bluuebunny/crossref_metadata_2025_split huggingface dataset:
(232) HIGH INTENSITY LASER THERAPY IMPROVES ERECTILE FUNCTION IN SHORT TERM: A PILOT STUDY
Authors: Dr. Chirag Bhandari 
Published: July 2023

Abstract

Objectives
This study aimed to assess the effectiveness of high-intensity laser therapy (HiLT) in patients suffering from mild-to-severe ED.

Methods
This prospective study included 25 patients 20–57 years of age with a confirmed diagnosis of ED with the five-item version of the International Index of Erectile Function (IIEF-5). After a washout period of oral medicines, patients were treated with HiLT and pelvic floor muscle exercises. All patients received 15 sessions of treatment with a high-powered diode laser (Chattanooga HPL-7W, USA) at a frequency of twice per week. In a supine position, laser irradiation was administered to the penis&#39;s shaft and crura. The shaft of the penis was irradiated with 1000 joules at 3 watts in continuous mode for xxx minutes, while the crura and perineum were treated with 1500 joules at 5 watts in continuous mode for xxx minutes. The assessment was done before and one month after the treatment by IIEF-5 and erection hardness score (EHS).

Results
Significant differences were found between the baseline (14.76 ± 4.82) and 1-month follow-up (23.48± 1.69, p&lt;0.0001) mean IIEF-5 questionnaire scores. Similarly, the mean EHS following therapy was significantly higher than at baseline (2.84±0.69 vs 3.96±0.04, p&lt;0.0001). The percentage of patients with EHS&gt;2 at baseline increased from 32% (8/25) to 100% (25/25) at the one-month follow-up. All reported side effects were mild and vanished in one week.

Conclusions
HILT seems to be effective in improving erectile function in patients suffering from mild-to-severe ED. Further studies are required to elaborate the role of HILT in the treatment of ED.

Conflicts of Interest
None
(258) LACK OF PATIENT COMPLIANCE COMPROMISES SAFETY OF VASECTOMY
Authors: Dr. Jana Wurzacher , Dr. Yannic Kunz , Dr. Tatjana Heisinger , Prof. Andreas Jungwirth , Prof. Germar-M Pinggera ,   On behalf of the Austrian Andrologic Workung Group of the Austrian Urologic Society
Published: July 2023

Abstract

Objectives
Vasectomy is worldwide considered a cost-effective, definitive and safe method for male contraception and therefore one of the most frequently performed outpatient surgeries. However, repeated spermiogram controls to ascertain azoospermia are generally recommended to guarantee successful operation. This legal necessity, with all its implications, is noted in all signed informed consents basically to avert unjustified medical liability issues.

Methods
Members of the Austrian Andrological Working Group participate to this nationwide, retrospective data analysis for vasectomy in 2020. The primary aim was to investigate patients adherence/consultations according to the preoperative provided instructions. An anonymous dataset over 610 patients was analyzed.

Results
The mean patient age of was 41.60 years (SD 6.69), with the youngest male being 25 years old and the oldest male being 68 years old. A documented follow-up appointment for first spermiogram-analysis was scheduled for these patients in 96.89% (n=591), but, only 90.19% (n=533) attended to these appointments by achieving azoospermia in 86.00% (n=436). In 71 cases vital sperm could still be detected in the ejaculate (unknown in 26 cases). A second spermiogram control was scheduled for 87.24% (n=465 patients; unknown in 24 cases) and was attended by 392 patients (84.30% of patients), hereby azoospermia was achieved in 91.33% (n=358; unknown in 2 cases).
Complications such as hematoma, edema, or infection were reported in only 25 patients (4.10%). Failure to achieve sperm clearance was age-independent.

Conclusions
Although being a safe procedure with a low complication rate, post-vasectomy follow-up lacks extensive adherence. Roughly 10% of patients missed the required post-vasectomy controls and this regardless of the informed consent signed by the patient. Due to persisting oligozoospermia in 14% of patients after the first and 9% after the second follow-up visit, patients must be encouraged to attend the previously scheduled follow-up appointments. To guarantee a successful operation and safe contraception follow-up visits are crucial.

Conflicts of Interest
None
(48) SEXUAL HEALTH OF WOMEN IN UKRAINE IN THE TIME OF WAR
Authors: Prof. Viacheslav Grygorenko , Prof. Oksana Romashchenko , Dr. Valentyna Biloholovska , Prof. Sergii Melnykov , Dr. Liudmyla Yakovenko 
Published: July 2023

Abstract

Objectives
The study of the female sexual dysfunctions (FSD) frequency in women from unoccupied and occupied territories of Ukraine.

Methods
The sexological, gynecological and psychological studies have been carried out on 328 patients aged from 18 to 44. 242 women from unoccupied and 86 from occupied territories of the country were examined.

Results
The frequency of FSD among patients from 18 to 25 years old from unoccupied territories was 21 (8.7%) and among women from occupied territories – 25 (29.1%). Among women aged 26 to 35 from unoccupied territories the frequency of FSD amounted to 78 (32.2%) and among women of the same age from occupied territories – 39 (45.3%). When examining patients aged 36 and older from unoccupied territories the frequency of FSD constituted 29 (11.9%) and among women of the same age from the occupied territories – 16 (18.6%).
The frequency of FSD correlated with factor of stress amid military aggression, especially in the zone of hostilities and occupation, loss of relatives, violence, destruction, economic instability. Among FSD in both groups, sexual desire disorders prevailed: in 128 (52.9%) women from unoccupied and in 80 (93.1%) women from occupied territories. Moreover, the loss of sexual desire was found in 38 (15.7%) of those examined from unoccupied territories and 53 (61.6%) from occupied territories. Sexual disgust was noted by 6 (6.9%) of the examinees who experienced sexual violence in the occupied territory.

Conclusions
In Ukrainian women during the war in the spectrum of FSD, sexual desire disorders prevailed with the formation of sexual disgust in 6 (6.9%) examinees from occupied territories who were subjected to sexual violence. The frequency of FSD correlated with the stress factor arising from the experienced military occupation, loss of relatives, violence, destruction, economic instability.

Conflicts of Interest
No conflict of interest.
(263) SEXUAL COMPLAINTS IN PATIENTS FOLLOWED FOR ENDOMETRIOSIS
Authors: Ons Kaabia , Rim Bouchahda , Ryadh Ncibi , Khouloud Ikridih , Raouf Ben Abdesslem , Hedi Khairi 
Published: July 2023

Abstract

Objectives
Endometriosis is a disease specific to women which is largely under-diagnosed because it is often unrecognized in relation to painful symptomatology that is not very objective. It is characterized by cyclical pelvic pain concomitant with menstruation, but in some cases may present with complaints of a sexual nature. This work aims to report sexual complaints in patients with endometriosis and value them as elements of early diagnosis of this disease.

Methods
This is a cross-sectional descriptive study carried out on a series of young volunteer patients followed at the outpatient clinic of our unit for endometriosis confirmed either by imaging or by the anatomopathological study of biopsies carried out during laparoscopies. Participants answered a self-administered questionnaire.

Results
The study included 144 participants. The average age of the participants was 21.76 years with extremes ranging from 17 to 30 years. The average age of menarche was 12.25 with extremes ranging from 9 to 17 years. Sexual complaints were reported in 11 participants, i.e. in 7.64% of cases. Deep dyspareunia during intercourse accounted for 90.9% of sexual complaints. The pain was felt in certain positions and sexual practices, namely patient on the back or in the Andromaque position. Pain disturbed, prevented, or interrupted intercourse in 72.72% of cases with a decrease in desire and a disorder of secondary arousal and orgasm in respectively 27.27% and 36.36%.

Conclusions
Sexual complaints in patients with endometriosis remain infrequent under our skies but if they are present they are mainly of the type of deep dyspareunia altering the quality of sexual intercourse and may be responsible for secondary sexual dysfunctions.

Conflicts of Interest
Nothing to declare.
(255) REFUSAL OF MEDICAL CONTRACEPTION: FALSE HORMONOPHOBIA, TRUE LACK OF PLEASURE, THE DOUBT OF DIGITAL CONTRACEPTION
Authors: Dr. Danielle Choucroun 
Published: July 2023

Abstract

Objectives
We will highlight how the obligation of medical prescription to obtain oral contraception build a negativ representation of the pill by cognitive distorsion: hormonophobia is often cited to explain oral contraception refusal, but 2,2 millions of morning after pills (over-the-counter) are sold each year in France.(HRA-Pharma 07/2022) We want to expose that behind medical contraceptive refusal, we have to search sexual disorders such a lack of pleasure, couple's difficulties, sexual dysfunctions, even look for other antecedent.

Methods
Literature review on PubMed: keywords contraception-over-the counter; sexual desire and hormonal contraception General literature: Moles A. 1973 Théorie de l'information et perception esthétique. Younes C. PaquotT 2012 Espace et lieu dans la pensée occidentale Ed La Découverte General literature about media reports that in the ATAWAD era, anytime-anywhere-any device, the non accessibility to an object confers a representation and an imaginary of a dangerous product. We observe that many patients use App to control their fertility, and some of them had receive FDA clearance, but no independant scientific survey yet about them.

Results
Although decreased sexual desire is sometimes report with hormonal contraception, the causal link has not actually etablished. One study Novick AM & coll. Eur J Contracept Reprod Health Care 2022/06 questions the link between mood's side-effects of oral contraception and adverse childhood experiences.

Conclusions
We note that there is a common point between contraceptive refusal and the use of digital contraception: the limitation of sexual practices by the unwanted pregnancy risk. The action's means are: facilitate access to medical contraception, ask about history and sexual pleasure.

Conflicts of Interest
None
(325) WHEN PINK CLOUDS ARE ABSENT: LONG-TERM MATERNAL PSYCHOSOCIAL STRESS AFTER CARRYING AN UNINTENDED PREGNANCY TO TERM. FINDINGS FROM THE DUTCH PROSPECTIVE ABCD STUDY
Authors: Wieke Beumer , Prof. Tessa Roseboom , Dr. Marjette Koot , Dr. Tanja Vrijkotte , Dr. Jenneke van Ditzhuijzen 
Published: July 2023

Abstract

Objectives
Research into associations between unintended pregnancies carried to term and psychosocial stress (PS) postpartum is mixed, and especially evidence on long-term associations is scarce. In the current study, it is investigated whether carrying a unintended pregnancy to term is associated with maternal PS later in life, up to 12 years postpartum.

Methods
This study is based on the ongoing population-based birth cohort study ‘Amsterdam Born Children and their Development’ (ABCD-study) (n = 4,962). Unintended pregnancy was measured as a multidimensional construct, based on self-reported data on pregnancy mistiming, unwantedness, and unhappiness. Maternal PS was assessed using the STAI, CES-D and the DASS-21 around three months, five years and 11 years postpartum. Multiple SEM models were performed, examining the associations between dimensions of unintended pregnancy and maternal PS per time-point, while controlling for background variables and antepartum PS.

Results
Pregnancy mistiming and happiness were significant predictors of more maternal PS 3 months postpartum. Around 5 years postpartum, only pregnancy mistiming was positively associated to maternal PS. Dimensions of unintended pregnancy were no longer associated to maternal PS around 12 years postpartum.

Conclusions
Results reflect the multidimensionality of unintended pregnancy, suggesting long-term effects of dimensions of unintended pregnancy on maternal psychosocial stress, up to 5 years postpartum. People carrying a less intended pregnancy to term may benefit from extra support in the period after birth.

Conflicts of Interest
None.
(85) THE INFLUENCE OF SEXUAL AROUSAL & DISGUST ON PAIN
Authors: Lara Lakhsassi , Dr. Charmaine Borg , Prof. Peter J de Jong 
Published: July 2023

Abstract

Objectives
It have previously been demonstrated that inducing sexual arousal in the laboratory can modulate pain in men; but this effect has yet to be demonstrated in women. One explanation could be that for women, the erotic slides used to induce sexual arousal (SA) were not potent enough to elicit a lasting primed state of SA by the time pain was induced. Another explanation could be that disgust was inadvertently induced in women who viewed the erotic film. The current two studies will shed light on these questions.

Methods
Healthy female participants were randomly distributed across conditions and asked to view their respective film while using a cold pressor test (CPT). Visual analogue scales were used to measure pain intensity, and the time participants kept their hand in the cold water was used to measure pain tolerance.
CONDITIONS:
Study 1 (N = 151): SA (pornographic film), generalized arousal (parkour film), distraction (neutral film with counting task), control (neutral film without counting).
Study 2 (N = 174): SA (pornographic film), disgust (vomiting film), and control (neutral film). In Study 2, we also assessed whether the pornographic film may have inadvertently elicited disgust, potentially countering the pain modulatory effects that viewing the pornographic film might otherwise have had.

Results
Study 1: SA did not reduce subjective pain. Generalized arousal and distraction did not result in stronger analgesic effects than the neutral (baseline) condition.
Study 2: SA did not reduce subjective pain, but participants found the erotic stimulus, on average, nearly as disgusting as it was sexually arousing.

Conclusions
The findings do not support the hypothesis that SA modulates subjective pain in women as yet, but this may be due to the erotic stimulus eliciting disgust, which, in turn, may counter the pain modulatory effects that sexual arousal might otherwise have. A follow-up study will clarify this question.

Conflicts of Interest
None.
(208) TEMPERAMENT AND THE QUALITY OF SEXUAL LIFE OF POLISH WOMEN
Authors: Daria Jorg , Katarzyna Zborowska , Bożena Chrapkiewicz , Prof. Violetta Skrzypulec-Plinta 
Published: July 2023

Abstract

Objectives
The aim of the study was to characterize the sexual activity of women in early adulthood, based on the general quality of life and satisfaction with relationships, and to study the relationship between sexual functioning and satisfaction with it and temperamental variables.

Methods
The study involved 200 women aged 20 to 35 years. Data for the study were obtained using three standardized questionnaires: the Satisfaction With Life Scale (SWLS), the Sexual Satisfaction Questionnaire (KSS) and the Formal Characteristics of Behavior - Temperament Questionnaire in its revised version (FCZ-KT (R)) as well as the authorial tool: Short Characteristics of Sexual Activity (KCAS-J). The main part of the analysis covered relationships of temperament with sexual satisfaction, satisfaction with relationships and the overall quality of life in terms of the intensity of individual temperament features, the four basic temperament structures and the temperamental profiles occurring in the studied group.

Results
The highest levels of sexual satisfaction, relationship satisfaction and overall life satisfaction are achieved by people with a higher intensity of alertness, endurance and activity as well as the average level of intensity of perseverance and emotional reactivity. The lowest indicators of the level of sexual satisfaction, relationship satisfaction and overall life satisfaction are presented by people with the opposite temperamental characteristics: high rates of perseverance and emotional reactivity and, at the same time, lower than average levels of alertness, endurance and activity.

Conclusions
The conducted research allowed to notice significant relationships between the overall quality of life, the satisfaction with relationships, sexual satisfaction and temperamental variables in a group of women aged 20 to 35 years.

Conflicts of Interest
No Conflicts of Interest.
(66) SOCIO-SEXUAL BEHAVIORS AS A MODERN HUMAN PHENOMENON
Authors: Prof. Hajrullah Fejza , Prof. Ejona Icka , Prof. Xhevat Ukaj 
Published: July 2023

Abstract

Objectives
To measure the public opinion of different ages and sexes regarding their socio-sexual behaviors.

Methods
A qualitative descriptive research carried out through the survey of the Albanian population living in Kosovo and Albania. The data were collected in September 2002 through “The revised Sociosexual Orientation Inventory”, (Lars Penke). 712 people participated in the research (64.9% women and 34.1% men), of which 75.8% were aged 20-40. They were previously informed about the purpose of the research and the possibility of withdrawal.

Results
The obtained results showed that 52.5% had sex with only one partner, 14.6% had sex with two partners. 38.5% did not have sexual relations without interest in a long-term committed relationship with that person, with one partner 20.8% and with two such partners 12.1%. Sex without love is OK thought 40.2% which agreed or fully agreed, while 43% of them disagreed. When they were asked for the possibility to imagine themself comfortable and enjoy "casual" sex with different partners, 54.7% disagreed, 30.1% agreed, while 18.3% are undecided. When asked about the fantasy of having sex with someone with whom they are not in a committed romantic relationship, 22.5% stated never and 37.1% rarely. In the question, how often do you spontaneously fantasize about having sex with someone you just met, 34.8% stated never, while 34.3% said rarely, while only 9.8% said a few times a week

Conclusions
Based on these findings, we can conclude that even among Albanians there is a pronounced socio-sexual diversity.

Conflicts of Interest
Authors declared no conflict of interest
(95) GAY SEX AND THE GENDERED BRAIN. ARE BOTTOMS MORE FEM-BRAINED THAN TOPS? THE TBORNOTTB SURVEY OF 8,755 MEN
Authors: Herrero Rafael J , Aurélie Bourmaud , Priscilla Boizeau , Dr. Michel Ohayon 
Published: July 2023

Abstract

Objectives
The TBornotTB Survey set out to study the construction of the sexual anal positions (often termed “bottom”, “top”, and “versatile”) in men who have sex with men (MSM). This part of our study was to observe if personality traits traditionally considered gender-typical varied according to anal sexual identity (ASI) amongst MSM.

Methods
An on-line anonymous questionnaire (The TBornotTB Survey) was made available in the French language to all cisgender MSM of at least 18 years of age between June 25 and October 26 2020, including questions on personality traits traditionally associated with femininity or masculinity. Descriptive and analytical analyses were performed according to a statistical analysis plan drafted prior to the implementation of the study. Parametric or non-parametric tests were performed according to variable distribution. Statistical significance was set at 0.05.

Results
8,755 respondents met all the inclusion criteria for statistical analysis. 5,654 individuals responded to the questions concerning male-typical psychology (risk-taking, violence, sharing of feelings, spatial orientation and utilitarianism) and 5,651 responded to the questions concerning female-typical psychology (caring for others, consoling others, empathy, intuition and verbal capacity). In all the five categories associated with “female-typical” psychology, “bottoms” scored the lowest and “versatiles” scored the highest (e.g.- “Caring Category”: 78.3% “bottoms” agree vs 83.8% “versatiles”). In the five categories associated with “male-typical” psychology, “tops” scored the highest in all except in the category of risk-taking, where “bottoms” outscored the other two groups [“bottoms” like risk-taking (27.6%) vs. “tops” (22.7%] (p&lt;0.01).

Conclusions
Our study is the largest study on this subject to date. The TBornotTB data suggest that there are psychological traits traditionally considered gender-typical that differ according to ASI. Nonetheless, our data counter the social assumption that “bottoms” hold a psychological make-up that is traditionally associated with femininity and give a scientific basis to oppose commonly held clichés.

Conflicts of Interest
No confict of interest to be declared.
(299) SHOW CASE OF EDUCATIONAL TOOLS FOR ADOLESCENT SEXUALITY - A WORK IN PROGRESS AT GENEVA UNIVERSITY AND HOSPITALS
Authors: Céline Brockmann , Priv-Doz. Jasmine Abdulcadir , Priv-Doz. Arnaud Merglen , Caroline Jacots-Decombes , Gabrielle Richard , Patricia Silveira , Maéva Badré , Nasteha Salah , Julien Da Costa , Romain Dewaele , Priv-Doz. Leen Aerts , Priv-Doz. Michal Yaron 
Published: July 2023

Abstract

Objectives
There are many misconceptions and taboos around sex, gender and sexuality that have a negative impact on sexual health. The Geneva University, Hospitals and Swiss Sexual Health, with the ministry of education have launched since 2017 an educational project, Science, Sex, Identity aiming at reducing sexual illiteracy. Using interdisciplinary, inclusive, sex-positive and evidence-based information, we have developed and shared trainings and pedagogical tools with teachers, health professionals, teenagers and their parents.

Methods
We have developed all our tools as an interdisciplinary scientific team with the contributions of our target audience: adolescents, young adults and adults, cisgender men and women, trans*and gender diverse individuals, intersex and dyadic people and women concerned with FGM/C.

Results
All our tools are available freely on our dedicated website: https://www.unige.ch/ssi

Conclusions
We have touched, with our multi-language tools, so far more than 200K people directly. We believe that dissemination of evidence-based sex-positive and inclusive knowledge at a young age can prevent sexual illiteracy. Thanks to online access, free to all, dedicated courses and tools can help mitigate sexual risk behavior and empower young people to live their sexuality to the fullest and improve their general well-being.

Conflicts of Interest
We have no conflict of interest.