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Endometrial Ablation Procedure
Treatment of Treatment of Breast Cancer
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Treatment Of Female Sexual Problems
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A new study in The Journal of Sexual Medicine examines the way depression and anxiety during the pregnancy and postpartum periods affect a woman?s sexual life.
Researchers from Brazil and the United States found that depressive/anxiety symptoms, or DAS, can be linked to declines in sexual life for up to eighteen months after a baby is born.
While relationship and socioeconomic problems have been studied in relation to decreased sexual activity after woman gives birth, the association between DAS and sexual decline has not been clear.
The study focused on lower-income women who were receiving antenatal care at public primary clinics in S�o Paulo, Brazil. To learn more about sexual activity, research assistants interviewed the women between 20 and 30 weeks of pregnancy and again at some point during the eighteen months after delivery. During the postpartum period, the women completed the Self Report Questionnaire (SRQ-20), a tool that assesses depression and anxiety.
Eight-hundred thirty-one women participated during pregnancy. Of these, 644 women had resumed sexual activity and were available for follow up after delivery. The women?s mean age was 25 years and approximately 78% of them were living with a partner.
During the interview, the women were asked, ?Considering your sexual life before pregnancy, how would you describe your present sexual life: improved, the same, worsened??
Based on results of the SRQ-20, the women were divided into four groups:
? Group 1 had no DAS during pregnancy and the postpartum period.#11;
? Group 2 had DAS during pregnancy only.
#11;? Group 3 had DAS during the postpartum period only.#11;
? Group 4 had DAS during both pregnancy and the postpartum period.
About 21% of the women had seen their sex lives decline. This result was more likely among women in Group 3 (DAS during the postpartum period only) and Group 4 (DAS during both pregnancy and the postpartum period.)
Sexual decline was also associated with the mother?s age and the number of miscarriages she had had. The risk of sexual decline was twice as high for women over 30 when compared to younger women, a result that could be related to stress. Women who had had miscarriages had a 50% increase in the risk of sexual decline, which could be due to the emotional toll of miscarriage.
The researchers acknowledged that DAS and sexual decline could work in two ways. DAS could lead to sexual difficulties after delivery. But problems after delivery, such as episiotomies, could also lead to DAS.
The findings may help practitioners recognize DAS symptoms and their effects on the sex lives of lower-income women.
Pelvic Floor Dysfunction & Women?s Sexual Concerns
Pelvic organ prolapse (POP) and urinary incontinence can have many sexual repercussions for women. Recently, a team of European researchers described these problems in detail in the Journal of Sexual Medicine.
POP occurs when female pelvic organs drop and put pressure on the vaginal walls. Urinary incontinence (UI) refers to the loss of bladder control and leaking of urine. Both conditions can make women anxious about sex.
The authors explained that healthcare providers often do not consider themselves fully trained to treat sexual issues associated with POP and UI. Also, much research has focused on the quantitative aspects of sexual function for these women. The goal of this study was to add ?meaning and context? to the current literature.
Thirty-seven women between the ages of 31 and 64 participated. Each woman was about to have corrective surgery for POP, UI, or both POP and UI. All participants were sexually active except one, who avoided sex because of her condition, but wanted to start again after surgery.
Each woman was interviewed face-to-face, responding to open-ended questions about how POP and/or UI affected them sexually. Questions focused on desire, arousal, orgasm, pain, satisfaction, body image, partners, and intimacy. Because of a recording error, one interview could not be used. Therefore, results were based on interviews with thirty-six women.
Seventeen percent of the women said their sex lives were satisfactory, with no problems from POP or UI. Thirty-nine percent rated their sex lives negatively and 44% indicated that their sex lives were fine overall, but that certain aspects were negative.
Most Commonly Affected Sexual Areas
? Body image. Women with POP described their vaginas negatively, using descriptors like ?ugly? and ?not normal.? Those with UI were anxious about using incontinence pads and emitting urine odor. Many women felt embarrassed, depressed, unattractive, or undesirable. They were also concerned about their partner?s experience. For example, some women with POP worried that a partner could feel the prolapse.
? Desire. Many women found themselves less motivated to have sex because they feared pain and felt awkward. Some rushed through sex; others avoided sex altogether.
? Arousal. Distraction, fear of pain, and difficulty relaxing could all contribute to diminished arousal.
? Orgasm. Some women had trouble reaching orgasm because they couldn?t relax or ?let go.? Others found their orgasm less intense. Some didn?t allow themselves to reach orgasm because they feared incontinence.
? Pain. Women with POP were more likely to report discomfort or pain, which were mainly due to sexual position, the prolapse itself, or the fullness of their bladder.
The authors acknowledged that other factors, aside from POP and/or UI, could play a role in the women?s sexual problems. A partner?s sexual issues, relationship conflict, stress, and menopause could all be involved. ?Despite the profound effect of POP and/or UI, the confounding effect of these factors should not be overlooked when assessing female sexual function,? the authors wrote.
They also noted ways that healthcare providers can help women with POP and/or UI by addressing sexual problems. Letting patients know that these conditions are common may help them gain confidence.
I am mother of one year boy still I am feeding him. After one year I got period. July 25 I got August month period have not yet come. I checked kid test it's negative. Wat could b the problem.
Hi my name is Ravikiran. Actually my friend had a sex with her on 9th april, after sex she had taken unwanted 72 tablet also but she is not got her periods till 45 days, what would be the problem.
Sir I am 26 year old and have a baby of 6 month, just now I have terminated by unwanted pregnancy and while done ultrasound of uterus then found 2.5cm fibroid over uterus. Previously I have suffered from fibroid in unmarried age 2.5 year ago So please suggest what is the cause of formation fibroid and treatment of it.
I had my last periods on 15th Oct and sex on 30th Oct. I got negative hcg test but still I feel I am pregnant. I don't want this. Can I take abortion pill. Please guide wat to do? If I m not pregnant and I ll take abortion pill then what will happen. Please help me? Which pill to take and how.
I am 26 years old. I want to ask that periods aane ka mtlab ye hota hai ke aap pregnent nai. Kya periods aane ke baad bhi chance hai ke aap pregnent rahe.
Hii. My baby is 4 months old. My periods are not coming after delivery. Then I'm very worried. And at the tym of Intercourse I feel pain at internal side and stitches region. Tell me Wat I do is these things are normal. My tummy is not going reduces. Which exercise I can do for escaping my bulging tummy thigh. I want to come in my shape Can you pls suggest after 5 months of delivery which xcercises can be done to reduce weight.
The first 12 weeks of your pregnancy is a super important period when your pregnancy gets established and stabilized. There are so many little exciting and not so exciting changes happening in your body that it'll simply leave you amazed. If this is your first pregnancy and you are wondering what to expect, here is a quick view:
1. The big discovery: This is one of the most trying times in a woman's life when her mind is swinging, wondering if those periods just decided to postpone themselves or if there is an exciting reason behind the miss. This period is often spent wondering when exactly is the right time to do your first pregnancy test. The opinion on this varies a lot. Some women have been able to detect their pregnancy even before they missed their period. Others have got a false negative one week after missing their periods. The safest bet is to wait for around 8 days after your missed period and do a blood HCG test which gives a sure shot confirmation. And that moment when you find out and share with your spouse is something you'll treasure for life. There really is no feeling in the world that can match knowing that a small little life is taking shape inside you.
2. The good and not so good changes: Though the kicking doesn't begin until later and the belly doesn't show, there are enough changes in your body to wonder what the little one is up to.
a. Morning sickness: One of the unfriendly side effects of pregnancy generally kicks in early during the first trimester. Unfortunately, it doesn't just last in the morning but mostly throughout the day. Some smells also trigger the feeling of nausea. Having small meals and keeping a good scent handy may help.
b. Mood swings: You can go from the heights of euphoria to the depths of depression with the speed of a roller coaster. The spouse is often the one bearing the brunt of this side effect leaving them confused. It is best to keep them in the loop so that they can take it to their stride and comfort you when you need it the most.
c. Weight loss / gain: Though it is too early to pile on the pounds, your first trimester will see you gain a few pounds. In other cases, appetite loss and nausea may actually result in some weight loss. Keep your daily calorie intake in check during this period and concentrate on eating nutritious food with extra pregnancy sustaining supplements.
3. Your baby's growth: In your first trimester, your baby goes from a single cell to a peach sized bundle that sprouts arms, legs, hands, feet, fingers and toes. And that first heartbeat - you are bound to skip a heartbeat when you hear that.