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1.
Urologiia ; (5): 51-53, 2020 11.
Artigo em Russo | MEDLINE | ID: mdl-33185347

RESUMO

INTRODUCTION: Radical prostatectomy (RP) remains the main treatment method of localized prostate cancer. Satisfactory functional results after RP are essential for both urologist and patient. Preservation of sexual function, particularly orgasmic function (OF) after RP is of the utmost importance today for patients and their sexual partners. MATERIALS AND METHODS: An analysis of 3- and 6-months functional results of 91 patients who underwent RP for prostate cancer is presented in this study. The influence of surgical approach, nerve-sparing surgery (NSS) and other factors for OF recovery was evaluated. RESULTS: OF recovered in 53,8% and 56% patients 3 and 6 months postoperatively, respectively. Positive influence of younger age and NSS on OF recovery was found. CONCLUSION: OF recovered in more than half of patients after RP. The young age, NSS were found to be predictors of RP recovery. Further research is required to determine the more relevant factors for OF recovery after RP.


Assuntos
Disfunção Erétil , Neoplasias da Próstata , Disfunção Erétil/etiologia , Humanos , Masculino , Orgasmo , Prostatectomia , Neoplasias da Próstata/cirurgia , Recuperação de Função Fisiológica
2.
Niger J Clin Pract ; 23(11): 1548-1554, 2020 Nov.
Artigo em Inglês | MEDLINE | ID: mdl-33221780

RESUMO

Objective: The relationship between sexual functions and infertility remains controversial and there is a limited number of studies reporting the effects of infertility on sexual functions in women with polycystic ovary syndrome (PCOS). Aims: The present study aims to investigate the effects of infertility on sexual functions and depression levels in women with PCOS. Methods: A total of 150 participants who were either fertile patients with PCOS, infertile patients with PCOS, or fertile women without PCOS (control) (n = 50) were included for the study. Sociodemographic data were recorded and the Female Sexual Function Index (FSFI) and Beck Depression Inventory (BDI) were used for evaluation of subjects. Results: Body mass index (BMI) was found to be significantly higher in the PCOS plus infertility group (27.9 ± 2.9, P = 0.01) than the other groups. Total BDI score was higher and total FSFI score was significantly lower in the PCOS plus infertility group than in the other groups. The PCOS plus infertility group showed significantly lower FSFI scores than the PCOS group in terms of desire, lubrication, orgasm, satisfaction, and pain. A significant negative correlation was observed between BMI and BDI scores in the PCOS plus infertility group (r:-0.384, P = 0.04). Conclusion: Our study results show lower sexual functions in PCOS women with infertility and that infertility negatively affects sexual functions with obesity associated depression.


Assuntos
Obesidade/psicologia , Síndrome do Ovário Policístico/complicações , Qualidade de Vida , Comportamento Sexual/fisiologia , Disfunções Sexuais Fisiológicas/etiologia , Adulto , Índice de Massa Corporal , Estudos de Casos e Controles , Depressão/etiologia , Depressão/psicologia , Feminino , Humanos , Infertilidade Feminina , Libido/fisiologia , Orgasmo , Satisfação Pessoal , Síndrome do Ovário Policístico/psicologia , Comportamento Sexual/psicologia , Disfunções Sexuais Fisiológicas/psicologia , Turquia/epidemiologia
3.
Diagn. tratamento ; 25(3): 109-115, jul.-set. 2020.
Artigo em Português | LILACS | ID: biblio-1129414

RESUMO

O câncer de próstata é uma das neoplasias mais frequentes na população masculina. A prostatectomia radical está entre os principais tratamentos para essa afecção, sendo a primeira escolha para casos de doenças localizadas e localmente avançadas. Contudo, essa modalidade de tratamento cirúrgico costuma trazer grande prejuízo à função sexual masculina como um todo. Sabe-se que a disfunção erétil é uma complicação frequente e temida do tratamento cirúrgico do câncer de próstata, de forma que há diversas estratégias para prevenir e tratar tal condição. Porém, uma adequada reabilitação sexual desses pacientes envolve um atendimento global às dificuldades encontradas no restabelecimento de uma vida sexual satisfatória, não apenas focado na qualidade das ereções. Infelizmente, há uma série de problemas sexuais frequentes que são desencadeados pela prostatectomia radical, mas que ainda são extremamente negligenciados no cuidado pós-operatório. Dentre eles podemos citar: queda do desejo sexual, perda de volume peniano, desenvolvimento de deformidades penianas e distúrbios do orgasmo e da ejaculação. Neste artigo são abordados os principais efeitos sexuais da prostatectomia radical que costumam ser negligenciados no seguimento


Assuntos
Orgasmo , Prostatectomia , Reabilitação , Ejaculação , Disfunção Erétil
5.
J Sex Med ; 17(10): 1942-1955, 2020 10.
Artigo em Inglês | MEDLINE | ID: mdl-32694069

RESUMO

BACKGROUND: A growing body of research investigates the sexual functioning status in women with contraceptives use; however, the evidence is still inconclusive. AIM: To examine whether contraceptives use is associated with a higher risk of female sexual dysfunction (FSD). METHODS: The electronic databases MEDLINE, Embase, Cochrane Library databases, and PsychINFO were systematically screened for eligible studies before December 2019. We only included those studies assessing women's sexual functioning by the Female Sexual Function Index (FSFI). This study was registered on the PROSPERO (ID: CRD42020167723, http://www.crd.york.ac.uk/PROSPERO). OUTCOMES: The strength of the association between contraceptives use and risk of FSD was presented by calculating the standard mean dierences (SMDs) and the relative risk (RR) with a 95% confidence interval (CI). The pooled results were calculated using a random-effects model. RESULTS: A total of 12 studies (7 cross-sectional studies, 3 cohorts, and 1 case-control study) involving 9,427 participants were included. The mean age in the contraceptive users ranged from 22.5 ± 2.4 years to 38.2 ± 4.6 years, while the mean age in the nonusers was 22.5 ± 2.4 years to 36.0 ± 1.0 years. Pooled results showed that no significant difference in the total FSFI scores was observed between contraceptives use and noncontraception (SMD = -1.03, 95% CI: -2.08 to 0.01, P = .053; heterogeneity: I2 = 98.2%, P < .001). In line with this finding, the pooled RR also yielded no association between contraception use and the risk of FSD (RR = 1.29, 95% CI: 0.72-2.28, P = .392; heterogeneity: I2 = 76.0%, P = .0015). However, the subscale sexual desire showed a significant reduction in women who received contraceptives than those did not use contraception (SMD = -1.17, 95% CI: -2.09 to -0.24, P = .014; heterogeneity: I2 = 97.7%, P < .001), while no significant differences were found in sexual arousal, lubrication, orgasm, satisfaction, and pain domain. CLINICAL IMPLICATIONS: Though evidence from this meta-analysis did not support an association between contraceptives use and the risk of FSD, the sexual desire could be significantly impaired by contraceptives use. STRENGTHS & LIMITATIONS: This is the first meta-analysis quantifying the relationship between contraceptives use and the risks of FSD. However, substantial heterogeneities were presented across the included studies. CONCLUSION: No direct association between contraceptives use and the risk of FSD was found. Nevertheless, declining sexual desire was significantly associated with contraceptives use. Additional double-blind, randomized, placebo-controlled trials are still warranted. Huang M, Li G, Liu J, et al. Is There an Association Between Contraception and Sexual Dysfunction in Women? A Systematic Review and Meta-analysis Based on Female Sexual Function Index. J Sex Med 2020;17:1942-1955.


Assuntos
Anticoncepção , Disfunções Sexuais Fisiológicas , Disfunções Sexuais Psicogênicas , Adulto , Estudos de Casos e Controles , Estudos Transversais , Feminino , Humanos , Orgasmo , Disfunções Sexuais Fisiológicas/induzido quimicamente , Disfunções Sexuais Psicogênicas/induzido quimicamente , Adulto Jovem
6.
J Sex Med ; 17(10): 2104-2107, 2020 10.
Artigo em Inglês | MEDLINE | ID: mdl-32709575

RESUMO

BACKGROUND: Data on adult sexual functioning after kidney transplantation (KTx) during childhood or adolescence are scarce. AIM: To assess the long-term sexual and psychosocial quality of life after pediatric KTx. METHODS: 29 young men (median age 27.1 years) were examined 18.7 years (median) after KTx. 56 age-matched healthy men (median age 30.0 years) served as controls. OUTCOME: We studied the influence of sociodemographics, previous renal replacement therapy, current reproductive hormonal serum levels, testicular size, and data on several validated mental and physical questionnaires on participants' Derogatis Interview for Sexual Functioning self-report scores. RESULTS: The KTx recipients had significantly poorer sexual functioning than their healthy peers. KTx men had less frequent sexual activity with a partner (P = .03) and poorer orgasms (P = .002) than the controls but no erectile dysfunction (P = .5). CLINICAL IMPLICATIONS: Depressive symptoms, relationship status, and longer dialysis duration predicted poor adult sexual functioning in KTx recipients, whereas age at transplantation or at the time of the study did not. STRENGTHS & LIMITATIONS: This study contributes extended follow-up data to the very scarce literature on adult sexual functioning in pediatric KTx recipients. Relatively small population and low participation rate limit the comprehensive data interpretation in a population-based cohort of male KTx recipients. CONCLUSION: Sexual functioning is often impaired in young men after pediatric KTx, emphasizing the need for long-term monitoring of sexual health and sexuality as important dimensions of quality of life. Tainio J, Jahnukainen T, Jalanko H, et al. Male Sexual Function After Pediatric Kidney Transplantation-A Cross-sectional Nationwide Study. J Sex Med 2020;17:2104-2107.


Assuntos
Transplante de Rim , Adolescente , Adulto , Criança , Estudos Transversais , Humanos , Transplante de Rim/efeitos adversos , Masculino , Orgasmo , Qualidade de Vida , Comportamento Sexual
7.
J Sex Med ; 17(9): 1694-1704, 2020 09.
Artigo em Inglês | MEDLINE | ID: mdl-32665213

RESUMO

BACKGROUND: There is a high reported rate of sexual dysfunction among women with spina bifida, but little is known about the etiology of this or how sexual satisfaction could be improved. AIM: To identify, through the words of women with spina bifida, perceived causes of diminished sexual satisfaction and recommendations to optimize partnered sexual encounters. METHODS: In this qualitative study, we conducted semi-structured individual interviews with 22 women with spina bifida (median age 26.5 years, range 16-52 years) who have had a romantic partner. Using Grounded Theory, interviews were independently coded by 3 reviewers. Disagreements were resolved by consensus. OUTCOMES: We identified overlapping themes of issues women experienced during sexual intimacy and strategies they learned to improve sexual encounters. RESULTS: 7 salient themes emerged from the data: (i) fear of rejection with resulting difficulty setting boundaries and the risk of coercion; (ii) conflict between spontaneity and self-care in sexual encounters; (iii) worry about incontinence during sex; (iv) trial and error in learning optimal sexual positions; (v) decreased genital sensation; (vi) safety considerations; and (vii) sharing advice with other women with spina bifida. CLINICAL IMPLICATIONS: As sexual satisfaction is influenced by physical features as well as psychological, interpersonal, and sociocultural factors, optimizing sexual satisfaction of women with spina bifida is best managed with a holistic approach utilizing a biopsychosocial model. STRENGTHS & LIMITATIONS: The sample included women with a diverse range of functional impairments. Women were forthright with their comments and thematic saturation was reached. Recruitment was primarily from a single Midwestern institution, which may have limited sampled perspectives. CONCLUSION: While women with spina bifida encounter challenges during sexual encounters, strategies focused on improving communication with partners and addressing specific physical considerations can potentially enhance their sexual experiences. Streur CS, Schafer CL, Garcia VP, et al. "I Tell Them What I Can Feel and How Far My Legs Can Bend": Optimizing Sexual Satisfaction for Women With Spina Bifida. J Sex Med 2020;17;1694-1704.


Assuntos
Disfunções Sexuais Fisiológicas , Disrafismo Espinal , Adolescente , Adulto , Feminino , Humanos , Perna (Membro) , Pessoa de Meia-Idade , Orgasmo , Comportamento Sexual , Disfunções Sexuais Fisiológicas/etiologia , Adulto Jovem
9.
Body Image ; 34: 135-144, 2020 Sep.
Artigo em Inglês | MEDLINE | ID: mdl-32574984

RESUMO

Hook-up mobile apps are increasing in popularity and research suggests sexual function may be lower among those who hook-up compared to those who have sex in a longer-term relationship. Sexual function is an important predictor of well-being; however, we know little about the psychosocial antecedents of sexual function, such as body image, among those who use hook-up apps. The current study aims to examine two measures of positive body image and one measure of body image self-consciousness during intimate activity among a sample of adult women and men who have hooked up in the previous month using a hook-up mobile app (N = 243). Our results suggest that higher body image self-consciousness during intimate activity was related to lower sexual function composite score and several specific domains (i.e., pain, arousal, orgasm, and lubrication) among women. Higher body appreciation was related to higher sexual satisfaction among women. Higher body image self-consciousness during intimate activity was related to higher erection difficulty, but not ejaculation difficulty, among men. These findings highlight the nuanced nature of body image and sexual function and provide further evidence that interventions for women and men aiming to improve some body image constructs may improve sexual function as well.


Assuntos
Imagem Corporal , Aplicativos Móveis , Comportamento Sexual/psicologia , Parceiros Sexuais/psicologia , Adulto , Idoso , Feminino , Humanos , Relações Interpessoais , Masculino , Pessoa de Meia-Idade , Orgasmo
10.
Cochrane Database Syst Rev ; 5: CD011189, 2020 May 01.
Artigo em Inglês | MEDLINE | ID: mdl-32356377

RESUMO

BACKGROUND: Sexual dysfunction following stroke is common but often is poorly managed. As awareness of sexual dysfunction following stroke increases as an important issue, a clearer evidence base for interventions for sexual dysfunction is needed to optimise management. OBJECTIVES: To evaluate the effectiveness of interventions to reduce sexual dysfunction following stroke, and to assess adverse events associated with interventions for sexual dysfunction following stroke. SEARCH METHODS: We conducted the search on 27 November 2019. We searched the Cochrane Central Register of Controlled Trials (CENTRAL; from June 2014), in the Cochrane Library; MEDLINE (from 1950); Embase (from 1980); the Cumulative Index to Nursing and Allied Health Literature (CINAHL; from 1982); the Allied and Complementary Medicine Database (AMED; from 1985); PsycINFO (from 1806); the Physiotherapy Evidence Database (PEDro; from 1999); and 10 additional bibliographic databases and ongoing trial registers. SELECTION CRITERIA: We included randomised controlled trials (RCTs) that compared pharmacological treatments, mechanical devices, or complementary medicine interventions versus placebo. We also included other non-pharmacological interventions (such as education or therapy), which were compared against usual care or different forms of intervention (such as different intensities) for treating sexual dysfunction in stroke survivors. DATA COLLECTION AND ANALYSIS: Two review authors independently selected eligible studies, extracted data, and assessed study quality. We determined the risk of bias for each study and performed a 'best evidence' synthesis using the GRADE approach. MAIN RESULTS: We identified three RCTs with a total of 212 participants. We noted significant heterogeneity in interventions (one pharmacological, one physiotherapy-based, and one psycho-educational), and all RCTs were small and of 'low' or 'very low' quality. Based on these RCTs, data are insufficient to provide any reliable indication of benefit or risk to guide clinical practice in terms of the use of sertraline, specific pelvic floor muscle training, or individualised sexual rehabilitation. AUTHORS' CONCLUSIONS: Use of sertraline to treat premature ejaculation needs to be tested in further RCTs. The lack of benefit with structured sexual rehabilitation and pelvic floor physiotherapy should not be interpreted as proof of ineffectiveness. Well-designed, randomised, double-blinded, placebo-controlled trials of long-term duration are needed to determine the effectiveness of various types of interventions for sexual dysfunction. It should be noted, however, that it may not be possible to double-blind trials of complex interventions.


Assuntos
Disfunções Sexuais Fisiológicas/terapia , Acidente Vascular Cerebral/complicações , Adulto , Idoso , Idoso de 80 Anos ou mais , Antidepressivos/efeitos adversos , Antidepressivos/uso terapêutico , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Orgasmo , Diafragma da Pelve , Ejaculação Precoce/tratamento farmacológico , Ejaculação Precoce/etiologia , Qualidade de Vida , Ensaios Clínicos Controlados Aleatórios como Assunto , Treinamento de Resistência/métodos , Sertralina/efeitos adversos , Sertralina/uso terapêutico , Educação Sexual/métodos , Disfunções Sexuais Fisiológicas/etiologia , Disfunções Sexuais Fisiológicas/reabilitação , Parceiros Sexuais/psicologia , Vitamina B 12/análogos & derivados , Vitamina B 12/uso terapêutico , Complexo Vitamínico B/uso terapêutico , Adulto Jovem
12.
Artigo em Inglês | MEDLINE | ID: mdl-32414063

RESUMO

This study aimed to develop an explanatory model of sexual satisfaction in same-sex attracted individuals with a partner, based on personal and interpersonal variables. The participants were 410 men (mean age = 29.24, SD = 9.84) and 410 women (mean age = 29, SD = 8.57) who maintained a relationship with another person of the same sex. Internalized homophobia was considered as a personal variable, and as interpersonal variables, the dimensions of attachment (anxiety and avoidance), sexual functioning, dyadic adjustment, relationship satisfaction, the components of the Interpersonal Exchange Model of Sexual Satisfaction, the number of sexual costs and the number of sexual rewards were considered. The degree to which sexual satisfaction was related to these variables was examined separately, for both men and women, through multiple linear regression models within the framework of structural equation models. The results indicated that sexual satisfaction is associated in a negative sense with internalized homophobia, the number of sexual costs, anxiety, and avoidance, and in a positive sense with the remaining variables. Relational variables were more relevant in the explanation of sexual satisfaction. The clinical implications are discussed.


Assuntos
Orgasmo , Satisfação Pessoal , Comportamento Sexual , Parceiros Sexuais , Adulto , Ansiedade , Feminino , Humanos , Relações Interpessoais , Masculino , Fatores Sexuais , Inquéritos e Questionários
13.
J Womens Health (Larchmt) ; 29(7): 1017-1020, 2020 07.
Artigo em Inglês | MEDLINE | ID: mdl-32397852

RESUMO

Background: The impact of nipple sensation and its relationship to sexual function have often been neglected in medical literature. However, several recent studies report the importance of the nipple/areola complex (NAC) in sexual arousal and overall function. The nipple is composed of smooth muscle that can be erected via adrenergic nerves. In two complementary studies, we demonstrate that stimulation of the alpha-1 adrenergic receptor in the NAC with topical adrenergic agents can initiate erection of the nipple, increase NAC sensitivity, and improve sexual function. Materials and Methods: Thirteen breast surgery patients with nipple sensitivity loss were recruited to an unblinded study of topical phenylephrine hydrochloride. Sensitivity to pressure was measured before and after the application of the intervention to the NAC. In a second pilot study, 35 women completed a double-blinded placebo-controlled trial of a novel formulation, RJ101, containing a norepinephrine releasing agent. The intervention or placebo was applied to the NAC 30 minutes before sexual activity over the 4-week trial period. The arousal, lubrication, and orgasm domains of the female sexual function index (FSFI) were used to measure sexual function. Results: The application of phenylephrine hydrochloride was shown to increase nipple sensitivity to pressure by an average of 20% in our cohort of 13 breast augmentation patients. In addition, it was shown that intermittent application of the alpha-1 agonist for 8 weeks increased basal NAC sensitivity. In the follow-up pilot study, we demonstrate that stimulation of the NAC with RJ101 produced statistically significant increases versus placebo in the lubrication and orgasm domains of the FSFI, p = 0.0226 and p = 0.0269, respectively. Conclusion: For the first time, we demonstrate that the application of a topical alpha-1 adrenergic receptor agonist or a norepinephrine-releasing agent increases the sensitivity of the NAC and subsequently significantly improves sexual function.


Assuntos
Antagonistas de Receptores Adrenérgicos alfa 1/administração & dosagem , Mastectomia/efeitos adversos , Mamilos/efeitos dos fármacos , Orgasmo/efeitos dos fármacos , Transtornos das Sensações/etiologia , Comportamento Sexual/fisiologia , Disfunções Sexuais Fisiológicas/terapia , Administração Tópica , Antagonistas de Receptores Adrenérgicos alfa 1/uso terapêutico , Adulto , Feminino , Humanos , Mamoplastia/efeitos adversos , Mamilos/fisiologia , Satisfação do Paciente , Pressão , Transtornos das Sensações/fisiopatologia , Disfunções Sexuais Fisiológicas/fisiopatologia , Adulto Jovem
15.
Arch Sex Behav ; 49(5): 1533-1543, 2020 07.
Artigo em Inglês | MEDLINE | ID: mdl-32246223

RESUMO

Trauma survivors who suffer from posttraumatic stress symptoms (PTSS) are known to experience impairments in sexual satisfaction. However, the negative effects of PTSS are not limited to the primary survivors, as they can lead to secondary PTSS in their spouses as well. The implications of secondary PTSS in the sexuality of couples remain unknown. This study aimed to investigate whether specific symptom clusters of PTSS (i.e., intrusions, hyperarousal, and avoidance) are implicated in the sexual satisfaction of couples. We assessed a sample of primarily exposed Israeli veterans from the Yom Kippur War and their wives who had been secondarily exposed (N = 191). The dyadic data were analyzed in an Actor-Partner Independence Model. When scrutinizing specific PTSS clusters, the husbands' avoidance related to their own sexual satisfaction. The wives' hyperarousal related to their own and their spouses' sexual satisfaction, whereas their intrusions were associated only with their husbands' sexual satisfaction. In conclusion, PTSS in one spouse is related to both spouses' sexual satisfaction; it is therefore recommended that clinicians adopt a dyadic approach when delivering interventions.


Assuntos
Orgasmo/fisiologia , Parceiros Sexuais/psicologia , Cônjuges/psicologia , Transtornos de Estresse Pós-Traumáticos/psicologia , Estudos de Coortes , Estudos Transversais , Feminino , Humanos , Estudos Longitudinais , Masculino , Pessoa de Meia-Idade
16.
Support Care Cancer ; 28(12): 5813-5819, 2020 Dec.
Artigo em Inglês | MEDLINE | ID: mdl-32236767

RESUMO

PURPOSE: The majority of cervical cancer survivors face persisting sexual debilitating problems over time. The impairment in sexual function and satisfaction are not limited to physical dimensions. The goals of this study were to assess if marital adjustment and body image mediated the relationship between attachment style, sexual functioning, and sexual satisfaction. METHODS: This study used a cross-sectional design. The sample included 113 sexually active women that completed the EORTC QLQ C30 and EORTC QLQ CX24, the Index of Sexual Satisfaction, the Experiences in Close Relationships Scale, and the Revised Dyadic Adjustment Scale. RESULTS: Using structural equation modeling to describe the relationship between variables, an excellent fitted model was found: X2(5) = 6.309 (p = 0.277); X2/df = 1262; GFI = 0.982; CFI = 0.986; SRMR = 0.0475; RMSEA = 0.048; P (RMSEA< 0.05) = 0.429. Sexual/vaginal functioning and avoidance had a direct effect on sexual satisfaction. Marital adjustment was a partial mediator in the relation between avoidance and sexual satisfaction. Avoidance and anxious attachment had an indirect effect on sexual satisfaction mediated by marital adjustment. Body image was a partial mediator in the relationship between marital adjustment and sexual satisfaction. CONCLUSIONS: The results showed that vaginal/sexual functioning, attachment style, marital adjustment, and body image were important predictors of sexual satisfaction. Psychoeducational programs to help patients deal with the impairment of sexual/vaginal functioning, as well as emotional support programs for couples to strengthen their marital relationship, need to be implemented, i.e., the couple's intimacy and women's body image, that have a clear impact on sexual satisfaction.


Assuntos
Imagem Corporal/psicologia , Sobreviventes de Câncer/psicologia , Orgasmo/fisiologia , Disfunções Sexuais Fisiológicas/psicologia , Neoplasias do Colo do Útero/psicologia , Adulto , Idoso , Estudos Transversais , Feminino , Humanos , Casamento/psicologia , Pessoa de Meia-Idade , Comportamento Sexual/psicologia , Parceiros Sexuais/psicologia , Inquéritos e Questionários , Adulto Jovem
17.
Psychooncology ; 29(7): 1095-1104, 2020 07.
Artigo em Inglês | MEDLINE | ID: mdl-32281129

RESUMO

OBJECTIVE: Despite the impact that diagnosis and treatment can have on patients' sexual health, very little research has been conducted on the impact of colon cancer on sexual health. The aim of this systematic review was to assess the prevalence of sexual dysfunctions in colon cancer and describe the sociodemographic, clinical, and psychological correlates of sexual dysfunction. METHODS: Four electronic databases (PsycINFO, PubMed, AcademicSearchPremier, Cochrane Library) were searched for studies reporting sexual adjustment outcomes for colorectal cancer patients from January 1990 to July 2019. RESULTS: Of the 380 articles screened, 14 were included in this review. Sexual function is affected by colon cancer: patients' sexual satisfaction decreases significantly, as does the frequency of sexual intercourse. There is an increase in sexual problems (desire, excitement, or pleasure disorders). Male gender, advanced age, distress, and the comorbidities increase sexual disorders. In addition, it appears that partner distress negatively affects patients' sexual health. Taking such difficulties into account appears key for these patients and their partners. They could benefit from better care throughout treatment and in remission. CONCLUSION: The results of this systematic review highlight the importance of taking an interest in the sexual health of patients with colon cancer.


Assuntos
Neoplasias do Colo/complicações , Satisfação Pessoal , Comportamento Sexual/psicologia , Disfunções Sexuais Fisiológicas/psicologia , Disfunções Sexuais Psicogênicas/psicologia , Saúde Sexual/estatística & dados numéricos , Adulto , Neoplasias do Colo/psicologia , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Orgasmo/fisiologia , Parceiros Sexuais/psicologia
18.
Urologiia ; (1): 51-58, 2020 Mar.
Artigo em Russo | MEDLINE | ID: mdl-32191002

RESUMO

AIM: to study the frequency and type of sexual disorders in patients with chronic prostatitis (CP) and to evaluate the efficiency of Vitaprost and the biologically active complex NeuroDose in treating sexual dysfunctions. MATERIALS AND METHODS: The study was conducted in 2015-2019 and consisted of two stages. STUDY DESIGN: At the first stage, the frequency and type of sexual disorders were evaluated in 422 patients with CP. Standard methods for examining patients with CP included Loran-Segal questionnaire of male copulative function (MCF), International Index of Erectile Function (IIEF-5), ICEF-5, criteria of premature ejaculation, Treatment Satisfaction Visual Analogue Scale of orgasm quality and Hospital Anxiety and Depression Scale (HADS). Patients received standard 6-week complex therapy for CP. After that, at the second stage, 244 patients with sexual dysfunction (premature ejaculation, decreased intensity of orgasm) received Vitaprost and the NeuroDose biocomplex for 2 months. RESULTS: Sexual disorders were detected in 77% of patients with CP. The main disorders were premature ejaculation (60.9%) and decreased intensity of orgasm (43.8%), which often occurred simultaneously. Two-month therapy of sexual dysfunction with Vitaprost and NeuroDose was effective in 94.3% of patients. Good results were observed in 80.3% of cases, while satisfactory results were obtained in 14% of patients. According to MCF, total copulative function increased by 46%, the duration of sexual intercourse increased from 1.1+/-0.4 min to 4.1+/-0.4 min (p<0.001) with an absence of premature ejaculation in 81.6% of patients, the intensity of orgasm increased from 3.8+/-0.4 to 8.0+/-0.5 (p<0.001) points, and the number of patients with neuropsychiatric symptoms associated mainly with sexual dysfunction decreased by 69.3%. CONCLUSION: Premature ejaculation and decreased intensity of orgasm are the most common sexual disorders in CP, and the combination of Vitaprost and dietary supplements NeuroDose is highly effective for their treatment.


Assuntos
Disfunção Erétil , Ejaculação Precoce , Prostatite , Doença Crônica , Ejaculação , Humanos , Masculino , Orgasmo , Inquéritos e Questionários
19.
Ethiop J Health Sci ; 30(2): 169-178, 2020 Mar.
Artigo em Inglês | MEDLINE | ID: mdl-32165806

RESUMO

Background: Sexual satisfaction is an essential component of overall health related quality of life. However, the epidemiology of sexual satisfaction among Ethiopian women is largely unknown. Hence, the present study was undertaken to investigate the sexual satisfaction and its associated factors among married women. Methods: Community-based cross-sectional study with mixed approach was conducted from March 1 to April 30, 2019 in Kewot District, Northern Ethiopia on a sample of 397 married women. Quantitative data was collected on a face-to-face interview using a pre-tested questionnaire while qualitative data was collected using in-depth interviews. The new sexual satisfaction scale was used to assess sexual satisfaction of the women. Descriptive statistics and ordinal logistic regression analysis were performed using SPSS version 23. Results: The findings showed that half of the participants (50.4%) expressed moderate sexual satisfaction, and only 39% of the participants reported greatest sexual satisfaction. Poor partner communication (AOR = 0.30, 95% CI; 0.11-0.79], poor sexual self-esteem (AOR = 0.17, 95% CI; 0.08 - 0.36), absence of social responsibility (AOR = 6.52, 95% CI; 3.32 - 12.80), poor sexual function (AOR = 0.36, 95% CI; 0.21 - 0.61), no previous information about sexuality (AOR = 0.06, 95% CI; 0.00 - 0.62) and perception of sexual talk as taboo (AOR = 7.15, 95% CI; 3.86 - 13.26) were significantly associated with sexual satisfaction. Conclusion: Several factors could affect sexual satisfaction of married women. Therefore, development of educational programs, pre-marriage counseling and continuous education should be conducted.


Assuntos
Casamento/psicologia , Satisfação Pessoal , Comportamento Sexual/psicologia , Parceiros Sexuais/psicologia , Mulheres/psicologia , Adolescente , Adulto , Estudos Transversais , Etiópia , Feminino , Humanos , Entrevistas como Assunto , Orgasmo , Qualidade de Vida/psicologia , Inquéritos e Questionários , Adulto Jovem
20.
Curr Opin Urol ; 30(3): 309-316, 2020 05.
Artigo em Inglês | MEDLINE | ID: mdl-32205812

RESUMO

PURPOSE OF REVIEW: Recently in October 2019 a Global Consensus Position on the use of Testosterone Therapy for Women was published. The use of testosterone and other agents for female sexual dysfunction (FSD) is an important topic for the urologist focusing on sexual health. This review describes the known causes for FSD, and discusses the role of androgens in this disorder, the evidence for using testosterone treatment, and other current and emerging therapies. RECENT FINDINGS: A recent meta-analysis, published in The Lancet Diabetes & Endocrinology evaluated a total of 36 randomized control trials spanning 1990-2018 and includes a total of 8480 patients. The primary findings were that testosterone therapy (TTh) increased sexual function including satisfactory sexual event frequency, sexual desire, pleasure, arousal, orgasm, responsiveness, and self-image when compared with either a placebo or drug-control (e.g., estrogen ±â€Šprogestogen). In addition, TTh reduced sexual concerns and distress in postmenopausal women. Side effects included an increase in weight, acne, and hair growth, but there was no increase in serious adverse events. Importantly, TTh duration was greater than 12 weeks in all randomized control trials included in this meta-analysis. SUMMARY: TTh is effective to treat FSD in postmenopausal women. More data is required to evaluate the long-term safety data on the effects of TTh on cardiovascular health, breast health, cognitive function, and the musculoskeletal system in women.


Assuntos
Androgênios , Terapia de Reposição Hormonal/métodos , Disfunções Sexuais Fisiológicas/tratamento farmacológico , Disfunções Sexuais Psicogênicas/tratamento farmacológico , Testosterona/uso terapêutico , Androgênios/efeitos adversos , Androgênios/uso terapêutico , Nível de Alerta/efeitos dos fármacos , Feminino , Humanos , Libido/efeitos dos fármacos , Orgasmo/efeitos dos fármacos , Testosterona/efeitos adversos
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