[Impact of pre-hysterectomy counseling on depression among patients reffered toTUMS hospitals]

Hysterectomy is the second most common major surgery among women of reproductive age. Studies have suggested that women do not usually receive adequate information regarding hysterectomy before the surgery. Depression is a common psychiatric condition diagnosed after hysterectomy. The aim of this study was to assess the impact of pre-hysterectomy counseling on depression among women. In this clinical trial, 100 women who had undergone hysterectomy for non-malignant conditionswere selected from two hospitals [women's' hospital and Imam Khomeini hospital] and completed the informed consent forms. Participants were randomly divided into two intervention and control groups. In the intervention group, we implemented the supportive counseling within two sessions. Depression was assessed 1-2 weeks before the surgery and two monthsafter the surgery. Data were gathered using the 30-item SAMA questionnaire [modified BECK questionnaire in Iran] for depression and a demographic questionnaire. The two groups were assessed using the Wilcoxon rank-sum test, Mann Whitney U test and paired-t test. Data were analyzed in the SPSS-14.0. The p-value less than 0.05 was considered significant forall tests. Mann Whitney U test showed no significant difference between the control and intervention groups in the mean score of depression [p<0.001]. In the intervention group, the mean score of depression was 44.46 +/- 6.7 at baseline and 20.86 +/- 5.9 after the intervention. Pre-hysterectomy counseling should be provided for women in order to reduce negative psychological consequences

[Comparison of sexual function between nulliparous with multiparous pregnant women]

Pregnancy can conflict with sexual function that can be affected by physical and psychological changes during pregnancy. The aim of this study was to compare sexual functions between nulliparous and multiparous pregnant women referred to health centers in Eastern district of Guilan. This cross-sectional study was carried out in Guilan during 2009-2010. We used convenient sampling method to select 554 pregnant women. Data were gathered using a questionnaire including demographic characteristics, sexual function and fear of harm to fetus. The SPSS-16 was used to analyze the data by the Mann-Whitney U and Generalized linear models. The level of significance was set at 5%. There was no significant difference between nulliparous and multiparous pregnant women regarding sexual function in the first and second trimesters of pregnancy [P=0.353, P=0.251]. There were significant differences between nulliparous and multiparous pregnant women regarding sexual desire [P=0.002], arousal [P=0.01], orgasm [P=0.01], pain [P=0.02] and sexual function total score [P=0.016]. There was significant difference between nulliparous and multiparous pregnant women regarding sexual function [P=0.008]. Sexual counseling and rehabilitation programs should be compiled as part of the comprehensive care of prenatal care especially for multiparous pregnant women

[Effect of pelvic muscle exercise on sexual satisfaction among primiparous women]

Most of the psychological turmoil of marital conflicts is related to sexual dissatisfaction. Sexual satisfaction is influenced by physical and mental illnesses. Pelvic floor muscle relaxation is a major health problem in which prolapsed pelvic floor muscles causes paralysis, pelvic organs' prolpases, pelvic organs' dysfunction, dyspareunia, and back pain. The aim of this study was to assess the effect of pelvic floor muscle exercise on sexual satisfaction in primiparous women. This clinical trial was conducted among 100 primiparous women selected through cluster randomized sampling from five clinics of Tehran University of Medical Sciences. Samples were randomly divided into two equal groups. The intervention group received pelvic floor exercises [Kegel] for 16 weeks. The control group did not receive any intervention. Data were collected using the Linda Berg questionnaire before the intervention and 16 weeks after the intervention in both groups. Data were analyzed using descriptive statistics and chi-square, t-test in the SPSS v.18. After 16 weeks, significant differences were reported in the levels of sexual satisfaction in the intervention and control groups [P<0.001]. The Kegel exercises are easy and non-expensive methods that should be offered by health professionals to increase sexual satisfaction in women after childbirth