[Disorders in sexual function following hysterectomy]. / Razstroistva v seksualnata funktsiia sled khisterektomiia.

The authors aims to examine the sexual function among patients prior to hysterectomy. Four groups were examined: group one--total hysterectomy with bilateral adnexectomy; group two--total hysterectomy without adnexectomy; group three--supracervical hysterectomy with bilateral adnexectomy and group four--supracervical hysterectomy without adnexectomy. A questionnaire aimed at Learning the sexual function and psychologic state of the patients and more importantly the effects of the hysterectomy on then was passed out. From the completed questionnaires we found that the most affected group was the one of total hysterectomy with bilateral adnexectomy. In all respects sexual function is disturbed in this group. Least affected are patients in groups three and four. In some of them we even found a slight increase in sexual function, which is regarded compensatory for eliminating the infertility complex arising from surgery of the most important female organs.

[Social psychological studies of pregnant adolescents]. / Sotsialno-psikhologichni izsledvaniia pri adolestsentni bremenni.

Extramarital pregnancies among adolescent girl is not only an obstetrical, but also a socio-psychological problem. By use of special methods (questionnaires, a scala for gravity of psycho-social stress. Eysenck's [correction of Isenk's] test and self score diagnostic test), 63 adolescent pregnant girls were studied aged 13-16, of which 33 delivered and 30 terminated their pregnancies at will. Almost half of the girls were gypsies with little or no education and relatively healthy live style. In 70% of the cases family climate was saturated with conflicts. 48% of the pregnant girls accepted their pregnancy calmly, in 79% of the cases it was decided, 87% of the girls expected to marry the father of their children, and in 30% the children were left for adoption. 33% of the patient were victims of rape and had negative relationship towards their pregnancy. In 41% the pregnant women exhibited introversion and in 38%--extroversion and in those who delivered the ratio was almost the same In this same group moderate to intense stress was almost the rule, while among those who terminate their pregnancies light stress was observed. Neurotic tendencies among those who delivered was also observed, likely due to the reaction towards the process of difficult adaptation to the fact of the extramarital delivery. In the studied group we didn't observe extreme cases of social disadaptation reached crises of the pregnancy, abortion or delivery