bluuebunny/crossref_metadata_2025 huggingface dataset:
Extradyadic Behavior: What Does Really Hurt? Italian Telephone and E-Mail Counselling Service
Authors:   Institute of Clinical Sexology, Rome, Italy, Nocito L. , Botta D. ,   Institute of Clinical Sexology, Rome, Italy, Tripodi F. ,   Institute of Clinical Sexology, Rome, Italy, Rossi R. ,   Institute of Clinical Sexology, Rome, Italy
Published: November 2020

Objective: To investigate the concerns and requests reported by users on extra dyadic behavior in an Italian counselling service, to point out the differences, if there are any, between male and female users, to underline what really does hurt and to describe the most frequent extra dyadic behavior given to service’s consultants. Design and Method: The study included selected records of the calls (n = 1873) and of the e-mail (n= 200) received during the 3-year period between 2013 and 2015 focusing on the requests on the extra dyadic behavior. Data were analyzed using descriptive statistics and bivariate analysis. Results: Users who asked for help after an extradyadic behavior were more often female, aged between 26 and 54 years, who had not sought any previous help. The most frequent concerns of female users were fear of not being able to forgive or need to forget, while the majority of male reported disappointment and anger. Furthermore men engaging in extradyadic behaviors, both face-to-face and online, were more numerous than women. Conclusions: The users’ reaction to cheating depends on the causes attributed to this. Telephone and e-mail counselling is an important and effective resource to elicit requests that otherwise might remain hidden; therefore, it can be a useful link between the health-care system and callers.
Is Sexual Subjectivity Necessary for Marital Satisfaction?
Authors:   Department Of Psychology, University Of Zadar, Zadar, Nekic M. , Boskovic A. ,   High School Bol, Bol-Brac, Tucak Junakovic I. ,   Department Of Psychology, University Of Zadar, Zadar
Published: November 2020

Objective: Sexual subjectivity includes perception of sexual pleasure and personal sexuality and represents an important part of self-concept (sexual bodyesteem, self-entitlement to sexual desire and self-pleasure, entitlement to sexual pleasure from a partner, self-efficacy in achieving sexual pleasure, and sexual selfreflection). According to previous studies, which have been only done on female adolescents and emerging adults (developmental stage between adolescence and young adulthood), sexual subjectivity was associated with lower levels of sexual anxiety and higher levels of sexual health. It was hypothesized that elements of sexual subjectivity, as an important part of self-concept would be a significant predictor of marital satisfaction. Design and Method: Participants were 83 married couples, average age 30,5 years old. They were 4,3 years in marriage, and 72% of them had at least one child. Marital satisfaction scale (Cubela Adoric & Jurevic, 2006) and Sexual subjectivity scale (Horne & Zimmer-Gembeck, 2006; Croatian adaptation, Nekic, 2011) were used as measures. Results: The results showed that couples without children had higher marital satisfaction, and possessed higher sexual subjectivity. Self-entitlement to sexual desire and self-pleasure was significantly higher in male participants. Entitlement to sexual pleasure from a partner was the only significant predictor for female marital satisfaction, while sexual body-esteem, self-efficacy in achieving sexual pleasure, and sexual self-reflection were significant predictors for male marital satisfaction. Conclusions: Sexual subjectivity is an important construct for marital couples not just for female adolescents and emerging adults. We found that sexual subjectivity is important and significant predictor for female and male marital satisfaction.
Couples’ Sexual Adjustment Process to Cancer: A Metasynthesis and Qualitative Study
Authors:   Vrije Universiteit Brussel, Brussels, Belgium, Benoot C. , Hannes K. ,   Kuleuven, Leuven, Belgium, Bilsen J. ,   Vrije Universiteit Brussel, Brussels, Belgium
Published: November 2020

Objective: Existing research on couples’ sexual adjustment to cancer lacks a clear theoretical framework which is necessary to underpin interventions supporting couples in such adjustment. Possibly as a result, current interventions show disappointing results. We therefore wanted to construct a conceptual framework of couples’ sexual adjustment to cancer, leading to theory-based and therefore more adequate interventions. Design and Method: We performed a meta-synthesis of 21 papers to arrive at a preliminary framework of sexual adjustment to cancer, using the techniques of meta-ethnography. This preliminary framework guided our qualitative study with 20 patients and partners with advanced cancer, using constructivist grounded-theory methodology. Results: The combination of these two methods led to a conceptual model of sexual adjustment, showing that couples engage in a combination of three different pathways: 1) a grieving pathway, in which sexual changes are depicted as one of the losses due to cancer; 2) a cognitive-restructuring pathway, in which sexual changes are depicted as normative and culturally determined in which their meaning need to be renegotiated; 3) a rehabilitation pathway, in which sexual changes are depicted as bodily dysfunctions which need medical treatment. Contextual factors influence this adjustment process, e.g. couples with advanced cancer emphasize the grieving process over the rehabilitation or restructuring process, as sexuality is often seen as a definite loss because of the irreversible character of the disease. Conclusions: For an intervention to be more effective it could be based on above conceptual framework, which emphasizes the multiple and flexible pathways a couple can take to adjust to sexual changes.
Novel Non-Invasive Laser and Radio-Frequency (RF) Procedures for Vaginal Dystension and Vulvar Laxity Syndroma to Enhance Sexual Gratificaton
Authors:   Department of Health Studies, University of Split, Split, Fistonic Ivan
Published: November 2020

Childbirth vaginal trauma and process of ageing are fundamental in developing stress urinary incontinence (SUI) and sexual dysfunction related to vaginal and vulvar relaxation. Unpleasant aesthetic appearance of vulva is additional factor that deepens negative psychological response, embarrassment, anxiety and lack of confidence while postmenopausal vaginal dryness additionally deteriorates sexual gratification when estrogen is avoided. Thus far, experimental and clinical studies have reported significant success in the treatment of various disorders and conditions based on collagen damage. Most references arise from the fields of dermatology and aesthetic medicine. Facial ptosis, uvular and soft-palate relaxation in snoring disorders, and ligament trauma in orthopedics may be successfully treated with laser-generated thermal energy. The precise mechanisms underlining the normalization of some vaginal properties is not yet completely clear but collagen remodeling and increased vascularization have been documented by histology following laser application. The onset and mild disorder in SUI and vaginal relaxation syndrome (VRS) still remain underreported and problem remains hidden until severe symptomatology often results in surgery treatment. However, there is a risk of serious adverse effects resulting from surgery procedures. Complications such as bleeding, infection, poor wound healing and overcorrection may require de novo medical intervention, resulting in global rising trend of non-invasive procedures. There is a rising evidence for the effectiveness of non-invasive laser procedures in the treatment of SUI, VRS and vaginal atrophy, while novel RF procedure might play a significant role in vulvar laxity treatment.
Sexual Behaviour among Adolescents in Ireland: Findings from the Health Behaviour in School Aged Children (HBSC) Study
Authors:   National University of Ireland, Galway, Galway, Ireland, Nic Gabhainn S. , Young H. ,   Cardiff University, Cardiff, United Kingdom, Burke L. ,   National University of Ireland, Galway, Galway, Ireland
Published: November 2020

Objective: Tackling adolescent sexual health problems and promoting positive sexual health has been widely acknowledged in health policies across Ireland. Increasingly emphasis is placed on integrating empirical evidence at policy and practice level, however limited data on Irish adolescents’ sexual behaviour are available. This study presents the first nationally representative and internationally comparable data on adolescent sexual behaviour in Ireland. Design and Method: Questionnaire data were collected from a stratified national sample of 4494 schoolchildren aged 15-18 as part of the Health Behaviour in School aged Children study. Results: Overall, 28.8% of boys and 22.8% of girls were sexually initiated, with clear age and social class gradients. Substance use and living in poorer neighborhoods were predictive of sexual initiation. While there were no systematic urban/rural differences, living with both parents was protective. Very early sexual initiation (<14 years) was associated with male gender and rural dwelling, and for girls with smoking and cannabis use. Non-use of contraception at last intercourse was reported by 10.5% of boys and 6.8% of girls; with age and social class gradients. Condom use was predicted by self-care behaviours such as physical activity and seat-belt use, but not by substance use. Conclusions: For the first time, data have been collected which improve our understanding of adolescent sexual behaviour in Ireland. The findings highlight the importance of focusing on adolescents as a distinct population subgroup with unique influences on their sexual health requiring specifically targeted policy and interventions.
Social Networks and Pornography Use as Precursors Of Body Appearance Self-Perception and Satisfaction
Authors:   Faculty of Humanities and Social Sciences, University of Zagreb, Zagreb, Busko V. , Cipric A. ,   Faculty of Humanities and Social Sciences, University of Zagreb, Zagreb, Stulhofer A. ,   Faculty of Humanities and Social Sciences, University of Zagreb, Zagreb
Published: November 2020

Objective: Following two complementary theoretical approaches to the study on the development of body appearance (dis)satisfaction, this paper examines the potential role of virtual social networks and exposure to pornography in the processes of body appearance perception and satisfaction. Design and Method: The study is done as a part of an ongoing longitudinal research project focused on the role of sexually explicit material in young people’s sexual socialization and health. The analyses to be presented are based on the data collected within the first time point of the project, on the sample of 1278 female second-year high-school students. Key variables included measures of social networks and pornography use, internalization of appearance ideal, body surveillance, and body appearance satisfaction, gathered within the online administration procedures. Structural equation modeling methodology was used to test the hypotheses on the role of body surveillance and internalization processes in the relationship between the measures of pornography and social networks use and the satisfaction with own body appearance. Results: The analyses confirmed partially mediated contribution of the measures of the amount of use of pornography and virtual networks in accounting for the individual differences in body appearance satisfaction. Conclusions: The processes of internalization of appearance ideal, and the measure of body surveillance, seem to have weak but significant mediation role in the relationship between virtual media use and the satisfaction with own body appearance. This work has been fully supported by Croatian Science foundation under the project 9221.
Exploring Adolescent Sexual Behaviour: A Pilot Study of Questions for Inclusion in the Health Behaviour in School Aged Children (HBSC) Study
Authors:   Cardiff University, Cardiff, United Kingdom, Young H. , Burke L. ,   National University of Ireland, Galway, Ireland, Nic Gabhainn S. ,   National University of Ireland, Galway, Ireland
Published: November 2020

Objective: The Health Behaviour in School-aged Children (HBSC) study is a World Health Organization collaborative cross-national research project which aims to improve understanding of young people’s health and wellbeing, including sexual behaviours. Data are collected on a four year cycle from schoolchildren in 43 countries in Europe and North America. Requests for detailed information about adolescent sexual behaviours have prompted the development of new sexual behaviour questions for use in the HBSC study. The aim of this pilot study was to provide guidance on the utility and appropriateness of new sexual health items for inclusion in future HBSC studies. Design and Method: A pilot involving 233 Irish students aged 15-19 years used questionnaires and classroom discussion groups to test the utility and appropriateness of new sexual health items. Twenty-one sexual behaviour questions were developed based on previously validated questionnaires. Questions measured sexual behaviour, romantic experiences and the circumstances surrounding first intercourse. Results: The findings provide feedback on the following dimensions of the proposed items; cultural acceptability, understandability, answerability, skews, translatability, relevance and contextual understanding. A test-retest provides further details on the validity and consistency of the questions. Analysis highlights questions which not only have conceptual cohesion within the study and the potential to inform policy but which are understandable, acceptable and of a high priority to the target population. Conclusions: The findings have provided guidance for the mandatory and optional sexual behaviour questions for further HBSC studies. They have informed a standardized protocol which will enable the collection of internationally comparable adolescent sexual behaviour data.
Evolutionary and Social Cognitive Models of Jealousy: A Test in a Population-Representative Sample of Adults
Authors:   University of Sussex, Falmer, United Kingdom, De Visser R. , Richters J. ,   University of New South Wales, Sydney, Australia, Rissel C. E. ,   University of Sydney, Sydney, Australia, Grulich A. E. ,   University of New South Wales, Sydney, Australia, Simpson J. M. ,   University of Sydney, Sydney, Australia
Published: November 2020

Objective: Evolutionary models posit that jealousy is a sexually dimorphic phenomenon: men worry most about a partner’s sexual infidelity and women worry most about emotional infidelity. Social cognitive models emphasize that the presence and size of sex differences varies between and within cultures. Our aim was to examine how sex and other variables affected responses to a hypothetical jealousyevoking scenario. Design and Method: Computer-assisted telephone interviews were completed by a population-representative sample of 20,094 Australians aged 16-69. Analyses focused on responses to the question ‘What would distress you more: imagining your partner forming a deep emotional attachment to another person, or having sexual intercourse with another person?’ Results: Among heterosexual respondents, men were most likely to report that they would be most distressed by their partner’s sexual infidelity, and women were also most likely to report that they would be most distressed by their partner’s emotional infidelity, but only among women aged 20-49 did a majority report that emotional infidelity would be most distressing. Among bisexual and homosexual respondents, most women and men reported that they would be more distressed by emotional infidelity, and men were more likely than women to choose this option. Among all groups, responses were also significantly related to sexually liberal attitudes. Conclusions: The results provide some support for evolutionary models of jealousy, but highlight the importance of considering how responses to jealousy-evoking scenarios are affected by age, sexuality, and attitudes.
The Effect of Sexual Arousal on Women´S Disgust Reactions: Facial Attractiveness and Disease Cues
Authors:   University of Portsmouth, Portsmouth, United Kingdom, Zsok F. , Fleischman D. S. ,   University of Portsmouth, Portsmouth, United Kingdom
Published: November 2020

Objective: Disgust and sexual arousal are two opposing states. One motivates avoidance, while the other elicits approaching behaviour. Former research has found that a person is harder to sexually arouse if disgusted. In turn, the effects of sexual arousal on disgust are more differentiated. A general trend shows that people are less disgust sensitive when they are sexually aroused, but this appears to depend on what elicits the disgust. This study is supposed to explore what exactly becomes less disgusting when women are sexually aroused. Design and Method: Female undergraduates are going to participate in an experiment from their personal computer at home. They are going to be shown a video, either a sexually arousing one or a neutral one. Then, they will be asked to rate their disgust towards increasingly sexual behaviours with six men on pictures. The pictures will consist of attractive, unattractive, and blemished and unblemished faces. That way the effects and interactions of sexual arousal, attractiveness, and disease cues (blemishes) can be explored. Results: The study is currently running and should be completed at the end of February. We expect results to show that sexually aroused women feel less disgusted towards activities with attractive males. Disease cues should dampen the effect of sexual arousal on disgust. Conclusions: Expected results would support the evolutionary view that disgust is only reduced by sexual arousal if the mating encounter seems beneficial for the female.
Development of Radiation-Induced Erectile Dysfunction Using Conventional Pelvic Radiation Therapy in a Rat Model
Authors:   Hallym University Chuncheon Sacred Heart Hospital, Chuncheon, South Korea, Lee W. , Yang D. ,   Hallym University Kangdong Sacred Heart Hospital, Seoul, South Korea
Published: November 2020

Objective: Radiation therapy (RT) is an effective and common treatment for prostate cancer. Although RT-induced erectile dysfunction (ED) is one of the particularly devastating side effects, there is a lack of preclinical studies on RT-induced ED. The aim of this study was to develop a RT-induced ED rat model. Design and Method: 10 adult male Sprague-Dawley (SD) rats were divided into control (n=5) and RT group (n=5). Irradiated rats received external pelvic radiation in a single 24 Gy fraction. After 10 weeks, intracavernous pressure (ICP) and mean arterial pressure (MAP) were measured with cavernous nerve electrical stimulation. Results: ICP/MAP ratios in the RT group were significantly lower than those in the control group (p=0.009). In the RT group, only focal loss of hair on irradiated area was observed, and there were no significant physical and physiological changes. Conclusions: In SD rats, external pelvic radiation in a single 24 Gy fraction induced decreased erectile function significantly, and did not cause serious adverse events. These results suggest that a rat model induced by external pelvic radiation in a single 24 Gy fraction is feasible and safe.
The Impact of Testicular Loss on The Psychopathology of Young Patients: Population-Based Analysis Of 4 Million Examinees of Manpower Administration Database
Authors:   Samsung Medical Center, Sungkyunkwan University School Of Medicine, Seoul, South Korea, Lee S. , Kim J. ,   Samsung Medical Center, Sungkyunkwan University School Of Medicine, Seoul, South Korea, Moon K. ,   School Of Medicine, Yeungnam University, Daegu, South Korea, Park J. ,   Medical School, And Institute For Medical Sciences, Chonbuk National University, Jeonju, South Korea
Published: November 2020

Objective: Patients of hypogonadism have high risk of depression and anxiety with impaired quality of life but the psychopathological impact of testicular loss without hypogonadism is rarely reported. We studied the impact of unilateral or bilateral testicular loss on psychopathology. Design and Method: We retrospectively analyzed 4 million cases of Manpower Administration (MA) database for the evaluation of the psychopathological status of men with testicular loss. For screening psychopathological status, we used the Military Multiphasic Personality Inventory (MMPI). The examinees of testicular loss were defined at least 50% decrease of testicular volume at CT scan. The examinees without severe medical disability were classified as normal control group. The abnormal result of MMPI scale was defined as a score more than one standard deviation. Results: In this cross-sectional study, total 3932 unilateral testicular absent examinees (UTAE) and 203 bilateral testicular absent examinees (BTAE) were screened. After exclusion of examinees with abnormal response, total 3562 UTAEs and 171 BTAEs were included for final analysis. The abnormal rate of anxiety (15.5% vs. 9.5%), depression (18.3% vs. 10.6%), somatization (18.6% vs 8.7%) and personality disorder (16.8% vs. 13.7%) were higher in UTAE group than matched control. The abnormal rate of depression (18.3% vs. 15.8%) and somatization (18.6% vs. 12.6%) in UTAE group were even higher than in BTAE group. Conclusions: Our population based study suggests young patients with testicular loss are psychopathological vulnerable condition. More active psychopathological screening is indicated for young testicular loss patients.
Clinical Characteristics of Female Panic Disorder with Early Sexual Abuse History
Authors:   Cha Bundang Medical Center, Cha University, Seongnam, South Korea, Kyung Min K. , Sang Hyuk L. ,   Cha Bundang Medical Center, Cha University, Seongnam, South Korea
Published: November 2020

Objective: Research has accumulated over the past several years demonstrating a relationship between childhood trauma such as sexual abuse and female panic disorder (PD). Most of studies have generally suffered from methodological limitations, including small sample size and not controlling for psychiatric comorbidity and suicidality which can influence the clinical characteristics. This study aimed to investigate differences of demographic and clinical characteristics between female PD patients with (PD+S) and without early sexual abuse history (PD-S). Design and Method: We examined data from 101 patients diagnosed with PD. We divided the patients with PD into PD-S (69 patients) and PD+S (32 patients) to compare demographic (age, marriage, education, suicidality history, comorbidity) and clinical characteristics [coping strategies, Beck Anxiety Inventory (BAI), Beck Depression Inventory (BDI), Panic disorder severity (PDSS), Anxiety Sensitivity Index (ASI), Albany Panic and Phobia Questionnaire (APPQ) - agoraphobia subscale, NEO-neuroticism (NEO-N)]. IBM SPSS version 21.0 was used for statistical analysis. Results: There were no differences between PD+S group and PD–S group with respect to demographics and coping strategies, BAI, BDI, PDSS and ASI. Compared to the PD-S, PD+S group showed higher levels of neuroticism (p=0.00) and agoraphobia (p=0.04). Conclusions: The current study suggests that female PD+S patients can be associated with neuroticism and agoraphobia. Therefore it may be needed to pay attention to the sexual abuse history in female patients with PD.
Polish Adaptation of Sexual Addiction Screening Test Revised (SAST-PL)
Authors:   University of Social Sciences and Humanities, Warsaw, Poland, Kowalewska E. , Gola M. ,   Institute of Psychology, Polish Academy of Sciences, Warsaw, Poland
Published: November 2020

Objective: Addictive sexual behaviors are being identified with increasing frequency in the practices of psychology and psychiatry, and are gaining more and more attention from researchers. There are actually 25 different questionnaires for assessing the level of loss of control over sexual behaviors (LoCoSB). None of them have been adapted and validated in a Polish language version. The aim of our work was to make such an adaptation of the Sexual Addiction Screening Test – Revised (SAST-R). Design and Method: For the purpose of psychometric features examination and validation of the Polish version of SAST-R for males (SAST-PL-M), we recruited 116 heterosexual men receiving psychological treatment due to LoCoSB and meeting the criteria for hypersexual disorder. The control group consisted of 442 heterosexual males using internet pornography but having never looked for any psychological help due to LoCoSB. Psychometrical characteristic of SAST-R for females (SAST-PL-W) was examined in the study with 423 women. Validation was performed on the group of 34 females (17 women receiving psychological treatment due to LoCoSB). Results: Both SAST-PL-M and SAST-PL-W have high reliability (α = .904 for SAST-PL-M and α = .762 for SAST-PL-W), and good filtering characteristics for identification of people who are potentially experiencing difficulty with control over sexual behaviors. Conclusions: SAST-PL can be used as an efficient screening test for symptoms of LoCoSB in clinical and research setups. Results below 6 points indicate a high probability of no problems, while more than 5 points can indicate the need for additional clinical interviews.
Sexual Thoughts Mediate the Association between Sexual Dysfunction and Pain Intensity in Men with Genital Pain
Authors:   Faculdade de Psicologia e Ciências da Educação da Universidade do Porto, Porto, Portugal, Pereira R. , Oliveira C. ,   Faculdade de Psicologia e Ciências da Educação da Universidade do Porto, Porto, Portugal, Nobre P. ,   Faculdade de Psicologia e Ciências da Educação da Universidade do Porto, Porto, Portugal
Published: November 2020

Objective: This study aims to test the mediation role of sexually-related thoughts on the relationship between sexual functioning and pain intensity in men with genital pain. Design and Method: A total of 50 men with genital pain completed an online survey. Participants answered the automatic thoughts subscale of the Sexual Modes Questionnaire (Male Version), the International Index of Erectile Function and the McGill Pain Questionnaire (the Short Form). Mediation analysis was conducted through linear regression equations. A Sobel test was used to assess the significance of the mediation effect. Results: In Step 1, the regression of sexual functioning on the mediator was significant, β = -.68, t(50) = -5.8, p <.001. Step 2 showed that the regression of sexual functioning on pain intensity was also significant, β = -.39, t(50) = -2.6, p =.014. Step 3 showed a significant effect of the mediator on the pain intensity, β = .68, t(50) = 3.8, p =.001. Also, sexual functioning was no longer a significant predictor of pain intensity, β = .06, t(50) = .37, p =.711. Additionally, the Sobel test found a partial mediation effect (z = 2.37, p = .018). Conclusions: Findings showed that negative sexually-related thoughts partially mediated the relationship between sexual functioning and pain intensity in men with genital pain. Results are consistent with previous research and reinforce the use of cognitive techniques in the evaluation and treatment of male genital pain.
Hospital Based Sexual Rehabilitation Programs for Persons with Disabilities (PWDS)
Authors:   Korea National Rehabilitation Center, Seoul, South Korea, Lee B. , Lee Y. ,   Graduate School, Yonsei University, Seoul, South Korea, Yu J. ,   Korea National Rehabilitation Center, Seoul, South Korea
Published: November 2020

Objective: Sexual intimacy is a basic right given to all humans. However, many PWD give up on their sex life, and equally, medical professionals are not effectively prepared to deal with these issues. Design and Method: In 1996, we began a Sexual Rehabilitation Program for PWDs. We delivered about 28,000 cases of sexual counseling and education, and 1,700 cases of sex therapy for erectile dysfunction. 380 couples used the ‘sex practice room’ in our hospital. We have conducted 21 research studies, produced 3 books and 1 DVD about sexual rehabilitation. Annual seminars are being held and as well as three day workshops for couples. Results: We studied sexual function and satisfaction of 214 spinal cord injured males and 49 female partners. The significant factors affecting sexual satisfaction of the patients were erectile function and sexual satisfaction before injury. Based on the results, we developed several programs, such as the 4 week small counseling program and the ‘sex practice room’ program. 380 couples with SCI have used the sex practice room. Among them, 71 spinal cord injured males and partners participated. 41 couples had successful penilevaginal intercourse and 91.3% of them used the woman-on-top position. 90% of the users reported that the experience of using the ‘sex practice room’ was helpful. Conclusions: Since 1996, we have developed many sexual rehabilitation programs and conducted counseling, sex therapy and research. Now we can confidently conclude that the hospital based rehabilitation program is very useful and essential for persons with disabilities.
Sexual Dysfunction Prevalence and Sociodemographic Background in a Colombian Sample
Authors:   Universitas Miguel Hernandez D’Elx, Elche, Spain, Gómez-Lugo M. , Vallejo-Medina P. ,   Sexlab-KL, Fundación Universitaria Konrad Lorenz, Bogotá, Colombia, Saffón J. P. ,   Sexlab-KL, Fundación Universitaria Konrad Lorenz, Bogotá, Colombia, Saavedra-Roa D. ,   Sexlab-KL, Fundación Universitaria Konrad Lorenz, Bogotá, Colombia, Pérez-Durán C. P. ,   Sexlab-KL, Fundación Universitaria Konrad Lorenz, Bogotá, Colombia, Marchal-Bertrand L. ,   Sexlab-KL, Fundación Universitaria Konrad Lorenz, Bogotá, Colombia
Published: November 2020

Objective: Sexual dysfunction is an important public health concern. Sexual dysfunctions, characterized by disturbances in sexual desire, arousal, erection, orgasm or sexual satisfaction have been reported in different research around the world. Prevalence range of disturbances is from 20% to 30% and 40% to 45% for men and women respectively. The aim of this study was to explore prevalence of sexual dysfunction in a Colombian male and female sample. Design and Method: Sample was composed by a non-representative national sample of 1366 women and 1410 men, aged from 18 to 73. To assess sexual dysfunction the Colombian version of the Massachusetts General Hospital- Sexual Functioning Questionnaire (MGH-SFQ) was used. Results: Results indicate on one hand that sexual dysfunction is more prevalent in women (42.5%) than men (32.1 %). On the other hand, in women, problems related to desire (28.5%) were more common, while in men those related to desire and sexual satisfaction, 21.4% and 21% respectively, were more prevalent. In women, problems related to desire (28.5%) were more common, while in men those related to desire and sexual satisfaction 21.4% and 21%, respectively were more prevalent. Furthermore, no evidence was found about the relationship between the sociodemographic characteristic (socioeconomic level, years of education and religion) and the sexual dysfunction; with exception of age. These results are similar to those observed in other cultures. Conclusions: This study shows the importance of epidemiologic research in male and female sexual dysfunction for the identification of risk factors.
Quality of Sexual Life among Patients with Genital Lichen Sclerosus
Authors:   Lichen Sclerosus Unit, San Gallicano Dermatological Institute, Rome, Italy, Giuliani M. , Latini A. ,   Lichen Sclerosus Unit, San Gallicano Dermatological Institute, Rome, Italy, Tedesco M. ,   Plastic Surgery Unit, San Gallicano Dermatological Institute, Rome, Italy, Dona M. ,   Lichen Sclerosus Unit, San Gallicano Dermatological Institute, Rome, Italy, Ambrifi M. ,   Lichen Sclerosus Unit, San Gallicano Dermatological Institute, Rome, Italy, Cota C. ,   Dermatopathology Unit, San Gallicano Dermatological Institute, Rome, Italy, Cristaudo A. ,   Lichen Sclerosus Unit, San Gallicano Dermatological Institute, Rome, Italy
Published: November 2020

Objective: To evaluate the quality of sexual life in patients with genital lichen sclerosus (LS) recruited in a trial aimed to assess the efficacy of innovative surgical treatments. Design and Method: The Index of Sexual Satisfaction (ISS) questionnaire was used. The Brief Pain Inventory (BPI) was also used to assess the level of pain/discomfort and the grade of interference of LS in daily activities, social relationships, happiness, mood and sleeping. Patients were evaluated at baseline, 4,12, and 24 weeks after treatment. Results: From May 2014 to December 2015, 74 heterosexual patients (52 men, 70.3%, median age 52, IQR: 37-68; 22 women, 29.7%, median age 59.2, IQR: 42-73) with genital LS were evaluated. Fifty-nine patients (79.7%) were sexually active; among these, 45 (76.3%) were in a stable sexual partnership. Overall, 56 patients (75.7%) reported a high degree of genital pain/discomfort, particularly the female patients (18/22, 81.8%), and measurable interferences in selected wellbeing dimensions, such as mood balancing and social relationships. Overall, 49 patients (66.2%) had a current/history of secondary sexual disorders after the onset of LS; dyspareunia (32/49, 59.1%) and desire disorders (8/49, 16.3%) were reported; vulvodinia (5/22, 22.7%), and erectile dysfunction (4/32, 12.5%) were also experienced. Over two-thirds of the sexually active patients who were in a stable partnership (31/45, 68.9%) declared a decrease in the number and quality of sexual intercourses per month. Conclusions: LS affects dramatically the quality of sexual life and secondary sexual disorders are very frequent among LS patients. Thus, a sexological support is needed for this population.
The Prevalence of Male Sexual Dysfunction in Kosovo
Authors:   Libido - Center For Sexual Health, Prishtina, Kosovo, Fejza H. , Tolaj I. ,   University Clinical Center of Kosova, Prishtina, Kosovo, Tahirsylaj D. ,   University Clinical Center of Kosova, Prishtina, Kosovo, Idrizi A. ,   Galaxy, Diagnostics & Therapeutically Center, Prishtina, Kosovo, Jemini L. ,   University of Prishtina, Faculty of Philosophy, Prishtina, Kosovo
Published: November 2020

Objective: To research the prevalence of male sexual dysfunction among men population in Kosovo. Design and Method: The cross-sectional study was done during the year 2015, including 530 male respondents of all ages living in Kosovo. The respondents completed the Brief Sexual Symptom Checklist for Men to assess sexual desire, erectile dysfunction, ejaculatory and orgasmic dysfunctions, penile curvature and pain during sex. The data were collected using Survey Monkey while statistical analyses were performed using SPSS software package (Version 20.0, Chicago, IL, USA). Results: The prevalence of man not satisfied with their sexual function was 32.2%. The problem was present for more than a year in 54% of respondents. Premature ejaculation was the leading problem (34%) followed by erectile dysfunction (24.4%) and problems with little or no interest in sex (17.9%). The problem was age related: the respondents younger than 25 years reported as a main problem premature ejaculation (31%) while respondents with age above 50 reported the erection as a main problem (60.5%). The 76.4% of men are ready to talk about those problems with their doctor. Conclusions: The prevalence of male sexual dysfunction in Kosovo is similar to other studies and is age related. Younger population reported premature ejaculation while the oldest population recognized erectile dysfunction as a main problem.
Human Endothelial Progenitor Cells as a Novel Therapeutic Option to Treat Severe Erectile Dysfunction in Obese Type 2 Diabetic Rats
Authors:   Yong Loo Lin School Of Medicine, National University Of Singapore, Singapore, Ganesan Adaikan P. , Al Mahmood Siddiquee A. ,   Yong Loo Lin School Of Medicine, National University Of Singapore, Singapore, Chu Lau L. ,   Yong Loo Lin School Of Medicine, National University Of Singapore, Singapore, Bin Said B. ,   Yong Loo Lin School Of Medicine, National University Of Singapore, Singapore, Chong M. ,   School Of Chemical & Biomedical Engineering, Nanyang Technological University, Singapore, Chan J. ,   Kandang Kerbau Women’s & Children’s Hospital, Singapore, Hin Teoh S. ,   School Of Chemical & Biomedical Engineering, Nanyang Technological University, Singapore
Published: November 2020

Erectile dysfunction (ED) is a consequence of a number of medical conditions, with a high prevalence among men with type II diabetes. We investigated the effect of intracavernous injection of human umbilical cord blood derived endothelial progenitor cells (EPCs) on ED in a type II diabetic rat model. Erectile function was first assessed by cavernous nerve electrostimulation in Zucker Diabetic Fat (ZDF) rats aged 24 weeks to establish the baseline intracavernous pressure (ICP). At the age of 28 weeks, severe ED was confirmed. ZDF rats at age 29 weeks were randomised into 3 groups: treatment with 1million and 2million EPCs, and control, PBS. The injected animals were maintained with daily cyclosporine (10mg/kg) for 4 weeks, followed by the evaluation of erectile function and immunohistochemistry of penile tissue. The maximum (mean±SD) ICP observed for EPCs treated animals were significantly higher, 24.7±7.4 and 42.1±5.2 mmHg for 1million and 2million EPCs respectively in comparison to 4.4±1.6 mmHg in the age-matched PBS treated animals (p<0.001). EPCs treatment also improved the smooth muscle content of the cavernosum (p<0.001) and the expression of eNOS, RECA-1 and nNOS (p<0.05) compared to the PBS control. In conclusion, we showed for the first time that human cord blood derived EPCs significantly improved severe ED in ZDF rats in a dose-dependent manner through improvement of the nerve and endothelium function and also through preservation of smooth muscle cells in the cavernosum.
Relationship between Serum Testosterone and Nocturia in Men without Benign Prostate Enlargement
Authors:   Departments of Urology and Urological Science Institute, Gyeongsang National University College of Medicine, Jinju, South Korea, Jeh S. , Seo D. ,   Departments of Urology and Urological Science Institute, Gyeongsang National University College of Medicine, Jinju, South Korea, Choi S. ,   Departments of Urology and Urological Science Institute, Gyeongsang National University College of Medicine, Jinju, South Korea, Kam S. ,   Departments of Urology and Urological Science Institute, Gyeongsang National University College of Medicine, Jinju, South Korea, Hwa J. ,   Departments of Urology and Urological Science Institute, Gyeongsang National University College of Medicine, Jinju, South Korea, Chung K. ,   Departments of Urology and Urological Science Institute, Gyeongsang National University College of Medicine, Jinju, South Korea, Hyun J. ,   Departments of Urology and Urological Science Institute, Gyeongsang National University College of Medicine, Jinju, South Korea
Published: November 2020

Objective: To clarify the relationship between serum total testosterone and nocturia in males without an enlarged prostate. Design and Method: Among the 1029 male patients who visited our clinic for health screening from January 2010 to July 2014, 596 patients without benign prostate enlargement (BPE) were analyzed. To evaluate the effect of serum total testosterone on prevalence of nocturia and number of nocturia episodes, multivariate analyses were performed including the covariates of age, International Prostate Symptom Score (IPSS), International Index of Erectile Function (IIEF) score, body mass index, prostate specific antigen, prostate volume and maximal urinary flow rate. Results: Mean prostate volume was 21.70±4.34 ml and prevalence of nocturia (over 1 times/night) was 22.1%. Multivariate logistic regression analysis revealed positive associations of age (OR 1.048, P = 0.005), total IPSS (OR 1.217, P <0.001) and testosterone level (OR 1.115, P = 0.041) with the prevalence of nocturia. Although the mean testosterone level was progressively elevated as the number of nocturia episodes increased, no consistent association with the number of nocturia episodes was seen for testosterone after adjusting for age, IPSS, IIEF score and maximal urine flow rate. Conclusions: Serum total testosterone level is significantly positively associated with the prevalence of nocturia. Therefore, in men without enlarged prostate, testosterone seems to have an opposing role in the etiology of nocturia.
The Joint Work of Gynecologist and Psychologist in the Treatment of Sexual Pain Disorders and Vulvar Vestibulitis and the Use of Visnadina
Authors:   Azienda Ospedaliera Bianchi Melacrino Morelli, Reggio Calabria, Italy, Basile V. , Iannace M. G. ,   Azienda Ospedaliera Bianchi Melacrino Morelli, Reggio Calabria, Italy, Quartuccio A. ,   Clinica Casa di Cura Villa Aurora, Reggio Calabria, Italy
Published: November 2020

Objective: Actually, sexual pain disorders could be interpreted in a much broader sense to include also non-coital sex disorders (for example clitoris pain or vulvar vestibulis pain during petting). The Vulvar Vestibulitis (VV) sums up the complexity of interacting values in the genesis of pain. The VV is a clinical disorder characterized by three symptoms for excellence: 1) Acute vestibule pain at any attempt of penetration; 2) Tenderness caused by pressure in the vaginal vestibule: if we consider the entrance to the vaginal orifice as a clock face, the pain is at its greatest in the 5 and 7 areas; 3) Erythema of various degrees in the vaginal vestibule. Design and Method: Vulvar vestibulitis as a multi system disorder involves the mucosa of the vaginal vestibule and can become home to an intense inflammatory response; it also involves the immune system with the proliferation of painful nerve endings, the nervous system, the muscular and vascular system. Symptoms associated with VV can be of a urinary nature, with an urgent need to urinate after intercourse, or chronic cystitis or the onset of pain with the same characteristics as dyspareunia during a gynecological examination and so on. Results: In an outpatients setting which differs from the usual psychological/gynecological one, the presence of two specialists, that is a psychologist and a gynecologist at the gynecological examination may help. During the checkup when the speculum is inserted into the vagina to get a direct observation of the structure of the vagina, any lesions caused by chronic inflammation of the vaginal vestibule can be highlighted. The psychologist on the other side of the bed keeping direct eye contact with the patient can help her to manage the anxiety or pain linked to the moment of finger penetration or with the use of diagnostic instruments, as well as breathing management through autogenic training which will lower any anxiety-related situations. Eye contact can also keep the patient anchored to the real situation and keep her in touch with reality which can easily be distorted in a panic situation. Conclusions: In these conditions the gynecologist can carry out his examination, with penetration for example giving the patient a direct experience of it which in turn can act as a positive feedback for future experience. The use of Visnadina (Refeel Spray) is particularly useful for patients who suffer generally from painful sex and sexual arousal disorders. Refeel Spray was the product used as the reference sample in these cases.
Nurses’ Continuous Education Related to Sexuality and Health Care and Learning Needs to Address Patients’ Sexual Health Concerns in Taiwan
Authors:   School of Nursing, Chung Shan Medical University, Taichung, Taiwan, Tsai L. , Sun Y. ,   Institute of Medicine, Chung Shan Medical University, Chung Shan Medical University Hospital, Taichung, Taiwan, Chen Y. ,   Department of Nursing, Everan Hospital, Taichung, Taiwan, Huang C. ,   School of Nursing, Chung Shan Medical University, Taichung, Taiwan
Published: November 2020

Objective: The purpose of this study was to describe nurses’ continuous education related to sexuality and health care and learning needs to address patients’ sexual health concerns. Design and Method: This was a cross-sectional study. A total of 454 nurses were recruited from a medical hospital in central Taiwan. Nurses completed a survey designed for this study to describe the individual characteristics and continuous education related to sexuality and health care, and a structured questionnaire, Learning Needs for Addressing Patients’ Sexual Health Concerns (LNAPSHC). Results: Results revealed that few nurses ever received continuous education related to sexuality and sexual health. Among these, sexual harassment and coping, sexual health of sexual assault and sexual abuse, and STD, HIV, and AIDS were the most common topics. The level of nurses’ learning needs about patients’ sexual health concerns were greater than moderate level (mean±SD=4.61±1.17, range 1 to 7). Among the three domains of learning needs, sexuality in health and illness was the most needed, then communication about patient’s intimate relationships, and approaches of sexual health care in turn. Clinical units (OBS/GYN) and providing care plan (ineffective sexuality pattern) were predictors of nurses’ learning needs, accounting for 0.3% of the variance. Conclusions: Our results indicated that providing nurses adequate continuous education related to patients’ sexual health is needed. Contents regarding increase nurses’ insights into patients’ sexual health concerns and specific topics suitable for diverse clinical units should be considered.
Sex Education in Brazil: A Proposal for Education and Research - Body, Gender and Sexuality in the Process of Self-Knowledge and the Construction of an Active Citizenship
Authors:   Nusex - Unesp - São Paulo State University, Araraquara SP, Brazil, Ribeiro B. , Ribeiro P. ,   Nusex - Unesp - São Paulo State University, Araraquara SP, Brazil, Bedin R. ,   Nusex - Unesp - São Paulo State University, Araraquara SP, Brazil
Published: November 2020

Objective: Developing proposals of sex education in school. Brazil has vast and qualified bibliography resulting from research carried out by diligent researchers, mostly from research groups from universities in the country. Sex education is an important space for the realization of concrete proposals for actions that combats discrimination, prejudice and sexual violence, both symbolic as real, and that the insertion of issues of diversity and gender in teacher education in sex education will enable its success and its wide reach. Design and Method: The proposal that guides the development of this work turns to the continuing education of teachers and health professionals in sexuality education, with an emphasis on promoting a culture of recognition of sexual diversity, gender equality and adolescent sexuality as an integral part of the process of construction of an active citizenship, using Information and Communication Technologies (ICT). Results: The project inserted the issue of citizenship and human rights as one of the pillars of gender equality and of a full sex life with the least of possible distress, anxiety, guilt and misinformation. And we verified the efficiency of the use of the Information and Communication Technologies in teacher training. Conclusions: The use of Information and Communication Technologies in sex education can stimulate the development of technological thinking and the increasing of a new mentality of continuing education for teachers, not common in Brazil.