Asociación entre el inicio de la vida sexual y las lesiones intraepiteliales / Association between age at onset of active sexual life and intraepithelial lesion

Introducción: El cáncer cervicouterino inicia con una lesión precancerosa llamada displasia, pudiendo ser de bajo grado o alto grado; uno de los factores más importantes en este sentido es la edad de inicio de la vida sexual activa (IVSA). Objetivo: Conocer si existe asociación entre la edad de inicio de la vida sexual activa y la lesión intraepitelial escamosa de alto grado (LIEAG). Material y métodos: Estudio descriptivo, retrospectivo, observacional, en 52 expedientes de mujeres de 15 a 60 años, con Papanicolaou en el HGZ MF No. 1, previa autorización del CLIS 301 y el CEI 3018, con folio R-2022-301-021. Se recolectaron los datos de expedientes que cumplieron los criterios de inclusión; se realizó un análisis estadístico con frecuencias, porcentajes para variables cualitativas nominales, con medidas de tendencia central y dispersión en variables cuantitativas, con determinación de chi2 y prueba de Kruskal-Wallis, respetándose los principios de Belmont en consideración a la Justicia y Beneficencia, los principios éticos de la Declaración de Helsinki 1964 y la Ley General de Salud en México. Resultado: Al evaluar 52 expedientes de pacientes, la edad fue de 37.81 ± 9.949 años; se encontró asociación entre el IVSA y la LIEAG, sin significación estadística, de acuerdo con la prueba de chi2, con un valor de p = 0.538 (IC 95%: 0.403-0.674), y una asociación significativa por la prueba de Kruskal-Wallis entre la LIEAG y la edad de la paciente, con un valor de p = 0.019 (IC 95%: 0.000-0.057). Conclusión: El IVSA no se correlaciona con el tipo de LIEAG.

Introduction: Cervical cancer begins with a precancerous lesion called dysplasia, which can be low grade or high grade. One of the most important factors is the age at which an active sexual life begins. Objective: To know if there is an association between the age of beginning of active sexual life (BASL) and high-grade squamous intraepithelial lesions (HGSIEL). Material and methods: Descriptive, retrospective, observational study, in 52 files of women aged 15 to 60 years with Pap smear at HGZ MF No. 1, prior authorization from CLIS 301 and CEI 3018 with folio R-2022-301-021. Data were collected from files that met the inclusion criteria, a statistical analysis was carried out with frequencies, percentages for nominal qualitative variables, with measures of central tendency and dispersion in quantitative variables, with determination of chi2 and Kruskal-Wallis, respecting the principles of Belmont in consideration of Justice and Beneficence, the ethical principles of the Declaration of Helsinki 1964, the General Health Law in México. Result: When evaluating 52 patient records, the age was 37.81 ± 9.949 years, the association of BASL and HGSIEL was found without statistical significance according to the chi2 with a p = 0.538 (95% CI, 0.403-0.674) and a significant association by Kruskal-Wallis between HGSIEL and patient age, with p = 0.019 (95% CI, 0.000-0.057). Conclusion: The beginning of an active sexual life has no association with the type of high-grade squamous intraepithelial lesions.

Sexuality and fertility desire in a large cohort of individuals with 46, XY differences in sex development

Abstract Objective: To analyze aspects of sexual life and fertility desire among 46, XY DSD people, including those who changed their gender. Methods: It is a cross-sectional study including 127 adults (> 16 years of age) with 46, XY DSD (83 females; 44 males) from a Single Brazilian Tertiary-Care Medical Center. Results: Sexual fantasies and masturbation were more frequent in 46, XY DSD males, whereas orgasm and sexual life satisfaction were similar in both genders. More 46, XY DSD men than women had a long-term romantic relationship. 46, XY DSD women with prenatal androgen exposure reported more fear of being romantically rejected. External genitalia appearance at birth did not impact the sexuality of 46, XY DSD women after surgical genital treatment had been completed. Overall, the sexual life was similar between 46, XY men assigned as males and those who changed to the male gender. Regarding sexual orientation, most self-reported as heterosexual (91% and 92% of women and men, respectively). The desire for fertility had a similar prevalence in both genders, but more women than men considered infertility a barrier to a long-term romantic relationship. Twelve individuals (7 males) had children; 10 out of 12 have adopted children. Conclusion: Fertility desire was shared among 46, XY DSD people, regardless of gender. Prenatal androgen exposure reduced the desire for motherhood in 46, XY women. 46, XY DSD people who changed from female to male gender presented similar sexual parameters as those assigned as males. Among females, virilized genitalia at birth did not affect sexuality once the surgical treatment is completed.

Adaptação transcultural e validade do Questionnaire on Sexual Quality of Life - Female (SQoL-F) para o Brasil / Cross-cultural adaptation and validity of the Questionnaire on Sexual Quality of Life - Female (SQoL-F) in Brazil

RESUMO Objetivo A qualidade de vida sexual abarca a satisfação sexual e com a parceria, a expressão de desejos e valores sexuais, a boa imagem corporal, além de questões de ordem física, comportamentais, psicológicas e emocionais que afetam a sexualidade. Não há instrumentos confiáveis e válidos para avaliar a qualidade de vida sexual das mulheres brasileiras, portanto este estudo buscou traduzir o Questionnaire on Sexual Quality of Life - Female (SQoL-F) e apresentar evidências de validade do instrumento no contexto brasileiro. Métodos Foram realizados tradução, avaliação da validade de conteúdo, teste da versão pré-final e análise fatorial exploratória do instrumento. Resultados Identificou-se a presença de um único fator que explicou 49% da variância, condizente com o proposto no questionário original. Esse modelo unifatorial apresentou cargas fatoriais adequadas (entre 0,36 e 0,85). Conclusão O questionário apresentou boa consistência interna e foram apresentadas evidências de validade satisfatórias para o uso com mulheres brasileiras.

ABSTRACT Objective The quality of sexual life encompasses sexual satisfaction and with partnership, the expression of sexual desires and values, good body image, in addition to physical, behavioral, psychological and emotional issues that affect sexuality. There are no reliable and valid instruments to assess the quality of sexual life of Brazilian women, so this study sought to translate the Questionnaire on Sexual Quality of Life - Female (SQoL-F) and present evidence of validity of the instrument in the Brazilian context. Methods The translation, content validity evaluation, pre-final version test and exploratory factor analysis were performed. Results The presence of a single factor was identified that explained 49% of the variance, consistent with what was proposed in the original questionnaire. This one-factor model presented adequate factor loadings (between 0.36 and 0.85). Conclusion The questionnaire had good internal consistency and presented satisfactory evidence of validity for use with Brazilian women.

Qualidade de vida sexual de mulheres no pós-tratamento radioterápico de câncer de colo uterino / Sexual quality of life of women after cervical cancer radiotherapy

A qualidade de vida sexual é frequentemente afetada após tratamento oncológico em ginecologia. Reportamos a qualidade de vida sexual de pacientes em seguimento no serviço de Oncologia Ginecológica da Universidade Federal do Triângulo Mineiro, por meio da aplicação do questionário validado FSFI (Female Sexual Function Index), comparando pacientes diagnosticadas com câncer de colo uterino que receberam tratamento radioterápico com aquelas que foram submetidas a tratamento para câncer de colo uterino no qual não foi necessária a realização de radioterapia. Foi realizada análise estatística utilizando os testes D'Agostino-Pearson e o teste não paramétrico Mann-Whitney. Concluiu-se que a diminuição do desejo e da excitação foi mais frequente nas mulheres tratadas com radioterapia e que não houve diferença significativa entre as pacientes a respeito de lubrificação, orgasmo, satisfação e dispareunia.(AU)

Quality of sexual life is often affected after oncological treatment in gynecology. We report the quality of sexual life of patients in a follow-up at the Gynecological Oncology service of the Federal University of Triângulo Mineiro, through the application of a questionnaire validated in the Portuguese language. The purpose of this study was to compare cervical cancer patients diagnosed who received radiotherapy with those who have been submitted to treatment for cervical cancer in which it was not necessary to perform radiotherapy. Decreased desire and arousal were more frequent in women treated with radiotherapy. Statistical analysis was performed using the D'Agostino-Pearson tests and the non-parametric Mann-Whitney test. It was concluded that decreased desire and arousal were more frequent in women treated with radiotherapy, and that there was no significant difference between patients regarding lubrication, orgasm, satisfaction and dyspareunia.(AU)

Conducta sexual y reproductiva durante la adolescencia de los estudiantes de la Universidad Mayor de San Simón / Sexual and reproductive behavior during adolescence of students of the San Simon University

OBJETIVOS: analizar los factores relacionados con la conducta sexual de riesgo, durante la adolescencia de los estudiantes de la Universidad Mayor de San Simón, gestión 2018. MÉTODOS: estudio retrospectivo, de cohorte, el muestreó fue no probabilístico con criterios de inclusión y exclusión. Se aplicó una encuesta auto administrada en cuatro sitios diferentes de la universidad. El análisis de los datos se realizó con el programa Epi-info v.7.2, empleando análisis uni y bivariado, como medidas de asociación OR, chi2 con un valor de p significante menor o igual a 0,05. RESULTADOS: la proporción de participantes que iniciaron su vida sexual activa durante la adolescencia fue del 50%, de estos el 31% no utiliza ningún método anticonceptivo y el 69% si utiliza algún método de anticoncepción, de los cuales el 46% prefiere utilizar el preservativo masculino o la píldora del día siguiente. Se encontró una relación significativa del inicio de vida sexual precoz (antes de los 16 años) con las variables: ser varón, provenir de una familia disfuncional, poco acceso a fuentes de información sobre sexualidad, consumo de sustancias psicoactivas antes de la relación sexual y el haber tenido una pareja sexual informal o casual. CONCLUSIÓN: una conducta sexual adecuada en el adolescente depende en gran medida de un entorno familiar funcional y del acceso adecuado a información sobre sexualidad y reproducción. La prevención de embarazos no deseados y de infecciones de transmisión sexual en adolescentes debe centrarse también en el entorno familiar y de la sociedad del adolescente.(AU)

OBJECTIVES: to analyze factors related to sexual risk behavior during the adolescence of students at the San Simón University, management 2018. METHODS: retrospective cohort study, sampling was non-probability with inclusion and exclusion criteria. A self-administered survey wasapplied in 4 different sites of the university. The analysis of the data was carried out with the program Epi-info v.7.2, using uni and bivariate analysis, as association measures OR, chi2 with a significant p value less than or equal to 0.05. RESULTS: the proportion of participants who began their active sexual life during adolescence was 50%, of whom 31% do not use any contraceptive method and 69% if they use any method of contraception, of whom 46% prefer to use the male condom or the morning-after pill. A significant relationship of early sexual debut (before age 16) was found with the variables: being male, coming from a dysfunctional family, little access to sources of information about sexuality, consumption of psychoactive substances before sexual intercourse, and having had an informal or casual sexual partner. CONCLUSIONS: adequate sexual behavior in the adolescent depends to a large extent on a functional family environment and adequate access to information on sexuality and reproduction. The prevention of unwanted pregnancies and sexually transmitted infections in adolescents must also focus on the adolescent's family environment and society.(AU)

Necessity and methods of sexual education in the elderly population

Major improvements in health care have allowed people in the modern era to lead longer, healthier, and more active lives. The current generation of over-60s are more active than previous generations at the same age. In South Korea, the elderly population (65 years of age or older) has grown to more than 14% of the general population, meaning that we are already in the era of an ‘aged society’ and are transitioning into a super-aged society. Therefore, health issues in the elderly population cannot be ignored, and should be adequately addressed as soon as possible. Sexual health has become an important issue in the elderly that cannot be neglected, according to studies on sexual attitudes and behavior in older adults. As the quality of health improves in the elderly population, requests for proper sexual education and sexual health-related services have become more common. This pattern of increased sexual activity, partially driven by pharmacological advances in the treatment of sexual dysfunction and hormonal replacement products, has also led to increases in drug use and sexually transmitted infections (STIs). Responses to sexual health and education issues for the elderly currently remain ill-structured, as the significance of these issues is often ignored, largely due to incorrect assumptions about sexuality and sexual health among the elderly. Stronger requirements should be implemented for properly structured education and management systems regarding awareness, risk perception, and preventive strategies for safe sex among the elderly population in Korea.

Analysis of quality of life and sexual quality of life in cervical cancer patients undergoing radiotherapy / 中华放射肿瘤学杂志

Objective To investigate the quality of life, sexual quality of life and its influencing factors in cervical cancer patients undergoing radiotherapy. Methods Pre-menopausal patients of 87 cases were diagnosed with cervical cancer treated with radiotherapy at Peking Union Medical College Hospital from December 2013 to December 2018 were recruited in this study. The functional assessment of cancer therapy-cervix ( FACT-Cx V4. 0) and the female sexual function index ( FSFI) were evaluated. Demographic and treatment data were collected. The influencing factors were analyzed by multiple linear regression analysis. Results The total score of quality of life was 114( 100-126) , 19( 16-21) for physiology, 21( 18-24) for social/family, 19( 17-21 ) for emotion, 19 ( 14-22 ) for function and 39 ( 34-43 ) for additional attention, respectively. The end time of radiotherapy was the influencing factor of the total score ( P= 0.034 ) , physiology ( P=0) and function ( P=0.008) . Family was the influencing factor of social family dimension ( P=0.010) . The total score of FSFI was 8.0( 5.0-20.5) , 1.8( 1.2-3.0) for sexual desire, 1.5( 0-2.7) for sexual arousal, 0.3( 0-3.6) for vaginal lubrication, 0( 0-3.6) for orgasm, 3.2( 2-4) for satisfaction and 0( 0-3.6) for sexual pain, respectively. The total score was less than 27 in 97%( 84/87) of the patients and had sexual dysfunction. Age was the influencing factor of sexual arousal ( P=0.005) and vaginal lubrication ( P=0.039) . Occupation was the influencing factor of sexual pain ( P=0.004) . Conclusions The quality of life of premenopausal patients with cervical cancer is affected by multiple factors. Radiotherapy-related complications should be actively treated to improve the quality of life and sexual life of patients.

Factors Affecting Body Image and Sexual Life for the Colorectal Cancer Patients with Stoma

PURPOSE: The purpose of this study was to describe factors affecting body image and sexual life for colorectal cancer patients with stoma. METHODS: A cross-sectional descriptive correlational study was applied to 102 ostomates from June to November in 2015 using self-report questionnaires: the Body image scale (BIS), and the Derogatis interview for sexual functioning self report (DISF-SR). RESULTS: The influencing factors for body image were ‘need for preoperative sexual education and sexual counseling’ (β=−.29, p=.003), and clinical stage II of colorectal cancer (β=−.26, p=.006). The influencing factor for sexual life was educational level (college education or higher) (β=.21, p=.02). CONCLUSION: The results of this study showed that colorectal cancer patients with stoma had a negative body image. The sexual counseling and education for ostomates should be approached by considering gender characteristics.

Impact of different breast cancer surgery combined with intensity modulated radiation therapy on the living quality and sexual life of female patients / 局解手术学杂志

Objective To explore the impact of breast conservation surgery and modified radical mastectomy combined with intensity modulated radiation therapy respectively on the living quality and sexual life for patients with early-stage breast cancer.Methods From January 2011 to December 2016, 89 patients with breast cancer were admitted and divided into two groups according to different surgical methods.Patients in the conservation group (n=24) received breast conservation surgery combined with intensity modulated radiation therapy, while patients in the modified radical group (n=65) received breast radical surgery combined with intensity modulated radiation therapy.The quality of life and sexual satisfaction of patients were measured by questionnaire investigation.And the data were calculated by SPSS 16.0.Results Different surgical methods combined with radiotherapy affectted the score of living quality a lot.The average score was (87.500±7.940) points in the conservation group, while it was (65.350±8.490) points in the modified radical group, the difference was statistically significant (P<0.01).At the same time,the degree of self acceptance and sexual satisfaction in the conservation group after surgery was better than that in the modified radical group,and the difference was statistically significant (P<0.01).Conclusion Breast conservation surgery combined with intensity modulated radiation therapy for breast cancer patients could receive better quality of life and sexual satisfaction compared with modified radical mastectomy combined with intensity modulated radiation therapy.

Advances in effect of total hip arthroplasty on sexual life of patients / 第二军医大学学报

Patients with hip osteoarthritis or other hip joint diseases suffer from pain, limited joint function and psychological disorder, which are responsible for difficulties in sexual life. Total hip arthroplasty can effectively relieve the pain of hip joint and improve the range of joint motion, thus improving the frequency and performance of sexual life of patients. Good quality of sexual life is related to the postoperative satisfaction of patients. However, patients can hardly get the correct guidance on this. After total hip arthroplasty, male patients are earlier to recover sexual life than female patients. The time of the most patients to recover sexual life is 1-3 months after surgery, and the safe position of sexual life is stand position. Sugerons should make positive and correct guidance for patients and their sexual partners about safe resumption of sexual life after total hip arthroplasty.

Influence of Dyslipidemia on the Quality of Sexual Life in Women in the Menacme using a Combined Oral Contraceptive / Influência da dislipidemia na qualidade de vida sexual de mulheres na menacme usando contraceptivos orais combinados

ABSTRACT Purpose: Female sexual dysfunction is a complex and common condition that affects women, and the relationship between sexual function and dyslipidemia is poorly studied. This study aims to assess this relationship in the reproductive life women in the menacme who use combined oral contraceptives (COCs) . Methods: A total of 49 healthy women who were sexually active received COC pills that contained ethinylestradiol 30 mcg (EE30) plus levonorgestrel 150 mcg (LNG150). The women were divided into two groups according to their lipid profiles. Dyslipidemia was defined as a high-density lipoprotein (HDL) level < 50 mg/dL or a low-density lipoprotein (LDL) level > 130 mg/dL. Sexual function was assessed using the Female Sexual Function Index (FSFI) Questionnaire. Lipid and lipoprotein parameters were obtained at baseline and after the sixth cycle. Results: After six cycles of the COCs, the total cholesterol and LDL cholesterol levels in the women with a LDL level > 130 mg/dL decreased by 14.7% and 22.1% respectively. In the women with a HDL level < 50 mg/dL at baseline, the HDL level increased by 15.5% at the end of the study. The arousal and orgasm domains and the FSFI total scores significantly increased in women with and without dyslipidemia. The desire and satisfaction domains increased only in the group without dyslipidemia at the end of the treatment period. Conclusions: The EE30/LNG150 formulation increased the sexual function and it was only positively correlated with the HDL cholesterol level. These data indicated a low correlation between sexual function and the changes in the lipid and lipoprotein metabolism.

RESUMO Objetivo: Disfunção sexual feminina é uma condição complexa acomete as mulheres, e a relação entre a função sexual e a dislipidemia é muito pouco estudada. Este estudo objetivou avaliar esta relação em mulheres na menacme que fazem uso de contraceptivos orais combinados (COCs). Métodos: Um total de 49 mulheres saudáveis com vida sexual ativa receberam pílulas anticoncepcionais contendo etinilestradiol 30 mcg (EE30) associado a levonorgestrel 150 mcg (LNG150). As mulheres foram divididas em dois grupos, de acordo com o perfil lipídico. Dislipidemia foi definida como nível de lipoproteína de alta densidade (HDL) < 50 mg/dL, ou nível de lipoproteína de baixa densidade (LDL) > 130 mg/dL. A função sexual feminina foi avaliada utilizando o questionário de Índice de Função Sexual Feminina (IFSF). O IFSF e os parâmetros lipídicos e lipoproteicos foram obtidos no início e após o sexto ciclo do estudo. Resultados: Após seis ciclos de uso dos COCs, as mulheres com LDL > 130 mg/dL, tiveram redução dos níveis de colesterol total e colesterol LDL de 14,7% e 22,1% respectivamente. Nas mulheres com níveis HDL < 50 mg/dL no momento basal, o nível de HDL aumentou 15,5% ao final do estudo. Os domínios de excitação, orgasmo e os escores totais do IFSF aumentaram significativamente nas mulheres com e sem dislipidemia. Os domínios de desejo e satisfação aumentaram no final do período de tratamento exclusivamente no grupo sem dislipidemia. Conclusões: A formulação EE30/LNG150 aumentou a função sexual das mulheres, sendo positivamente correlata somente com os níveis de colesterol HDL. Estes achados demonstram baixa correlação entre a função sexual e as alterações no metabolismo lipídico e lipoproteico.

Effect of tumor necrosis factor alpha antagonists on sexual life of male patients with ankylosing spondylitis / 中华风湿病学杂志

Objective To investigate the effect of tunor necrosis factor alpha (TNF-α) antagonist treatment and traditional disease-modifying antirheumatic drugs treatment on the quality of life of male patients with ankylosing spondylitis (AS).Methods In 42 patients with AS open-label study,patients were grouped after consent,and divided into the TNF-α antagonist treatment group and the non-TNF-α antagonist treatment group.All patients were treated for 4 months.The clinical and laboratory indexes and quality of life changes were analyzed before and after the treatment.T test,Pearson's correlation analysis were used for statistical analysis with software version 13.0.Results There were no significant differences in age,disease course,disease activity and the quality of life between the two groups before treatment.Disease activity and the quality of life of the two groups after treatment were improved compared with that of before treatment.After treatment,the Bath ankylosing spondylitis disease activity index (BASDAI) score [(1.9±1.6) scores,(3.0±1.3) scores,t=-2.429,P=0.020],erythrocyte sedimentation rate (ESR) [(9±6) mm/1 h,(18±17) mm/1 h,t=-2.286,P=0.031] and C reactive protein(CRP) levels [(18±21) mg/L,(62±85) mg/L,t=-2.258,P=0.035] of the TNF-α antagonists treatment group decreased significantly than those non-TNF-α antagonist treatment group,while the hemoglobin (Hb) levels [(143±15) g/L,(138±18) g/L,t=2.545,P=0.015] were significantly increased in TNF-α antagonist treatment group.The improvement extent of quality of life was more evident in TNF-α antagonists treatment group,such as,the average score [(72± 15) scores,(55±19) scores,t =3.254,P=0.002].The average degree of improvement in quality of life and BASDAI score,Bath ankylosing spondylitis functional index (BASFI) score were negatively related to the improvement in the TNF-α treatment group (r=-0.497,P=0.018; r=-0.558,P=0.007).Conclusion TNF-α antagonist treatment can not only improve the AS disease activity,but can also improve the quality of sexual life of male patients,which may direct affect on male reproductive system.

Effect of pelvic muscle exercise on quality of sexual life after panhysterectomy surgery / 中国实用护理杂志

Objective To evaluate the effect of pelvic muscle exercise on quality of sexual life after panhysterectomy surgery.Methods A retrospective review was made on 166 patients with integrated follow-up documents,after their panhysterectomy surgery caused by benign diseases.A normal nursing care was provided to the control group (n=81); while an additional pelvic muscle exercise was performed on the normal care basis,to those in the experimental group (n=85).Finally,a questionnaire on sexual life quality was made at the sixth month,ninth month,and twelfth month respectively,using a repeated measure ANOVA to analyze the data of each dimension and the whole score.Results Significant differences revealed both on the whole score and dimensions of the sexual satisfaction,sexual communication,sexual anxiety and sexual reaction,in different time sites.However,no difference was found in sexual attitude and body image.Besides,a cross interaction was found between time and intervention,where intervention presented different effects.Conclusions Pelvic muscle exercise is recommended in gynecological continuing nursing care to facilitate the recovery of sexual life after panhysterectomy surgery.

Quality of Sexual Life in Premenopausal Breast Cancer Patients after Treatment / 中国康复理论与实践

@#Objective To explore the change of sexual life quality and its influencing factors of premenopausal breast cancer patients.Methods 94 premenopausal breast cancer patients were included. Changes in Sexual Functioning Questionnaire short-form (CSFQ-14) was used and part of its items was changed. Their sexual life was evaluated before and after treatment by using depth interview and anonymous methods. Results 94 cases received face-to-face communication and study. 88 (93.6%) questionnaires were received, in which 81 (92.1%) questionnaires were effective. Their sexual life quality and sexual satisfaction significantly decreased and there was significant difference in the CSFQ-14 score (P<0.001) before and after treatment. The ratio of bad, worse, and worst sexual life were 39.5%, 29.6%, and 14.8% respectively after treatment. 65.4% of the patients had no sexual activity. The reasons included medical related factors, fear of cancer metastasis and recurrence, physical discomfort, poorer body image, partner sexual attitudes changed, life stress, common psychological problems, traditional ideas and so on. Conclusion Sexual dysfunction was obvious and sexual life quality significantly decreased in premenopausal breast cancer patients after treatment. Patients' physical and mental damage, the change of body image and spouse's attitude are significant influencing factors. It is necessary to give sexual rehabilitation guidance to patients and their spouses.

Mujer posmenopáusica. ¿Fin de la vida sexual? / Post menopausal woman. End of sexual life?

Introducción: la etapa del climaterio y la menopausia ha sido motivo de menciones históricas, literarias y culturales, a pesar de que en muchas ocasiones es ignorada y hasta subestimada por las mujeres y por muchos profesionales. Objetivos: identificar los cambios en la respuesta sexual después de la menopausia. Material y Métodos: se realizó un estudio descriptivo de corte transversal a 223 mujeres posmenopáusicas, en el consultorio No. 6 del Policlínico «Federico Capdevila¼. En el período comprendido entre septiembre del 2008 y febrero del 2009 fueron seleccionadas las pacientes mediante la revisión de fichas familiares. Se escogieron como criterios de inclusión el consentimiento informado, ser residente del área, no tener trastornos cognitivos ni depresivos. Se aplicó una encuesta, la muestra estuvo constituida por 223 mujeres, de un universo de 263. Resultados: prevalecieron las mujeres posmenopáusicas con prácticas sexuales, en el subgrupo de 65 a 69 años, la edad promedio de la menopausia quedó entre los 50 y 54 años, y lo que más se modificó de la respuesta sexual fue la fase del deseo, siendo esta la principal causa de prácticas sexuales no satisfactorias. Conclusiones: se demuestra que en esta etapa de la vida, la mujer sigue teniendo deseos y relaciones sexuales satisfactorias, y que la solidez y la comunicación con su pareja son vitales para una relación feliz en este período final de la vida.

Introduction: climacteric and menopausal period has been historically, literally and culturally mentioned, and in other cases ignored and even underestimated by women and professionals. Objective: identifying changes in sexual response after menopause. Material and methods: a descriptive transversal cut study was performed on 223 postmenopausal women from Doctor's office 6 belonging to Federico Capdevila Polyclinic. Women were selected after revising their medical records in a period between September 2008 and February 2009. Inclusion criteria comprised informed consent, to live in the health area, and not to have cognitive or depressive disorders. A survey was done to a universe of 263 and only 223 constituted the sample. Results: postmenopausal women having sexual relations prevailed in the 65 to 69 year-old group; average age for menopause period was determined to be between 50 and 54 years old, and what changed the most in the sexual response was the desire phase, which is the main cause of the non satisfactory sexual practices. Conclusions: the results revealed that at this point women still want and have satisfactory sexual relations in which the communication with their partners and firmness of the relationship are vital to have a happy kinship in this final stage of life.

A qualitative research on the sexual life situation of adult males with continuous ambulatory peritoneal dialysis / 中国实用护理杂志

Objective The aim of the study is to explore the sexual life situation of adult males with continuous ambulatory peritoneal dialysis (CAPD).Methods Data of experience about sexual life of 12 male CAPD patients was collected using in-depth interview and were analyzed with category approach.Results Five themes were sublimated:declined sexual desire,decreased self-confidence to get and to maintain an erection,restraint of sexual life,changes in sexual and marriage satisfaction,and urgent desire for sexual knowledge.Conclusions There are varying degrees of sexual dysfunction in adult male CAPD patients.Nurses should pay attention to and supply the education of sexual knowledge.

Investigation of qulity of sexual life and its impact factors in young females patients who have hysterectomy / 肿瘤研究与临床

Objective To investigate sexual life associated with hysterectomy of young women and its related factors.Methods Data from 199 patients with hysterectomy were collected.Statistical analysis was performed between the postoperative recovery condition among them,including daily life and sex life.Results There was significant difference on sexual life quality of the patients by hysterectomy among patient age,occupation,education,postoperative time,disease and complication (P ＜ 0.05).The age of 41-50 years and 51-60 years old patients' quality of life satisfaction was significantly higher than that of age ≤40 years old patients (OR =3.8,95 ％ CI 1.36-10.66; OR =3.6,95 ％ CI 1.24-10.43).The patients of the occupation of service sectors,workers,and patients with free occupation have a decreased satisfactions compared with that of farmer patients (OR =0.46,95 ％ CI 0.12-1.75; OR =0.75,95 ％ CI 0.27-2.12; OR =0.94 95 ％ CI 0.45-1.98).There was a increasing satisfactions in administrative and the intellectuals (OR =1.11,95 ％ CI 0.34-3.62; OR =1.33,95 ％ CI 0.35-5.10).Patients with primary school educations as a reference for comparison,the quality of life of patients with associated college and above degree were increased than patients with primary school (OR =1.15,95 ％ CI 0.43-3.04),and were decreased in the patients of the high and middle school (OR =0.98,95 ％ CI 0.46-2.11; OR =0.63,95 ％ CI 0.26-1.54; OR =0.15,95 ％ CI 0.02-1.27).The quality of life satisfaction of long period patients (7-12 months,13-24 months,24 months after the operation)was significantly higher than that of short period patients with 6 months(OR =1.94,95 ％ CI 0.65-5.83; OR =6.32,95 ％ CI 2.17-18.38; OR =8.47,95 ％ CI 2.92-24.56,P ＜ 0.001).Conclusion The doctors need focus on relative knowledge education of perioperation.It is important to inform patients and their spouses to have the knowledge of female physiology,fully understanding the impact of the extent of surgery on sexual life of patients to enhance the confidence and improve the life quality of patients.

Phenomenological analysis of status quo of sexual life of gynecological cancer patients after surgery and nursing intervention / 中国实用护理杂志

Objective To observe the situation of sexual life of gynecological cancer patients after surgery and explore the pertinent nursing intervention.Methods 400 patients with gynecological cancer and undergoing surgical treatment were selected in our hospital from February 2009 to September 2011.They were divided into the intervention group and the routine group with 200 cases in each group.The sexual psychological change,recovery of sexual life of patients of different types,sex frequency before and after treatment,and satisfaction degree with sexual life after positive nursing intervention were observed using phenomenological analysis.Results The satisfaction degree with sexual life reached 88％ in the intervention group after operation,significantly higher than 52％ in the routine group.Evident psychological changes were seen in patients with younger age,low-level education background,long treatment course and better economic condition.Conclusions Positive nursing intervention and guidance should be given to postoperative gynecological tumor patients in order to help them improve the quality of life and social status.

Efficacy of nursing intervention for improving the quality of sexual life for patients with cervical intraepithelial neoplasia / 中国实用护理杂志

ObjectiveTo discuss effective measures to improve postoperative sexual life quality of patients with cervical intraepithelial neoplasia (CIN).MethodsOne hundred and twenty patients with CIN were randomly assigned to the blue-ribbon club group, the friendship-support group and the control group. The blue-ribbon club patients were regarded as club members and received special education every two months. The friendship-support group patients received education one by one in the hospital setting and the control group patients received the same education as before participated into the trial. Female sexual function index (FSFI)was used to evaluate sexual function before and 6 months after intervention.ResultsExcept sexual pain, the total score of FSFI and the score of sub-domain in the blueribbon club were significantly higher than that in the control group. The total score of FSFI and score of sub-domain were significantly higher than that in the control group. There were no significant differences between both intervention groups.ConclusionsBoth education intervention modes of the blue-ribbon club group and the friendship- support group could effectively improve sexual function for post-operation patients with CIN.

Investigation and analysis in the sexual life quality of females at the reproductive ages after cervix cancer operation / 中国实用护理杂志

Objective To explore the sexual life quality of females at the reproductive ages after cervix cancer operation and supply evidence for establishment of correspondindg nursing measure. Methods We investigated the frequency of sexual life and satisfaction degree of sexual life in 40 females at the reproductive ages after cervix cancer operation by face-to-face investigations using questionnaires before and 4 months after operations. Then the difference of sexual life quality before and after operation were compared and analyzed. Results The frequency of sexual life (P＜0.01,P＜0.05) and satisfaction degree of sexual life (P＜0.01,P＜0.05) were evidently decreased. The sexual life quality was lower than that before operation. Conclusion The sexual life quality could be affected by many factors such as economic conditions, culture background, sexual conceptions and the attitude of their partners.