicos/fisiopatologia , Transtornos Psicofisiológicos/psicologia , Música/psicologia , Orgasmo/fisiologia , Síndrome
20.
J Sex Marital Ther ; 45(2): 103-113, 2019.
Artigo em Inglês | MEDLINE | ID: mdl-30628560

RESUMO

Sexual desire discrepancy has been associated with sexual and relationship dissatisfaction. Nonetheless, little is known regarding the role of desire discrepancy in gay men, as main research has been systematically conducted with heterosexual couples. Also, only one study has focused on problematic sexual desire discrepancies and sexual satisfaction with lesbian women. This study sought to understand if perceived sexual desire discrepancy influences sexual and relationship satisfaction in men, and to explore differences according to sexual orientation. A total of 346 men (245 heterosexual and 101 gay) completed an online survey and answered sociodemographic questions, a specific question about sexual desire discrepancy, and completed the Global Measure of Sexual Satisfaction and the Global Measure of Relationship Satisfaction. The main findings showed differences in sexual and relationship satisfaction according to sexual desire discrepancy groups, with men who experienced no desire discrepancy being more satisfied within their relationship and sex life compared to men who experienced both problematic and nonproblematic sexual desire discrepancy. Additionally, men who experienced nonproblematic sexual desire discrepancy reported being more sexually and relationship satisfied than men who experienced problematic sexual desire discrepancy. No sexual orientation differences were found. Overall, current findings emphasize the role of (non)problematic desire discrepancy in sexual and relationship satisfaction among heterosexual and gay men.


Assuntos
Heterossexualidade/psicologia , Homossexualidade Masculina/psicologia , Relações Interpessoais , Orgasmo , Autoimagem , Parceiros Sexuais/psicologia , Adulto , Humanos , Masculino , Pessoa de Meia-Idade , Comportamento Sexual/psicologia , Inquéritos e Questionários
SELEÇÃO DE REFERÊNCIAS
DETALHE DA PESQUISA