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[PMID]:27875903
[Au] Autor:Crosby RA; Mena L; Ricks JM
[Ad] Endereço:a Department of Health, Behavior & Society , University of Kentucky , Lexington , KY , USA.
[Ti] Título:Correlates of sexual-risk behaviors among young black MSM: implications for clinic-based counseling programs.
[So] Source:AIDS Care;29(6):718-723, 2017 Jun.
[Is] ISSN:1360-0451
[Cp] País de publicação:England
[La] Idioma:eng
[Ab] Resumo:This study applied an 8-item index of recent sexual-risk behaviors to young Black men who have sex with men (YBMSM) and evaluated the distribution for normality. The distribution was tested for associations with possible antecedents of sexual risk. YBMSM (N = 600), aged 16-29 years, were recruited from a sexually transmitted infection clinic, located in the southern US. Men completed an extensive audio computer-assisted self-interview. Thirteen possible antecedents of sexual risk, as assessed by the index, were selected for analyses. The 8-item index formed a normal distribution with a mean of 4.77 (SD = 1.77). In adjusted analyses, not having completed education beyond high school was associated with less risk, as was having sex with females. Conversely, meeting sex partners online was associated with greater risk, as was reporting that sex partners were drunk during sex. The obtained normal distribution of sexual-risk behaviors suggests a corresponding need to "target and tailor" clinic-based counseling and prevention services for YBMSM. Avoiding sex when partners are intoxicated may be an especially valuable goal of counseling sessions.
[Mh] Termos MeSH primário: Afroamericanos/educação
Afroamericanos/psicologia
Infecções por HIV/prevenção & controle
Infecções por HIV/psicologia
Homossexualidade Masculina/psicologia
Sexo Seguro/psicologia
Aconselhamento Sexual
Sexo sem Proteção/psicologia
[Mh] Termos MeSH secundário: Adolescente
Adulto
Intoxicação Alcoólica
Instituições de Assistência Ambulatorial
Seres Humanos
Masculino
Risco
Estatística como Assunto
Inquéritos e Questionários
Adulto Jovem
[Pt] Tipo de publicação:JOURNAL ARTICLE; RANDOMIZED CONTROLLED TRIAL
[Em] Mês de entrada:1708
[Cu] Atualização por classe:170817
[Lr] Data última revisão:
170817
[Sb] Subgrupo de revista:IM; X
[Da] Data de entrada para processamento:161124
[St] Status:MEDLINE
[do] DOI:10.1080/09540121.2016.1259449


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[PMID]:27863998
[Au] Autor:Justman J; Reed JB; Bicego G; Donnell D; Li K; Bock N; Koler A; Philip NM; Mlambo CK; Parekh BS; Duong YT; Ellenberger DL; El-Sadr WM; Nkambule R
[Ad] Endereço:ICAP at Columbia University, Mailman School of Public Health, Columbia University, New York, NY, USA. Electronic address: jj2158@columbia.edu.
[Ti] Título:Swaziland HIV Incidence Measurement Survey (SHIMS): a prospective national cohort study.
[So] Source:Lancet HIV;4(2):e83-e92, 2017 Feb.
[Is] ISSN:2352-3018
[Cp] País de publicação:Netherlands
[La] Idioma:eng
[Ab] Resumo:BACKGROUND: Swaziland has the highest national HIV prevalence worldwide. The Swaziland HIV Incidence Measurement Survey (SHIMS) provides the first national HIV incidence estimate based on prospectively observed HIV seroconversions. METHODS: A two-stage survey sampling design was used to select a nationally representative sample of men and women aged 18-49 years from 14 891 households in 575 enumeration areas in Swaziland, who underwent household-based counselling and rapid HIV testing during 2011. All individuals aged 18-49 years who resided or had slept in the household the night before and were willing to undergo home-based HIV testing, answer demographic and behavioural questions in English or siSwati, and provide written informed consent were eligible for the study. We performed rapid HIV testing and assessed sociodemographic and behavioural characteristics with use of a questionnaire at baseline and, for HIV-seronegative individuals, 6 months later. We calculated HIV incidence with Poisson regression modelling as events per person-years × 100, and we assessed covariables as predictors with Cox proportional hazards modelling. Survey weighting was applied and all models used survey sampling methods. FINDINGS: Between Dec 10, 2010, and June 25, 2011, 11 897 HIV-seronegative adults were enrolled in SHIMS and 11 232 (94%) were re-tested. Of these, 145 HIV seroconversions were observed, resulting in a weighted HIV incidence of 2·4% (95% CI 2·1-2·8). Incidence was nearly twice as high in women (3·1%; 95% CI 2·6-3·7) as in men (1·7%; 1·3-2·1, p<0·0001). Among men, partner's HIV-positive status (adjusted hazard ratio [aHR] 2·67, 1·06-6·82, p=0·040) or unknown serostatus (aHR 4·64, 2·32-9·27, p<0·0001) in the past 6 months predicted HIV seroconversion. Among women, significant predictors included not being married (aHR 2·90, 1·44-5·84, p=0·0030), having a spouse who lives elsewhere (aHR 2·66, 1·29-5·45, p=0·0078), and having a partner in the past 6 months with unknown HIV status (aHR 2·87, 1·44-5·84, p=0·0030). INTERPRETATION: Swaziland has the highest national HIV incidence in the world. In high-prevalence countries, population-based incidence measures and programmes that further expand HIV testing and support disclosure of HIV status are needed. FUNDING: President's Emergency Plan for AIDS Relief (PEPFAR) by the Centers for Disease Control and Prevention.
[Mh] Termos MeSH primário: Infecções por HIV/diagnóstico
Infecções por HIV/epidemiologia
HIV-1
[Mh] Termos MeSH secundário: Adolescente
Adulto
Aconselhamento
Características da Família
Feminino
Infecções por HIV/imunologia
Infecções por HIV/virologia
HIV-1/isolamento & purificação
Seres Humanos
Incidência
Masculino
Programas de Rastreamento
Meia-Idade
Prevalência
Modelos de Riscos Proporcionais
Estudos Prospectivos
Análise de Regressão
Fatores de Risco
Aconselhamento Sexual
Inquéritos e Questionários
Suazilândia/epidemiologia
Adulto Jovem
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1707
[Cu] Atualização por classe:170726
[Lr] Data última revisão:
170726
[Sb] Subgrupo de revista:IM; X
[Da] Data de entrada para processamento:161120
[St] Status:MEDLINE


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[PMID]:26821739
[Au] Autor:Graugaard C; Nielsen VM; Jensen SØ; Koch H; Ogstrup AJ; Jakobsen MF; Hald J
[Ad] Endereço:a Center for Sexology Research, Department of Clinical Medicine, Aalborg University , Aalborg , Denmark.
[Ti] Título:What Do Danish Youth Want to Know About Sex? Twenty Years of Telephone Counseling on Sexual and Reproductive Issues.
[So] Source:J Sex Marital Ther;43(2):159-168, 2017 Feb 17.
[Is] ISSN:1521-0715
[Cp] País de publicação:England
[La] Idioma:eng
[Ab] Resumo:Young people's need for sexual counseling is well documented, and both website and hotline-based services have been established as means of health promotion in this field. Such measures, however, are rarely evaluated, so this article offers data from the world's presumably oldest sexuality helpline aimed at young people. With an observation time of two decades and a total of 42,325 questions asked, the study provides a unique glance into the sexual landscapes of Danish youth. It shows an overall male predominance among callers and reveals that the counseling themes change over time and differ between both age groups and genders. The article suggests that telephone counseling-although more resource demanding than online alternatives-provides a secure, anonymous, and dialogue-based arena for discussing delicate sexual issues and therefore may constitute a viable supplement to web-based media for young people with the need to talk rather than just chat.
[Mh] Termos MeSH primário: Comportamento do Adolescente/psicologia
Aconselhamento/normas
Promoção da Saúde/métodos
Aconselhamento Sexual/normas
Comportamento Sexual/psicologia
[Mh] Termos MeSH secundário: Adolescente
Atitude Frente à Saúde
Feminino
Seres Humanos
Masculino
Parceiros Sexuais/psicologia
Adulto Jovem
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1708
[Cu] Atualização por classe:170808
[Lr] Data última revisão:
170808
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:160130
[St] Status:MEDLINE
[do] DOI:10.1080/0092623X.2016.1141819


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[PMID]:27938871
[Au] Autor:Mindry DL; Milford C; Greener L; Greener RM; Maharaj P; Letsoalo T; Munthree C; Crankshaw TL; Smit JA
[Ad] Endereço:Center for Culture and Health, Semel Institute, University of California, Los Angeles, USA. Electronic address: dmindry@ucla.edu.
[Ti] Título:Client and provider knowledge and views on safer conception for people living with HIV (PLHIV).
[So] Source:Sex Reprod Healthc;10:35-40, 2016 Dec.
[Is] ISSN:1877-5764
[Cp] País de publicação:Netherlands
[La] Idioma:eng
[Ab] Resumo:OBJECTIVE(S): The childbearing needs of people living with HIV (PLHIV) and the experiences of healthcare providers serving them are explored. We examine provider and client knowledge and views on safer conception methods. METHODS: The study uses exploratory qualitative research to understand provider and client perspectives on childbearing and safer conception. Interviews were conducted at 3 sites (1 rural, 2 urban) in eThekwini District, KwaZulu-Natal, South Africa between May 2011 and August 2012, including in-depth interviews with 43 PLHIV, 2 focus group discussions and 12 in-depth interviews with providers. RESULTS: Clients had little knowledge and providers had limited knowledge of safer conception methods. While clients were eager to receive counseling on safer conception, providers had some hesitations but were eager to receive training in delivering safer conception services. Clients and providers noted that biological parentage is a major concern of PLHIV. Clients were willing to use any of the described methods to have biological children but some expressed concerns about potential risks associated with timed unprotected intercourse. Male clients required access to reproductive health information. CONCLUSIONS: Providers need to routinely initiate discussions with clients about childbearing intentions. Providers need to be enabled with approved guidelines and training to support client access to safer conception methods.
[Mh] Termos MeSH primário: Atitude do Pessoal de Saúde
Infecções por HIV/epidemiologia
Conhecimentos, Atitudes e Prática em Saúde
Pessoal de Saúde/psicologia
Transmissão Vertical de Doença Infecciosa/prevenção & controle
Aconselhamento Sexual/métodos
[Mh] Termos MeSH secundário: Anticoncepção
Feminino
Seres Humanos
Masculino
Gravidez
Complicações Infecciosas na Gravidez/prevenção & controle
Pesquisa Qualitativa
África do Sul
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1704
[Cu] Atualização por classe:170404
[Lr] Data última revisão:
170404
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:161213
[St] Status:MEDLINE


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[PMID]:27548558
[Au] Autor:American College of Obstetricians and Gynecologists' Committee on Gynecologic Practice; American Society for Colposcopy and Cervical Pathology (ASCCP)
[Ti] Título:Committee Opinion No 673: Persistent Vulvar Pain.
[So] Source:Obstet Gynecol;128(3):e78-84, 2016 09.
[Is] ISSN:1873-233X
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:Persistent vulvar pain is a complex disorder that frequently is frustrating to the patient and the clinician. It can be difficult to treat and rapid resolution is unusual, even with appropriate therapy. Vulvar pain can be caused by a specific disorder or it can be idiopathic. Idiopathic vulvar pain is classified as vulvodynia. Although optimal treatment remains unclear, consider an individualized, multidisciplinary approach to address all physical and emotional aspects possibly attributable to vulvodynia. Specialists who may need to be involved include sexual counselors, clinical psychologists, physical therapists, and pain specialists. Patients may perceive this approach to mean the practitioner does not believe their pain is "real"; thus, it is important to begin any treatment approach with a detailed discussion, including an explanation of the diagnosis and determination of realistic treatment goals. Future research should aim at evaluating a multimodal approach in the treatment of vulvodynia, along with more research on the etiologies of vulvodynia.
[Mh] Termos MeSH primário: Terapia Combinada/métodos
Manejo da Dor
Medição da Dor
Vulvodinia
[Mh] Termos MeSH secundário: Consenso
Feminino
Seres Humanos
Manejo da Dor/métodos
Manejo da Dor/psicologia
Medição da Dor/métodos
Medição da Dor/psicologia
Relações Médico-Paciente
Aconselhamento Sexual/métodos
Sociedades Médicas
Vulvodinia/diagnóstico
Vulvodinia/etiologia
Vulvodinia/psicologia
Vulvodinia/terapia
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1705
[Cu] Atualização por classe:170526
[Lr] Data última revisão:
170526
[Sb] Subgrupo de revista:AIM; IM
[Da] Data de entrada para processamento:160823
[St] Status:MEDLINE
[do] DOI:10.1097/AOG.0000000000001645


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[PMID]:27472733
[Au] Autor:Del Romero J; Baza MB; Río I; Jerónimo A; Vera M; Hernando V; Rodríguez C; Castilla J
[Ad] Endereço:aCentro Sanitario Sandoval, Instituto de Investigación Sanitaria San Carlos -IdISSC bCentro Nacional de Epidemiología, Instituto de Salud Carlos III, Madrid cCIBER Epidemiología y Salud Pública dInstituto de Salud Pública de Navarra, IdiSNA-Navarra Institute for Health Research, Pamplona, Spain.
[Ti] Título:Natural conception in HIV-serodiscordant couples with the infected partner in suppressive antiretroviral therapy: A prospective cohort study.
[So] Source:Medicine (Baltimore);95(30):e4398, 2016 Jul.
[Is] ISSN:1536-5964
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:The potential of antiretroviral treatment (ART) to prevent the sexual transmission of HIV has increased the number of serodiscordant couples who are considering natural conception. We aim to describe the results of a protocol for reproductive counseling aimed at HIV serodiscordant couples who desire natural conception, in which the infected partner, the index case, is receiving suppressive antiretroviral treatment.A prospective cohort included all HIV serodiscordant couples attended a counseling program in the period 2002 to 2013 who opted for natural conception and met the following criteria: index case on ART with persistent plasma viral suppression for at least the previous 6 months, ART compliance over 95%, preserved immune status, undetectable HIV viral and proviral load in semen in male index cases, and absence of genitourinary infections and fertility problems in both members of the couple.Of the 161 HIV serodiscordant couples included, 133 with male index cases, 66% achieved at least 1 pregnancy, 18% a second one, and 5% a third pregnancy. A total of 144 natural pregnancies occurred and 107 babies were born. The pregnancy rate was 1.9 for each 100 acts of vaginal intercourse, and the mean time to conception was 6.1 months, both independently of the sex of the index case. No case of sexual or vertical HIV transmission occurred.In the absence of fertility problems and under controlled conditions, natural conception might be a safe and effective reproductive method for those HIV serodiscordant couples who choose this reproductive option.
[Mh] Termos MeSH primário: Fármacos Anti-HIV/efeitos adversos
Fármacos Anti-HIV/uso terapêutico
Fertilização/efeitos dos fármacos
Soronegatividade para HIV
Soropositividade para HIV
Aconselhamento Sexual
Parceiros Sexuais
[Mh] Termos MeSH secundário: Adulto
Estudos de Coortes
Feminino
Seres Humanos
Recém-Nascido
Masculino
Gravidez
Estudos Prospectivos
Técnicas de Reprodução Assistida
Espanha
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Nm] Nome de substância:
0 (Anti-HIV Agents)
[Em] Mês de entrada:1702
[Cu] Atualização por classe:170224
[Lr] Data última revisão:
170224
[Sb] Subgrupo de revista:AIM; IM
[Da] Data de entrada para processamento:160730
[St] Status:MEDLINE
[do] DOI:10.1097/MD.0000000000004398


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[PMID]:27456885
[Au] Autor:Khakbazan Z; Daneshfar F; Behboodi-Moghadam Z; Nabavi SM; Ghasemzadeh S; Mehran A
[Ad] Endereço:School of Nursing and Midwifery, Tehran University of Medical Sciences, Tehran, Iran. Electronic address: khakbaza@tums.ac.ir.
[Ti] Título:The effectiveness of the Permission, Limited Information, Specific suggestions, Intensive Therapy (PLISSIT) model based sexual counseling on the sexual function of women with Multiple Sclerosis who are sexually active.
[So] Source:Mult Scler Relat Disord;8:113-9, 2016 Jul.
[Is] ISSN:2211-0356
[Cp] País de publicação:Netherlands
[La] Idioma:eng
[Ab] Resumo:OBJECTIVE: This study was conducted to evaluate the effectiveness of sexual counseling based on the Permission, Limited Information, Specific Suggestion, Intensive Therapy (PLISSIT) model on the Sexual Dysfunction (SD) of married sexually active women who suffer from Multiple Sclerosis (MS). This is the first sexual intervention applied by a midwife as a health professional on MS patients in Iran where the cultural and religious limitations are important challenging issues. STUDY DESIGN: This randomized clinical trial was carried out in Iranian Community of Support for MS Patients in Tehran, Iran. The participating women who had a definite diagnosis of MS and SD, Expanded Disability Status Scale (EDSS) scores <7, and aged 18-55 years were randomly assigned to experimental (EG, n=43) and control group (CG, n=45). Participants in the EG group received 4 weekly sexual counseling sessions based on the PLISSIT model (90-120min per session). MAIN OUTCOME MEASURES: Sexual function was assessed three times (before the intervention, and 2 months and 3 months after the intervention) using the Female Sexual Function Index (FSFI). Chi-square test, Fisher's exact test, and Repeated Measures ANOVA were employed to analyze the data. RESULTS: The mean total FSFI score of the women in EG improved at 2 and 3 months after the intervention when it was compared with the FSFI score before the intervention (p<0.05). There was no significant difference in the total FSFI score when the data of 3 evaluations was compared in CG. A significant increase in the mean score of 6 subgroups was seen in EG (p<0.05) but not in CG. CONCLUSION: According to this study, utilizing the PLISSIT model as a framework for sexual counseling can improve sexual function in women who are sexually active and suffer from SD due to MS.
[Mh] Termos MeSH primário: Esclerose Múltipla/complicações
Aconselhamento Sexual/métodos
Disfunções Sexuais Fisiológicas/terapia
[Mh] Termos MeSH secundário: Adolescente
Adulto
Cultura
Avaliação da Deficiência
Feminino
Seres Humanos
Irã (Geográfico)
Meia-Idade
Esclerose Múltipla/fisiopatologia
Esclerose Múltipla/psicologia
Comportamento Sexual
Disfunções Sexuais Fisiológicas/etiologia
Disfunções Sexuais Fisiológicas/fisiopatologia
Disfunções Sexuais Fisiológicas/psicologia
Cônjuges
Resultado do Tratamento
Adulto Jovem
[Pt] Tipo de publicação:JOURNAL ARTICLE; RANDOMIZED CONTROLLED TRIAL
[Em] Mês de entrada:1702
[Cu] Atualização por classe:170227
[Lr] Data última revisão:
170227
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:160727
[St] Status:MEDLINE


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[PMID]:27310908
[Au] Autor:Scardi S
[Ad] Endereço:Scuola di Specialità in Cardiologia, Università degli Studi, Trieste.
[Ti] Título:[Why do cardiologists disregard sexual health of their patients? A critical review].
[Ti] Título:Perché i cardiologi trascurano la salute sessuale dei loro pazienti? Una revisione critica..
[So] Source:G Ital Cardiol (Rome);17(5):348-55, 2016 May.
[Is] ISSN:1827-6806
[Cp] País de publicação:Italy
[La] Idioma:ita
[Ab] Resumo:Sexual activity is an essential aspect of normal human function, well-being and quality of life. Sexual dysfunction is a common problem of increasing incidence in patients with cardiovascular disease, particularly younger and male, and continues over time in life, but these issues are not often discussed in daily practice both for a limited patient-physician relationship and clinicians' poor knowledge. Many studies suggest that the majority of patients and their partners have questions or concerns about their sexual health. Healthcare providers can help their patients if they are aware of the problem. Cardiologists need more knowledge and specific practical training in providing information on sexual concerns and sexual counseling to cardiac patients. This review aims at providing clinicians with most recent evidence about sexual dysfunction, and its management in patients with cardiac disease. Sexual couseling of cardiac patients is an important role for healthcare providers.
[Mh] Termos MeSH primário: Atitude do Pessoal de Saúde
Cardiologia
Doenças Cardiovasculares/complicações
Relações Médico-Paciente
Qualidade de Vida
Saúde Reprodutiva
Aconselhamento Sexual
Disfunções Sexuais Fisiológicas/etiologia
[Mh] Termos MeSH secundário: Medicina Baseada em Evidências
Conhecimentos, Atitudes e Prática em Saúde
Seres Humanos
Medição de Risco
Fatores de Risco
Aconselhamento Sexual/métodos
[Pt] Tipo de publicação:ENGLISH ABSTRACT; JOURNAL ARTICLE; REVIEW
[Em] Mês de entrada:1608
[Cu] Atualização por classe:160617
[Lr] Data última revisão:
160617
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:160617
[St] Status:MEDLINE
[do] DOI:10.1714/2252.24260


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[PMID]:27286524
[Au] Autor:Freyberger HJ; Richter-Appelt H; Richter R; Eckert J; Brähler E
[Ad] Endereço:Klinik und Poliklinik für Psychiatrie und Psychotherapie der Universitätsmedizin Greifswald am Helios Hanseklinikum Stralsund.
[Ti] Título:["We Would have Wanted, but did not Dare to" - or How to Become a Successful Researcher in Sexual and Psychotherapy Science].
[Ti] Título:"… Mögen täten wir schon wollen, aber dürfen haben wir uns nicht getraut …" - oder wie man ein erfolgreicher Sexualwissenschaftler und Psychotherapieforscher wird..
[So] Source:Psychother Psychosom Med Psychol;66(6):215-8, 2016 Jun.
[Is] ISSN:1439-1058
[Cp] País de publicação:Germany
[La] Idioma:ger
[Mh] Termos MeSH primário: Pesquisa Biomédica/história
Escolha da Profissão
Psicoterapia/história
Aconselhamento Sexual/história
[Mh] Termos MeSH secundário: Alemanha
História do Século XX
História do Século XXI
Seres Humanos
[Pt] Tipo de publicação:BIOGRAPHY; HISTORICAL ARTICLE; JOURNAL ARTICLE
[Ps] Nome de pessoa como assunto:Strauss B
[Em] Mês de entrada:1704
[Cu] Atualização por classe:170411
[Lr] Data última revisão:
170411
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:160611
[St] Status:MEDLINE
[do] DOI:10.1055/s-0042-107902


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[PMID]:27209180
[Au] Autor:Brauer M; van Lunsen RH; Laan ET; Burger MP
[Ad] Endereço:Department of Sexology and Psychosomatic Obstetrics and Gynecology, Academic Medical Center, The Netherlands.
[Ti] Título:A Qualitative Study on Experiences After Vulvar Surgery in Women With Lichen Sclerosus and Sexual Pain.
[So] Source:J Sex Med;13(7):1080-90, 2016 Jul.
[Is] ISSN:1743-6109
[Cp] País de publicação:Netherlands
[La] Idioma:eng
[Ab] Resumo:INTRODUCTION: Lichen sclerosus (LS) of the vulva can profoundly affect sexual interaction because of painful fissures and narrowing of the vaginal introitus. Successful surgical treatment is usually defined as restoration of (pain-free) penetrative sexual activity. AIMS: To evaluate the impact of surgery on (dyadic) sexual functioning and pleasure and psychological well-being. METHODS: Nineteen women with anogenital LS participated in audiotaped, qualitative, individual interviews after surgery to re-enable sexual intercourse. MAIN OUTCOME MEASURES: Physical, sexual, and psychological experiences were analyzed using the constant comparative method. RESULTS: Vulvar surgery resulted in a decrease of sexual pain in 13 of 19 patients (68%). Of these 13 patients, 4 were completely free of pain and the other 9 patients expressed a shift from preoperative sexual pain to postoperative sexual discomfort. These women reported improved sexual functioning, increased sexual activity and intimacy with the partner, and reinstated feelings of being an adequate woman and sexual partner. In 1 of the 19 patients (5%), surgery did not result in decreased sexual pain, yet she continued to have intercourse. Five of the 19 patients (26%) stopped having intercourse because of pain; one woman had secondary vaginismus and another woman, in retrospect, had premorbid generalized unprovoked vulvodynia. Four of these women were unable to communicate with their partner about sexual matters and to change their sexual repertoire (satisfactorily) once they had ceased intercourse (attempts). Eighteen women (95%) reported a decrease of LS symptoms in daily life. CONCLUSION: Vulvar surgery seems an effective treatment for most women with LS who experience sexual pain owing to anatomic or epithelial changes and who wish to resume intercourse. To assess whether women might benefit from such surgery and/or whether (additional) sexual counseling is indicated, preoperative sexological couple-based consultation is needed. This consultation should exclude comorbid vaginismus and generalized unprovoked vulvodynia and index the couple's pre-existing sex life, including sexual communication skills, and the ability to incorporate non-coital pain-free sexual activities.
[Mh] Termos MeSH primário: Coito/psicologia
Disfunções Sexuais Fisiológicas/psicologia
Disfunções Sexuais Psicogênicas/psicologia
Líquen Escleroso Vulvar/complicações
Líquen Escleroso Vulvar/psicologia
[Mh] Termos MeSH secundário: Adulto
Dispareunia/psicologia
Feminino
Seres Humanos
Meia-Idade
Pesquisa Qualitativa
Qualidade de Vida
Aconselhamento Sexual
Disfunções Sexuais Fisiológicas/etiologia
Disfunções Sexuais Psicogênicas/etiologia
Parceiros Sexuais/psicologia
Resultado do Tratamento
Vulva/cirurgia
Líquen Escleroso Vulvar/cirurgia
Vulvodinia/psicologia
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1707
[Cu] Atualização por classe:170707
[Lr] Data última revisão:
170707
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:160523
[St] Status:MEDLINE



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