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Sample records for premature sexual intercourse

  1. Predictors of Sexual Intercourse among Korean Adolescents

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    Ryu, Eunjung; Kim, Kyunghee; Kwon, Hyejin

    2007-01-01

    Background: The proportion of adolescents experiencing unwanted pregnancy and abortion caused by the premature initiation of sexual intercourse is increasing at an alarming rate in Korea. This study aimed at developing a theoretical model for identifying individual and environmental risk factors affecting the initiation of sexual intercourse by…

  2. Guilt reactions to sexual fantasies during intercourse.

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    Cado, S; Leitenberg, H

    1990-02-01

    This study explored how guilt feelings about having sexual fantasies during intercourse are related to frequency of fantasizing, to sexual satisfaction and sexual dysfunction, and to different beliefs about the cause, transgressive nature, and consequences of such fantasizing behavior. Drawing from a sample of 178 men and women with intercourse experience (means age = 27), 84% reported that they fantasized at least some of the time during sexual intercourse. From this sample, those who reported feeling most guilty about having sexual fantasies during intercourse (1 SD or more above the mean, n = 39) were compared to those who felt least guilty (1 SD or more below the mean, n = 43). Those subjects who felt guilty reported having significantly fewer sexual fantasies during intercourse than those who felt the least guilty. They also reported higher levels of sexual dissatisfaction and dysfunction. The high-guilt subjects believed that sexual fantasies during intercourse were significantly more abnormal, immoral, uncommon, socially unacceptable, and harmful to themselves, their partner, and their relationship regardless of whether their partner knew that such fantasies occurred. They also reported that the cause of their fantasizing during intercourse reflected significantly more negatively on their sexual behavior and their general character than did the low-guilt group. No statistically significant differences were found between groups on the causal attribution dimensions of internality, stability, or globality of such fantasies. In general, these findings suggest that guilt reactions about sexual fantasies during intercourse are related to beliefs that such fantasies are deviant and harmful and that such guilt reactions are negatively related to sexual satisfaction and adjustment.

  3. Detection of spermatozoa following consensual sexual intercourse

    DEFF Research Database (Denmark)

    Astrup, Birgitte Schmidt; Thomsen, Jørgen Lange; Lauritsen, Jens

    2012-01-01

    examinations of sexual assault victims. For an objective evaluation of the findings, substantial knowledge of aspects regarding consensual sexual intercourse is crucial. The aim of this study was to examine detection frequencies and genital sampling sites of spermatozoa following consensual sexual intercourse....... METHODS: In a prospective setting, 60 women underwent forensic examination following consensual sexual intercourse. Specimens were obtained from the external genitalia, the posterior fornix and the cervical canal, and examined using the Papanicolau stain and standard light microscopy. RESULTS: We found...... that 88% of possible cases were positive for spermatozoa. The posterior fornix was significantly better than the other sites for detection of spermatozoa and the number of spermatozoa decreased significantly over time. In a large sub-group of women who reported that no intra-vaginal ejaculation had taken...

  4. Detection of spermatozoa following consensual sexual intercourse.

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    Astrup, Birgitte Schmidt; Thomsen, Jørgen Lange; Lauritsen, Jens; Ravn, Pernille

    2012-09-10

    In cases of sexual assault, the finding of semen can provide crucial evidence. The presence of spermatozoa serves as proof of a sexual act and may give the identity of the alleged perpetrator through DNA-profiling. In most western countries, there are guidelines for standardized examinations of sexual assault victims. For an objective evaluation of the findings, substantial knowledge of aspects regarding consensual sexual intercourse is crucial. The aim of this study was to examine detection frequencies and genital sampling sites of spermatozoa following consensual sexual intercourse. In a prospective setting, 60 women underwent forensic examination following consensual sexual intercourse. Specimens were obtained from the external genitalia, the posterior fornix and the cervical canal, and examined using the Papanicolau stain and standard light microscopy. We found that 88% of possible cases were positive for spermatozoa. The posterior fornix was significantly better than the other sites for detection of spermatozoa and the number of spermatozoa decreased significantly over time. In a large sub-group of women who reported that no intra-vaginal ejaculation had taken place during their latest intercourse, a significant number (14%) had spermatozoa in the vagina. Spermatozoa were best recovered from the posterior fornix, but spermatozoa were also present on swabs taken from the external genitalia. Detection of spermatozoa is thus possible in cases where a speculum examination is denied. Copyright © 2012 Elsevier Ireland Ltd. All rights reserved.

  5. ATTITUDES AND BEHAVIOR AMONG RURAL THAI ADOLESCENTS REGARDING SEXUAL INTERCOURSE.

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    Tangmunkongvorakul, Arunrat; Srithanaviboonchai, Kriengkrai; Guptarak, Marisa; Wichajarn, Monjun; Yungyuankul, Sawang; Khampan, Ratchaneekorn; Grimes, Deanna E; Grimes, Richard M

    2014-11-01

    Early initiation of sexual intercourse has been associated with negative consequences, such as higher rates of unwanted pregnancy and HIV infection. This study examined the attitudes and behavior of rural Thai adolescent students aged 16 to 20 years from northern Thailand regarding sexual intercourse. Differences between participants who previously had sexual intercourse and those who had not were explored. Those who had not previously had sexual intercourse were asked about the reasons why they had not had sex, their future plans for having sex and their dating experiences. More than 70% of participants stated they had not previously had sexual intercourse but one third of this group reported engaging in other sexual behavior. There were significant differences by gender, religion, ethnicity, and household income between those who had previously had sex and those who had not. Among those who had not previously had sexual intercourse, concern for their parents' feelings was the most common reason for delaying intercourse. About two-thirds of this group had plans not to have sexual intercourse until after marriage; nearly half of them reported currently having a boyfriend/girlfriend. Interventions aimed at delaying sexual intercourse should involve adolescents in their design and include their attitudes for delaying intercourse. Because of many gender differences seen in our study, interventions should be designed differently for males and females in rural northern Thailand.

  6. Influence of Older Siblings on Initiation of Sexual Intercourse.

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    Widmer, Eric D.

    1997-01-01

    Examines whether older siblings (as orientational others) influence the timing of younger siblings' first intercourse. Results, based on 183 pairs of independent interviews, indicate that older brothers' sexual behavior has a significant influence on the timing of young siblings' initiation of sexual intercourse. Addresses the interaction of these…

  7. Female Sexual Arousal: Genital Anatomy and Orgasm in Intercourse

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    Wallen, Kim; Lloyd, Elisabeth A.

    2013-01-01

    In men and women sexual arousal culminates in orgasm, with female orgasm solely from sexual intercourse often regarded as a unique feature of human sexuality. However, orgasm from sexual intercourse occurs more reliably in men than in women likely reflecting the different types of physical stimulation men and women require for orgasm. In men, orgasms are under strong selective pressure as orgasms are coupled with ejaculation and thus contribute to male reproductive success. By contrast, women's orgasms in intercourse are highly variable and are under little selective pressure as they are not a reproductive necessity.. The proximal mechanisms producing variability in women's orgasms are little understood. In 1924 Marie Bonaparte proposed that a shorter distance between a woman's clitoris and her urethral meatus (CUMD) increased her likelihood of experiencing orgasm in intercourse. She based this on her published data which were never statistically analyzed. In 1940 Landis and colleagues published similar data suggesting the same relationship, but these data too were never fully analyzed. We analyzed raw data from these two studies and found that both demonstrate a strong inverse relationship between CUMD and orgasm during intercourse. Unresolved is whether this increased likelihood of orgasm with shorter CUMD reflects increased penile-clitoral contact during sexual intercourse or increased penile stimulation of internal aspects of the clitoris. CUMD likely reflects prenatal androgen exposure, with higher androgen levels producing larger distances. Thus these results suggest that women exposed to lower levels of prenatal androgens are more likely to experience orgasm during sexual intercourse. PMID:21195073

  8. The Effects of Early first Sexual Intercourse amongst Lesotho Women

    African Journals Online (AJOL)

    AJRH Managing Editor

    Effects of Early Sexual Debut ... Abstract. Age at first sexual intercourse may be a predictor of future sexual behaviour and an important indicator for exposure to HIV transmission. ... technology in mobile phones is improving on a daily basis, children are able to download ... had not received sex education before first sex11.

  9. Sexual socialization and motives for intercourse among Norwegian adolescents.

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    Traeen, B; Kvalem, I L

    1996-06-01

    The impact of gender differences in sexual socialization on early sexual experiences among Norwegian adolescents is discussed. The material comprises a stratified sample of 920 adolescents ages 16-20 years in a Norwegian county. Data were collected by means of questionnaires. Of the respondents, 55.5% were girls and 44.5% were boys. 52.3% of girls and 41.4% of the boys had coital experience. The most common reasons for having had the first sexual intercourse were being in love, curiosity or excitement, and sexual arousal. Findings from a discriminant analysis showed that emotional reasons were more important to girls, whereas boys seemed more practical in sexual matters. More boys than girls reported that the reason for having had their most recent intercourse was that the partner wanted it. This indicates that if girls do not want sex, boys seldom use pressure. Girls set the premises for sexual interaction but are not as sexually skilled as boys.

  10. Sexual intercourse and cerebral aneurysmal rupture: potential mechanisms and precipitants.

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    Reynolds, Matthew R; Willie, Jon T; Zipfel, Gregory J; Dacey, Ralph G

    2011-04-01

    Aneurysmal subarachnoid hemorrhage (SAH) is a significant cause of death in young and middle-aged individuals and causes tremendous morbidity in affected patients. Despite the identification of various risk factors, the series of events leading to the formation, growth, and rupture of intracranial aneurysms is poorly understood. Cerebral aneurysm rupture has been associated with sexual intercourse and other forms of physical exercise. In fact, multiple case series reported that coitus was the immediate preceding activity in 3.8-14.5% of patients suffering from aneurysmal SAH. This may be related to the large elevations in mean arterial blood pressure that occur in both males and females during sexual intercourse (130-175 and 125-160 mm Hg, respectively). While coitus and physical exercise share important physiological similarities, each may differentially affect the probability that a preformed aneurysm will rupture. In this literature review and synthesis, the authors analyze the physiological human response to sexual intercourse in an effort to delineate those factors that may precipitate aneurysmal rupture. The authors' analysis is based on the original data collected by Masters and Johnson. To the authors' knowledge, this is the first review to address the link between sexual intercourse and intracranial aneurysmal rupture. While actual measurements of the physiological variables relevant to SAH were not performed in this article, the authors make reasonable assumptions based on the available data to help elucidate the mechanism of sexually induced aneurysmal rupture.

  11. Mother– and Father–Adolescent Relationships and Early Sexual Intercourse

    NARCIS (Netherlands)

    Nogueira Avelar e Silva, R.; van de Bongardt, D.; van de Looij-Jansen, P.; Wijtzes, A.; Raat, H.

    2016-01-01

    OBJECTIVES: To assess the prospective associations between mother-adolescent and father-adolescent relationship quality and early sexual intercourse initiation (ie, ≤16 years) among a large sample of Dutch adolescents. METHODS: Two waves of data from the Rotterdam Youth Monitor, a longitudinal study

  12. On the sexual intercourse drawings of Leonardo da Vinci.

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    Morris, A G

    1986-04-12

    Leonardo da Vinci's marvellous anatomical drawings have been praised by both artists and medical historians over the centuries. Specific reference is made here to Leonardo's drawings of the act of sexual intercourse. It is shown that his illustrations are not based purely on original observation. Rather, they are an attempt to illustrate and clarify anatomy and physiology as presented in the textbooks of the time.

  13. Attachment style, early sexual intercourse, and dating aggression victimization.

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    Yarkovsky, Nicole; Timmons Fritz, Patti A

    2014-01-01

    The present study examined relations between attachment style, age at first sexual intercourse, and dating aggression (DA) victimization. In all, 137 heterosexual female undergraduate students 18 to 25 years of age (M = 20.76, SD = 1.87) completed an online questionnaire that included questions regarding sexual history, attachment style (Experiences in Close Relationships Scale), and DA (Conflict in Adolescent Dating Relationships Inventory). Initial bivariate correlations revealed that women reported higher rates of DA victimization if they were more anxiously attached (r = .30, p = .000), had an earlier age at vaginal sexual debut (r = -.19, p = .015), and had an earlier age at oral sexual debut (r = -.15, p = .046); however, when entered into a predictive multivariate model, neither the addition of anxious attachment nor an early age at sexual debut accounted for a significant amount of variance above and beyond control variables. Although we were unable to affirm anxious attachment and an early age at first intercourse as risk factors for DA victimization, posthoc analyses emphasized the need to control for social desirability when gathering information on sensitive topics in clinical and research settings.

  14. Coerced sexual intercourse within marriage: a clinic-based study of pregnant Palestinian refugees in Lebanon.

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    Khawaja, Marwan; Hammoury, Nadwa

    2008-01-01

    This study examines the correlates of forced sexual intercourse among pregnant refugee women attending an antenatal clinic in Sidon, Lebanon. A total of 349 pregnant women were interviewed during a clinic visit for a prenatal check-up during the months of June and July 2005. The Abuse Assessment Screen was used to identify cases of abuse. The outcome variable was whether the woman was forced to have sexual intercourse during the past year. One-quarter of women (26.2%) reported having forced sexual intercourse. Associations between forced sexual intercourse and sociodemographic risk factors were assessed using odds ratios from logistic regression models. Low educational levels and reported fear of husband were significant risk factors for sexual abuse, adjusting for other relevant variables. Age, parity, length of marriage, place of residence, undesired pregnancy, gestational age, consanguinity, and physical violence during last year were not associated with forced sexual intercourse.

  15. Spontaneous pneumomediastinum following ecstasy ingestion and sexual intercourse.

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    Stull, B W

    2008-02-01

    Ecstasy is an illegal drug that has become widely used among adolescents and young adults. It is used recreationally for its stimulant and sensory-altering properties. Serious adverse effects are well documented and include arrhythmias, hyperthermia, seizures and long-term neuropsychiatric effects. A handful of previous case reports have recognised a relationship between ecstasy use and spontaneous pneumomediastinum, but an underlying mechanism has been difficult to identify. This report describes a 21-year-old man who presented with chest pain and dysphagia 1 day after using ecstasy. He was subsequently found to have both mediastinal and retropharyngeal emphysema. It is suspected that the underlying aetiology of the findings in this case was sexual intercourse.

  16. Determinants of risky sexual behavior among women in Ukraine: condom use at first sexual intercourse

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    Barska, Julia

    2012-07-01

    Full Text Available BACKGROUND: Sexually transmitted infections (STI create a great hazard to public health. STIs occur mostly as a result of different types of risky sexual behavior, such as early sexual debut, unprotected sexual intercourses, alcohol use during sex, multiple partnership etc. Condoms are known to provide the best protection against negative consequences of risky sexual behavior. In this study we aimed to determine factors associated with condom use at first sexual intercourses by women in Ukraine.METHODS: Secondary analysis of data of the 2007 Ukraine Demographic and Health Survey was conducted. Responses of 883 sexually experienced women aged 15–24 were included in the analysis. Associations between condom use at first sex and independent variables were assessed using multivariate binary logistic regression.RESULTS: Light (less than 3,5 drinks per week and heavy (3,5 drinks per week or more drinkers were more likely to use condoms at first sexual intercourse compared to abstainers or occasional drinkers (OR 1,83 (CI 1,32-2,53 and 2,21 (CI 1,43-3,42, respectively. Besides that, women from households with above average income had 1,65 (CI 1,17-2,33 higher odds to use condoms at sexual debut in comparison to women from households with lower income. Women who read printed media at least once a week had twice (CI 1,36-2,94 as high odds of using condoms at first intercourse as women who read newspapers or magazines rare. Non-Western region of residence and sexual partner of about the same age were positively associated with condom use as well.CONCLUSIONS: Wealthy young adults from industrially developed regions are active users of condoms during sexual debut, which is to be accounted for in determining target groups for social policy in Ukraine.

  17. Socialization Influences on Early Adolescents' Cognitive Susceptibility and Transition to Sexual Intercourse

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    L'Engle, Kelly Ladin; Jackson, Christine

    2008-01-01

    This study examined the relationship between perceived socialization from parents, school, peers, and media and adolescents' cognitive susceptibility to initiating sexual intercourse and transition to intercourse 2 years later. Baseline and follow-up in-home Audio-Computer Assisted Self Interview surveys were completed by 854 Black and White male…

  18. CASE OF REACTIVE PANCREATITIS IN PATIENTS WITH CHRONIC NON-ATROPHIC GASTRITIS FOLLOWING SEXUAL INTERCOURSE

    OpenAIRE

    Avramenko, A. A.

    2017-01-01

    It was analyzed the case of reactive pancreatitis in patients with chronic non-atrophic gastritis, which passed a comprehensive examination and planned to undergo a course of treatment. It was found that reactive pancreatitis developed after sexual intercourse.

  19. Colposcopic photography of genital injury following sexual intercourse in adults.

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    Astrup, Birgitte Schmidt; Lauritsen, Jens; Thomsen, Jørgen Lange; Ravn, Pernille

    2013-03-01

    The aim of this study was to evaluate interpretations and the reproducibility of interpretations when looking at colposcopic photographs in a forensic setting, as well as discussing some of the dilemmas and pitfalls of forensic colposcopic photography. A total of 316 colposcopic photographs from 51 women taken on three occasions following consensual sexual intercourse, and 78 colposcopic photographs from 39 rape victims, were evaluated by four different observers. Photographs were taken in the same setting, by the same group of investigators, before and after application of toluidine blue dye. The overall Kappa-value for the four observers' judgment of lesion vs. no lesion was 0.41 which can be interpreted as moderate agreement. Intra-observer agreement was calculated for two of the observers looking at photographs with a 10 months' time-gap, and the Kappa-values were 0.41 and 0.52. Positive and negative predictive values of the photographs were 82 and 81 % respectively. This study demonstrates relatively poor reliability of colposcopic photography. Some would argue that this makes colposcopic photography a low-quality method of evaluation and that forensic science should aim for higher standards because of its use in court. Others would argue that as long as the limitations of a scientific method are acknowledged then it is still eligible for use. The moderate agreement and accuracy stresses the need for quality control in the gynecological part of a rape examination. Colposcopic photography also provides a good option for supervision and teaching in an ethically difficult setting. It strengthens the legal rights for both victim and perpetrator.

  20. Time since first sexual intercourse and the risk of cervical cancer

    DEFF Research Database (Denmark)

    Plummer, Martyn; Peto, Julian; Franceschi, Silvia

    2012-01-01

    Young age at first sexual intercourse (AFI) is an important risk factor for cervical cancer, but no simple statistical model of its influence has been established. We investigated the relationship between risk of cervical carcinoma and time since first intercourse using data on monogamous women (5...... proportional to the square of time since first intercourse (exponent 1.95, 95% CI: 1.76-2.15) up to age 45. First cervical infection with human papillomavirus (HPV) often occurs soon after first sexual intercourse, so early AFI is a reasonable proxy for early age at first exposure to HPV. In addition, age......-specific incidence rates of cervical cancer in unscreened populations remain fairly constant above age 45. Cervical cancer thus resembles other cancers caused by strong early-stage carcinogens, with incidence rates proportional to a power of time since first exposure and also resembles cancers of the breast...

  1. Pubertal Timing and Early Sexual Intercourse in the Offspring of Teenage Mothers

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    De Genna, Natacha M.; Larkby, Cynthia; Cornelius, Marie D.

    2011-01-01

    Early puberty is associated with stressful family environments, early sexual intercourse, and teenage pregnancy. We examined pubertal timing and sexual debut among the 14-year-old offspring of teenage mothers. Mothers (71% Black, 29% White) were recruited as pregnant teenagers (12-18 years old). Data were collected during pregnancy and when…

  2. Predictors of Early Initiation of Sexual Intercourse among High-Risk Adolescents.

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    French, Doran C.; Dishion, Thomas J.

    2003-01-01

    Assessed the characteristics that predicted the timing of first sexual intercourse in high-risk adolescents. Employed event history analyses and defined predictor variables using multimethod and multiagent assessments. Found that precocious sexual initiative can be understood using models of the etiology of other problem behavior, and that…

  3. Patterns of Vaginal, Oral, and Anal Sexual Intercourse in an Urban Seventh-Grade Population

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    Markham, Christine M.; Peskin, Melissa Fleschler; Addy, Robert C.; Baumler, Elizabeth R.; Tortolero, Susan R.

    2009-01-01

    Background: This study examines the prevalence of vaginal, oral, and anal intercourse among a population of urban, public middle school students, the characteristics of early sexual initiators, and the sequence of sexual initiation. Such data are limited for early adolescents. Methods: A total of 1279 seventh-grade students (57.3% female, 43.6%…

  4. Pubertal Timing and Early Sexual Intercourse in the Offspring of Teenage Mothers

    Science.gov (United States)

    De Genna, Natacha M.; Larkby, Cynthia; Cornelius, Marie D.

    2011-01-01

    Early puberty is associated with stressful family environments, early sexual intercourse, and teenage pregnancy. We examined pubertal timing and sexual debut among the 14-year-old offspring of teenage mothers. Mothers (71% Black, 29% White) were recruited as pregnant teenagers (12-18 years old). Data were collected during pregnancy and when…

  5. "Running a Train": Adolescent Boys' Accounts of Sexual Intercourse Involving Multiple Males and One Female

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    Rothman, Emily F.; Decker, Michele R.; Reed, Elizabeth; Raj, Anita; Silverman, Jay G.; Miller, Elizabeth

    2008-01-01

    The authors used qualitative research methods to explore the context and sexual risk behavior associated with sexual intercourse involving multiple males and one female, commonly called "running a train." Participants were 20 adolescent males aged 14 to 22 years who were either perpetrators of dating violence or perceived by teachers to…

  6. Sex Feel Good: Enjoyment of Sexual Intercourse by Some Barbadian Teenagers

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    Carmen Hutchinson Miller Ph.D

    2013-06-01

    Full Text Available Within Caribbean societies and Barbados in particular issues on human sexuality are approached from a pathological, controlling, and judgmental perspective. These views resist an acknowledgment that children are sexual beings which manifestations are more evident during the teen years. Despite societal resistance, teenage pregnancies and sexual abuse forced societies to deal even if reluctantly with teenage sexuality. Based on Caribbean conservative approach to matters around sexuality it comes as no surprise that concerns around teenage sexuality is concentrated within discussions, discourses and scholarship about reproductive health, sexual abuse and sexually transmitted diseases. Based on the literature researched for Barbados and the rest of the Caribbean teenage sexual desire, and pleasurable sexual intercourses are virtually none-existent. It is the intention with this paper to contribute to scholarship on teenage sexual pleasure within Barbadian society. For its analysis the paper will utilize data collected from a teen sexuality research done during 2011-2012 among two secondary schools in Barbados. The main objective is to demonstrate that Barbadian teenagers are involved and enjoying sexual intercourse and other sexually related activities despite hegemonic discourses of sexual repression and control.

  7. Factors associated with self-reported first sexual intercourse in Scottish adolescents

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    van Teijlingen Edwin R

    2009-03-01

    Full Text Available Abstract Background There is continuing concern about high pregnancy rates and increasing numbers of sexually transmitted infections being detected in Scottish adolescents. Consistent evidence about factors associated with risky sexual behaviours, including early first sexual intercourse, may help to identify adolescents at risk and help improve interventions. This study aimed to provide detailed analysis of the evidence of the associations between individual factors and early sexual intercourse using cross-sectional questionnaire data from 4,379 Scottish adolescents who participated in a sexual health intervention evaluation. Findings Multivariate secondary analysis showed that aspects of family and school life such as decreasing parental monitoring (OR 1.45, 95% CI 1.24–1.70 and decreasing enjoyment of school (OR 2.55, 95% CI 2.15–3.03 were associated with reporting previous sexual intercourse. Furthermore, females were more likely to report previous sexual intercourse than males (OR 1.48, 95% CI 1.14–1.91. Several factors commonly used to inform sexual health intervention design, such as socioeconomic status, self-esteem and religion, were not independently associated. Conclusion These results contribute to the evidence base for the association of several factors with early initiation of sexual activity. The findings suggest that interventions aiming to delay first intercourse may need to consider targeting aspects of individuals' connection to their school and family. Furthermore, the results do not support the need to consider socio-economic background, religion or self-esteem of the individuals in intervention design.

  8. Sexual intercourse among adolescent daughters of mothers with depressive symptoms from minority families.

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    Sang, Jina; Cederbaum, Julie A; Hurlburt, Michael S

    2016-08-01

    This study investigated the association between maternal depressive symptoms and adolescent engagement in sexual intercourse in a non-clinical sample of mothers and their adolescent daughters from minority families. The current study explores ways in which maternal depression, family factors, and adolescent sex interact. Data were from a cross-sectional study of 176 mother-daughter dyads, including a subset of mothers with HIV. Logistic regression analyses revealed that among mothers who were not current marijuana users, more maternal depressive symptoms was associated with daughters' engagement in sexual intercourse. Neither parent-child conflict nor parental involvement significantly mediated the relationship between maternal depressive symptoms and adolescent sex. This study provides the first empirical evidence that non-clinical depressive symptoms in mothers are associated with adolescent engagement in sexual intercourse.

  9. Sexuality in pregnancy and premature labour.

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    Georgakopoulos, P A; Dodos, D; Mechleris, D

    1984-09-01

    The relation of sexual behaviour during pregnancy to the initiation of labour was investigated in 358 patients of whom 58 were delivered after premature labour and 300 were delivered spontaneously at term. In all patients the mean weekly coital frequency and the frequency of orgasm were investigated by means of a retrospective questionnaire. There was no significant difference in coital or orgasmic frequency between the women who had a premature labour and those who had a spontaneous delivery at term. This was also true when those having premature labour were divided into those starting labour with ruptured membranes and those starting with contractions.

  10. Endocrinological, biophysical, and biochemical parameters of semen collected via masturbation versus sexual intercourse.

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    Sofikitis, N V; Miyagawa, I

    1993-01-01

    In clinical programs of assisted reproduction involving infertile males, it is essential to obtain semen of maximum quality. To evaluate ways of achieving this objective, and to assess the fertilizing capacity of the sperm, six semen samples were collected from each of 38 infertile men via masturbation. Six more samples were then collected from each man at sexual intercourse using a semen collection device (SCD). We confirmed that the volume of seminal plasma, total sperm count, sperm motility, and percentage of morphologically normal spermatozoa were significantly higher in samples collected at intercourse than masturbation, as reported previously. In addition, the markers of the secretory function of the prostate and the outcome of sperm function tests (hypoosmotic swelling test, acrosin assay, and sperm penetration assay) were significantly higher for the samples collected at intercourse. There were no significant differences in markers of the secretory function of the seminal vesicles and epididymis between the samples. The improved spermatozoal parameters in the samples collected at intercourse may reflect a higher prostatic secretory function at that time. There were no significant differences in the serum concentrations of gonadotropins, or in the serum or seminal plasma concentrations of testosterone, before or after masturbation or sexual intercourse. Therefore, the differences in prostatic secretory function and semen parameters may not be attributed to differences in hormonal levels. Semen collection during intercourse using an SCD appears to be the method of choice for selecting semen samples for artificial insemination.

  11. Association of Sexual Intercourse with Psychological Suppression and Copying Modes for Vocational School Students

    Institute of Scientific and Technical Information of China (English)

    Li WANG; Xiao-jin WANG; Xiao-wen TU; Chao-hua LOU; Er-sheng GAO

    2009-01-01

    Objective To evaluate the association of sex behavior with sexual related psychological suppression and coping modes among students in three vocational schools in Shanghai.Methods A cross-sectional survey was conducted among 1368 grade one students from three vocational schools in a district of Shanghai,with Computer Assisted Self-Interview(CASI).The field work began in the April,2003 for a baseline survey,and completed in the December,2003.Data on students'sexual intercourse,sexual related psychological suppression and psychological coping modes,and communication with parents were collected and analyzed.Binary logistic regression was used to adjust the potential confounding factors.Results After controlling for demographic factors,adolescents with middle or high scores of active psychological coping strategies on sexual related events were less likely to have sexual intercourse(ORadj=0.48,95% CI=0.30-0.77 and ORadj=0.49,95%CI=0.30-0.83,respectively),while association between psychological suppression on sex related events and sexual intercourse was not statistically significant(ORadj=0.93,95%CI=0.63-1.37);sexual related psychological suppression and active coping modes were positively associated with adolescents'communicating with parents for 2-7 h/week about school things.but negatively associated with parents'open attitudes towards heterosexual contacts and talking sex related things with others.Conclusion Vocational school students with active psychological coping strategies on sexual related events were less likely to engage in sexual intercourse,so interventions focus on reducing unprotected sexual behaviors should target on psychological coping modes skills training.

  12. Disruptive behaviors and early sexual intercourse: The GAZEL Youth Study.

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    Galéra, Cédric; Messiah, Antoine; Melchior, Maria; Chastang, Jean-François; Encrenaz, Gaelle; Lagarde, Emmanuel; Michel, Gregory; Bouvard, Manuel-Pierre; Fombonne, Eric

    2010-05-30

    Sexual health-risk behaviors in disruptive children are poorly understood. In a longitudinal population-based sample, event-time analyses showed that subjects with high levels of conduct disorder symptoms, particularly in combination with simultaneously high levels of hyperactivity-inattention symptoms, exhibited the highest risk for earlier sexual activity compared to controls, suggesting the need for prevention.

  13. Prevalence and Social Correlates of Sexual Intercourse among School-Going Adolescents in Thailand

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    Karl Peltzer

    2011-01-01

    Full Text Available Adolescent sexuality is a relevant public health issue, as it affects risk to contract HIV and other sexually transmitted infections. The assessment of prevalence of sexual intercourse among adolescents may guide policies and programmes aimed at reducing the transmission of sexually transmitted infections among this age group. Using data from the Thailand Global School-Based Student Health Survey (GSHS 2008, we assessed the prevalence of sexual intercourse in the last 12 months and its associated factors among adolescents (=2758. Overall the prevalence of sexual intercourse in the past 12 months was 11.0% (14.6% males and 7.6% females. Variables positively associated with the outcome in multivariable analysis were male gender (OR=1.66; 95% CI 1.14–242, older age, ≥15 years (OR=2.60, 1.80–3.74, current alcohol use (OR=2.22, 1.46–3.36, psychosocial distress (OR=2.11, 1.44–3.09 and among females current smoking (OR=5.47, 1.62–18.48, lifetime drug use (AOR=4.35, 1.04–18.3 and lack of parental or guardian bonding (AOR=0.51, 0.27–0.97. Efforts to control unhealthy lifestyles (substance use and psychosocial distress may impact on adolescents' sexual activity.

  14. Early sexual intercourse: Prospective associations with adolescents physical activity and screen time

    NARCIS (Netherlands)

    Avelar e Silva, R.N. (Raquel Nogueira); A.I. Wijtzes (Anne); Van De Bongardt, D. (Daphne); P.M. van de Looij-Jansen (Petra); R. Bannink (Rienke); H. Raat (Hein)

    2016-01-01

    textabstractObjectives: To assess the prospective associations of physical activity behaviors and screen time with early sexual intercourse initiation (i.e., before 15 years) in a large sample of adolescents. Methods: We used two waves of data from the Rotterdam Youth Monitor, a longitudinal study c

  15. Early sexual intercourse : Prospective associations with adolescents physical activity and screen time

    NARCIS (Netherlands)

    Nogueira Avelar e Silva, R.; Wijtzes, A.; van de Bongardt, D.; van de Looij-Jansen, P.; Bannink, R.; Raat, H.

    2016-01-01

    Objectives: To assess the prospective associations of physical activity behaviors and screen time with early sexual intercourse initiation (i.e., before 15 years) in a large sample of adolescents. Methods: We used two waves of data from the Rotterdam Youth Monitor, a longitudinal study conducted in

  16. Adolescent Life Events and Their Association with the Onset of Sexual Intercourse.

    Science.gov (United States)

    Dorius, Guy L.; And Others

    1993-01-01

    Examines the timing of several events marking the transition from adolescence to young adulthood and their correlation with the age at first sexual intercourse. Findings are reported showing tobacco use, marijuana use, dating, and parental divorce during the child's adolescent years and the contribution of these variables to first early-age…

  17. Body Image and First Sexual Intercourse in Late Adolescence

    Science.gov (United States)

    Vasilenko, Sara A.; Rama, Nilam; Lefkowitz, Eva S.

    2011-01-01

    Sexual behavior is associated with body image, but the directionality of this association is unclear. This study used longitudinal data from a sample of previously abstinent college students (N = 100, 45% female, 49% European American, 26% Latino American, 25% African American) to test whether satisfaction with appearance changed after first…

  18. Body Image and First Sexual Intercourse in Late Adolescence

    Science.gov (United States)

    Vasilenko, Sara A.; Rama, Nilam; Lefkowitz, Eva S.

    2011-01-01

    Sexual behavior is associated with body image, but the directionality of this association is unclear. This study used longitudinal data from a sample of previously abstinent college students (N = 100, 45% female, 49% European American, 26% Latino American, 25% African American) to test whether satisfaction with appearance changed after first…

  19. Television Use, Sexual Behavior, and Relationship Status at Last Oral Sex and Vaginal Intercourse.

    Science.gov (United States)

    Bersamin, Melina M; Bourdeau, Beth; Fisher, Deborah A; Grube, Joel W

    2010-06-01

    The current longitudinal study explores the relationship between adolescent television use at time 1 and sexual experience and relationship status (i.e., committed/romantic versus casual) 1 year later. The sample (N = 824) comprised youth aged 14-18. Multinomial logistic regressions predicting group membership from television exposure variables were conducted controlling for socio-demographic characteristics and prior sexual behavior. Results indicate that sexually inexperienced youth watched more television overall than sexually experienced youth, but less adult, premium and music television on cable networks. Premium cable exposure predicted group membership among sexually active youth. Youth who watched more premium cable at time 1 were more likely to be in casual relationship at last intercourse than a committed one. A more complete understanding of media effects on adolescent sexual relationships can help guide policy development, media education/literacy efforts, and contribute to the design of interventions to reduce the negative consequences associated with adolescent sexual behavior.

  20. Heterosexual anal intercourse: increasing prevalence, and association with sexual dysfunction, bisexual behavior, and venereal disease history.

    Science.gov (United States)

    Brody, Stuart; Weiss, Petr

    2011-01-01

    Representative samples of the Czech population were surveyed with regard to sexual behavior in 1993, 1998, 2003, and 2008 (N = 7,720). Lifetime prevalence of Heterosexual Anal Intercourse increased from 1993 to 2008 (16.6% to 19.7% among women, 15.7% to 25.3% among men). Anal intercourse was associated with lifetime number of sex partners, current masturbation, and histories (prevalence of which increased from 1993 to 2008) of homosexual sex, prostitution, venereal disease (adjusted for number of sex partners), and women's sexual dysfunction. The authors discuss the possible reasons for the increasing prevalence and the associations. Multivariate predictors of ever having a sexual dysfunction or a venereal disease are also presented.

  1. Nature, frequency and duration of genital lesions after consensual sexual intercourse-Implications for legal proceedings

    DEFF Research Database (Denmark)

    Astrup, Birgitte Schmidt; Ravn, Pernille; Lauritsen, Jens

    2012-01-01

    OBJECTIVE: The purpose of this study was to make a normative description of the nature and duration of genital lesions sustained during consensual sexual intercourse, using the three most commonly used techniques; visualisation using the naked eye, colposcopy and toluidine blue dye followed...... by colposcopy. METHODS: Ninety eight women were examined within 48h of consensual sexual intercourse. Fifty of the women were examined twice again within the following 7 days of sexual abstinence after the first examination. RESULTS: The participants had a median age of 22.4 years and 88% were nulliparous....... Lesions were frequent; 34% seen with the naked eye, 49% seen with colposcopy and 52% seen with toluidine blue dye and subsequent colposcopy. The lesions lasted for several days; the median survival times for lacerations were 24, 40 and 80h, respectively. CONCLUSIONS: The legal implications...

  2. Prospective association between negative life events and initiation of sexual intercourse: the influence of family structure and family income.

    Science.gov (United States)

    Cheney, Marshall K; Oman, Roy F; Vesely, Sara K; Aspy, Cheryl B; Tolma, Eleni L; John, Robert

    2015-03-01

    We examined the prospective association between negative life events and time to initiation of sexual intercourse and the influence of family structure and family income on this association. We followed up a randomly selected sample (n=649) of ethnically diverse parents and their children aged 12 to 17 years over a 5-year period. We conducted Cox proportional hazards regression analysis to examine the relation between negative life events and time to initiation of sexual intercourse. Family structure and family income were assessed as confounders. Negative life events were significant predictors of time to initiation of sexual intercourse in adolescents. After controlling for demographic variables, youths reporting 1 negative life event had a hazard of initiation of sexual intercourse 1.40 times greater and youths reporting 2 or more negative life events had a hazard of initiation of sexual intercourse 1.61 times greater compared with youths reporting no negative life events. Family structure and family income were not significant confounders of the relation between initiation of sexual intercourse and negative life events. Interventions to prevent initiation of sexual intercourse should focus on youths with recent negative life events, regardless of family income and structure.

  3. Factors predicting the probability of initiating sexual intercourse by context and sex.

    Science.gov (United States)

    Grøntvedt, Trond Viggo; Kennair, Leif Edward Ottesen; Mehmetoglu, Mehmet

    2015-10-01

    Despite men initiating sex more than women there is considerable variance within the sexes. This study is the first to consider the impact of multiple predictors from the literature, and investigates how factors, such as relationship length, sociosexuality, and different aspects of self-perceived mate value among others, independently and interactively predict initiation of sexual intercourse in both short-term sexual and long-term romantic mating contexts, testing predictions from Sexual strategies theory. For long-term relationships, positive partner bond increased initiative to sexual intercourse for women. For men, self-perceived independence increased probability of taking the initiative, while relationship attachment decreased probability. For short-term relations, the desire component of the sociosexual orientation inventory increased probability of initiation for both sexes, while male initiative was increased by pleasure reasons for sex. The impact of individual predictors on initiating intercourse is influenced by being included in a multidimensional model, and relationship context affects the impact of the predictors.

  4. Sexual intercourse among adolescents in Santiago, Chile: a study of individual and parenting factors

    Science.gov (United States)

    Sanchez, Ninive; Grogan-Kaylor, Andrew; Castillo, Marcela; Caballero, Gabriela; Delva, Jorge

    2012-01-01

    Objective To examine a range of individual, parenting, and family factors associated with sexual intercourse among a community sample of youth and their families in Santiago, Chile. Methods Data were taken from the first wave of the Santiago Longitudinal Study conducted in January 2008–November 2009. Participants were 766 youth (mean age = 14.03 years, 51% male) from municipalities of low-to mid-socioeconomic status. Variables included emotional and behavioral subscales from the Child Behavior Checklist’s Youth Self Report, parental monitoring, family involvement, parental control and autonomy, relationship with each parent, and sexual activity. Bivariate and multivariate logistic regression models were used to examine the odds of sexual intercourse initiation. Results Seventy (9.14%) youth reported having had sex in their lifetime; the average age of first sexual intercourse among this group was 13.5 years (Standard Deviation [SD] = 1.74) for males and 14.08 (SD = 1.40) for females. Having sex was inversely associated with withdrawn-depressed symptoms (Odds Ratio [OR] = 0.84, Confidence Interval [CI] = 0.72–0.97), but positively associated with somatic complaints (OR = 1.20, CI = 1.04–1.38) and rule breaking behavior (OR = 1.21, CI = 1.08–1.36), after adjusting for demographic and other individual and parenting variables. The majority (80%) of the youth who had had sex reported using protection at the time of last intercourse. Conclusions Findings highlight the role that mental health problems—some of them not commonly associated with onset of sexual activity—may play in a youth’s decision to have sex. The potential protective effects of several parenting and family characteristics disappeared with youth age and youth behavioral problems. PMID:21152714

  5. Genital lesions after consensual sexual intercourse: They are frequent and they last for several days

    DEFF Research Database (Denmark)

    Astrup, Birgitte Schmidt; Lauritsen, Jens; Ravn, Pernille

    Introduction: The significance of genital lesions in victims of rape is currently under debate in many countries. Legal experts are pointing at the lack of comprehensive knowledge of lesions sustained during consensual sexual intercourse as a key problem. The aim of this study was to provide...... insight into the duration of lesions, frequency of lesions seen with different investigative techniques and to identify pitfalls in the diagnosis of lesions. Materials and Methods: 98 women were examined within 48 hours of consensual sexual intercourse using the naked eye, the colposcope and toluidine......, respectively. The median survival time for lacerations was 24 hours (n=19) seen with the naked eye, 40 hours seen with the colposcope (n=28) and 80 hours seen with toluidine blue dye (n=26). Several important pitfalls in the diagnosis of lesions using the three techniques were identified. We propose a model...

  6. Sexual practices in youth: analysis of lifetime sexual trajectory and last sexual intercourse

    Directory of Open Access Journals (Sweden)

    Heilborn Maria Luiza

    2006-01-01

    Full Text Available This article examines the sexual practices of young Brazilians based on data from the GRAVAD Research Project, a household survey targeting males and females from 18 to 24 years of age (n = 4,634 in three Brazilian State capitals: Porto Alegre, Rio de Janeiro, and Salvador. The set of practices experienced over the course of their sexual careers is characterized by traits of social belonging, elements from individual life histories, and prescribed rules of conduct for men and women. The authors compared the young people's range of lifetime practices and those from last sexual relations in order to discuss the spread and incorporation of practices into life histories. The data point to the hegemony of vaginal sex in both the lifetime repertoire of sexual practices and the last sexual encounters, such that vaginal sex provides the prime definition of heterosexuality.

  7. Sexual practices in youth: analysis of lifetime sexual trajectory and last sexual intercourse

    Directory of Open Access Journals (Sweden)

    Maria Luiza Heilborn

    Full Text Available This article examines the sexual practices of young Brazilians based on data from the GRAVAD Research Project, a household survey targeting males and females from 18 to 24 years of age (n = 4,634 in three Brazilian State capitals: Porto Alegre, Rio de Janeiro, and Salvador. The set of practices experienced over the course of their sexual careers is characterized by traits of social belonging, elements from individual life histories, and prescribed rules of conduct for men and women. The authors compared the young people's range of lifetime practices and those from last sexual relations in order to discuss the spread and incorporation of practices into life histories. The data point to the hegemony of vaginal sex in both the lifetime repertoire of sexual practices and the last sexual encounters, such that vaginal sex provides the prime definition of heterosexuality.

  8. Multivariate Analysis of the Factors Associated With Sexual Intercourse, Marriage, and Paternity of Hypospadias Patients.

    Science.gov (United States)

    Kanematsu, Akihiro; Higuchi, Yoshihide; Tanaka, Shiro; Hashimoto, Takahiko; Nojima, Michio; Yamamoto, Shingo

    2016-10-01

    Patients with hypospadias are treated surgically during childhood, which has the intention of enabling a satisfactory sexual life in adulthood. However, it is unclear whether patients with corrected hypospadias can lead a satisfactory sexual life and sustain a marital relationship and produce offspring. To evaluate factors associated with achievement of sexual intercourse, marriage, and paternity in patients with hypospadias who have reached adulthood. Self-completion questionnaires were mailed in April 2012 to patients with hypospadias at least 18 years old who had been treated at our institution during childhood from 1973 through 1998 by a single surgeon and the same surgical policy. Assessments included the International Prostate Symptom Score, the International Index for Erectile Function-5, and non-validated questions related to current social and physical status and sexual, marital, and paternity experiences. Candidate factors were extracted from patients' neonatal data, surgical findings and results, and current physical and social status obtained by the questionnaires. Candidate factors associated with heterosexual intercourse, marriage, and paternity experiences were analyzed using univariate and multivariate proportional hazard models and log-rank test of Kaplan-Meier curves. Of the 518 patients contacted, 108 (age = 18-50 years, median = 28 years) met the inclusion criteria. Two- and one-stage repairs were performed as the initial treatment in 79 and 12, respectively, and 17 of the analyzed cases were reoperations for patients initially treated elsewhere. Fifty-seven patients had the milder type (31 glandular, 26 penile), 36 had the proximal type (13 penoscrotal, 23 scrotal-perineal), and 15 had an unknown type. Multivariate analyses by Cox proportional hazard model and log-rank tests confirmed that experience of sexual intercourse was associated with the milder type of hypospadias (P = .025 and .0076 respectively), marriage was associated with stable

  9. Age at Time of Initial Sexual Intercourse and Health of Adolescent Girls.

    Science.gov (United States)

    Lara, Lúcia A S; Abdo, Carmita H N

    2016-10-01

    Adolescence is characterized by marked changes in the body, psychology, and sexual behavior due to increasing production of hormones. In this review we aimed to assess the effect of age at the time of first sexual intercourse (sexarche) on the health of adolescent girls, and identify factors that might protect against early initiation of sexual relations in girls. The PubMed, Lilacs, and Google Scholar databases were searched for clinical trials, comparative studies, case-control studies, cross-sectional studies, cohort studies, multicenter studies, observational studies, meta-analyses, and systematic reviews published up to December 2014 on this theme. The search terms were: "sexual debut," "coitarche," "sexarche," and "young people," "adolescent," "unplanned pregnancy," "adolescent contraception," and "STDs." Data were extracted from 28 studies and 41 references were used to introduce the theme and to support the discussion. Sexarche has been occurring in increasingly younger girls. A young age at sexarche can lead to subsequent risky sexual behavior. Girls who have sexarche when they are 14 years old or younger are less likely to use contraception on this occasion, take more time before they start using contraception in subsequent sexual relations, are more likely to have several sex partners, have a higher risk for depression, have lower self-esteem and more episodes of repentance, and have a higher risk for a sexually transmitted disease and cervical cancer. Girls with low educational, socioeconomic, and cultural status, little parental monitoring, parental separation, and absence of religiosity tend to experience sexarche at a younger age. Adolescent girls who postpone sexarche until they are 16 years old are physically and psychologically healthier than those who have sexarche at a younger age. This suggests that providing adolescent girls with appropriate education about sexual relations might reduce the negative effect of sexual relations at a young age.

  10. Sexual intercourse among adolescent students of Santa Marta, Colombia: a cross-sectional survey

    Directory of Open Access Journals (Sweden)

    Guillermo Augusto Ceballos

    2007-09-01

    Full Text Available Background: Among teenagers, the prevalence of sexual intercourse (SI varies from one country to another, and within the same country- from region to region. Information regarding SI in teenagers is unknown for a representative portion of students in Santa Marta, Colombia.Objective: To determine the prevalence and factors associated with SI in middle- and high-school students from public and private schools from urban and rural zones.Method: A statistical sample provided by an anonymous survey of a group of students. Logistic regression was used to control confounders associated with students having had sexual intercourse in his/her lifetime.Results: A total of 3575 students, all grades and socioeconomic status, answered the survey. The mean age was 13.6 (SD=1.9, mean years of schooling was 8.2 years (SD=1.6, and 57% were girls. A group of 804 (22.5% students affirmed to having had SI. Having had SI was associated with being male (OR=8.5, alcohol drinking (OR=4.3, cannabis use (OR=4.2, cigarette smoking (OR=2.8, being older (OR=1.7, attending private school (OR=1.3, and being in a higher grade (OR=1.2.Conclusions: Among the students twenty-five percent reported having had SI. This is associated with unhealthy habits such as consumption of alcohol, cannabis and cigarettes.

  11. Gender and ethnic differences in the timing of first sexual intercourse.

    Science.gov (United States)

    Upchurch, D M; Levy-Storms, L; Sucoff, C A; Aneshensel, C S

    1998-01-01

    This study estimated the effects of gender and ethnic differences on the risk of first intercourse (FI) among a population-based sample of Los Angeles County youths aged 12-17 years. Longitudinal surveys were conducted during 1992-94 and 1994-95. The sample was of the multistage, stratified probability type. The sample included 877 interviewed adolescents in the 1st round and 675 in the 2nd. Almost 50% of respondents were Hispanic. 58% lived with both parents. The median age of intercourse was 16.9 years; 16.6 years for males and 17.2 years for females. Blacks reported the youngest age of FI at 15.8 years. Asian adolescents had the oldest age of FI at 17.6 years. The same pattern occurred for median age at FI. Age at FI did not vary as much by ethnicity for females. White and Black females had younger ages of FI than Asian females. Black males had significantly higher rates of FI than White females. Asian males were less likely than White females to be sexually experienced. Hispanic and Asian females had significantly lower rates of sexual activity than White females. Family structure was significantly associated with risk of sexual activity. With controls for differences in family background, rates of FI differed significantly by ethnicity among males, but not females. Teenagers living with a single parent or step family had significantly higher rates of transition to first sex than those living with both parents. Family structure may measure the effects of family disruption, rather than parenting behaviors. Findings demonstrate that ethnicity and gender are key factors that predict adolescents' risk of becoming sexually active.

  12. Preventing adolescent pregnancy: biological, social, cultural, and political influences on age at first sexual intercourse.

    Science.gov (United States)

    Pires, Raquel; Araújo-Pedrosa, Anabela; Pereira, Joana; Canavarro, Maria Cristina

    2014-08-01

    Age at first sexual intercourse (AFSI) is the initial factor related to adolescents' sexual life that may increase the risk of adolescent pregnancy. We explored the biological, social, cultural, and political predictors of AFSI addressing several gaps that prevent us from generalizing the results of past research to adolescent pregnancy prevention. We also explored the moderating effects of cultural variables on the links between social and political predictors and AFSI. Our sample consisted of 889 Portuguese female adolescents aged 12-19. Earlier age at menarche, non-intact family structure, maternal history of adolescent pregnancy, lower maternal emotional warmth, absence of religious involvement, and living in Portugal's mainland and in a legal context penalizing abortion predicted earlier AFSI. School attendance predicted earlier AFSI among adolescents of European ethnic origin; adolescents of non-European ethnic origin presented the opposite, but non-significant, pattern. These findings suggest that, in addition to isolated characteristics, factors from different ecological contexts should be considered when planning interventions designed to foster healthy and informed transitions to sexual initiation and prevent the related risks of unwanted outcomes. We discuss implications for future research and practice.

  13. Contraceptive non-use and emergency contraceptive use at first sexual intercourse among nearly 12 000 Scandinavian women

    DEFF Research Database (Denmark)

    Guleria, Sonia; Juul, Kirsten E; Munk, Christian

    2017-01-01

    INTRODUCTION: To describe recent patterns of contraceptive use at first sexual intercourse (FSI) and to examine whether selected factors are associated with non-use and emergency contraceptive pill (ECP) use at FSI, among 18-26-year-old women from Denmark, Norway and Sweden. MATERIAL AND METHODS:...

  14. Social context and sexual intercourse among first-year students at selective colleges and universities in the United States.

    Science.gov (United States)

    Uecker, Jeremy E

    2015-07-01

    Most examinations of sexual behavior ignore social context. Using panel data from the National Longitudinal Study of Freshmen, a panel study of 3924 students at 28 selective colleges and universities, I examine how institutional and peer-group characteristics influence the incidence of sexual intercourse among students during their freshman year. Students who enter college as virgins are more likely to have sexual intercourse on campuses where women comprise a higher proportion of the campus population and on campuses that are more academically rigorous. Students who had sex prior to college are less likely to have sex in college when campuses are more residential. Moreover, having friends who value religion and partying affects the likelihood that a student will have sex irrespective of their prior virginity status. These findings highlight the importance of social context for sexual behavior among college students and in the general population. Copyright © 2015 Elsevier Inc. All rights reserved.

  15. Predictors of Quality of Life, Sexual Intercourse, and Sexual Satisfaction among Active Older Adults

    Science.gov (United States)

    Penhollow, Tina M.; Young, Michael; Denny, George

    2009-01-01

    Background: Relatively little is known about the sexual behaviors of older people, and the relationship between quality of life and sexuality has not been fully explored. Purpose: The purpose of this study was to investigate the impact of sociological, cultural, and psychological factors to further explain variance beyond biological changes that…

  16. Correlates of delayed sexual intercourse and condom use among adolescents in Uganda: a cross-sectional study

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    Rijsdijk Liesbeth E

    2012-09-01

    Full Text Available Abstract Background Comprehensive sex education, including the promotion of consistent condom use, is still an important intervention strategy in tackling unplanned pregnancies, HIV/AIDS and sexually transmitted infections (STIs among Ugandan adolescents. This study examines predictors of the intention to use a condom and the intention to delay sexual intercourse among secondary school students (aged 12–20 in Uganda. Methods A school-based sample was drawn from 48 secondary schools throughout Uganda. Participants (N = 1978 completed a survey in English measuring beliefs regarding pregnancy, STIs and HIV and AIDS, attitudes, social norms and self-efficacy towards condom use and abstinence/delay, intention to use a condom and intention to delay sexual intercourse. As secondary sexual abstinence is one of the recommended ways for preventing HIV, STIs and unplanned pregnancies among the sexually experienced, participants with and without previous sexual experience were compared. Results For adolescents without sexual experience (virgins, self-efficacy, perceived social norms and attitude towards condom use predicted the intention to use condoms. Among those with sexual experience (non-virgins, only perceived social norm was a significant predictor. The intention to delay sexual intercourse was, however, predicted similarly for both groups, with attitudes, perceived social norm and self-efficacy being significant predictors. Conclusions This study has established relevant predictors of intentions of safe sex among young Ugandans and has shown that the intention to use condoms is motivated by different factors depending on previous sexual experience. A segmented approach to intervention development and implementation is thus recommended.

  17. Sexual dysfunction and unprotected anal intercourse among men who have sex with men in two Chinese cities.

    Science.gov (United States)

    Tsui, Hi Yi; Lau, Joseph T F; Feng, T; Hong, F; Cai, Y; Zhou, H; Liu, X

    2014-01-01

    This study investigated the associations between sexual dysfunction and unprotected anal intercourse among adult Chinese men who have sex with men; 519 participants who had had anal sex (past 12 months) were recruited from gay venues (Hong Kong and Shenzhen) and from the Internet (Hong Kong). Respectively, 48.9% and 59.6% (panal intercourse in the Hong Kong (adjusted odds ratio = 1.65-2.80) and Shenzhen samples (adjusted odds ratio = 5.46-6.41). Anxiety about sex was significant only in the Shenzhen sample (adjusted odds ratio = 8.67). The associations may be results of coping toward sexual dysfunction. Sexual dysfunction is prevalent and may contribute to unprotected anal intercourse among men who have sex with men in China. Physiological damages of receptive anal sex may contribute to some types of sexual dysfunction. However, one limitation is that participants were not asked about insertion/receptive anal sex. HIV interventions targeting men who have sex with men in China need to take counseling related to sexual dysfunction into account.

  18. Sexual intercourse among adolescent students of Santa Marta, Colombia: a cross-sectional survey.

    Directory of Open Access Journals (Sweden)

    Guillermo Augusto Ceballos

    2009-11-01

    Full Text Available Background: Among teenagers, the prevalence of sexual intercourse (SI varies from one country to another, and inside the same country, it varies from region to region. Information regarding SI in teenagers is unknown for a representative portion of students in Santa Marta, Colombia. Objective: To determinate the prevalence and factors associated with SI in middle-and high-school students from public and private schools from urban and rural zones. Method: A statistical sample provided by an anonymous survey done to a group of students. Logistic regression was used to control confounders associated with the fact of the student having had SI in his/her lifetime. Results: A total of 3,575 students, all grades and socioeconomic status, answered the survey. The mean age was 13.6 (SD=1.9, mean scholarship was 8.2 years (SD=1.6, and 57% were girls. A group of 804 (22.5% students accepted having had SI. The having had SI was associated with being a boy (OR=8.5, alcohol drinking (OR=4.3, cannabis use (OR=4.2, cigarette smoking (OR=2.8, being older (OR=1.7, attending to private school (OR=1.3, and higher scholarship (OR=1.2. Conclusions: Twenty-five percent of the students reported having had SI. This is associated with unhealthy habits such as alcohol, cannabis and cigarettes consumption.

  19. Type of sexual intercourse experience and suicidal ideation, plans, and attempts among youths: a cross-sectional study in South Korea.

    Science.gov (United States)

    Kim, Geum Hee; Ahn, Hyeong Sik; Kim, Hyun Jung

    2016-12-07

    Despite abundant theoretical evidence of higher rates of suicide among lesbian, gay, and bisexual (LGB) youths, little is known about the relationship between suicide and types of sexual intercourse experience in youths. This study examines the association between the type of intercourse experience and suicide risk outcomes (SROs: suicidal ideation, plans for suicide, suicidal attempts) from the Korea Youth Risk Behavior Web-based Survey. We analyzed cross-sectional data from 146,621 students aged 12-17 years for the years 2012 and 2013. We defined lesbian, gay, or bisexual youth as youths who engaged in a type of sexual intercourse (same-sex or both-sex intercourse). A chi-square test and logistic regression analysis were used to evaluate the association between intercourse experience and SROs. The results showed that the prevalence of suicidal ideation was higher among youths with same-sex intercourse experience (45.9% for females, 33.7% for males) than among youths with opposite-sex intercourse experience (42.2% for females, 23.8% for males) and those with no experience in intercourse (21.0% for females, 12.7% for males). After adjusting for revealed risk factors that were associated with suicide risks, among males, suicide risks based on intercourse experience seemed to increase in the following order: no experience in sexual intercourse, opposite-sex, same-sex, and then both-sexes sexual intercourse experience. Same- and both-sexes intercourse related SROs are strongly linked to violence (being physically assaulted, threatened, or bullied) and sexually transmitted diseases (STDs), including HIV infection. Those having no sexual intercourse experience showed the least probability of suicide risks among youths. The SROs of youths with same-sex or both-sex intercourse experience had strong associations with gender (males), violence, and STDs. Therefore, school educators must continue to advocate for and to implement LGB inclusive policies and programs in order to

  20. The Frequency of Sexual Intercourse without Condom with Female Sex Workers [FSW] is not Related to the Level of Sexual Satisfaction of the Husband, But Related to the Risk of Sexually Transmitted Infections [STIS

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    Ainun Sajidah

    2015-06-01

    Full Text Available Background: Disharmonious sexual life often create many problems. When the sexual function of the wives is not optimum, the sexual satisfaction of the husbands, or both husband and wife, will be disturbed. These will lead husbands to do sexual intercourses with FSW without condoms. Such intercourse may cause of STIs. The aims of this study were to identify the frequency of sexual intercourse without condom with FSW related to the level of sexual satisfaction of the husband and the risk of STIs. Methods:The study applied observational analytic with cross sectional design. The accidental sampling technique, the 196 samples, comprise of husband with the following criteria: having non-menopause legal wives, regularly having sex with wives without condoms within 6 months, having sex with FSW without condom at least once in 6 months, in the family stage II standard, healthy and willing to be respondents. Data on the level of sexual satisfaction and frequency of sexual intercourse without condom was collected through interviews, data on the risk of STIs was collected with physical and laboratory check-up by medical staff. The laboratory check-up for gonorrhea was done with the Gram’s coloring, syphilis with T. Pallidum Hemagglutination Assay (TPHA and Veneral Disease Research Laboratory (VDRL, genital herpes and acuminate condyloma with clinical symptoms. The result was analysed descriptively and data normality was tested with Kolmogorov-Smirnov test and the correlaton test was done with the Spearman’s rho and Chi-Square tests. Results:The result showed there was the frequency of sexual intercourse without condom with FSW the most 1 time/week 57 persons (29.10%, with STIs 10 persons (5,10% the level of sexual satisfaction that was quite satisfied 97 persons (49.50%, and the STIs 41 persons (20,90%. The frequency of sexual intercourse without condom with FSW not related to the level of sexual satisfaction of the husbands p = 0.146 (p

  1. Psychosocial correlates of the motivation to abstain from sexual intercourse among Indonesian adolescents

    NARCIS (Netherlands)

    Leerlooijer, J.N.; Ruiter, R.A.C.; Damayanti, R.; Rijsdijk, E.; Eiling, E.; Bos, A.E.R.; Kok, G.

    2014-01-01

    ObjectivesAdolescents in Indonesia have limited access to sexuality education, resulting in increased risk of sexually transmitted infections and unplanned pregnancies. This study aimed to understand psychosocial correlates of sexual abstinence intentions to inform future sexuality education. Method

  2. Prevalence of use of condom at their first sexual intercourse among adolescents at the City of Santa Marta, Colombia: agender difference

    Directory of Open Access Journals (Sweden)

    Guillermo Augusto Ceballos Ospino

    2005-08-01

    Full Text Available The use of condoms is very important for the prevention of sexually transmissible infections and unwanted pregnancies. The prevalence of condom use for their first sexual intercourse was unknown among students from the City of Santa Marta, Colombia. Objective: To determine the prevalence of condom use at their first sexual relationship among adolescent students at the City of Santa Marta. Method: A survey about sexual behavior was applied. Two hundred twenty three subjects, 13 to 17 years of age reported sexual intercourse, 46 girls and 177 boys. Multivariate analysis was done with gender stratification. Results: The prevalence of condom use at their first sexual intercourse was 38.6% (95%CI 35.3-41.9; not difference for male gender was found (PR 0.75, 95%CI 0.47-1.20. Among male, being older at time of their first sexual relationship (OR 0.57, 95%CI 0.42-0.75 and studying at private schoosl (OR 0.34, 95%CI 0.16-0.71 was associated with the use of condom at their first sexual intercourse. But, for girls no variable was related to the use of condom at their first sexual intercourse. Conclusions: About of one out of three students used condom at their first sexual intercourse. For boys, being older at time of their first relationship and studying at private school was a protective factor; instead for girls all investigated variables were not related among them. Further investigations are needed in this subject, due to the impact of the use of condoms among adolescents as it has implications in public health.

  3. Level of Sexual Myths Level in Premature Ejaculation Cases

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    Mehmet Gunes

    2016-06-01

    Full Text Available Objective: The aim of this study is to determine level of belief in sexual myths in the cases of premature ejacula­tion (PE which is the most common sexual dysfunction in men. Methods: This study included 100 cases who applied Di­cle University Faculty of Medicine hospitals meet prema­ture ejaculation criteria of DSM-5 and 70 healthy controls. Sociodemographic data form, Hamilton Depression Rat­ing Scale (HDS, Hamilton Anxiety Rating Scale (HAS, Arizona Sexual Experience Scale (ASES-Men form and Sexual Myths Evaluation Form were applied to partici­pants. Results: In the study, rate of belief in sexual myths in PE cases was found significantly higher than healthy controls. In the PE cases, education time less than 10 years, the presence of comorbid sexual dysfunction were found to be statistically significant factors that increase the level of belief in sexual myths in the PE cases, HDS (p=0.0002, HAS (p=0.0001, ASES (p=0.0004 scores were statisti­cally significantly higher than the control group. In the loss of sexual desire in men with comorbid ASES (p=0.0001, with ED, ASES (p=0.001 and HDS (p=0.040 scores were found statistically significantly higher. Conclusions: Sexual information should be given in the appropriate age by educated person in educational insti­tutions.

  4. Predictors of Early First Sexual Intercourse among Adolescents in Cape Town, South Africa

    Science.gov (United States)

    Mathews, Catherine; Aaro, Leif Edvard; Flisher, Alan J.; Mukoma, Wanjiru; Wubs, Annegreet G.; Schaalma, Herman

    2009-01-01

    Early coital debut is a risk factor for HIV. In this paper we investigate the predictors of young adolescents' transition to first intercourse using a social cognition theoretical framework. The analyses reported here were based on a longitudinal study of 2360 students in the schools allocated to the control arm of a cluster-randomized controlled…

  5. Sexual function of premature ejaculation patients assayed with Chinese Index of Premature Ejaculation

    Institute of Scientific and Technical Information of China (English)

    Yi-MingYuan; Zhong-ChengXin; HuiJiang; Yan-JieGuo; Wu-JiangLiu; LongTian; Ji-ChuanZhu

    2004-01-01

    Aim: To assess the psychometric properties of the Chinese Index of Premature Ejaculation (CIPE).Methods: The sexual function of 167 patients with and 114 normal controls without premature ejaculation (PE) were evaluated with CIPE. All subjects were married and had regular sexual activity. The CIPE has 10 questions, focusing on libido, erectile function, ejaculatory latency, sexual satisfaction and difficulty in delaying ejaculation, self-confidence and depression. Each question was responded to on a 5 point Likert-type scale. The individual question score and the total scale score were analyzed between the two groups. Results: There were no significant differences between the age, duration of marriage and educational level (P>0.05) of patients with and without PE and normal controls. The mean latency of patients with PE and normal controls were 1.6±1.2 and 10.2±9.5 minutes,respectively. Significant differences between patients with (26.7±4.6) PE and normal controls (41.9±4.0) were observed on the total score of CIPE (P15 point) 19.8%, moderate (10~14 point) 62.8% and severe (<9point) 16.7%. Conclusion:The CIPE-5 is a useful method for the evaluation of sexual function of patients with PE and can be used as a clinical endpoint for clinical trials studying the efficacy of pharmacological intervention.

  6. Age of first sexual intercourse of male partners of unmarried maidens involved in abortion and the effect factors%未婚流产少女男伴首次性行为的年龄及其影响因素

    Institute of Scientific and Technical Information of China (English)

    马亚婷; 余小鸣; 张运平; 宫露霞; 高素红; 王嘉

    2011-01-01

    that the risk factors of premature sexual intercourse included premature contacting the books/ vidoos/websites describing sexual intercourse for the first time and high frequency of conflicting with family members in the past year.Conclusion: The age of first sexual intercourse of male partners of unmarried maidens involved in abortion is too early, the incidences of health risk behaviors and unsafe sexual behaviors of male partners of unmarried maidens with premature sexual intercourse are relatively high.

  7. True love waits? A sibling-comparison study of age at first sexual intercourse and romantic relationships in young adulthood.

    Science.gov (United States)

    Harden, K Paige

    2012-01-01

    This study tested whether the timing of first sexual intercourse in adolescence predicts romantic outcomes in adulthood, including union formation, number of romantic partners, and relationship dissatisfaction. Participants were 1,659 same-sex sibling pairs from the National Longitudinal Study of Adolescent Health, who were followed from adolescence (mean age = 16 years) to young adulthood (mean age = 29 years). The timing of participants' first sexual intercourse was classified as early (at age 14 or earlier), on time (between the ages of 15 and 19), or late (at age 19 or older). Compared with early and on-time age at first sex, late age at first sex was associated with decreased odds of marriage or nonmarital cohabitation and fewer romantic partners in adulthood. Among individuals who had married or cohabited with a partner, late timing of first sex was associated with significantly reduced levels of relationship dissatisfaction, even after controlling for genetic and environmental differences between families (using a sibling-comparison model), demographic outcomes in adulthood, and involvement in dating during adolescence. These results underscore the contribution of a life-span approach to our understanding of romantic relationships.

  8. Casual sexual encounters among gay men: familiarity, trust and unprotected anal intercourse.

    Science.gov (United States)

    Zablotska, Iryna B; Grulich, Andrew E; De Wit, John; Prestage, Garrett

    2011-04-01

    Familiarity with and a history of prior sex with casual partners is associated with unprotected anal intercourse and may increase the risk of HIV transmission among gay men. Using data from the Sydney Gay Community Periodic Survey 2007, we explored the relationship between familiarity and unprotected anal intercourse with the last casual partner (UAI-LC). 51% of the men knew their last casual partner and 49% had previously had sex with him. Men were more inclined to engage in UAI-LC if they had previously had sex with this partner. HIV-negative men were more likely to have UAI-LC with a more familiar partner independent of his serostatus. Familiarity with and a previous history of sex between casual partners may result in a false sense of trust and may increase the risk of HIV transmission. HIV prevention services should address this issue and develop programs to improve men's skills in negotiating safer sex.

  9. Substance use and the risk for sexual intercourse with and without a history of teenage pregnancy among adolescent females.

    Science.gov (United States)

    Cavazos-Rehg, Patricia A; Krauss, Melissa J; Spitznagel, Edward L; Schootman, Mario; Cottler, Linda B; Bierut, Laura Jean

    2011-03-01

    The present study examined the associations between initiation and intensity of substance use and with sexual experience with and without a history of teenage pregnancy. Participants were high school females (weighted n = 3,451) who participated in the 1999-2003 Youth Risk Behavior Surveillance System, a cross-sectional, nationally representative survey. Multinomial multivariable logistic regression was used to assess the likelihood of being sexually experienced (but never pregnant) and teenage pregnancy (reference group: never had sexual intercourse) as a function of age at substance use initiation (i.e., age 12 or younger, 13-14 years of age, and age 15 or older) and intensity of substance use (i.e., nonuser, experimental/ new or nondaily, nonexperimental/daily user) for alcohol, cigarettes, and marijuana, while controlling for race/ethnicity, metropolitan location, symptoms of depression, and illegal drug availability at school. A major finding of our study is that substance use behaviors across each substance (alcohol, cigarettes, and marijuana) independently contributed to an increased risk in sexual intercourse experience with and without a history of teenage pregnancy (vs. nonsexually experienced females). A dose-response relationship was also observed between an increased likelihood of a teenage pregnancy and marijuana behaviors. Furthermore, the risk for teenage pregnancy was compounded for daily cigarette smokers who initiated use at age 12 or younger. Screening substance use behaviors can help to identify girls who may benefit from pregnancy prevention strategies. Targeting cigarette and marijuana behaviors as early as age 12 or younger may provide an added benefit. Prevention strategies should also consider the role of race above and beyond substance use behaviors.

  10. Adolescents' Exposure to Sexy Media Does Not Hasten the Initiation of Sexual Intercourse

    Science.gov (United States)

    Steinberg, Laurence; Monahan, Kathryn C.

    2011-01-01

    It is widely believed that exposure to sexy content in the mass media leads teenagers to become sexually active. Although most research linking sexy media exposure to adolescents' sexual behavior is cross-sectional, several recent, well-publicized longitudinal studies purport to find a causal connection, which has alarmed the public and prompted…

  11. A venue analysis of predictors of alcohol use prior to sexual intercourse among female sex workers in Senggigi, Indonesia.

    Science.gov (United States)

    Safika, Iko; Johnson, Timothy P; Levy, Judith A

    2011-01-01

    Female sex workers' (FSWs') use of alcohol, a known disinhibitor to risk behaviour, has been largely understudied. Knowledge of how various sex work venues influence FSW's alcohol consumption before engaging in commercial sex is even rarer. Our analysis identifies those factors across three types of sex-work venues that predict alcohol use among FSWs prior to paid sexual intercourse with clients. Our data were collected through structured interviews with FSWs engaging in commercial sex in Senggigi Beach, Lombok Island in the eastern Indonesian province of West Nusa Tenggara. Employing a cross-sectional and multilevel design, three categories of venues where FSWs meet clients in Senggigi were sampled: (1) discotheques and bars (freelance), (2) brothels, and (3) recreational enterprises such as karaoke establishments and massage parlors. The sample consisted of 115 women "nested" within 16 sex work venues. The FSWs reported on 326 clients interactions. Results show that FSWs consumed alcohol before commercial sex with 157 (48%) of the 326 clients interactions. Alcohol use varied by differences in HIV policies and services offered at the sex work venue, the FSW's educational level and age, and client characteristics. Alcohol use is common prior to sexual intercourse among FSWs and their clients in Senggigi, and the venue where FSWs meet their clients influences the women's alcohol use. Freelancers were likelier to use alcohol than those who work at brothels and recreational enterprises. Given the recognized links between alcohol use prior to sex and high risk behaviour, HIV prevention programmes that discourage alcohol use should be introduced to both women who engage in commercial sex and also sex-work venue managers, owners, and clients. Copyright © 2010 Elsevier B.V. All rights reserved.

  12. Frequency, patterns, and preferences of lubricant use during anal intercourse within male sexual partnerships in Lima, Peru: implications for a rectal microbicide HIV prevention intervention.

    Science.gov (United States)

    Clark, Jesse L; Salvatierra, Hector J; Segura, Eddy R; Salazar, Ximena; Konda, Kelika; Galea, Jerome; Klausner, Jeffrey D; Coates, Thomas J; Caceres, Carlos F

    2013-01-01

    Understanding current practices of lubricant use during anal intercourse can help to assess the contexts for the introduction of topical rectal microbicides as an HIV prevention tool for men who have sex with men (MSM). We used quantitative and qualitative methods to assess: current patterns of lubricant use; preferred characteristics of commercial lubricant formulations; and social and behavioral contexts of lubricant use within male sexual partnerships in Lima, Peru. Between 2007 and 2008, we conducted a quantitative behavioral survey with 547 MSM followed by qualitative individual and group interviews with 36 MSM from Lima, Peru. Approximately half of all participants in the quantitative survey (50.3%) reported using commercial lubricant during intercourse occasionally or consistently during the preceding two months, with lack of availability at the time of intercourse the most commonly reported reason for non-use. No clear preferences regarding the color, smell, taste, or viscosity of commercial lubricants were identified, and all participants who reported using a commercial lubricant used the same product ("Love-Lub"). In the qualitative analysis, participants characterized lubricant use as a sexual practice consistently controlled by the receptive partner, who typically obtained and applied lubricant independently, with or without the consent of the insertive partner. Quantitative findings supported this differential pattern of lubricant use, with men who reported sexual identities or roles consistent with receptive anal intercourse, including unprotected receptive intercourse, more likely to report lubricant use than MSM who claimed an exclusively insertive sexual role. Given the social, behavioral, and biological factors contributing to increased vulnerability for HIV and STI acquisition by the receptive partner in anal intercourse, delivery of a topical rectal microbicide as a lubricant formulation could provide an important HIV prevention resource for at

  13. The Association of Attendance at Religious Services and Involvement in Church/Religious Activities and Youth Assets, by Gender, with Youths Engagement in Sexual Intercourse

    Science.gov (United States)

    Mueller, Trisha; Bensyl, Diana; Vesely, Sara K.; Oman, Roy F.; Aspy, Cheryl B.

    2010-01-01

    Purpose: Previous research has shown that religion plays a role in the lives of many youths. This paper aims to extend previous research and examine attendance at religious services and involvement in religious/church activities as separate items to determine if one aspect was more strongly associated with never having had sexual intercourse among…

  14. Prevalence of Sexual Experience and Initiation of Sexual Intercourse Among Adolescents, Rakai District, Uganda, 1994-2011

    DEFF Research Database (Denmark)

    Santelli, John S; Song, Xiaoyu; Larsen Holden, Inge Kristine

    2015-01-01

    PURPOSE: The purpose of the study was to identify risk factors and time trends for sexual experience and sexual debut in rural Uganda. METHODS: Using population-based, longitudinal data from 15- to 19-year olds in Rakai, Uganda, we examined temporal trends in the prevalence of sexual experience...... youth in Rakai was associated with social factors particularly school enrollment. Changes in these social factors also appear to influence change over time in sexual experience....

  15. Sexual scripting of heterosexual penile-anal intercourse amongst participants in an HIV prevention trial in South Africa, Uganda and Zimbabwe.

    Science.gov (United States)

    Duby, Zoe; Hartmann, Miriam; Montgomery, Elizabeth T; Colvin, Christopher J; Mensch, Barbara; van der Straten, Ariane

    2016-01-01

    Sexual risk-taking is influenced by individual, interpersonal and social factors. This paper presents findings from a qualitative follow-up study to a clinical trial evaluating biomedical HIV prevention products among African women, explored participants' perceptions and experiences of heterosexual penile-anal intercourse, as well as the gendered power dynamics and relationship contexts in which this sexual behaviour occurs. In-depth interviews were conducted with 88 women from South Africa, Uganda and Zimbabwe. Findings reveal that despite its social stigmatisation, women engage in penile-anal intercourse for reasons including male pleasure, relationship security, hiding infidelity, menstruation, vaginal infections, money and beliefs that it will prevent HIV transmission. In addition, participants described experiences of non-consensual penile-anal intercourse. We used sexual scripting theory as an analytical framework with which to describe the sociocultural and relationship contexts and gendered power dynamics in which these practices occur. These data on the distinct individual, dyadic and social contexts of heterosexual penile-anal intercourse, and the specific factors that may contribute to women's HIV risk, make a unique contribution to our understanding of heterosexual behaviour in these sub-Saharan countries, thereby helping to inform both current and future HIV prevention efforts for women in the region.

  16. Sexual scripting of heterosexual penile-anal intercourse amongst participants in an HIV prevention trial in South Africa, Uganda and Zimbabwe

    Science.gov (United States)

    Duby, Zoe; Hartmann, Miriam; Montgomery, Elizabeth T.; Colvin, Christopher J.; Mensch, Barbara; van der Straten, Ariane

    2015-01-01

    Sexual risk-taking is influenced by individual, interpersonal and social factors. This paper presents findings from a qualitative followup study to a clinical trial evaluating biomedical HIV prevention products among African women, explored participants’ perceptions and experiences of heterosexual penile-anal intercourse, as well as the gendered power dynamics and relationship contexts in which this sexual behaviour occurs. In-depth interviews were conducted with 88 women from South Africa, Uganda and Zimbabwe. Findings reveal that despite its social stigmatisation, women engage in penile-anal intercourse for reasons including male pleasure, relationship security, hiding infidelity, menstruation, vaginal infections, money and beliefs that it will prevent HIV transmission. In addition, participants described experiences of non-consensual penile-anal intercourse. We used sexual scripting theory as an analytical framework with which to describe the sociocultural and relationship contexts and gendered power dynamics in which these practices occur. These data on the distinct individual, dyadic and social contexts of heterosexual penile-anal intercourse, and the specific factors that may contribute to women’s HIV risk, make a unique contribution to our understanding of heterosexual behaviour in these sub-Saharan countries, thereby helping to inform both current and future HIV prevention efforts for women in the region. PMID:26223703

  17. [Emergency contraception: efficacy difference between levonorgestrel and ulipristal acetate depending on the follicular size at the time of an unprotected sexual intercourse].

    Science.gov (United States)

    Jamin, C

    2015-03-01

    The most used treatment in the world for emergency contraception is the levonorgestrel (LNG) pill. However, its efficacy decreases if it is administered 3 days after unprotected sexual intercourse, whereas the ulipristal acetate (UPA) pill is effective up until 5 days afterwards. Pooled clinical data show that UPA is more effective than LNG when taken very shortly after intercourse (within 24h) or, conversely, between 72 and 120 h after intercourse. UPA is also more effective than LNG in inhibiting follicular rupture when administered near the time of ovulation. We show here why overall UPA is more effective than LNG in reducing the rate of unwanted pregnancies by demonstrating the effect of each product depending on the follicular size at the time of an unprotected sexual intercourse We also explain the difference between UPA and LNG in the maximum time to administration simply by the shift in ovulation and the fact that UPA has an effect on larger follicles than LNG does (18 mm vs. 14 mm), without postulating a hypothetical endometrial effect. We also explain why UPA and LNG remain emergency contraceptives and should not be used for daily contraception.

  18. Association between age at first sexual intercourse and knowledge, attitudes and practices regarding reproductive health and unplanned pregnancy: a cross-sectional study.

    Science.gov (United States)

    Shu, C; Fu, A; Lu, J; Yin, M; Chen, Y; Qin, T; Shang, X; Wang, X; Zhang, M; Xiong, C; Yin, P

    2016-06-01

    Age at first sexual intercourse (AFSI) is decreasing among adolescents in developed nations. An early sexual debut has been associated, to some extent, with multiple sexual partners, infrequent use of condoms, unplanned pregnancy, unsafe abortion, and sexually transmitted disease and human immunodeficiency virus infection. Unplanned pregnancy among adolescents has both physical and social adverse effects. In total, 78,400 self-administered anonymous questionnaires were distributed to college students in seven cities in China to determine the age at which Chinese college students first engage in sexual activity, and the association between AFSI and knowledge, attitudes and practices (KAP) regarding reproductive health and unplanned pregnancy. Approximately 10,164 students reported that they were sexually active, and most reported that they had engaged in sexual intercourse for the first time during college. The average AFSI was 20.14 [standard deviation (SD) 2.98] years, and the average AFSI by gender was 19.97 (SD 2.97) years for males and 20.41 (SD 2.97) years for females. The unplanned pregnancy rate among the participants was 34.03%. Participants lacked knowledge about contraception and reproductive health, although most believed that it is necessary to have this knowledge. Participants' attitudes towards premarital sex were varied. Factors that were found to be associated with unplanned pregnancy were AFSI, contraceptive methods used for first sexual act, and whether contraceptive methods were used for every sexual act. The college period is a key time for Chinese students in terms of becoming sexually active. As such, comprehensive and informative reproductive health education should be provided before and during the college period. Furthermore, reproductive health education should include appropriate sexual morality education and comprehensive sex education. Gender traits and needs should be considered in sex education. Copyright © 2016 The Royal Society

  19. Frequent and systematic unprotected anal intercourse among men using the Internet to meet other men for sexual purposes in France: results from the "Gay Net Barometer 2006" survey.

    Science.gov (United States)

    Léobon, Alain; Frigault, Louis-Robert

    2008-04-01

    For men who have sex with men (MSM), the Internet has imposed itself in the past decade as the place to be to meet other men with similar interests for sex or just to surf in search of excitement. This is a biennial study on the MSM in France. Between December 2005 and February 2006, 15,085 MSM completed an online questionnaire on their social and sexual uses of the Internet. Participants in the "The Gay Net Barometer 2006" study responded to questions related to their sexual and sexual risk behaviours. One third of respondents reported at least one event of unprotected anal intercourse while 11.1% reported frequent or systematic unprotected anal intercourse. These sexual risk behaviours were associated with various sociodemographic and sexual variables in addition to the recruitment website. The study suggests Internet users are not a homogeneous group and intervention targeting of them should be based on an in-depth understanding of the sexual cultures operating within websites.

  20. [Sexual intercourse debut and associated factors in Mexican students aged 14-19 years in public schools].

    Science.gov (United States)

    Rivera-Rivera, Leonor; Leyva-López, Ahidée; García-Guerra, Armando; de Castro, Filipa; González-Hernández, Dolores; de Los Santos, Lilia Margarita

    2016-01-01

    To estimate the mean age of sexual intercourse debut (SID) and associated family and individual factors in 14-19-year-olds of both sexes in the 32 states of Mexico in 2007. A cross-sectional study was conducted of a representative sample of 9,893 students aged between 14 and 19 years old. The data were collected through a self-administered, anonymous and voluntary questionnaire. Logistic regression models were used to estimate odds ratios (OR) with 95% confidence intervals (95%CI) by category: no SID, SID at 10-15 years and SID at 16-19 years. The national mean age of SID was 16 years, being 15 years for boys (95%CI: 15.88-16.11) and 16 years for girls (95%CI: 15.26-15.42). Factors associated with SID in boys were disadvantaged socioeconomic level (OR=0.66; 95%CI: 0.46-0.94), living with parents (OR=0.65; 95%CI: 0.56-0.75), less offensive communication between parents and boys/girls (OR=0.66; 95%CI: 0.57-0.77), and high social self-esteem (OR=1.68; 95%CI: 1.35-1.77). Factors associated with SID in girls were traditional gender beliefs (OR=0.49; 95%CI: 0.32-0.74), high depressive symptoms (OR=1.88; 95%CI: 1.19-2.99), and high family self-esteem (OR= 0.50; 95%CI: 0.38-0.65). In Mexico, SID occurred early in boys. In addition, the findings of this study show that in Mexico, the age of SID and associated factors differ in boys and girls. The age of SID is strongly influenced by gender and cultural beliefs. Copyright © 2015 SESPAS. Published by Elsevier Espana. All rights reserved.

  1. Men who have sex with men (MSM and factors associated with not using a condom at last sexual intercourse with a man and with a woman in Senegal.

    Directory of Open Access Journals (Sweden)

    Joseph Larmarange

    Full Text Available BACKGROUND: Men who have sex with other men (MSM are a vulnerable population in Africa that has been insufficiently explored. Given the high rate of bisexuality among MSM (73% in the past year, it is important to understand their risk-taking behaviors regarding both men and women. METHODOLOGY/PRINCIPAL FINDINGS: A socio-behavioral survey was carried out in 2007 among 501 MSM recruited using the snowball sampling method. We explore in this article why a condom was not used during last sexual intercourse with a man and with a woman, taking into account the respondent's characteristics, type of relationship and the context of the sexual act. In the survey, 489 men reported that they had had sexual intercourse at least once with another man during the previous year, and 358 with a man and with a woman. The main risk factors for not using a condom at last sexual intercourse with another man were having sex in a public place (aOR = 6.26 [95%CI: 2.71-14.46], non-participation in an MSM prevention program (aOR = 3.47 [95%CI: 2.12-5.69], a 19 years old or younger partner (aOR = 2.6 [95%CI: 1.23-4.53], being 24 years or younger (aOR = 2.07 [95%CI: 1.20-3.58] or being 35 years or over (aOR = 3.08 [95%CI:1.11-8.53] and being unemployed (aOR = 0.36 [95%CI: 0.10-1.25]. The last sexual intercourse with the respondent's wife was hardly ever protected (2%. With women, the other factors were a 15 years or younger partner (aOR = 6.45 [95%CI: 2.56-16.28], being educated (primary: aOR = 0.45 [95%CI: 0.21-0.95], secondary or higher: aOR = 0.26 [95%CI: 0.11-0.62], being a student (aOR = 2.20 [95%CI: 1.07-4.54] or unemployed (aOR = 3.72 [95%CI: 1.31-10.61] and having participated in a MSM prevention program (aOR = 0.57 [95%CI: 0.34-0.93]. CONCLUSION: Having participated in a prevention program specifically targeting MSM constitutes a major prevention factor. However, these programs targeting MSM must address their

  2. Role of the different sexuality domains on the sexual function of women with premature ovarian failure.

    Science.gov (United States)

    Benetti-Pinto, Cristina Laguna; Soares, Patrícia Magda; Giraldo, Helena Patrícia Donovan; Yela, Daniela Angerame

    2015-03-01

    Women with premature ovarian failure (POF) often manifest complaints involving different aspects of sexual function (SF), regardless of using hormone therapy. SF involves a complex interaction between physical, psychological, and sociocultural aspects. There are doubts about the impact of different complaints on the global context of SF of women with POF. To evaluate the percentage of influence of each of the sexuality domains on the SF in women with POF. Cross-sectional study with 80 women with POF, matched by age to 80 women with normal gonadal function. We evaluated SF through the "Female Sexual Function Index" (FSFI), a comparison between the POF and control groups using the Mann-Whitney test. Component exploratory factor analysis was used to assess the proportional influence of each domain on the composition of the overall SF for women in the POF group. SF was evaluated using FSFI. Exploratory Factor Analysis for components was used to evaluate the role of each domain on the SF of women with POF. The FSFI score was significantly worse for women with POF, with a decrease in arousal, lubrication, orgasm, satisfaction, and dyspareunia. Exploratory factor analysis of SF showed that the domain with greater influence in the SF was arousal, followed by desire, together accounting for 41% of the FSFI. The domains with less influence were dyspareunia and lubrication, which together accounted for 25% of the FSFI. Women with POF have impaired SF, determined mainly by changes in arousal and desire. Aspects related to lubrication and dyspareunia complaints have lower determination coefficient in SF. These results are important in adapting the approach of sexual disorders in this group of women. © 2014 International Society for Sexual Medicine.

  3. History of childhood sexual abuse and unsafe anal intercourse in a 6-city study of HIV-positive men who have sex with men.

    Science.gov (United States)

    Welles, Seth L; Baker, A Cornelius; Miner, Michael H; Brennan, David J; Jacoby, Scott; Rosser, B R Simon

    2009-06-01

    We assessed rates of childhood sexual abuse and its demographic and mental health correlates among HIV-positive men who reported unsafe anal intercourse with other men in the past year. We conducted a cross-sectional analysis of baseline data from 593 HIV-positive men who have sex with men enrolled in the Positive Connections intervention. Childhood sexual abuse was reported by 47% of participants; 32% reported frequency as often or sometimes. Men reporting abuse were more likely to be Latino (odds ratio [OR] = 2.6; 95% confidence interval [CI] = 1.6, 4.2; P abused, more frequent abuse was associated with more sexual contacts (for each, rate ratio [RR] = 1.3; P abused. History of childhood sexual abuse is highly prevalent among HIV-positive men who engage in risky sexual behavior with other men and appears to be more common among men of color. Our findings suggest that abuse is associated with a significantly increased risk of sexually transmitted infections.

  4. The Persistence of Sperm and the Development of Time Since Intercourse (TSI) Guidelines in Sexual Assault Cases at Forensic Science Ireland, Dublin, Ireland.

    Science.gov (United States)

    Casey, David G; Domijan, Katarina; MacNeill, Sarah; Rizet, Damien; O'Connell, Declan; Ryan, Jennifer

    2017-05-01

    The persistence of sperm using confirmatory microscopic analysis, the persistence of sperm with tails, time since intercourse (TSI) analysis, and results from the acid phosphatase (AP) reaction from approximately 5581 swabs taken from circa 1450 sexual assault cases are presented. The observed proportions of sperm in the vagina and anus declines significantly after 48 h TSI, and sperm on oral swabs were observed up to 15 h TSI. The AP reaction as a predictor of sperm on intimate swabs is questioned. All AP reaction times gave a low true positive rate; 23% of sperm-positive swabs gave a negative AP reaction time. We show the AP reaction is an unsafe and an unreliable predictor of sperm on intimate swabs. We propose that TSI not AP informs precase assessment and the evaluative approach for sexual assault cases. To help inform an evaluative approach, TSI guidelines are presented. © 2016 American Academy of Forensic Sciences.

  5. Effect of sexual intercourse on the absorption of levonorgestrel after vaginal administration of 0.75 mg in Carraguard® gel: a randomized, cross-over, pharmacokinetic study☆

    Science.gov (United States)

    Brache, Vivian; Croxatto, Horacio; Kumar, Narender; Sitruk-Ware, Regine; Cochón, Leila; Schiappacasse, Veronica; Sivin, Irving; Muñoz, Carla; Maguire, Robin; Faundes, Anibal

    2010-01-01

    Background The Population Council studied a pre-coital contraceptive microbicide vaginal product containing levonorgestrel (LNG) as active component and Carraguard® gel as a vehicle (Carra/LNG gel) for couples who engage in occasional unplanned intercourse. The objective of this study was to evaluate the effect of sexual intercourse after vaginal application of Carra/LNG gel on serum levels of LNG in women and to assess LNG absorption by the male partner. Study Design This was a randomized, cross-over, pharmacokinetic study including an abstinence arm and an arm in which couples engaged in sexual intercourse between 2 and 4 h after gel application. In each study arm, each woman received a single application of Carra/LNG gel (0.75 mg in 4 mL gel) followed by serial blood samples taken at 0, 1, 2, 4, 8, 24 and 48 h after gel application for LNG measurements. In the intercourse arm, LNG was measured in blood samples taken from the male partner before intercourse and at 4, 8 and 24 h after gel application in the female partner. Results Time concentration curves for serum LNG levels showed a mean Cmax of 7.8±5.5 and 8.3±5.7 nmol/L, a mean Tmax of 6.2±5.9 and 7.5±5.7, and comparable area under the curve for the intercourse and abstinence arm, respectively. Pharmacokinetic parameters presented large variability between subjects, but excellent reproducibility within each subject. LNG was undetectable in 10 out of 12 male partners. Conclusion Sexual intercourse does not appear to interfere with vaginal absorption of LNG after application of a Carra/LNG gel. A vaginal pre-coital contraceptive gel is feasible. PMID:19135574

  6. Early Initiation of Alcohol Drinking, Cigarette Smoking, and Sexual Intercourse Linked to Suicidal Ideation and Attempts: Findings from the 2006 Korean Youth Risk Behavior Survey

    Science.gov (United States)

    Kim, Hyun-Sun

    2010-01-01

    Purpose This study examined the association between early initiation of problem behaviors (alcohol drinking, cigarette smoking, and sexual intercourse) and suicidal behaviors (suicidal ideation and suicide attempts), and explored the effect of concurrent participation in these problem behaviors on suicidal behaviors among Korean adolescent males and females. Materials and Methods Data were obtained from the 2006 Korean Youth Risk Behavior Survey, a nationally representative sample of middle and high school students (32,417 males and 31,467 females) in grades seven through twelve. Bivariate and multivariate logistic analyses were conducted. Several important covariates, such as age, family living structure, household economic status, academic performance, current alcohol drinking, current cigarette smoking, current butane gas or glue sniffing, perceived body weight, unhealthy weight control behaviors, subjective sleep evaluation, and depressed mood were included in the analyses. Results Both male and female preteen initiators of each problem behavior were at greater risk for suicidal behaviors than non-initiators, even after controlling for covariates. More numerous concurrent problematic behaviors were correlated with greater likelihood of seriously considering or attempting suicide among both males and females. This pattern was more clearly observed in preteen than in teen initiators although the former and latter were engaged in the same frequency of problem behavior. Conclusion Early initiation of alcohol drinking, cigarette smoking, and sexual intercourse, particularly among preteens, represented an important predictor of later suicidal ideation and suicide attempts in both genders. Thus, early preventive intervention programs should be developed and may reduce the potential risks for subsequent suicidal behaviors. PMID:20046509

  7. Correlates of Delayed Sexual Intercourse and Condom Use among Adolescents in Uganda: a cross-sectional study

    NARCIS (Netherlands)

    Rijsdijk, L.E.; Bos, A.E.R.; Lie, R.; Ruiter, R.A.C.; Leerlooijer, J.N.; Kok, G.

    2012-01-01

    Background - Comprehensive sex education, including the promotion of consistent condom use, is still an important intervention strategy in tackling unplanned pregnancies, HIV/AIDS and sexually transmitted infections (STIs) among Ugandan adolescents. This study examines predictors of the intention to

  8. An evidence-based unified definition of lifelong and acquired premature ejaculation : report of the second international society for sexual medicine ad hoc committee for the definition of premature ejaculation

    National Research Council Canada - National Science Library

    Serefoglu, Ege Can; McMahon, Chris G; Waldinger, Marcel D; Althof, Stanley E; Shindel, Alan; Adaikan, Ganesh; Becher, Edgardo F; Dean, John; Giuliano, Francois; Hellstrom, Wayne Jg; Giraldi, Annamaria; Glina, Sidney; Incrocci, Luca; Jannini, Emmanuele; McCabe, Marita; Parish, Sharon; Rowland, David; Segraves, R Taylor; Sharlip, Ira; Torres, Luiz Otavio

    2014-01-01

    INTRODUCTION: The International Society for Sexual Medicine (ISSM) Ad Hoc Committee for the Definition of Premature Ejaculation developed the first evidence-based definition for lifelong premature ejaculation (PE...

  9. Vaginal Lacerations from Consensual Intercourse in Adolescents

    Science.gov (United States)

    Frioux, Sarah M.; Blinman, Thane; Christian, Cindy W.

    2011-01-01

    Objective: (1) To describe lacerations of the vaginal fornices, an injury known to be associated with consensual sexual intercourse, including known complications and treatment course, (2) to contrast these injuries with injuries sustained during sexual assault, and (3) to discuss the assessment of adolescent patients for sexual injuries. Methods:…

  10. Variables Related to Inconsistent Answers in a Survey About Sexual Intercourses Among Students in Santa Marta, Colombia

    Directory of Open Access Journals (Sweden)

    Adalberto Campo Arias

    2009-04-01

    Full Text Available Background: Self-reported questionnairesare the more common and reliable method toinvestigate health-related behaviors among adolescents.Often, a significant number of participantsreport inconsistencies in several relateditems, especially sensitive topics, and they mustbe omitted. Up to date, it has not extensivelycompared the demographic characteristics ofstudents that answer consistent and not consistentlya paper-pencil survey.Objective: To compare some characteristicsrelated to inconsistent answers about sexualbehavior among students of secondary school atSanta Marta, Colombia.Method: A probabilistic cluster simple of studentscompleted an anonymous survey aboutsexual relationship. Logistic regression was usedfor adjusting associated variables to answer inconsistentlyquestions about sexual behavior.Results: A total of 3813 students completedthe survey. A group of 3575 participants (93.8%reported consistent information about sexualbehavior; and 238 (6.2% did not. Studentsthat completed inconsistently the survey aboutsexual behavior were more frequently attendingto private school (OR=3.5; 95%CI 2.6-4.8 andboys (OR=2.1; 95%CI 1.6-2.8, after adjustingfor socioeconomic level.Conclusions: Approximately one out oftwenty students completed inconsistently inquiresabout sexual behavior. Inconsistent answersabout sexual behavior were higher in privateschool and male students. More investigationis needed.

  11. Decreased androgen concentrations and diminished general and sexual well-being in women with premature ovarian failure.

    NARCIS (Netherlands)

    Stege, JG van der; Groen, H.; Zadelhoff, SJ van; Lambalk, C.B.; Braat, D.D.M.; Kasteren, YM van; Santbrink, EJ van; Apperloo, M.J.; Schultz, WC Weijmar; Hoek, A.

    2008-01-01

    OBJECTIVE: To describe general and sexual well-being in women with premature ovarian failure (POF) and to investigate whether there is a relationship between androgen levels and sexual functioning. DESIGN: Women with POF and healthy volunteers with regular menstrual cycles participated. Participants

  12. Decreased androgen concentrations and diminished general and sexual well-being in women with premature ovarian failure

    NARCIS (Netherlands)

    van der Stege, Jolande G.; Groen, Henk; van Zadelhoff, Saskia J. N.; Lambalk, Cornelis B.; Braat, Didi D. M.; van Kasteren, Yvonne M.; van Santbrink, Evert J. P.; Apperloo, Mirjam J. A.; Schultz, Willibrord C. M. Weijmar; Hoek, Annemieke

    2008-01-01

    Objective: To describe general and sexual well-being in women with premature ovarian failure (POF) and to investigate whether there is a relationship between androgen levels and sexual functioning. Design: Women with POF and healthy volunteers with regular menstrual cycles participated. Participants

  13. Any condomless anal intercourse is no longer an accurate measure of HIV sexual risk behaviour in gay and other men who have sex with men

    Directory of Open Access Journals (Sweden)

    Fengyi eJin

    2015-02-01

    Full Text Available Background: Condomless anal intercourse (CLAI has long been recognised as the primary mode of sexual transmission of HIV in gay and other men who have sex with men (MSM. A variety of measures of CLAI have been commonly used in behavioural surveillance for HIV risk and to forecast trends in HIV infection. However, gay and other MSM’s sexual practices changed as the understanding of disease and treatment options advance. In the present paper, we argue that summary measures such as any CLAI do not accurately measure HIV sexual risk behaviour. Methods: Participants were 1,427 HIV-negative men from the Health in Men cohort study run from 2001 to 2007 in Sydney, Australia, with six-monthly interviews. At each interview, detailed quantitative data on the number of episodes of insertive and receptive CLAI in the last six months were collected, separated by partner type (regular vs. casual and partners’ HIV status (negative, positive, and HIV status unknown.Results: A total of 228,064 episodes of CLAI were reported during the study period with a mean of 44 episodes per year per participant (median: 14. The great majority of CLAI episodes were with a regular partner (92.6%, most of them with HIV-negative regular partners (84.8%. Participants were more likely to engage in insertive CLAI with casual than with regular partners (66.7% vs. 55.3% of all acts of CLAI with each partner type, p<0.001. Men were more likely to report CLAI in the receptive position with HIV-negative and HIV status unknown partners than with HIV-positive partners (p<0.001 for both regular and casual partners. Conclusion: Gay and other MSM engaging in CLAI demonstrate clear patterns of HIV risk reduction behaviour. As HIV prevention enters the era of antiretroviral-based biomedical approach, using all forms of CLAI indiscriminately as a measure of HIV behavioural risk is not helpful in understanding the current drivers of HIV transmission in the community.

  14. Sweet Bee Venom Pharmacopuncture May be Effective for Treating Sexual Dysfunction

    OpenAIRE

    Pavel Lee; Junsang Yu

    2014-01-01

    Sexual dysfunction (SD) is a health problem which occurs during any phase of the sexual response cycle that keeps the individual or couple from experiencing satisfaction from the sexual activity. SD covers a wide variety of symptoms like in men, erectile dysfunction and premature or delayed ejaculation, in women, spasms of the vagina and pain with sexual intercourse, in both sexes, sexual desire and response. And pharmacopuncture, i.e. injection of subclinical doses of drugs, mostly herb medi...

  15. PREVALENCIA DE RELACIONES SEXUALES EN ESTUDIANTES DE SECUNDARIA ENTRE 10 Y 12 AñOS SANTA MARTA - COLOMBIA Prevalence of sexual intercourse in students of secondary between 10 and 12 years old in Santa Marta Colombia

    Directory of Open Access Journals (Sweden)

    Guillermo Augusto Ceballos

    2006-03-01

    Full Text Available Antecedentes: la edad de inicio de las relaciones sexuales ha disminuido en forma gradual durante las últimas décadas. Sin embargo, no conocemos la prevalencia de relaciones sexuales en estudiantes de secundaria entre 10 y 12 años. Objetivo: establecer la prevalencia de relaciones sexuales en niños y niñas estudiantes de bachillerato entre 10 y 12 años de la ciudad de Santa Marta, Colombia. Material y métodos: una muestra de 298 estudiantes de secundaria, con una edad promedio de 11.5 (DE 0.65, de tres colegios privados escogidos por conveniencia, diligenció en forma anónima una encuesta sobre comportamiento sexual. Mediante un modelo de regresión logística, con el ajuste por posibles variables de confusión, se establecieron los factores protectores para no haber tenido relaciones sexuales. Resultados. La prevalencia de relaciones sexuales fue 7.7% (IC95% 4.7-10.7. Se identificaron como factores protectores significativos no haber fumado (OR 0.12, IC95% 0.04-0.41, no haber consumido alcohol (OR 0.06, IC95% 0.01-0.48 y ser de género femenino (OR 0.22, IC95% 0.07-0.76. Conclusión. Uno de cada 13 estudiantes de bachillerato entre 10 y 12 años informó haber tenido relaciones sexuales. La prevalencia es menor en quienes nunca han fumado o consumido alcohol y en el grupo femenino.Background: the age of starting sexual intercourse has decreased in last decades. However, we do not know the prevalence of sexual relationship in middle-school students aged 10-12 years old. Objective: to establish the prevalence of sexual relationship in middle-school boys and girls students aged 10-12 years old in Santa MartaColombia. Materials and method: a sample of 298 middle-school students, with an average age of 11.5 (DE 0.65, of three private schools were chosen by convenience; these students completed an anonymous survey about sexual behaviors. Logistic regression was used to identify protector factors that were related to not have had sexual

  16. Ancient Chinese Fangzhongshu (Sexual Skills and Methods) Therapy for Premature Ejaculation

    Science.gov (United States)

    Zhu, Yong; Chen, Qiang; Gu, Yuexing; Yue, Jin

    2016-01-01

    Premature ejaculation (PE) is a common male sexual dysfunction that can have significant effects on a couple's relationship. Behavioral therapy and psychotherapy are both safe and effective methods of treating PE. Ancient Chinese fangzhongshu (sexual skills and methods), which reflects a summary of expert experiences in sexology, contains many therapies for sexual dysfunction that are similar to those used in behavioral therapy or psychotherapy. A brief introduction dealing with the latest definitions of PE and treatment strategies drawn from behavioral therapy and psychotherapy is provided. Typical therapies for PE from ancient Chinese fangzhongshu are listed and briefly analyzed in order to define their domain of applicability and instructions for use. Ancient Chinese fangzhongshu contains many effective and safe therapies for PE. It should be incorporated into modern medical practice after critical analysis, and its scientific aspects should be promoted as a way of improving reproductive health, both to benefit individuals affected by PE and to promote traditional Chinese culture. Based on an analysis of the condition of the individual patient, one or multiple therapies guided by fangzhongshu can be expected to have an effect on the patient. Ancient Chinese fangzhongshu is of great value and should to be popularized and applied as a remedy for PE. PMID:28053946

  17. Ancient Chinese Fangzhongshu (Sexual Skills and Methods) Therapy for Premature Ejaculation.

    Science.gov (United States)

    Zhu, Yong; Chen, Qiang; Gu, Yuexing; Yue, Jin; Zeng, Qingqi

    2016-12-01

    Premature ejaculation (PE) is a common male sexual dysfunction that can have significant effects on a couple's relationship. Behavioral therapy and psychotherapy are both safe and effective methods of treating PE. Ancient Chinese fangzhongshu (sexual skills and methods), which reflects a summary of expert experiences in sexology, contains many therapies for sexual dysfunction that are similar to those used in behavioral therapy or psychotherapy. A brief introduction dealing with the latest definitions of PE and treatment strategies drawn from behavioral therapy and psychotherapy is provided. Typical therapies for PE from ancient Chinese fangzhongshu are listed and briefly analyzed in order to define their domain of applicability and instructions for use. Ancient Chinese fangzhongshu contains many effective and safe therapies for PE. It should be incorporated into modern medical practice after critical analysis, and its scientific aspects should be promoted as a way of improving reproductive health, both to benefit individuals affected by PE and to promote traditional Chinese culture. Based on an analysis of the condition of the individual patient, one or multiple therapies guided by fangzhongshu can be expected to have an effect on the patient. Ancient Chinese fangzhongshu is of great value and should to be popularized and applied as a remedy for PE.

  18. Premature ejaculation: A review

    Directory of Open Access Journals (Sweden)

    Sukumar Reddy Gajjala

    2014-01-01

    Full Text Available Premature ejaculation (PE is a common male sexual disorder. It is defined by the Diagnostic and statistical manual of mental disorders as "ejaculation occurring, without control, on or shortly after penetration and before the person wishes it, causing marked distress or interpersonal difficulty. [1] Although the timing of intravaginal ejaculatory latency time (IELT (i.e., time from penetration to ejaculation is not included in this definition, an IELT of <2 min, or ejaculation occurring before penetration, has been considered consistent with PE. [2] Management involves both the patient and his partner. Therapeutic options should suit both partners and be appropriate to their habit in planning and frequency of intercourse. Follow-up at appropriate intervals to judge efficacy, titrate dosage of pharmacological treatments and ascertain side effects is mandatory.

  19. An update of the International Society of Sexual Medicine's guidelines for the diagnosis and treatment of premature ejaculation (PE)

    DEFF Research Database (Denmark)

    Althof, Stanley E; McMahon, Chris G; Waldinger, Marcel D

    2014-01-01

    INTRODUCTION: In 2009, the International Society for Sexual Medicine (ISSM) convened a select panel of experts to develop an evidence-based set of guidelines for patients suffering from lifelong premature ejaculation (PE). That document reviewed definitions, etiology, impact on the patient and pa...

  20. An update of the International Society of Sexual Medicine's guidelines for the diagnosis and treatment of premature ejaculation (PE)

    NARCIS (Netherlands)

    Althof, Stanley E; McMahon, Chris G; Waldinger, Marcel D; Serefoglu, Ege Can; Shindel, Alan W; Adaikan, P Ganesan; Becher, Edgardo; Dean, John; Giuliano, Francois; Hellstrom, Wayne J G; Giraldi, Annamaria; Glina, Sidney; Incrocci, Luca; Jannini, Emmanuele; McCabe, Marita; Parish, Sharon; Rowland, David; Segraves, R Taylor; Sharlip, Ira; Torres, Luiz Otavio

    2014-01-01

    INTRODUCTION: In 2009, the International Society for Sexual Medicine (ISSM) convened a select panel of experts to develop an evidence-based set of guidelines for patients suffering from lifelong premature ejaculation (PE). That document reviewed definitions, etiology, impact on the patient and partn

  1. Types of social support and parental acceptance among transfemale youth and their impact on mental health, sexual debut, history of sex work and condomless anal intercourse

    Directory of Open Access Journals (Sweden)

    Victory Le

    2016-07-01

    Full Text Available Introduction: Transfemale youth (TFY are an underserved and understudied population at risk for numerous poor physical and mental health outcomes, most notably HIV. Research suggests that parental acceptance and social support may serve as protective factors against HIV and other risks for TFY; however, it is unclear whether TFY receive primary social support from parents with or without parental acceptance of their gender identity. This study examines differences in parental acceptance, mental health and the HIV risk factors of history of sex work, age at sexual debut and engagement in condomless anal intercourse between TFY with two types of primary social support – non-parental primary social support (NPPSS and parental primary social support (PPSS. Methods: Cross-sectional data collected from 301 TFY from 2012 to 2014 in the San Francisco Bay Area were analyzed to determine differences in parental acceptance, mental health and HIV risk factors between youth with and without PPSS. Univariate statistics and chi-squared tests were conducted to determine if parental acceptance and health outcomes were correlated with type of social support. Results: Two-hundred fifty-one participants (83.7% reported having NPPSS, and 49 (16.3% reported PPSS. Significantly more youth with PPSS reported affirmative responses on parental acceptance items than their NPPSS counterparts. For example, 87.8% of youth with PPSS reported that their parents believed they could have a happy future as a trans adult, compared with 51.6% of youth with NPPSS (p<0.001. Fewer participants with PPSS reported symptoms of psychological distress (2.0% vs. 12.5%, p=0.057, though this finding was not statistically significant; no significant associations were found between primary social support type and HIV risk factors. Conclusions: These results suggest that TFY with parental acceptance of their gender identity may be more likely to reach out to their parents as their primary

  2. An evidence-based unified definition of lifelong and acquired premature ejaculation : report of the second International Society for Sexual Medicine Ad Hoc Committee for the Definition of Premature Ejaculation

    NARCIS (Netherlands)

    Serefoglu, Ege Can; McMahon, Chris G; Waldinger, Marcel D; Althof, Stanley E; Shindel, Alan; Adaikan, Ganesh; Becher, Edgardo F; Dean, John; Giuliano, Francois; Hellstrom, Wayne J G; Giraldi, Annamaria; Glina, Sidney; Incrocci, Luca; Jannini, Emmanuele; McCabe, Marita; Parish, Sharon; Rowland, David; Segraves, R Taylor; Sharlip, Ira; Torres, Luiz Otavio

    2014-01-01

    INTRODUCTION: The International Society for Sexual Medicine (ISSM) Ad Hoc Committee for the Definition of Premature Ejaculation developed the first evidence-based definition for lifelong premature ejaculation (PE) in 2007 and concluded that there were insufficient published objective data at that ti

  3. An evidence-based unified definition of lifelong and acquired premature ejaculation : report of the second international society for sexual medicine ad hoc committee for the definition of premature ejaculation

    NARCIS (Netherlands)

    Serefoglu, Ege Can; McMahon, Chris G; Waldinger, Marcel D; Althof, Stanley E; Shindel, Alan; Adaikan, Ganesh; Becher, Edgardo F; Dean, John; Giuliano, Francois; Hellstrom, Wayne Jg; Giraldi, Annamaria; Glina, Sidney; Incrocci, Luca; Jannini, Emmanuele; McCabe, Marita; Parish, Sharon; Rowland, David; Segraves, R Taylor; Sharlip, Ira; Torres, Luiz Otavio

    2014-01-01

    INTRODUCTION: The International Society for Sexual Medicine (ISSM) Ad Hoc Committee for the Definition of Premature Ejaculation developed the first evidence-based definition for lifelong premature ejaculation (PE) in 2007 and concluded that there were insufficient published objective data at that ti

  4. The Mystique of First Intercourse among College Youth: The Role of Partners, Contraceptive Practices, and Psychological Reactions.

    Science.gov (United States)

    Darling, Carol Anderson; And Others

    1992-01-01

    First sexual intercourse of 94 male and 114 female college undergraduates was studied as it relates to gender differences in sexual behaviors, partner's role, contraceptive use, and sexual guilt and satisfaction. Sexual intercourse initiation is often characterized by contraceptive nonuse, pressure to become sexually involved, guilt, and sexual…

  5. Representations of intercourse in American literature

    DEFF Research Database (Denmark)

    Jensen, Kim Ebensgaard

    2014-01-01

    This article investigates the representation of sexual intercourse in American literature expressed via the use of fuck as a transitive verb. Its goal is to identify possible trends in the differentiation between men and women's roles and power relations in such literary representations. Drawing...... on theoretical notions from cognitive poetics, the present article assumes that literary representations of intercourse reflect and replicate in readers cognitive-cultural models of intercourse and the roles of, and power relations between, men and women therein. The analysis presented here is quantitative...... and falls under the rubric of corpus stylistics and is based on data from the FICTION component of the Corpus of Historical American English. The analysis measures the preference of male or female passive participants in propositional scenarios denoted by transitive fuck, thus allowing...

  6. A rapid situation and response assessment of the female regular sex partners of male drug users in South Asia: factors associated with condom use during the last sexual intercourse.

    Science.gov (United States)

    Kumar, M Suresh; Virk, Harsheth Kaur; Chaudhuri, Anand; Mittal, Ashita; Lewis, Gary

    2008-04-01

    We carried out a rapid assessment among the female regular sex partners of drug users/injecting drug users recruited from Bangladesh, Bhutan, India, Nepal and Sri Lanka with the objective of designing appropriate responses targeting them. We examined the correlates of condom use among them. Data was collected from 4612 female regular sex partners recruited by different NGO partners spread across the five countries in the region. We carried out univariate and multivariate logistic regression analysis to determine variables associated with condom use during their last sexual intercourse. Of the total sample, 22% admitted to using drugs ever in their life and 21% reported condom use during the last sexual act. A fourth of the participants have not heard of HIV/AIDS and only 17% have been tested for HIV. In a multivariate model, women engaged in sex work, from Nepal, used drugs before last sexual intercourse, heard of HIV/AIDS, ever used drugs and approached by someone with information on HIV were likely to have used condoms during the last sexual intercourse about twice or more: (AOR=4, 95% CI: 3, 5.3; AOR=3.4, 95% CI: 2.4, 4.9; AOR=2.5, 95% CI: 1.9, 3.3; AOR=2.1, 95% CI: 1.5, 3; AOR=2, 95% CI: 1.5, 2.6; AOR=1.7, 95% CI: 1.4, 2 respectively). Condom use was negatively associated with women with a single sex partner (AOR=0.6, 95% CI: 0.5, 0.7). Condom use is low among the female regular sex partners and is primarily associated with women exhibiting risky practices. Apart from sustaining and expanding HIV prevention programmes that aim to increase the HIV/AIDS related knowledge and scale-up HIV testing among the drug users and their regular sex partners, there is an urgent need to reach out to the women in stable marital relationship with drug users. This study has demonstrated that it is feasible to access this population and the priority is to design and implement individual, couple and group level interventions that ensure consistent condom use with their primary

  7. Associação entre idade ao início da atividade sexual e subseqüente infecção por papilomavírus humano: resultados de um programa de rastreamento brasileiro Association between age at first sexual intercourse and subsequent human papillomavirus infection: results of a Brazilian screening program

    Directory of Open Access Journals (Sweden)

    Cecília Maria Roteli-Martins

    2007-11-01

    Full Text Available OBJETIVO: descrever a idade de início da atividade sexual (sexarca e a sua associação com a idade das mulheres com a infecção por papilomavírus humano (HPV e com as alterações citológicas no exame de papanicolaou. MÉTODOS: mulheres da população geral foram recrutadas para participar de um estudo de rastreamento de câncer cervical e lesões pré-malignas. Após a aplicação de questionário comportamental, foram submetidas ao rastreamento com gia cervical e teste para DNA de HPV de alto risco, por meio de Captura Híbrida 2. Este projeto faz parte do Latin American Screening Study, que envolve mulheres do Brasil e da Argentina, e os dados aqui apresentados referem-se aos centros brasileiros nas cidades de Porto Alegre, São Paulo e Campinas. RESULTADOS: de 8.649 mulheres entrevistadas, 8.641 relataram atividade sexual prévia e foram incluídas na análise. A média de idade no momento da entrevista foi de 38,1±11,04 anos, com início da atividade sexual em média aos 18,5±4,0 anos. Identificamos que a idade do início da atividade sexual aumenta de acordo com o aumento da faixa etária no momento da entrevista, isto é, mulheres mais novas relataram sexarca mais precoce que mulheres mais velhas (p ou = ASC-US (6,7% do que mulheres com sexarca em idade maior que a média (4,3% - OR=1,6 (IC95%=1,3-2,0; pPURPOSE: to investigate women’s age at their first sexual intercourse and its correlation with their present age, human papillomavirus (HPV infection and cytological abnormalities at Pap smear. METHODS: women from the general population were invited to be screened for cervical cancer and pre-malignant lesions. After answering a behavior questionnaire, they were submitted to screening with cervical cytology and high-risk HPV testing with Hybrid Capture 2 (HC2. This report is part of the Latin American Screening (LAMS study, that comprises centers from Brazil and Argentina, and the data presented herein refer to the Brazilian women

  8. An evidence-based definition of lifelong premature ejaculation: Report of the International Society for Sexual Medicine (ISSM) Ad Hoc Committee for the Definition of Premature Ejaculation

    DEFF Research Database (Denmark)

    McMahon, C.G.; Althof, S.E.; Waldinger, M.D.

    2008-01-01

    authority based rather than evidence based, and have no support from controlled clinical and/or epidemiological studies. Aim. The aim of this article is to develop a contemporary, evidence-based definition of PE. Methods. In August 2007, the International Society for Sexual Medicine (ISSM) appointed several...... international experts in PE to an Ad Hoc Committee for the Definition of Premature Ejaculation. The committee met in Amsterdam in October 2007 to evaluate the strengths and weaknesses of current definitions of PE, to critique the evidence in support of the constructs of ejaculatory latency, ejaculatory control...... and encourage ongoing research into the true prevalence of this disorder and the efficacy of new pharmacological and psychological treatments Udgivelsesdato: 2008...

  9. Teenage Sexuality

    Science.gov (United States)

    ... Stages Listen Español Text Size Email Print Share Teenage Sexuality Page Content Article Body Sex and sexuality ... have sexual intercourse? Will having sex help my relationship? If I am attracted to a same-sex ...

  10. Interrelationships among measures of premature ejaculation: the central role of perceived control.

    Science.gov (United States)

    Patrick, Donald L; Rowland, David; Rothman, Margaret

    2007-05-01

    Domains of premature ejaculation (PE) include short intravaginal ejaculatory latency time (IELT), poor perceived control over ejaculation, decreased satisfaction with sexual intercourse, and personal distress and interpersonal difficulty related to ejaculation. How these measures interrelate is unknown. Here, we evaluated the interrelationships between these PE-specific variables, applying cross-sectional data from a large U.S. observational study of men with PE. We analyzed data from men with PE identified in a previously reported observational study. PE was diagnosed by experienced clinicians using the criteria specified in the Diagnostic and Statistical Manual of Mental Disorders, fourth edition, text revision. Subjects reported their stopwatch-measured IELT, perceived control over ejaculation, satisfaction with sexual intercourse, personal distress related to ejaculation, and interpersonal difficulty related to ejaculation. Relationships between variables were assessed using bivariate correlations, and the strength and significance of direct or indirect effects between variables were evaluated using a form of regression analysis known as path analysis. Bivariate Pearson correlation coefficients for all relationships were significant at the P interpersonal difficulty related to ejaculation. When all variables were included in the model, IELT showed a significant direct effect on perceived control over ejaculation but did not show a significant direct effect on ejaculation-related personal distress or satisfaction with sexual intercourse. Perceived control over ejaculation showed a significant direct effect on both ejaculation-related personal distress and satisfaction with sexual intercourse, which each showed direct effects on interpersonal difficulty related to ejaculation. The patient's perception of control over ejaculation is central to understanding how PE is associated with satisfaction with sexual intercourse and ejaculation-related distress. In contrast

  11. Female partner's perception of premature ejaculation and its impact on relationship breakups, relationship quality, and sexual satisfaction.

    Science.gov (United States)

    Burri, Andrea; Giuliano, François; McMahon, Chris; Porst, Hartmut

    2014-09-01

    Women's perceptions of the men's ejaculatory behavior, as well as the impact premature ejaculation (PE) has on the couple's functioning, are important factors that need to be considered. This survey investigated women's perception and importance of ejaculatory function, as well as the specific aspects of PE that cause distress. In addition, the survey further identified the factors with a greater impact on intimacy, relationship, and sexual behavior. The 1,463 females belonging to a web panel from three different countries (Mexico, Italy, and South Korea), aged 20-50 years, participated in the survey. A combination of validated and self-constructed questionnaires to assess women's perception of PE, relationship satisfaction and quality, and sexual functioning and satisfaction were used. Descriptive statistics in form of proportions and percentages, correlation, and regression analyses. A significant correlation between the importance of ejaculatory control and felt distress could be observed (rho = 0.55, P sexual problems considered ejaculatory control more important and reported more PE-related distress (rho = 0.23 and 0.11, respectively; P sexual distress (47.6%) followed by "the short time between penetration and ejaculation" (39.9%), and "the lack of ejaculatory control" (24.1%). Almost a quarter of women reported that the man's ejaculatory problem had previously led to relationship breakups (22.8%). Women considering duration to be important were more likely to report breakups. The study highlights the detrimental effects of PE on relationship and sexual satisfaction in the female partner and how it can lead to the termination of the relationship. Most notably, this is the first study to report that an important source of female distress are not only parameters related to performance such as control or duration but rather inappropriate attention focus and the negligence of other forms of sexual activities. © 2014 International Society for Sexual

  12. An Update of the International Society of Sexual Medicine's Guidelines for the Diagnosis and Treatment of Premature Ejaculation (PE

    Directory of Open Access Journals (Sweden)

    Stanley E. Althof, PhD

    2014-06-01

    Conclusion: Development of guidelines is an evolutionary process that continually reviews data and incorporates the best new research. We expect that ongoing research will lead to a more complete understanding of the pathophysiology as well as new efficacious and safe treatments for this sexual dysfunction. We again recommend that these guidelines be reevaluated and updated by the ISSM in 4 years. Althof SE, McMahon CG, Waldinger MD, Serefoglu EC, Shindel AW, Adaikan PG, Becher E, Dean J, Giuliano F, Hellstrom WJG, Giraldi A, Glina S, Incrocci L, Jannini E, McCabe M, Parish S, Rowland D, Segraves RT, Sharlip I, and Torres LO. An update of the International Society of Sexual Medicine's guidelines for the diagnosis and treatment of premature ejaculation (PE. Sex Med 2014;2:60–90.

  13. Event-level impact of Promescent on quality of sexual experience in men with subjective premature ejaculation.

    Science.gov (United States)

    Mark, K P; Kerner, I

    2016-11-01

    Promescent is a lidocaine-based ejaculation delaying spray that absorbs into the skin of the penis prior to sexual activity. This article aimed to evaluate the effect of Promescent on the experience of orgasm, ejaculatory latency time and quality of sexual experience (QSE). Additionally, we assessed ease of application of Promescent and the extent to which it enhanced or interrupted the sexual experience. The analytic sample consisted of 91 men with self-reported subjective premature ejaculation who were sent a sample of Promescent and completed a 14-day internet-based prospective daily electronic report. Average ejaculatory latency time was 11.16 min during product use events, compared with 6.81 min during product non-use events. Both members of the couple had an orgasm 65.6% of the time when they used the product, compared with 44.1% when they did not use the product. QSE was significantly improved on product use days (P<0.05). Quality also significantly improved each subsequent time the product was used (P<0.01). The product was reported as easy to use and did not interrupt the sexual experience. Findings suggest that the use of this topical spray significantly improves QSE and perception of partner experience, and that these improve with longer duration of use.

  14. Psychosocial interventions for premature ejaculation

    Directory of Open Access Journals (Sweden)

    Tamara Melnik

    Full Text Available BACKGROUND: Premature ejaculation (PE is a very common sexual dysfunction among patients, and with varying prevalence estimates ranging from 3% to 20%. Although psychological issues are present in most patients with premature PE, as a cause or as a consequence, research on the effects of psychological approaches for PE has in general not been controlled or randomised and is lacking in long-term follow up. OBJECTIVE: To assess the efficacy of psychosocial interventions for PE. CRITERIA FOR CONSIDERING STUDIES FOR THIS REVIEW: Trials were searched in computerized general and specialized databases, such as: MEDLINE by PubMed (1966 to 2010; PsycINFO (1974 to 2010; EMBASE (1980 to 2010; LILACS (1982 to 2010; the Cochrane Central Register of Controlled Trials (Cochrane Library, 2010; and by checking bibliographies, and contacting manufacturers and researchers. SELECTION CRITERIA: Randomised or quasi-randomised controlled trials evaluating psychosocial interventions compared with different psychosocial interventions, pharmacological interventions, waiting list, or no treatment for PE. DATA COLLECTION AND ANALYSIS: Information on patients, interventions, and outcomes was extracted by at least two independent reviewers using a standard form. The primary outcome measure for comparing the effects of psychosocial interventions to waiting list and standard medications was improvement in IELT (i.e., time from vaginal penetration to ejaculation. The secondary outcome was change in validated PE questionnaires. MAIN RESULTS: In one study behavioral therapy (BT was significantly better than waiting list for duration of intercourse (MD (mean difference 407.90 seconds, 95% CI 302.42 to 513.38, and couples' sexual satisfaction (MD -26.10, CI -50.48 to -1.72. BT was also significantly better for a new functional-sexological treatment (FS (MD 412.00 seconds, 95% CI 305.88 to 518.12, change over time in subjective perception of duration of intercourse (Women: MD 2

  15. An Update of the International Society of Sexual Medicine's Guidelines for the Diagnosis and Treatment of Premature Ejaculation (PE)

    Science.gov (United States)

    Althof, Stanley E; McMahon, Chris G; Waldinger, Marcel D; Serefoglu, Ege Can; Shindel, Alan W; Adaikan, P Ganesan; Becher, Edgardo; Dean, John; Giuliano, Francois; Hellstrom, Wayne JG; Giraldi, Annamaria; Glina, Sidney; Incrocci, Luca; Jannini, Emmanuele; McCabe, Marita; Parish, Sharon; Rowland, David; Segraves, R Taylor; Sharlip, Ira; Torres, Luiz Otavio

    2014-01-01

    Introduction In 2009, the International Society for Sexual Medicine (ISSM) convened a select panel of experts to develop an evidence-based set of guidelines for patients suffering from lifelong premature ejaculation (PE). That document reviewed definitions, etiology, impact on the patient and partner, assessment, and pharmacological, psychological, and combined treatments. It concluded by recognizing the continually evolving nature of clinical research and recommended a subsequent guideline review and revision every fourth year. Consistent with that recommendation, the ISSM organized a second multidisciplinary panel of experts in April 2013, which met for 2 days in Bangalore, India. This manuscript updates the previous guidelines and reports on the recommendations of the panel of experts. Aim The aim of this study was to develop clearly worded, practical, evidenced-based recommendations for the diagnosis and treatment of PE for family practice clinicians as well as sexual medicine experts. Method A comprehensive literature review was performed. Results This article contains the report of the second ISSM PE Guidelines Committee. It offers a new unified definition of PE and updates the previous treatment recommendations. Brief assessment procedures are delineated, and validated diagnostic and treatment questionnaires are reviewed. Finally, the best practices treatment recommendations are presented to guide clinicians, both familiar and unfamiliar with PE, in facilitating treatment of their patients. Conclusion Development of guidelines is an evolutionary process that continually reviews data and incorporates the best new research. We expect that ongoing research will lead to a more complete understanding of the pathophysiology as well as new efficacious and safe treatments for this sexual dysfunction. We again recommend that these guidelines be reevaluated and updated by the ISSM in 4 years. Althof SE, McMahon CG, Waldinger MD, Serefoglu EC, Shindel AW, Adaikan PG

  16. Evaluation the Frequency of Sexual Dysfunction in Infertile Men, Fatemieh Hospital, Hamadan

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    H. Babolhavaeji

    2008-07-01

    Full Text Available Introduction & Objective: Sexual dysfunction is called to inability to get or keep a successful sexual intercourse. The term “sexual dysfunction” may also be used to describe other problems that interfere with sexual intercourse, such as inability to achieve erection and problems with ejaculation or orgasm. Damage to nerves, arteries, smooth muscles and fibrous tissues, often as a result of a disease, are the most common cause of erectile dysfunction. The aim of the present study was to evaluate the frequency of sexual dysfunction in patients referred to Fatemieh infertility clinic, Hamadan.Materials & Methods: In this cross-sectional study all males referred to Fatemieh infertility center in 2005, were entered the study. All patients were clinically examined and their medical histories were obtained. Data such as age, accusation, education, history of smoking and opioid abusing, sexual dysfunction, inability to achieve orgasm, premature ejaculation and the frequency of intercourse were entered in the questionnaires. Data was analyzed using SPSS 13 and 2 statistical test.Results: The mean age of patients studied was 32.37.4 years (20-65 years. From 245 cases, 135 (55.1% had sexual dysfunction. The most common sexual dysfunction was premature ejaculation(38.8%. Other sexual dysfunctions were impotence with 16.3% , lack of sexual desire with 12.2% and orgasm disorder with 10.6% respectively. 65.9% patients were uneducated or had elementary education , 27.4% had diploma , and 6.7% had academic education. 23.7% of patients had addiction and 34.1% were smoker.Conclusion : This study showed that most common etiology of sexual dysfunction was premature ejaculation. Other sexual dysfunctions were: impotence, sexual desire disorder and orgasm disorder respectively.

  17. Slimness is associated with greater intercourse and lesser masturbation frequency.

    Science.gov (United States)

    Brody, Stuart

    2004-01-01

    I examined the relationship of recalled and diary recorded frequency of penile-vaginal intercourse (FSI), noncoital partnered sexual activity, and masturbation to measured waist and hip circumference in 120 healthy adults aged 19-38. Slimmer waist (in men and in the sexes combined) and slimmer hips (in men and women) were associated with greater FSI. Slimmer waist and hips were associated with rated importance of intercourse for men. Noncoital partnered sexual activity had a less consistent association with slimness. Slimmer waist and hips were associated with less masturbation (in men and in the sexes combined). I discuss the results in terms of differences between different sexual behaviors, attractiveness, emotional relatedness, physical sensitivity, sexual dysfunction, sociobiology, psychopharmacological aspects of excess fat and carbohydrate consumption, and implications for sex therapy.

  18. An Evidence-Based Unified Definition of Lifelong and Acquired Premature Ejaculation: Report of the Second International Society for Sexual Medicine Ad Hoc Committee for the Definition of Premature Ejaculation

    Science.gov (United States)

    Serefoglu, Ege Can; McMahon, Chris G; Waldinger, Marcel D; Althof, Stanley E; Shindel, Alan; Adaikan, Ganesh; Becher, Edgardo F; Dean, John; Giuliano, Francois; Hellstrom, Wayne JG; Giraldi, Annamaria; Glina, Sidney; Incrocci, Luca; Jannini, Emmanuele; McCabe, Marita; Parish, Sharon; Rowland, David; Segraves, R Taylor; Sharlip, Ira; Torres, Luiz Otavio

    2014-01-01

    Introduction The International Society for Sexual Medicine (ISSM) Ad Hoc Committee for the Definition of Premature Ejaculation developed the first evidence-based definition for lifelong premature ejaculation (PE) in 2007 and concluded that there were insufficient published objective data at that time to develop a definition for acquired PE. Aim The aim of this article is to review and critique the current literature and develop a contemporary, evidence-based definition for acquired PE and/or a unified definition for both lifelong and acquired PE. Methods In April 2013, the ISSM convened a second Ad Hoc Committee for the Definition of Premature Ejaculation in Bangalore, India. The same evidence-based systematic approach to literature search, retrieval, and evaluation used by the original committee was adopted. Results The committee unanimously agreed that men with lifelong and acquired PE appear to share the dimensions of short ejaculatory latency, reduced or absent perceived ejaculatory control, and the presence of negative personal consequences. Men with acquired PE are older, have higher incidences of erectile dysfunction, comorbid disease, and cardiovascular risk factors, and have a longer intravaginal ejaculation latency time (IELT) as compared with men with lifelong PE. A self-estimated or stopwatch IELT of 3 minutes was identified as a valid IELT cut-off for diagnosing acquired PE. On this basis, the committee agreed on a unified definition of both acquired and lifelong PE as a male sexual dysfunction characterized by (i) ejaculation that always or nearly always occurs prior to or within about 1 minute of vaginal penetration from the first sexual experience (lifelong PE) or a clinically significant and bothersome reduction in latency time, often to about 3 minutes or less (acquired PE); (ii) the inability to delay ejaculation on all or nearly all vaginal penetrations; and (iii) negative personal consequences, such as distress, bother, frustration, and/or the

  19. The Sexual Disgust Questionnaire; a Psychometric Study and a First Exploration in Patients with Sexual Dysfunctions

    NARCIS (Netherlands)

    van Overveld, Mark; de Jong, Peter J.; Peters, Madelon L.; van Lankveld, Jacques; Melles, Reinhilde; ter Kuile, Moniek M.

    Introduction. Disgust may be involved in sexual problems by disrupting sexual arousal and motivating avoidance of sexual intercourse. To test whether heightened disgust for sexual contaminants is related to sexual dysfunctions, the Sexual Disgust Questionnaire (SDQ) has recently been developed.

  20. LH Dynamics in Overweight Girls with Premature Adrenarche and Slowly Progressive Sexual Precocity

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    Rosenfield RobertL

    2010-08-01

    Full Text Available Background. Excess adiposity and premature adrenarche (PA are risk factors for the development of polycystic ovary syndrome (PCOS. Methods. Girls with slowly progressive precocious breast development, who were overweight and had PA (SPPOPA, 6.2–8.2 years, , overweight PA (6.6–10.8 years, , and overweight premenarcheal controls (OW-PUB, 10.6–12.8 years, underwent hormonal sleep testing and GnRH agonist (GnRHag and ACTH tests. Results. Despite an insignificant sleep-related increase in LH and prepubertal baseline hormone levels, SPPOPA peak LH and estradiol responses to GnRHag were intermediate between those of PA and OW-PUB, the LH being significantly different from both. Conclusions. GnRHag tests indicate that SPPOPA is a slowly progressive form of true puberty with blunted LH dynamics. These results argue against the prepubertal hyperandrogenism of excess adiposity or PA enhancing LH secretion or causing ovarian hyperandrogenism prior to menarche. Excess adiposity may contribute to both the early onset and slow progression of puberty.

  1. An Evidence-Based Unified Definition of Lifelong and Acquired Premature Ejaculation: Report of the Second International Society for Sexual Medicine Ad Hoc Committee for the Definition of Premature Ejaculation

    Directory of Open Access Journals (Sweden)

    Ege Can Serefoglu, MD

    2014-06-01

    Conclusion: The ISSM unified definition of lifelong and acquired PE represents the first evidence-based definition for these conditions. This definition will enable researchers to design methodologically rigorous studies to improve our understanding of acquired PE. Serefoglu EC, McMahon CG, Waldinger MD, Althof SE, Shindel A, Adaikan G, Becher EF, Dean J, Giuliano F, Hellstrom WJG, Giraldi A, Glina S, Incrocci L, Jannini E, McCabe M, Parish S, Rowland D, Segraves RT, Sharlip I, and Torres LO. An evidence-based unified definition of lifelong and acquired premature ejaculation: Report of the second International Society for Sexual Medicine Ad Hoc Committee for the Definition of Premature Ejaculation. Sex Med 2014;2:41–59.

  2. Premature ejaculation

    Directory of Open Access Journals (Sweden)

    Chris G McMahon

    2007-01-01

    Full Text Available Premature ejaculation (PE is a common male sexual disorder. Recent normative data suggests that men with an intravaginal ejaculatory latency time (IELT of less than 1 minute have "definite" PE, while men with IELTs between 1 and 1.5 minutes have "probable" PE. Although there is insufficient empirical evidence to identify the etiology of PE, there is limited correlational evidence to suggest that men with PE have high levels of sexual anxiety and inherited altered sensitivity of central 5-HT (5-hydroxytryptamine, serotonin receptors. Pharmacological modulation of the ejaculatory threshold using off-label daily or on-demand selective serotonin re-uptake inhibitors is well tolerated and offers patients a high likelihood of achieving improved ejaculatory control within a few days of initiating treatment, consequential improvements in sexual desire and other sexual domains. Investigational drugs such as the ejaculo-selective serotonin transport inhibitor, dapoxetine represent a major development in sexual medicine. These drugs offer patients the convenience of on-demand dosing, significant improvements in IELT, ejaculatory control and sexual satisfaction with minimal adverse effects.

  3. Premature ejaculation.

    Science.gov (United States)

    McMahon, Chris G

    2007-04-01

    Premature ejaculation (PE) is a common male sexual disorder. Recent normative data suggests that men with an intravaginal ejaculatory latency time (IELT) of less than 1 minute have "definite" PE, while men with IELTs between 1 and 1.5 minutes have "probable" PE. Although there is insufficient empirical evidence to identify the etiology of PE, there is limited correlational evidence to suggest that men with PE have high levels of sexual anxiety and inherited altered sensitivity of central 5-HT (5-hydroxytryptamine, serotonin) receptors. Pharmacological modulation of the ejaculatory threshold using off-label daily or on-demand selective serotonin re-uptake inhibitors is well tolerated and offers patients a high likelihood of achieving improved ejaculatory control within a few days of initiating treatment, consequential improvements in sexual desire and other sexual domains. Investigational drugs such as the ejaculo-selective serotonin transport inhibitor, dapoxetine represent a major development in sexual medicine. These drugs offer patients the convenience of on-demand dosing, significant improvements in IELT, ejaculatory control and sexual satisfaction with minimal adverse effects.

  4. Timing of Premarital Intercourse in Bandjoun (West Cameroon

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    Zacharie Tsala Dimbuene

    2013-03-01

    Full Text Available This article examined the effects of family environment on the risks of premarital intercourse for male and female youth. Previous research in sub-Saharan Africa (SSA on the linkages between family structures and sexual debut mainly utilized cross-sectional data. In a sample drawn from Cameroon Family and Health Survey (N = 2,166, descriptive and multivariate results showed that youth who resided in nuclear two-parent families, those who reported higher levels of parental monitoring and higher quality of parent–child relationships during childhood and/or adolescence, had significantly lower rates of premarital intercourse. Polygynous families, parent–child communication, orphanhood, and change in family structure were significantly associated with higher rates of premarital intercourse. Programmatic implications for reproductive health interventions in SSA are discussed.

  5. Age of partners at first intercourse among Danish males and females

    DEFF Research Database (Denmark)

    Wielandt, H; Boldsen, J; Jeune, B

    1989-01-01

    In 1984-1985 a representative sample of 286 Danish women (response rate = 75.3%) and 336 Danish men (response rate = 77.8%), ages 16-20 years, was interviewed about their first sexual intercourse. A cumulative frequency function was constructed and the median age at sexual debut was estimated at 16.......8 years for both male and female. Generally the age difference between the partners at first intercourse was only a few years. However, the young women almost never reported their first sexual partner as younger than themselves. A cross-check was made of the information given by two homogeneous subsamples...... of the 47 young women and 80 young men who had their first sexual intercourse with a partner who was also a debutant. Self-reported age among the males differed significantly from the age of the first sexual partner as stated by the females in these subsamples. Therefore, there is bias in the reporting...

  6. Intimate Partner Violence and Anal Intercourse among Young Adult Heterosexual Relationships

    Science.gov (United States)

    Hess, Kristen L.; Javanbakht, Marjan; Brown, Joelle M.; Weiss, Robert E.; Hsu, Paul; Gorbach, Pamina M.

    2013-01-01

    Context The prevalence of intimate partner violence and anal intercourse is high in young adult relationships, but few have looked the intersection of the two. This paper considers this association within multiple intimate partner violence contexts. Methods Using wave 3 of the National Longitudinal Study of Adolescent Health, an analysis was completed on the association of physical and sexual intimate partner violence and anal intercourse in relationships reported by young women. This wave was collected from 2001–2002 when the women were between 18 and 28 years old. A hierarchical random effects model was used to control for the clustered survey design and multiple relationships reported per participant. This analysis included 10,462 relationships reported by 6,280 women. Results In multivariate analysis, relationships where women perpetrated physical violence (AOR 1.9) and relationships that were reciprocally physically violent (AOR 1.7) were more likely to include anal intercourse than non-abusive relationships. Among those that included anal intercourse, relationships where the woman was a victim of physical violence (AOR 0.2) were less likely to have ever used a condom during anal intercourse. There was no association between sexual violence and condom use. Conclusion These analyses demonstrate that women in violent relationships may be at increased risk of sexually transmitted infections due to unprotected anal intercourse. More information on the context surrounding anal intercourse and intimate partner violence is needed in order to understand the nuances of this association. PMID:23489852

  7. Study on the characteristics of sexual intercourse debut and its influencing factors among college students in 18 provinces in China%中国18省市大学生首次性行为年龄的人群分布特征及其影响因素

    Institute of Scientific and Technical Information of China (English)

    宋逸; 季成叶; 星一; 胡佩瑾; 陈天娇; 张琳

    2011-01-01

    目的 了解中国大学生首次性行为年龄的人群分布特征,为制定适宜的性教育提供依据.方法 采取无记名自填问卷方式,按照分层整群抽样方法,对18个省(市、区)33 653名大学生进行中国青少年健康危险行为问卷调查.结果 中国大学生14岁前发生性行为的报告率为1.9%,男、女生分别为2.8%和1.1%(P<0.01);15~18岁发生性行为的报告率男、女生分别为6.4%和2.1%;19岁后发生性行为的报告率男、女生分别为6.9%和2.6%.大学生首次性行为的发生年龄与父母学历、所在地区和家庭结构密切相关.来自大家庭和核心家庭、居住在东中部地区、父母文化程度较低的大学低年级学生,首次性行为发生年龄较晚.结论 应加强对两部地区、父母文化程度较高以及家庭结构不完整的青少年的性教育.%Objective To describe the characteristics of sexual debut among college students in China to provide appropriate sex education in that population. Methods An anonymous questionnaire survey was conducted among 33 653 college students selected by multi-stage stratified cluster sampling method in 18 provinces and cities of China. Results The percentage of students who had initiated sexual intercourse before age 14 was 1.9%. Overall, male students (2.8%) were significantly more likely to have initiated sexual intercourse before age 14, than female students (1.1%). The percentage of students who had initiated sexual intercourse from age 15 to 18 was 6.4% in males versus 2.1% in females. while the rates of students who had initiated sexual intercourse after age 19 were 6.9% in males and 2.6% in females. The first sexual intercourse was significantly associated with parental educational attainment, geographic location and family structure. Students whose parents were relatively well educated, living in the western areas of the country China, or with nucleus/extensive families were more likely to have early sex in

  8. Sexual abuse in children - what to know

    Science.gov (United States)

    Sexual abuse - children ... boys are sexually abused before they turn 18. Sexual abuse of children is any activity that the ... anus or vagina Tongue kissing Oral sex Intercourse Sexual abuse can also happen without physical contact, such ...

  9. Intimate partner violence and anal intercourse in young adult heterosexual relationships.

    Science.gov (United States)

    Hess, Kristen L; Javanbakht, Marjan; Brown, Joelle M; Weiss, Robert E; Hsu, Paul; Gorbach, Pamina M

    2013-03-01

    Although intimate partner violence and anal intercourse are common in young adult relationships, few studies have examined whether these behaviors are associated with each other. Data from 6,280 women aged 18-28 who took part in Wave 3 of the National Longitudinal Study of Adolescent Health were used to examine the association between physical and sexual intimate partner violence and anal intercourse in 10,462 relationships. Multivariate hierarchical random effects models were used to adjust for the clustered survey design and for the multiple relationships reported per participant. Physical violence occurred in 29% of relationships, sexual violence in 11% and anal intercourse in 14%. The odds that a couple had had anal intercourse were greater among relationships that included physical violence perpetrated by both partners or only by the woman than among nonviolent relationships (odds ratios, 1.7 and 1.9, respectively). The odds of anal intercourse were also elevated among sexually abusive relationships, although only if the woman was the sole victim or the sole perpetrator (1.3 and 2.0, respectively). In relationships that included anal intercourse, the odds of condom use were lower if the woman was a victim of physical violence than if no violence occurred (0.2). Sexual violence was not associated with condom use. Women in physically violent relationships may be at increased risk for STDs because of their elevated exposure to unprotected anal intercourse. More information on the context surrounding anal intercourse and intimate partner violence is needed to understand the nuances of this association. Copyright © 2013 by the Guttmacher Institute.

  10. Premature Contractions

    Science.gov (United States)

    ... Peripheral Artery Disease Venous Thromboembolism Aortic Aneurysm More Premature Contractions - PACs and PVCs Updated:Dec 15,2016 ... You felt this more-forceful beat. Types of premature contractions Premature atrial contractions (PACs) start in the ...

  11. Effectiveness of ‘on demand’ silodosin in the treatment of premature ejaculation in patients dissatisfied with dapoxetine: a randomized control study

    Science.gov (United States)

    Shastry, Anuradha

    2016-01-01

    Introduction Premature ejaculation is a common sexual disorder, which is usually underreported. Multiple treatment methodologies are in use due to the absence of an effective, universally acceptable treatment modality. The most common drug used is dapoxetine, which has adverse effects limiting its long-term use. Hence, we decided to evaluate the effectiveness of ‘on demand’ silidosin 4 mg in patients with premature ejaculation, who were dissatisfied with dapoxetine 30 mg. Material and methods The study included 64 patients who reported premature ejaculation who were unhappy with the treatment with ‘on demand’ dapoxetine 30 mg, either due to its adverse effects or because of its overall inefficacy. They were divided into two groups of 33 and 31 respectively by simple randomization, with Group A treated with ‘on demand’ silodosin 4 mg three hours prior to intercourse, whereas Group B was treated with placebo. Pre- and post-treatment intravaginal ejaculatory latency time (IELT), premature ejaculation profile (PEP) and clinical global impression of change (CGIC) for premature ejaculation were evaluated. Results Patients in Group A (silodosin 4 mg) reported statistically significant improvement (p premature ejaculation profile (PEP) and clinical global impression of change (CGIC) for premature ejaculation, with four patients reporting uncomfortably-delayed ejaculation. Conclusions ‘On demand’ silodosin 4 mg is an effective treatment option with very few adverse events in those patients suffering from premature ejaculation, who are dissatisfied with dapoxetine 30 mg due to its adverse effects or inefficacy. PMID:27729995

  12. Comprehensive review of the anatomy and physiology of male ejaculation: Premature ejaculation is not a disease.

    Science.gov (United States)

    Puppo, Vincenzo; Puppo, Giulia

    2016-01-01

    Human semen contains spermatozoa secreted by the testes and a mixture of components produced by the bulbo-urethral and Littre (paraurethral) glands, prostate, seminal vesicles, ampulla, and epididymis. Ejaculation is used as a synonym for the external ejection of semen, but it comprises two phases: emission and expulsion. As semen collects in the prostatic urethra, the rapid preorgasmic distension of the urethral bulb is pathognomonic of impeding orgasm, and the man experiences a sensation that ejaculation is inevitable (in women, emission is the only phase of orgasm). The semen is propelled along the penile urethra mainly by the bulbocavernosus muscle. With Kegel exercises, it is possible to train the perineal muscles. Immediately after the expulsion phase the male enters a refractory period, a recovery time during which further orgasm or ejaculation is physiologically impossible. Age affects the recovery time: as a man grows older, the refractory period increases. Sexual medicine experts consider premature ejaculation only in the case of vaginal intercourse, but vaginal orgasm has no scientific basis, so the duration of intercourse is not important for a woman's orgasm. The key to female orgasm are the female erectile organs; vaginal orgasm, G-spot, G-spot amplification, clitoral bulbs, clitoris-urethra-vaginal complex, internal clitoris and female ejaculation are terms without scientific basis. Female sexual dysfunctions are popular because they are based on something that does not exist, i.e. the vaginal orgasm. The physiology of ejaculation and orgasm is not impaired in premature ejaculation: it is not a disease, and non-coital sexual acts after male ejaculation can be used to produce orgasm in women. Teenagers and men can understand their sexual responses by masturbation and learn ejaculatory control with the stop-start method and the squeeze technique. Premature ejaculation must not be classified as a male sexual dysfunction. It has become the center of a

  13. Which are the male factors associated with female sexual dysfunction (FSD)?

    Science.gov (United States)

    Maseroli, E; Fanni, E; Mannucci, E; Fambrini, M; Jannini, E A; Maggi, M; Vignozzi, L

    2016-09-01

    It has been generally assumed that partner's erectile dysfunction, premature, and delayed ejaculation play a significant role in determining female sexual dysfunction (FSD). This study aimed to evaluate the role of the male partner's sexual function, as perceived by women, in determining FSD. A consecutive series of 156 heterosexual women consulting our clinic for FSD was retrospectively studied. All patients underwent a structured interview and completed the Female Sexual Function Index (FSFI). FSFI total score decreased as a function of partner's age, conflicts within the couple, relationship without cohabitation and the habit of engaging in intercourse to please the partner; FSFI total score increased as a function of frequency of intercourse, attempts to conceive and fertility-focused intercourse. FSFI total score showed a negative, stepwise correlation with partner's perceived hypoactive sexual desire (HSD) (r = -0.327; p premature and delayed ejaculation. In an age-adjusted model, partner's HSD was negatively related to FSFI total score (Wald = 9.196, p = 0.002), arousal (Wald = 7.893, p = 0.005), lubrication (Wald = 5.042, p = 0.025), orgasm (Wald = 9.293, p = 0.002), satisfaction (Wald = 12.764, p premature, and delayed ejaculation of the partner may not act as a primary contributing factor to FSD, as determined by FSFI scores; conversely, women's sexuality seems to be mostly impaired by the perceived reduction in their partner's sexual interest.

  14. Premature infant

    Science.gov (United States)

    There are many support groups for parents of premature babies. Ask the social worker in the neonatal intensive care unit. ... Prematurity used to be a major cause of infant deaths. Improved ... Prematurity can have long-term effects. Many premature infants ...

  15. Representations of intercourse in American literature

    DEFF Research Database (Denmark)

    Jensen, Kim Ebensgaard

    2014-01-01

    on theoretical notions from cognitive poetics, the present article assumes that literary representations of intercourse reflect and replicate in readers cognitive-cultural models of intercourse and the roles of, and power relations between, men and women therein. The analysis presented here is quantitative...

  16. A combination of tryptophan, Satureja montana, Tribulus terrestris, Phyllanthus emblica extracts is able to improve sexual quality of life in patient with premature ejaculation

    Directory of Open Access Journals (Sweden)

    Salvatore Sansalone

    2016-10-01

    Full Text Available Objective: The management of patient affected by premature ejaculation (PE is nowadays not highly satisfactory. Here, we aimed to evaluate the tolerability and efficacy of a combination of tryptophan, Satureja montana, Tribulus terrestris, Phyllanthus emblica extracts in order to improve sexual quality of life in patients with premature ejaculation. Materials and methods: All patients attending to 5 urological centers from January 2015 to March 2015, due to premature ejaculation were enrolled in this study. At the enrolment visit, all subjects underwent self-administered IIEF-5, Male Sexual Health Questionnaire-Ejaculation Disorder (MSHQEjD, PEDT and IELTS (calculated as mean from that perceived by partner and that perceived by patient and underwent urological visit and laboratory examinations. All patients received one tablet per day of a combination of tryptophan, Satureja montana, Tribulus terrestris, Phyllanthus emblica extracts for 3 months (Group A. After 3 months all patients underwent follow-up visit with the same investigations that have been carried out in the enrolment visit. The results were compared with a cohort of patients enrolled in the same period in another urological center and considered as a control group (Group B. All patients in the control group underwent counseling and sexual behavioral treatment without any pharmacological compound. Results: At the follow-up analysis, significant changes in terms of IELT in the Group A (mean difference: 31.90; p < 0.05 at 3 months and versus Group B at the intergroup analysis (mean difference: 30.30; p < 0.05 were reported. In the group A, significant differences from baseline to last follow- up were observed relative to IIEF-5 (mean difference: 1.04; p < 0.05, PEDT (mean difference: -2.57; p < 0.05 and FSH (mean difference: -16.46; p < 0.05. Conclusion: In conclusion, patients affected by PE may significantly benefit from oral therapy with a combination of tryptophan, Satureja montana

  17. Testing putative causal associations of risk factors for early intercourse in the study of twin adults: genes and environment (STAGE).

    Science.gov (United States)

    Donahue, Kelly L; D'Onofrio, Brian M; Lichtenstein, Paul; Långström, Niklas

    2013-01-01

    Adverse childhood experiences and substance use have been identified as potential causal risk factors for early-onset sexual intercourse. While it is possible that exposure to these risk factors directly increases the likelihood of engaging in early intercourse, an alternative explanation is that observed associations between these variables are due to shared familial confounds. These unmeasured confounds may increase the likelihood of being exposed to these risk factors and of engaging in early intercourse. Participants drawn from a population-based study of Swedish adult twins (ages 19-47 years; N = 12,126) reported on their history of exposure to early physical and sexual trauma, cigarette use, and cannabis use. We investigated the nature of the association between these risk factors and young age at first intercourse, using a comparison of twins differentially exposed to each risk factor. When compared to non-exposed, unrelated individuals, participants who reported adverse childhood experiences or who engaged in early cigarette use or cannabis use were more likely to engage in early intercourse. However, co-twin comparisons indicated that observed associations between these risk factors and early intercourse may be due to familial factors shared within twin pairs, and risk factor exposure may not lead directly to early intercourse. Our results suggest that preventing trauma exposure or preventing or delaying adolescents' cigarette smoking or cannabis use may not effectively delay intercourse onset; instead, other aspects of the adolescent's environment should be addressed.

  18. Urinary Tract Infection In Young Healthy Women Following Heterosexual Anal Intercourse: Case Reports.

    Science.gov (United States)

    Lema, Valentino M

    2015-06-01

    Urinary tract infections (UTIs) are among the most common bacterial infections in outpatient clinical settings globally. Young healthy women are at highest risk of community-acquired UTI. While uncomplicated UTI is not life-threatening, it is associated with high morbidity and treatment costs. The pathogenesis of urinary tract infection in young healthy women is complex. It is influenced by a number of host biological and behavioural factors and virulence of the uropathogen. The infecting uropathogens in community-acquired UTI originate from the fecal flora, E. coli being the most predominant, accounting for 80-90% of these UTIs. Vaginal colonization with uropathogens, a pre-requisite for bladder infection may be facilitated by sexual intercourse, which has been shown to be a strong risk factor and predictor of UTI. While majority of studies have explored the association between heterosexual vaginal intercourse and UTI in healthy young women, the possible association with heterosexual receptive anal intercourse has not received adequate attention despite evidence of high prevalence globally. This paper presents two young healthy married women who had severe UTI following heterosexual anal intercourse and discusses possible association thereof. Understanding the risk factors for UTI and identification of possible predisposing conditions in a particular individual are important in guiding therapeutic approaches and preventive strategies. Cognisant of reportedly high prevalence of various sexual practices including receptive heterosexual anal intercourse and their impact on individuals' health, details on sexual history should always be enquired into in young women presenting with genito-urinary complaints.

  19. Especially for Teens: You and Your Sexuality

    Science.gov (United States)

    ... QUESTIONS FAQ042 ESPECIALLY FOR TEENS You and Your Sexuality (Especially for Teens) • What happens during puberty? • What ... feelings expressed? There are many ways to express sexuality. Sexual intercourse is one way. Others include masturbation , ...

  20. Effects of Adult Male Circumcision on Premature Ejaculation: Results from a Prospective Study in China

    Directory of Open Access Journals (Sweden)

    Jingjing Gao

    2015-01-01

    Full Text Available The purpose of this study is to investigate the effects of adult male circumcision on premature ejaculation (PE. Therefore, between December 2009 and March 2014, a total of 575 circumcised men and 623 uncircumcised men (control group were evaluated. Detailed evaluations (including circumcision and control groups on PE were conducted before circumcision and at the 3-, 6-, 9-, and 12-month follow-up visits after circumcision. Self-estimated intravaginal ejaculatory latency time (IELT, Patient-Reported Outcome measures, and 5-item version of the International Index of Erectile Function were used to measure the ejaculatory and erectile function for all subjects. The results showed that, during the one-year follow-up, men after circumcision experienced higher IELT and better scores of control over ejaculation, satisfaction with sexual intercourse, and severity of PE than men before circumcision (P<0.001 for all. Similarly, when compared with the control group, the circumcised men reported significantly improved IELT, control over ejaculation, and satisfaction with sexual intercourse (P<0.001 for all. These findings suggested that circumcision might have positive effects on IELT, ejaculatory control, sexual satisfaction, and PE severity. In addition, circumcision was significantly associated with the development of PE.

  1. Effects of adult male circumcision on premature ejaculation: results from a prospective study in China.

    Science.gov (United States)

    Gao, Jingjing; Xu, Chuan; Zhang, Jingjing; Liang, Chaozhao; Su, Puyu; Peng, Zhen; Shi, Kai; Tang, Dongdong; Gao, Pan; Lu, Zhaoxiang; Liu, Jishuang; Xia, Lei; Yang, Jiajia; Hao, Zongyao; Zhou, Jun; Zhang, Xiansheng

    2015-01-01

    The purpose of this study is to investigate the effects of adult male circumcision on premature ejaculation (PE). Therefore, between December 2009 and March 2014, a total of 575 circumcised men and 623 uncircumcised men (control group) were evaluated. Detailed evaluations (including circumcision and control groups) on PE were conducted before circumcision and at the 3-, 6-, 9-, and 12-month follow-up visits after circumcision. Self-estimated intravaginal ejaculatory latency time (IELT), Patient-Reported Outcome measures, and 5-item version of the International Index of Erectile Function were used to measure the ejaculatory and erectile function for all subjects. The results showed that, during the one-year follow-up, men after circumcision experienced higher IELT and better scores of control over ejaculation, satisfaction with sexual intercourse, and severity of PE than men before circumcision (P circumcised men reported significantly improved IELT, control over ejaculation, and satisfaction with sexual intercourse (P circumcision might have positive effects on IELT, ejaculatory control, sexual satisfaction, and PE severity. In addition, circumcision was significantly associated with the development of PE.

  2. Helping Teens Resist Sexual Pressure

    Science.gov (United States)

    ... Size Email Print Share Helping Teens Resist Sexual Pressure Page Content Article Body Teens are more likely ... time they had intercourse. Helping Teens Resist Sexual Pressure “The pressure on teenagers to have sex is ...

  3. Premature ejaculation

    Science.gov (United States)

    ... this page: //medlineplus.gov/ency/article/001524.htm Premature ejaculation To use the sharing features on this page, please enable JavaScript. Premature ejaculation is when a man has an orgasm ...

  4. Efficiency of antibiotic treatment of premature ejaculation in patients with type III prostatic inflammation

    Directory of Open Access Journals (Sweden)

    Teoman Cem Kadioglu

    2011-03-01

    Full Text Available The most common male sexual disorder is premature ejaculation as it affects 30-40% of sexually active men. Various studies showed that the correlation of prostatic inflammation and chronic bacterial prostatitis with premature ejaculation is present in more than half of the sufferers. These studies also show that more than 85% of prostatic inflammation cases was shown to be caused by chronic prostatitis in the premature ejaculation patient group. Even though this relation is evident, the effect of antibiotic treatment of premature ejaculation in patients with chronic prostatitis has only recently being investigated extensively. In this study, 36 men suffering from secondary premature ejaculation who were included the study. These patients had no erectile dysfunction problems and were included in the study after they timed intravaginal ejaculatory latency in their last 3 intercourses to see that time was less than 2 minutes in each trial. To evaluate the prostatic inflammation, diagnosis was made by identifying 10 or more white blood cells per high power field in expressed prostatic secretions. 22 of 36 premature ejaculation patients in our study had more than 10 white blood cells in thier expressed prostatic secretions and were diagnosed to have prostatic inflammation. The other 14 patients were included in the study as the control group. Following one month antibiotic treatment 78% patients in the study group returned with the information that all 3 of their last intercourses ended with more than 2 minutes of intravaginal ejaculatory latency time while none of the control group reported similarly. No side effects were reported by any of the patients due to antibiotic usage. Our study shows that patients with PE that may benefit from month-long quinolone antibiotic therapy can be screened for by checking their expressed prostatic secretions under a microscope in the office. A more accurate definition of premature ejaculation, a scale for

  5. Drug use, interpersonal attraction, and communication: situational factors as predictors of episodes of unprotected anal intercourse among Latino gay men.

    Science.gov (United States)

    Wilson, Patrick A; Díaz, Rafael M; Yoshikawa, Hirokazu; Shrout, Patrick E

    2009-08-01

    It is important to understand situational factors linked to episodes of unprotected sexual intercourse among Latino gay men (LGM), who are disproportionately affected by HIV/AIDS in the U.S. Past research has suggested that participation in difficult sexual situations mediates the relationship between socio-cultural factors and sexual risk behaviors among LGM. This study examined drug use by self and sex partners, interpersonal factors, and other key variables, each examined at the situation-level of analysis, as predictors of episodes of unprotected anal intercourse (UAI) among LGM. Study participants included 270 LGM living in New York City, Miami, and Los Angeles who reported inconsistent condom use during anal intercourse in the last year. Men participated in structured interviews in which they were asked sets of detailed questions about their most recent episode of anal intercourse in which they used condoms, and their most recent anal intercourse episode in which they did not use condoms. Conditional logistic regression was used to compare the relevance of specific situational factors to participants' episodes of UAI and protected anal intercourse. We found that drug use by a sex partner and lacks of discussions about condom use with partners, among other situational factors, were significantly related to episodes of UAI. The findings highlight the importance of considering the impact of sexual situations and interactions with sex partners when studying HIV risk among LGM and when designing interventions.

  6. Late Adolescent Girls' Sexual Experiences and Sexual Satisfaction

    Science.gov (United States)

    Impett, Emily A.; Tolman, Deborah L.

    2006-01-01

    This study presented and tested a model of sexual satisfaction for late adolescent girls. In this model, sexual self-concept and approach sexual motives were tested as predictors of adolescent girls' sexual satisfaction with their most recent experience of sexual intercourse. A total of 116 girls in 12th grade (ages 16-19) completed measures of…

  7. Sexual activity during menstrual period and pregnancy%月经期、妊娠期性生活

    Institute of Scientific and Technical Information of China (English)

    刘凤文

    1997-01-01

    In order to investigate the sexual desire,coital frequency and sexual psychology during menstrual period and pregnancy,200 women of child-bearing age and 142 mothers were interviewed.The data for the women of child-bearing age revealed that 6.2% had no change in sexual desire during menstrual period,13% had increase in libido premenstruation,7% had marked increment in libido midmenstruation and 18% had hypereroticism postmenstruation;no one experienced hypoeroticism.97.5% abstained from sexual intercourse during menstrual period,while 2.5% had casual or occasional intercourse.The data for mothers revealed that coital frequencies before pregnancy were 6-7 times/week in 3.5% of subjects,4-5times/week in 7.7%,2-3 times/week in 53.5%,once/week in 26.8%.once/two weeks in 7.7%,and once/1-3months in 0.8%,while 88.7% had a tendency of decrease in coital frquency during each of the three trimesters of gregnancy,and 11.3% had no sexual intercourse at all during all the course of pregnancy.The decline in sexual activity was due to the following reasons:a)the woman's fears of abortion,premature labor,"inflammation" and physical disomfort associated with intercourse in 97.9% of cases;b)reduced libido during pregnancy in 1.4%;and c) the husband's sexual dysfunction in 0.7%.The mother's incidence reta postpartum and the child's perinatal fatality rate and incidence rate were zero percent in toth the women who had sexuality during pregnancy and those who had not,there being no difference between the two groups.

  8. Sexual dysfunction among youth: an overlooked sexual health concern

    OpenAIRE

    Moreau, Caroline; Kågesten, Anna E; Blum, Robert Wm

    2016-01-01

    Background There is growing recognition that youth sexual health entails a broad range of physical, emotional and psychosocial responses to sexual interactions, yet little is known about sexual dysfunctions and well being in youth populations. This study explored sexual dysfunctions among youth and its associations with other domains of sexual health. Sexual dysfunctions were defined as: problems related to orgasm, pain during intercourse, lack of sexual desire or sexual pleasure. Methods Dat...

  9. Biology of Sexual Dysfunction

    OpenAIRE

    MN, Anil Kumar; Pai, NB; Rao, S; Rao, TSS; Goyal, N.

    2009-01-01

    Sexual activity is a multifaceted activity, involving complex interactions between the nervous system, the endocrine system, the vascular system and a variety of structures that are instrumental in sexual excitement, intercourse and satisfaction. Sexual function has three components i.e., desire, arousal and orgasm. Many sexual dysfunctions can be categorized according to the phase of sexual response that is affected. In actual clinical practice however, sexual desire, arousal and orgasmic di...

  10. Evaluating the Need for Sex Education in Developing Countries: Sexual Behaviour, Knowledge of Preventing Sexually Transmitted Infections/HIV and Unplanned Pregnancy

    Science.gov (United States)

    Singh, Susheela; Bankole, Akinrinola; Woog, Vanessa

    2005-01-01

    Young people's need for sex education is evidenced by their typically early initiation of sexual activity, the often involuntary context within which they have sexual intercourse, high-risk sexual behaviours and the inadequate levels of knowledge of means of protecting their sexual health. The earliness of initiation of sexual intercourse has…

  11. Young age at first intercourse and subsequent risk-taking behaviour

    DEFF Research Database (Denmark)

    Buttmann, Nina; Nielsen, Ann; Munk, Christian

    2014-01-01

    Aim: First intercourse at the age of 14 years or younger is usually considered high-risk behaviour for sexually transmitted infections (STIs). It has been linked to other types of risky behaviour in women, while conflicting results have been obtained for men. The aim of the study was to estimate...... the prevalence of first intercourse at a young age in various birth cohorts of men and to determine any association with later risky behaviour. Methods: We studied 22,979 randomly selected men aged 18-45 years from the Danish general male population who responded to a self-administered questionnaire. Multiple...

  12. Aspects of comfort and safety of condom. A study of two thousand intercourses among volunteer couples

    DEFF Research Database (Denmark)

    Boldsen, J L; Jeune, B; Madsen, P C

    1992-01-01

    In nearly 2,000 intercourses 14 different types of condoms were tested by 80 heterosexual and seven homosexual volunteer couples. The test couples were generally quite experienced in the use of condoms. It appears that the condoms rarely (1.3%) ruptured or slipped off during the actual intercourse....... This means that emphasis must be put on consistency and skill in the use of condoms rather on technical improvements in the promotion of condoms as a means of preventing the spread of sexually transmitted infections like HIV. Lubricated condoms and condoms that were not too small were preferred by both users...

  13. Factors Associated With Emotional Satisfaction During First Anal Intercourse in a Sample of YMSM.

    Science.gov (United States)

    Arrington-Sanders, Renata; Rosenberger, Joshua G; Matson, Pamela; Novak, David S; Fortenberry, J Dennis

    2016-07-01

    We sought to determine, in a sample of 2,813 HIV seronegative young men who had sex with other men age 18-24, whether physical satisfaction would explain emotional satisfaction during first anal intercourse and whether emotional satisfaction would impact having sex with a partner a second time. Emotional satisfaction was explained mostly by physical satisfaction during the event, but partner type also had direct impact on emotional satisfaction. Our findings suggest that first anal intercourse experiences in young men are both emotionally and physically satisfying and may impact subsequent sexual behavior and partner decision-making.

  14. Sexual Behavior in Germany.

    Science.gov (United States)

    Haversath, Julia; Gärttner, Kathrin M; Kliem, Sören; Vasterling, Ilka; Strauss, Bernhard; Kröger, Christoph

    2017-08-21

    There have not been any population-based surveys in Germany to date on the frequency of various types of sexual behavior. The topic is of interdisciplinary interest, particularly with respect to the prevention and treatment of sexually transmitted infections. Within the context of a survey that dealt with multiple topics, information was obtained from 2524 persons about their sexual orientation, sexual practices, sexual contacts outside relationships, and contraception. Most of the participating women (82%) and men (86%) described themselves as heterosexual. Most respondents (88%) said they had engaged in vaginal intercourse at least once, and approximately half said they had engaged in oral intercourse at least once (either actively or passively). 4% of the men and 17% of the women said they had been the receptive partner in anal intercourse at least once. 5% of the respondents said they had had unprotected sexual intercourse outside their primary partnership on a single occasion, and 8% said they had done so more than once; only 2% of these persons said they always used a condom during sexual intercourse with their primary partner. Among persons reporting unprotected intercourse outside their primary partnership, 25% said they had undergone a medical examination afterward because of concern about a possible sexually transmitted infection. Among some groups of persons, routine sexual-medicine examinations may help contain the spread of sexually transmitted infections. One component of such examinations should be sensitive questioning about the types of sexual behavior that are associated with a high risk of infection. Information should be provided about the potential modes of transmission, including unprotected vaginal, oral, and anal intercourse outside the primary partnership.

  15. The post-orgasmic prolactin increase following intercourse is greater than following masturbation and suggests greater satiety.

    Science.gov (United States)

    Brody, Stuart; Krüger, Tillmann H C

    2006-03-01

    Research indicates that prolactin increases following orgasm are involved in a feedback loop that serves to decrease arousal through inhibitory central dopaminergic and probably peripheral processes. The magnitude of post-orgasmic prolactin increase is thus a neurohormonal index of sexual satiety. Using data from three studies of men and women engaging in masturbation or penile-vaginal intercourse to orgasm in the laboratory, we report that for both sexes (adjusted for prolactin changes in a non-sexual control condition), the magnitude of prolactin increase following intercourse is 400% greater than that following masturbation. The results are interpreted as an indication of intercourse being more physiologically satisfying than masturbation, and discussed in light of prior research reporting greater physiological and psychological benefits associated with coitus than with any other sexual activities.

  16. Postpartum Resumption of Sexual Activity, Sexual Morbidity and ...

    African Journals Online (AJOL)

    time taken to resume sexual activity, prevalence and pattern of sexual problems ... sexual intercourse included husband's request, initiation by self, cultural demand, and ... disclosure of sexual issues in some ethnic groups may also be responsible. ..... and use among postpartum adolescents in El Salvador. Am. J Obstet ...

  17. Timed intercourse for couples trying to conceive

    NARCIS (Netherlands)

    Manders, M.; McLindon, L.; Schulze, B.; Beckmann, M.M.; Kremer, J.A.M.; Farquhar, C.

    2015-01-01

    BACKGROUND: Fertility problems are very common, as subfertility affects about 10% to 15% of couples trying to conceive. There are many factors that may impact a couple's ability to conceive and one of these may be incorrect timing of intercourse. Conception is only possible from approximately five d

  18. [Sexual assaults].

    Science.gov (United States)

    Gosset, Didier; Hédouin, Valéry

    2002-04-01

    Examining a victim of sexual assault is a medico-legal emergency. It has to be performed within 72 h, in appropriate conditions. A recent laceration of the hymen does not necessarily indicate a rape, and conversely absence of trauma to a rape victim does not negate the validity of her claim to rape. A normal clinical examination does not exclude the possibility of a sexual abuse. Unlawful sexual intercourse is defined by a sexual penetration without valid consent. Specimen collection, to be considered as an evidence, must be sealed. Toxicological samples have to be performed to search a rape under influence.

  19. Area Specific Self-Esteem, Values, and Adolescent Sexual Behavior

    Science.gov (United States)

    Young, Michael; Donnelly, Joseph; Denny, George

    2004-01-01

    This study examined area-specific self-esteem scores by sexual behavior relative to adolescents' values concerning participation in sexual intercourse as an unmarried teenager. The sample consisted of 332 students in grades 7-12 from a Southern rural school district. Students were asked if they had ever had sexual intercourse (yes/no) and if they…

  20. Childhood sexual abuse.

    OpenAIRE

    Evrim Aktepe

    1993-01-01

    Sexual abuse is defined as use of child or adolescent by the adults for satisfying of sexual urges and needs with forcing, threatening or tricking. Sexual abuse can be in the form of sexual abuse without touch, sexual touch, interfemoral intercourse, sexual penetration, and sexual exploitation. The prevalence of sexual abuse is reported as 10-40%. It is seen in female four times more than in males. Abusers are frequently male, only 5-15% of them are female. The abuse by females is usually tow...

  1. Positive and negative perceived consequences of first intercourse among middle and high school students in Puebla, Mexico.

    Science.gov (United States)

    Vasilenko, Sara A; Espinosa-Hernández, Graciela; Halgunseth, Linda C

    2016-01-01

    Relatively little is known about young people's interpretations of sexual behaviour in Latin America. In this study, we examine the most commonly perceived consequences of first sexual intercourse among Mexican middle and high school students, how perceived consequences differ by gender, and factors that may predict experiencing more positive or negative consequences. Sexually active Mexican students aged 12-19 years (n = 268) reported whether they had experienced each of 19 consequences following first intercourse. Both positive consequences, such as physical satisfaction and closeness to partner, and negative consequences, such as worry about STDs and pregnancy, were common. Sex with a non-relationship partner was associated with fewer positive and more negative consequences, with the effect for positive consequences being stronger for young women. Pressure to have sex was associated with fewer positive consequences of first intercourse, and pressure to remain a virgin was associated with more positive and negative consequences. These findings suggest that young people often report mixed feelings about their first sexual intercourse and that relationship context and sexual socialisation influence their perceptions of the event.

  2. A mixed-methods exploration of women's experiences of anal intercourse: meanings related to pain and pleasure.

    Science.gov (United States)

    Stulhofer, Aleksandar; Ajduković, Dea

    2013-08-01

    The aim of this mixed-methods study was to document and analyze the dimensions and meanings of anoreceptive pain and pleasure among heterosexual women. An online survey was carried out on a convenience sample of 1,893 women aged 18-60 years. Qualitative data were collected using open-ended questions mailed to women who expressed interest in continuing participation in the study; narratives from 68 women who had experienced anal intercourse were collected and analyzed for pain themes. Most surveyed women had experienced anoreceptive intercourse. A majority of women (79.1%) reported their first anal intercourse to be painful, but for most of them the intensity and duration of pain/discomfort substantially diminished over time. Less than a third (27.7%) of participants who regularly engaged in anoreceptive intercourse in the past 12 months stated that they rarely or never experience pain/discomfort with the practice. Nevertheless, most women who continued to practice anal intercourse (58.1%) reported it to be very arousing and pleasurable. The pleasure associated with anoreceptive intercourse was best predicted by masturbatory frequency and orgasmic ability (with sexual intercourse). The qualitative assessment pointed to a wide range of personal experiences with and meanings attached to pain/discomfort associated with anoreceptive intercourse. Three broad pain themes emerged: (1) pain as insurmountable obstacle, (2) strategic management of pain, and (3) pain eroticization. The study findings suggested that the successful inclusion of anal intercourse into a couple's sex life is often dependent on a specific learning process.

  3. USE OF TRANSDERMAL GEL OF SILDENAFIL CITRATE IN SEXUAL DYSFUNCTION

    Directory of Open Access Journals (Sweden)

    Harshid Patel , Amit Maniyar and Hiren Patel*

    2012-11-01

    Full Text Available Premature Ejaculation (PE is one of the most common forms of Sexual Dysfunction and is thought to affect up to 30 % of men. This is the most frequently encountered sexual complaint of men and couples. The physical problem associated with premature ejaculation can be simply described as “over-sensitivity” of the penis. Psychological causes of PE are often associated with “performance anxiety” – anxiety relating to sexual intercourse. The most common treatment today is the oral treatment with phosphodiesterase -5 (PDE-5 inhibitors. There are currently three different inhibitors available Sildenafil, Vardenafil, and Tadalafil. Sildenafil citrate is a drug of choice used in the treatment of premature ejaculation disorder. It was licensed for use in the United States in 1998; Sildenafil has shown in studies that it improves ED in men regardless of disease etiology, severity of disease, or even age. Transdermal gel has gained more and more importance because the gel based formulations are better percutaneously absorbed than creams and ointment bases. Transdermal drug delivery systems are defined as self-contained, discrete dosage forms which, when applied to the intact skin, deliver the drug, through the skin, at a controlled rate to the systemic circulation. Present Status - A review by Barry in 2001 showed, the transdermal route has vied with oral treatment as the most successful innovative research area in drug delivery.

  4. Your Premature Baby

    Science.gov (United States)

    ... birth defects, premature birth and infant mortality. Solving premature birth Featured articles Accomplishments and lessons learned since ... Complications & Loss > Preterm labor & premature birth > Premature babies Premature babies E-mail to a friend Please fill ...

  5. Transition-Marking Behaviors of Adolescent Males at First Intercourse.

    Science.gov (United States)

    McLean, Ann L.; Flanigan, Beverly J.

    1993-01-01

    Examined male transition-marking behaviors from adolescence into adulthood at first intercourse. Findings from 80 adolescent males revealed that alcohol use at first intercourse was unrelated to use of contraceptives at that time but was inversely related to whether first intercourse was planned. Planning was positively related to contraceptive…

  6. Characterizing the burden of premature ejaculation from a patient and partner perspective: a multi-country qualitative analysis

    Directory of Open Access Journals (Sweden)

    Mannix Sally

    2008-05-01

    Full Text Available Abstract Background Premature ejaculation (PE is a common sexual dysfunction among men which affects men and their partners. Little qualitative data are available to characterize the impact of PE on men and their partners about ejaculatory control, sexual satisfaction, emotional distress and relationships. The objective of this study was to assess the impact of PE from the perspective of men with PE and the female partners of men with PE on their sexual experience, distress and relationships. Methods Qualitative data were collected through 14 focus groups in the US and through one-on-one interviews in the US, UK, Italy, France, Germany, and Poland. Study participants included heterosexual men with PE and female partners of males with PE. All participants were asked about how PE affects their daily life, including emotional impacts. One-on-one interviews also included obtaining feedback on the male and female versions of 4-single item measures of PE focusing on ejaculatory control, satisfaction with intercourse, interpersonal distress, and relationship difficulty. Results Participants included 172 males with PE and 67 female partners of men with PE. Lack of control over ejaculation and dissatisfaction with intercourse emerged as central themes of PE. Lack of ejaculatory control resulted in greater dissatisfaction and greater emotional distress, including feelings of inadequacy, disappointment, and anxiety. Continued PE ultimately leads to greater problems with partners and often disrupts partner relationships. Participants indicated that PE was keeping them from attaining complete intimacy in their relationships even when their partners were generally satisfied with sexual intercourse. Impacts of PE on sexual satisfaction, emotional distress and partner relationships were consistent across countries. Feedback on the single-item PE measures confirmed relevance of the item content and further confirmed major themes identified from the qualitative

  7. On-Demand Treatment of Premature Ejaculation with Citalopram: A Randomized Double-Blind Study

    Directory of Open Access Journals (Sweden)

    Ghafuri Zahra

    2009-10-01

    Full Text Available "nAs the most common male sexual disorder premature ejaculation (PE, also referred to as early ejaculation (EE or rapid ejaculation (RE, affects 30%-40% of sexually active men. Despite the limited number of available studies comparing the efficacy of selective serotonin re-uptake inhibitors (SSRI they have been thought to have beneficial effects for the treatment of patients with PE. In the present study, we assessed the efficacy of on-demand use of citalopram, in the treatment of premature ejaculation. A randomized double blind study of fixed dose on-demand use of citalopram was performed in Roozbeh Psychiatry Hospital, Tehran University of Medical Sciences. The sample was consisted of 80 married patients diagnosed with PE according to Diagnostic and Statistical Manual of Mental Disorders. The patients were randomly assigned to two groups: group 1 consisting of 42 patients received 20mg citalopram, and group 2 consisting of 38 patients received placebo four hours before intercourse for a 4-week treatment course. The effects of drug on the ejaculatory function in each group were assessed by the intravaginal ejaculation latency time (IELT, and the Chinese Index of Premature Ejaculation (CIPE before and at the end of treatment course. The mean IELT increased from 66.78±36.94 to 80.85±43.05 seconds in group 1 and from 63.44±33.16 to 65.71±34.26 seconds in group 2 (P = 0.000. Mean CIPE score increased 1.14±1.04 and 0.52±0.50 in group 1 and 2 respectively (P = 0.002. The patients treated with on demand citalopram showed significantly greater improvement in IELT and CIPE score compared to the patients receiving placebo. It seems that citalopram may be an effective treatment of premature ejaculation with on-demand usage. However further studies are warranted.

  8. Evolving therapeutic strategies for premature ejaculation: The search for on-demand treatment – topical versus systemic

    Science.gov (United States)

    Morales, Alvaro

    2012-01-01

    Premature ejaculation (PE) is a common sexual dysfunction affecting 20% to 30% of men worldwide. Definitions of PE vary, but it is typically characterized by short intravaginal ejaculatory latency time (IELT) with concomitant sexual dissatisfaction and distress. PE may be lifelong or acquired, but its etiology remains unclear. Treatment of PE typically involves pharmacotherapy, particularly when lifelong. Although there are numerous reports on the off-label use of selective serotonin reuptake inhibitors (SSRIs) and other compounds, only 2 treatments have been evaluated in randomized controlled phase 3 clinical trials: PSD502 and dapoxetine (SSRI). Both significantly improved IELT and patient-reported outcome domains of ejaculatory control, sexual satisfaction, and distress as measured by the index of premature ejaculation (IPE), compared with placebo. They constitute the focus of this review. Evidence demonstrated that PSD502, dapoxetine and other SSRIs all significantly improve the symptoms of PE. Systemic use of SSRIs presents risks associated with the known pharmacology of this class. PSD502 allows for topical on-demand treatment applied applied immediately before intercourse, and is not associated with systemic adverse events. PMID:23093633

  9. Premature Ejaculation and Utilization of Cognitive Techniques

    Directory of Open Access Journals (Sweden)

    Serkan AKKOYUNLU

    2013-03-01

    Full Text Available Introduction: Premature ejaculation is the most common male sexual dysfunction leading to distress in many couples. Master and Johnson emphasized the concept of early learned experiences and Kaplan emphasized lack of sensory awareness. For treatment sex therapists mainly utilize start-stop and squeeze techniques as homework. Couples enter sex therapy with some cognitive distortions and beliefs about sex and sexuality. These beliefs are also named sexual myths. For some couples using techniques to challenge cognitive distortions and maladaptive beliefs about sex and sexuality can be used. In this paper by presenting a case we discussed how cognitive techniques can be used along with behaviour techniques with couples. Case: Presenting clients are five years married couple who are thirty and twenty nine years old respectively. They attended to the outpatient clinic with the request of the female client. Their main complaint was premature ejaculation. They were diagnosed premature ejaculation using clinical interview. In treatment besides start and stop technique, cognitive techniques were utilized to address dysfunctional beliefs about sexuality. Discussion: Premature ejaculation is a male sexual dysfunction that causes distress and intimacy problems between couples. Stop start and squeeze techniques were accepted as the choice of treatment but their effectiveness is questioned recently. Also cognitive distortions and maladaptive beliefs may hamper therapy progress. Besides that, behavioral techniques utilizing cognitive techniques to lessen the degree of dysfunctional beliefs about sex and sexuality may help the couple to overcome premature ejaculation and enhance sexual satisfaction and intimacy.

  10. The pathophysiology of acquired premature ejaculation

    OpenAIRE

    McMahon, Chris G; Jannini, Emmanuele A.; Serefoglu, Ege C.; Hellstrom, Wayne J.G.

    2016-01-01

    The second Ad Hoc International Society for Sexual Medicine (ISSM) Committee for the Definition of Premature Ejaculation defined acquired premature ejaculation (PE) as a male sexual dysfunction characterized by a the development of a clinically significant and bothersome reduction in ejaculation latency time in men with previous normal ejaculatory experiences, often to about 3 minutes or less, the inability to delay ejaculation on all or nearly all vaginal penetrations, and the presence of ne...

  11. Marital satisfaction, sexual problems, and the possible difficulties on sex therapy in traditional Islamic culture.

    Science.gov (United States)

    Yasan, Aziz; Gürgen, Faruk

    2009-01-01

    We plan to investigate the level of marital satisfaction, the prevalence of sexual problems, and related issues in couples who were referred to an outpatient clinic of psychiatry for their sexual problems. All were living according to traditional Islamic culture. Twenty-five (80.64%) of the couples attended the clinic for not being able to have any sexual intercourse. Overall, 25.8% of the women, and 3.2% of the men had been married without their consent; those marriages were arranged and mediated by matchmakers. Vaginismus (58.06%) was the most common diagnosis among women and premature ejaculation (38.70%) among men. We found that marital satisfaction was affected by the mode of marriage.

  12. Visual attention to erotic images in women reporting pain with intercourse.

    Science.gov (United States)

    Lykins, Amy D; Meana, Marta; Minimi, Jillian

    2011-01-01

    The coupling of sex and pain creates an interesting theoretical conundrum of clinical significance: Are women with dyspareunia distracted from sexual stimuli, or are they hypervigilant to sexual stimuli because these stimuli elicit thoughts and expectations of pain? This study measured attention to sexual stimuli in women reporting persistent pain with intercourse, women reporting low sexual desire, and women reporting no sexual problems. Participants viewed a series of erotic images, each containing an object intended to distract from the erotic scene regions, while an eye tracker recorded their eye movements. Women with pain looked for shorter periods of time and fewer times at the sexual scene region than did both women with low sexual desire (p = .024 and p = .018, respectively) and the no-dysfunction control group (p < .001 and p = .003, respectively). Women with pain also looked at the context (nonsexual) scene region significantly more times and for longer periods than did the no-dysfunction control women (p = .013 and p = .042, respectively). Results are interpreted to be potentially supportive of the cognitive distraction hypothesis associated with sexual dysfunction, with an additional component of cognitive avoidance of sexual stimuli for the women reporting sexual pain.

  13. 性交恐怖症%Phobia to Sexual Intercourse

    Institute of Scientific and Technical Information of China (English)

    刘志中

    1994-01-01

    @@ 性交恐怖属一类罕见的性心理障碍(Psychosexual disorder),它以成熟的男女进行性交活动时,出现严重的焦虑恐怖情绪同时迴避或拒绝性交,终致性交无法进行为特征.不少人因此婚姻失败,终生独身,饮恨一生.兹报告2例,以飨读者.

  14. Colposcopic photography of genital injury following sexual intercourse in adults

    DEFF Research Database (Denmark)

    Astrup, Birgitte Schmidt; Lauritsen, Jens; Thomsen, Jørgen Lange

    2013-01-01

    The aim of this study was to evaluate interpretations and the reproducibility of interpretations when looking at colposcopic photographs in a forensic setting, as well as discussing some of the dilemmas and pitfalls of forensic colposcopic photography. A total of 316 colposcopic photographs from 51...... and negative predictive values of the photographs were 82 and 81 % respectively. This study demonstrates relatively poor reliability of colposcopic photography. Some would argue that this makes colposcopic photography a low-quality method of evaluation and that forensic science should aim for higher standards...... because of its use in court. Others would argue that as long as the limitations of a scientific method are acknowledged then it is still eligible for use. The moderate agreement and accuracy stresses the need for quality control in the gynecological part of a rape examination. Colposcopic photography also...

  15. Televised sexual content and parental mediation: Influences on adolescent sexuality

    OpenAIRE

    Fisher, Deborah A.; Hill, Douglas L; Grube, Joel W.; Bersamin, Melina M.; Walker, Samantha; Gruber, Enid L.

    2009-01-01

    Little research has been conducted to examine the influence of exposure to televised sexual content on adolescent sexuality or how parental intervention may reduce negative effects of viewing such content. This study uses self-report data from 1,012 adolescents to investigate the relations among exposure to sexually suggestive programming, parental mediation strategies, and three types of adolescent sexuality outcomes: participation in oral sex and sexual intercourse, future intentions to eng...

  16. Young age at first intercourse and risk-taking behaviours--a study of nearly 65 000 women in four Nordic countries

    DEFF Research Database (Denmark)

    Olesen, Tina Bech; Jensen, Kirsten Egebjerg; Nygård, Mari

    2012-01-01

    multivariate logistic regression by which odds ratios (ORs) and the corresponding 95% confidence intervals (95% CIs) were estimated. RESULTS: The OR of reporting more than 10 lifetime sexual partners was almost four times higher among women who reported a young age at first intercourse (OR = 3.79; 95% CI: 3...... 18-45 years in four Nordic countries, we investigate whether young age at first sexual intercourse is associated with subsequent risk-taking behaviours. METHODS: We examined the association between young age at first sexual intercourse (age ≤14 years) and subsequent risk-taking behaviours by using.......60-4.00) in comparison with women >14 years at first intercourse. Furthermore, women who were young at first intercourse were more likely to report two or more recent partners (OR = 1.67; 95% CI: 1.54-1.82) and to have a history of STIs (OR = 2.03; 95% CI: 1.93-2.13). In addition, young age at first intercourse...

  17. Osteopenia - premature infants

    Science.gov (United States)

    Neonatal rickets; Brittle bones - premature infants; Weak bones - premature infants; Osteopenia of prematurity ... the baby. This helps the baby grow. A premature infant may not receive the proper amount of ...

  18. No Evidence for Long-Term Causal Associations Between Symptoms of Premature Ejaculation and Symptoms of Anxiety, Depression, and Sexual Distress in a Large, Population-Based Longitudinal Sample.

    Science.gov (United States)

    Ventus, Daniel; Gunst, Annika; Kärnä, Antti; Jern, Patrick

    2017-02-01

    Premature ejaculation (PE) is one of the most common male sexual complaints, but its etiology is unclear. Psychological problems, such as symptoms of anxiety and depression, have traditionally been seen as causal or maintaining etiological components of PE, and previous cross-sectional studies have found weak positive associations between them. The aim of the present study was to test possible causal pathways over time between PE and symptoms of the psychological problems anxiety, depression, and sexual distress. A sample of 985 male Finnish twins and brothers of twins completed a questionnaire in 2006 and 2012. Significant bivariate correlations were found both within and across time between PE and the psychological problems. When fitting structural equation models to test hypothesized causal pathways, symptoms of anxiety and sexual distress at the first measurement time point did not predict future PE. Likewise, PE symptoms at the first measurement did not predict increments or decrements in anxiety, sexual distress, or depression later on. These null findings regarding hypothesized associations may partly be explained by the relatively long time between measurements, or that the measures possibly did not capture the aspects of anxiety that are related to PE.

  19. Number of sexual partners and sexual assertiveness predict sexual victimization: do more partners equal more risk?

    Science.gov (United States)

    Walker, Dave P; Messman-Moore, Terri L; Ward, Rose Marie

    2011-01-01

    In previous studies, number of sexual partners and sexual assertiveness were examined as independent risk factors for sexual victimization among college women. Using a sample of 335 college women, this study examined the interaction of number of sexual partners and sexual assertiveness on verbal sexual coercion and rape. Approximately 32% of the sample reported unwanted sexual intercourse, 6.9% (n = 23) experienced verbal sexual coercion, 17.9% (n = 60) experienced rape, and 7.2% (n = 24) experienced both. As number of sexual partners increased, instances of verbal sexual coercion increased for women low in relational sexual assertiveness but not for women high in relational sexual assertiveness. A similar relationship was not found for rape. Among women who experienced both verbal sexual coercion and rape, increases in number of partners in the context of low refusal and relational assertiveness were associated with increases in verbal sexual coercion and rape. Findings suggest sexual assertiveness is related to fewer experiences of sexual coercion.

  20. Determinants of resumption of vaginal intercourse in puerperium period in Ogbomoso: consideration for early use of contraceptives

    Directory of Open Access Journals (Sweden)

    Kola M. Owonikoko

    2014-08-01

    Full Text Available Background: Early postpartum period for mothers is characterized with high demand for neonatal care, adjusting to sudden withdrawal of hormones of pregnancy and dealing with sexual desires of the husband. The study aimed at determines the timing, factors influencing postpartum resumption of vaginal intercourse and the contraceptive usage. Methods: Women in puerperium were interviewed with structured questionnaire on their socio-demographic status, obstetric history, sexual activities, contraception usage and reason for sexual abstinence. Results: About 40% (143 of participants had resumed vaginal intercourse within puerperium with mean resumption period of 3.2 +/- 1.8 weeks. Only 12% (48 of them used modern contraceptive. Educational status (P <0.001; occupation (P <0.001; educational status of the husband (P <0.001; occupation of the husband (P <0.001; parity (P <0.05; husband's income (P <0.05 and use of modern contraception (P <0.001 showed significant statistical difference between the women who had resumed vaginal sexual intercourse and those who have not. Logistic regression showed that educational status of the participants (OR = 0.48, CI = 0.246-0.938; P = 0.032 and parity (OR = 0.34, CI = 0.196-0.591; P = 0.001 were the most significant factors associated with early resumption of vaginal intercourse. One hundred and eighty-five (72% of women who were yet to resume coitus, did so because of fear of pregnancy. Conclusions: Significant number of women resumed vaginal intercourse during the puerperium despite low contraception usage. There is need to initiate a contraception method before discharge home following delivery. [Int J Reprod Contracept Obstet Gynecol 2014; 3(4.000: 1061-1066

  1. Risky Sexual Behavior in HIV/AIDS

    Directory of Open Access Journals (Sweden)

    Levent Kiylioglu

    2017-06-01

    Full Text Available Sexual relations hold an important place in the life and development of the individual. However, it can cause health risks such as HIV infection without done the necessary protective measures. The purpose of this study is to review sexual behaviors which increase HIV infection and AIDS risk. This sexual behavior expressed as: anal sex, one-night stand, sex without condoms, sex with older persons, concurrent sexual relationships, using alcohol and illegal drugs before or during intercourse, and starting sex at an early age. Because HIV is likely to rise in accordance with the increase in the number of people the person had sexual intercourse, especially concurrent sexual behavior and one-night stand, the most effective way to stay away from HIV/AIDS risk is to have sexual intercourse only with stable partners who know each other's sexual history and use condoms regularly. [Psikiyatride Guncel Yaklasimlar - Current Approaches in Psychiatry 2017; 9(2.000: 147-162

  2. Premature delivery

    Directory of Open Access Journals (Sweden)

    Bernardita Donoso Bernales

    2012-09-01

    Full Text Available Preterm delivery is the single most important cause of perinatal morbidity and mortality. In Chile, preterm births have increased in the past decade, although neonatal morbidity and mortality attributable to it shows a downward trend, thanks to improvements in neonatal care of premature babies, rather than the success of obstetric preventive and therapeutic strategies. This article describes clinical entities, disease processes and conditions that constitute predisposing factors of preterm birth, as well as an outline for the prevention and clinical management of women at risk of preterm birth.

  3. Neyrodoz in the treatment of secondary premature ejaculation in patients with chronic prostatitis

    Directory of Open Access Journals (Sweden)

    I. V. Vinogradov

    2015-01-01

    Full Text Available Premature ejaculation (PE is the type of sexual dysfunction, which is characterized by constant or nearly constant uncontrolled ejaculation before vaginal penentration or within minutes of the start of sexual intercourse, that causing a feeling of sexual dissatisfaction and leading to sexual frustration among the partners. It has been shown that the antimicrobial and antiinflammatory therapy of chronic prostatitis (CP increases the duration of sexual intercourse and improves the control over the ejaculation. PE in the patients with CP may be an independent sexual disorder that may require a specific correction. Antidepressants are the first line of drugs in the treatment of PE according to the recommendations of the European Association of Urology. However, some patients refuse to intake this medicine. The aim of our study was to evaluate the clinical efficacy and safety of Neyrodoz in the treatment of PE in patients with CP.Materials and methods. The study included 32 patients (mean age 37.5 years who have had complains on PE after the treatment of CP. All the patients were randomly selected into two groups. 1st – basic group (n = 15 and 2nd – control group (n = 17.The first group patients intook Neyrodoz 2 capsules twice a day. The second group got placebo in the same dose during 30 days.Results. The time of intravaginal latency increased from 40,8 ± 9,9 (25–56 to180,1± 41,2 (120–240 seconds in patients of the 1st group after the therapy. The score of tool-PEDT decreased from 15,8 ± 3,1 (11–20 to 3,9 ± 2,9 (0–8. The visual analogue scale (VAS symptoms improved from 8,6 ± 1,4 (6–10 to 2,5 ± 2,1 (0–5. The time of intravaginal latency increased from 38,4 ± 10,0 (25–59 to 40,7 ± 7,4 (35–59 seconds in 14 of 17 men in the second group of patients. The score of tool-PEDT decreased from 15,6 ± 2,8 (11–20 to 14,3 ± 2,7 (12–19. The VAS symptoms improved from 8,9 ± 1,3 (6–10 to 8,5 ± 1,7 (6–10.Conclusions

  4. Validity of Physiological Measures of Pedophilic Sexual Arousal in a Sexual Offender Population.

    Science.gov (United States)

    Hall, Gordon C. N.; And Others

    1988-01-01

    Analyzed sexual arousal, in response to nondeviant and pedophilic audiotapes, among inpatient adult male sexual offenders. Audiotapes describing consenting sexual intercourse created significantly greater arousal than did descriptions of physically forcible sexual/nonsexual activity with female minors. Correspondence of physiological measures with…

  5. Social oppression, psychological vulnerability, and unprotected intercourse among young Black men who have sex with men.

    Science.gov (United States)

    Huebner, David M; Kegeles, Susan M; Rebchook, Gregory M; Peterson, John L; Neilands, Torsten B; Johnson, Wayne D; Eke, Agatha N

    2014-12-01

    Young Black men who have sex with men (YBMSM) are at extraordinarily high risk for HIV infection. Given their dual minority identity, they experience multiple forms of social oppression-racism, homophobia, and poverty. This study tested a model for how these forces contribute to their sexual risk behavior. YBMSM (n = 1,289) from 2 Texas cities completed a 1-time assessment of sexual behaviors and psychosocial variables. Structural equation modeling was used to characterize relationships among variables. Experiences of racism, homophobia, and socioeconomic distress were all associated with unprotected anal intercourse (UAI) either directly or indirectly in a manner largely consistent with Díaz's (1997, 1998) model of the effects of social oppression. Racism, homophobia, and socioeconomic distress were each associated with specific psychological vulnerabilities, which were in turn associated with participation in difficult sexual situations (e.g., in a public setting), and then UAI. The effects of racism were largely mediated by depressive symptoms and participation in difficult sexual situations. Homophobia was mediated by depressive symptoms, social support, and internalized homophobia. The effects of socioeconomic distress were partially mediated by decreased social support and greater participation in difficult sexual situations. Socioeconomic distress also had a significant direct effect on UAI not explained by the proposed mediators. Social oppression contributes to YBMSM's psychological vulnerabilities, participation in difficult sexual situations, and their UAI. Interventions to reduce sexual risk in YBMSM should address socioeconomic disadvantage, homophobia, and racism, as well as the psychological challenges that social oppression creates for them.

  6. [Forensic importance of premature craniosynostosis].

    Science.gov (United States)

    Fehlow, P

    1991-01-01

    In agreement with Canabis craniosynostosis as a little known organic partial factor of sociopathy is demonstrated. A psychic syndrome of the frontal lobe with increased susceptibility in environmental damages is assumed to be basic disorder. In the criminals of the material sexual offenders were preponderating. Associated craniofacial dysplasias are a risk for psychic maldevelopment. The importance of premature craniosynostocis as a biological risk factor, incidence, diagnostic, indication for an operation, also in the meaning of a neurosurgical "Konflikttherapie" (cosmetical indication) are discussed.

  7. Negative affect and somatically focused anxiety in young women reporting pain with intercourse.

    Science.gov (United States)

    Meana, Marta; Lykins, Amy

    2009-01-01

    After a long history of privileging psychosexual etiological factors over pain and physiological processes, dyspareunia has enjoyed 1 decade of pointed research focused on the presenting problem of pain. Although it is generally acknowledged that certain affective and cognitive styles may play a role in an individual's experience of pain in general, investigations into these questions specifically as they pertain to pain that occurs during sex are relatively scarce. To add to this growing body of knowledge, 759 women aged 18 to 29 completed questionnaires about current sexual functioning, gynecologic history, expectations about intercourse, and various personality and health-related anxiety measures. One-hundred-one women (14% of the sample) reported pain during intercourse on at least 50% of attempts. This group of women significantly differed from 536 women reporting pain on less than 10% of intercourse attempts on personality constructs related to emotional and relational well-being (e.g., neuroticism, extraversion, agreeableness), as well as anxiety sensitivity, anxiety related to physical health concerns, and the amplification of somatosensory experiences. This affective and cognitive profile is consistent with previous studies that have found an attentional hypervigilance to health and pain-related information in women with dyspareunia, all of which could prove germane to cognitive-behavioral treatments targeting this disorder.

  8. Effect of vaginal intercourse on spontaneous labor at term: a randomized controlled trial.

    Science.gov (United States)

    Castro, Catarina; Afonso, Maria; Carvalho, Rui; Clode, Nuno; Graça, Luís Mendes

    2014-12-01

    This study aimed at evaluating the effect of vaginal intercourse on spontaneous labor onset at term. In a randomized controlled trial, patients with singleton, cephalic, term, and low-risk pregnancy were assigned to either vaginal intercourse at least twice a week or abstinence. The following data were assessed: demographics, parity, vaginal coitus frequency before and during pregnancy, Bishop score at 38th weeks, gestational age at delivery, mode of delivery, and days between recruitment and delivery. The primary outcome was spontaneous labor onset. Of the 123 patient analyzed, 63 were assigned to study group and 60 to control group. Mean interval between study recruitment and delivery was higher in sexually active women (15.05 days ± 0.8 compared with 14.17 days ± 0.8, p = 0.45) as well as the rate of cesarean delivery (14.3 % compared with 10 %, p = 0.58), but the differences were not statistically significant. The rate of spontaneous labor was similar in both groups (84.1 % in vaginal coitus group; 75 % in control group, p = 0.26). Our results showed that vaginal intercourse does not hasten spontaneous labor onset at term.

  9. Covariates of Multiple Sexual Partnerships among Sexually Active ...

    African Journals Online (AJOL)

    USER

    sexual intercourse and to disclose their HIV status to their sexual ... countries but also the patterns of those ... self-worth1,3, as well as the reproduction of the offspring18. Men will ... adolescents who were staying alone or with peers were more ...

  10. Premature Ventricular Contractions (PVCs)

    Science.gov (United States)

    Diseases and Conditions Premature ventricular contractions (PVCs) By Mayo Clinic Staff Premature ventricular contractions (PVCs) are extra, abnormal heartbeats that begin in one of your heart's two ...

  11. Biology of Sexual Dysfunction

    Directory of Open Access Journals (Sweden)

    Anil Kumar Mysore Nagaraj

    2009-05-01

    Full Text Available Sexual activity is a multifaceted activity, involving complex interactions between the nervous system, the endocrine system, the vascular system and a variety of structures that are instrumental in sexual excitement, intercourse and satisfaction. Sexual function has three components i.e., desire, arousal and orgasm. Many sexual dysfunctions can be categorized according to the phase of sexual response that is affected. In actual clinical practice however, sexual desire, arousal and orgasmic difficulties more often than not coexist, suggesting an integration of phases. Sexual dysfunction can result from a wide variety of psychological and physiological causes including derangements in the levels of sex hormones and neurotrensmitters. This review deals with the biology of different phases of sexual function as well as implications of hormones and neurotransmitters in sexual dysfunction

  12. Psychological features and teenage sexual behavior

    Directory of Open Access Journals (Sweden)

    Kurbatova T.N.

    2016-01-01

    Full Text Available The paper presents the results of an empirical study on the personality traits of sexually active teenagers. The research identified the personality traits of teenagers who are inclined to look for sexual relations. The research focused on the following: motivation and values, implicit representations about sexual contacts, parent-child relations, and self-concept. The study comprised 465 individuals including 405 school students aged 14-16 and 60 mothers of the teenagers examined. The results demonstrate that teenagers' refusal to begin sexual life, provided they have this opportunity (i.e. a partner, is linked to their subjective perception of the basic values reflected in their consciousness. The research also focused on the features of teenagers' implicit representations with regard to sexual intercourse. This allowed to identify the role of sexual intercourse in teenagers' life. The factors regulating sexual relations in the age under study have been revealed. The research shows that teenage sexual intercourse is mainly driven by cognitive motives combined with the hedonistic (boys and communicational/social ones (girls. Emotionally distant parents are another factor triggering sexual relations. The negatively critical attitude to sexual partners was also displayed, especially by girls. The attitude was expressed by teenagers even where they initiated sexual intercourse themselves, without been pressured into it by their partners. The study has an applied character and enables effective preventive and corrective work with sexually active teenagers.

  13. Sweet Bee Venom Pharmacopuncture May be Effective for Treating Sexual Dysfunction

    Directory of Open Access Journals (Sweden)

    Pavel Lee

    2014-09-01

    Full Text Available Sexual dysfunction (SD is a health problem which occurs during any phase of the sexual response cycle that keeps the individual or couple from experiencing satisfaction from the sexual activity. SD covers a wide variety of symptoms like in men, erectile dysfunction and premature or delayed ejaculation, in women, spasms of the vagina and pain with sexual intercourse, in both sexes, sexual desire and response. And pharmacopuncture, i.e. injection of subclinical doses of drugs, mostly herb medicine, in acupoints, has been adopted with successful results. This case report showed the effect of bee venom on SD. A 51-year-old male patient with SD, who had a past history of taking Western medication to treat his SD and who had previously undergone surgery on his lower back due to a herniated disc, received treatments using pharmacopuncture of sweet bee venom (SBV at Gwanwon (CV4, Hoeeum (CV1, Sinsu (BL23, and Gihaesu (BL24 for 20 days. Objectively, the patient showed improvement on most items on the International Index for Erectile Dysfunction (IIEF like 28 to 29 out of perfect score 30 for erectile function, 10 to 10 out of perfect score 10 for orgasmic function, 6 to 8 out of perfect score 10 for sexual desire, 10 to 13 out of perfect score 15 for satisfaction with intercourse, and 6 to 8 out of perfect score 10 for overall satisfaction; subjectively, his words, the tone of his voice and the look of confidence in his eyes all indicated improvement. Among the variety of effects of SBV pharmacopuncture, urogenital problems such as SD may be health problems that pharmacopuncture can treat effectively.

  14. Sweet Bee Venom Pharmacopuncture May be Effective for Treating Sexual Dysfunction.

    Science.gov (United States)

    Lee, Pavel; Yu, Junsang

    2014-09-01

    Sexual dysfunction (SD) is a health problem which occurs during any phase of the sexual response cycle that keeps the individual or couple from experiencing satisfaction from the sexual activity. SD covers a wide variety of symptoms like in men, erectile dysfunction and premature or delayed ejaculation, in women, spasms of the vagina and pain with sexual intercourse, in both sexes, sexual desire and response. And pharmacopuncture, i.e. injection of subclinical doses of drugs, mostly herb medicine, in acupoints, has been adopted with successful results. This case report showed the effect of bee venom on SD. A 51-year-old male patient with SD, who had a past history of taking Western medication to treat his SD and who had previously undergone surgery on his lower back due to a herniated disc, received treatments using pharmacopuncture of sweet bee venom (SBV) at Gwanwon (CV4), Hoeeum (CV1), Sinsu (BL23), and Gihaesu (BL24) for 20 days. Objectively, the patient showed improvement on most items on the International Index for Erectile Dysfunction (IIEF) like 28 to 29 out of perfect score 30 for erectile function, 10 to 10 out of perfect score 10 for orgasmic function, 6 to 8 out of perfect score 10 for sexual desire, 10 to 13 out of perfect score 15 for satisfaction with intercourse, and 6 to 8 out of perfect score 10 for overall satisfaction; subjectively, his words, the tone of his voice and the look of confidence in his eyes all indicated improvement. Among the variety of effects of SBV pharmacopuncture, urogenital problems such as SD may be health problems that pharmacopuncture can treat effectively.

  15. Dapoxetine: an evidence-based review of its effectiveness in treatment of premature ejaculation

    Directory of Open Access Journals (Sweden)

    McCarty EJ

    2012-01-01

    Full Text Available McCarty EJ, Dinsmore WWDepartment of Genitourinary Medicine, Royal Victoria Hospital, Belfast, IrelandAbstract: Premature ejaculation (PE is a major issue in male sexual health. The global prevalence of PE is estimated to be between 20% and 40%, making it the most common sexual dysfunction in men. PE causes distress and reduced quality of life for patients and has a negative impact on interpersonal relationships. Historically, it has been treated with cognitive therapy, behavioral methods, and off-label use of selective serotonin reuptake inhibitors usually used to treat depression and other psychological disorders. Dapoxetine is a selective serotonin reuptake inhibitor specifically designed to treat PE. This paper reviews the current evidence for use of dapoxetine in the treatment of PE in adult men. There is substantial evidence that dapoxetine 30 mg or 60 mg taken “on-demand” results in a significant increase in intravaginal ejaculatory latency time when compared with placebo. Patient-reported outcomes are clearly improved relative to placebo following dapoxetine therapy, indicating greater control over ejaculation, more satisfaction with intercourse, less ejaculation-related distress, and, importantly, significantly reduced interpersonal difficulty. These data were supported by consistent reports of improvement in Clinical Global Impression of change in PE following treatment with dapoxetine. Further studies are needed to evaluate long-term efficacy and health economics. The unique pharmacology of dapoxetine makes it ideal for on-demand dosing, and the clinical evidence shows dapoxetine to be an efficacious and tolerable treatment for lifelong and acquired PE.Keywords: dapoxetine, intravaginal ejaculatory latency time, patient-reported outcomes, premature ejaculation

  16. Terminology of Sexuality Expressions that Exclude Penetration: A Literature Review

    Science.gov (United States)

    Menn, Mindy; Goodson, Patricia; Pruitt, Buzz; Peck-Parrott, Kelli

    2011-01-01

    Precise terminology is paramount in sexuality education. Most sexuality research focuses on the dichotomous concepts of sexual intercourse and virginity, yet there are many expressions of sexuality classified as neither. The purpose of this literature review is to identify and examine the various terms and definitions describing sexuality…

  17. Terminology of Sexuality Expressions that Exclude Penetration: A Literature Review

    Science.gov (United States)

    Menn, Mindy; Goodson, Patricia; Pruitt, Buzz; Peck-Parrott, Kelli

    2011-01-01

    Precise terminology is paramount in sexuality education. Most sexuality research focuses on the dichotomous concepts of sexual intercourse and virginity, yet there are many expressions of sexuality classified as neither. The purpose of this literature review is to identify and examine the various terms and definitions describing sexuality…

  18. Attitudes to sexuality.

    Science.gov (United States)

    2011-11-29

    Many older people enjoy an active sex life although they are likely to experience problems relating to poor health or lack of understanding from healthcare professionals. Health issues include male sexual dysfunction resulting from medication and conditions such as diabetes, vascular disease or prostatic surgery. Older women may experience urogenital atrophy causing dryness, itching and pain on intercourse. Psychological problems such as depression are also associated with poor sexual function.

  19. Premature ejaculation: A clinical review for the general physician.

    Science.gov (United States)

    Chung, Eric; Gilbert, Brent; Perera, Marlon; Roberts, Matthew J

    2015-10-01

    Premature ejaculation is one of the most common sexual dysfunctions in men. Recent epidemiological studies suggest its prevalence in Australia may range from 21-31% This article will discuss the current definition of premature ejaculation from a urological perspective. It will provide an understanding of the pathogenesis of premature ejaculation, as well as assessment and management options. Premature ejaculation can have a significant adverse effect on the quality of life for the patient and his sexual partners. It can potentially lead to psychological distress, diminished self- esteem, anxiety, erectile dysfunction, reduced libido and poor interpersonal relationships. Most men feel reluctant to discuss premature ejaculation with their general practitioner despite its psychological, emotional and relational effects. Effective, evidence-based treatment options are available and physicians should feel confident when exploring ways to improve the quality of life for men with sexual dysfunction.

  20. Multidimensional Sexual Perfectionism and Female Sexual Function: A Longitudinal Investigation.

    Science.gov (United States)

    Stoeber, Joachim; Harvey, Laura N

    2016-11-01

    Research on multidimensional sexual perfectionism differentiates four forms: self-oriented, partner-oriented, partner-prescribed, and socially prescribed. Self-oriented sexual perfectionism reflects perfectionistic standards people apply to themselves as sexual partners; partner-oriented sexual perfectionism reflects perfectionistic standards people apply to their sexual partner; partner-prescribed sexual perfectionism reflects people's beliefs that their sexual partner imposes perfectionistic standards on them; and socially prescribed sexual perfectionism reflects people's beliefs that society imposes such standards on them. Previous studies found partner-prescribed and socially prescribed sexual perfectionism to be maladaptive forms of sexual perfectionism associated with a negative sexual self-concept and problematic sexual behaviors, but only examined cross-sectional relationships. The present article presents the first longitudinal study examining whether multidimensional sexual perfectionism predicts changes in sexual self-concept and sexual function over time. A total of 366 women aged 17-69 years completed measures of multidimensional sexual perfectionism, sexual esteem, sexual anxiety, sexual problem self-blame, and sexual function (cross-sectional data). Three to six months later, 164 of the women completed the same measures again (longitudinal data). Across analyses, partner-prescribed sexual perfectionism emerged as the most maladaptive form of sexual perfectionism. In the cross-sectional data, partner-prescribed sexual perfectionism showed positive relationships with sexual anxiety, sexual problem self-blame, and intercourse pain, and negative relationships with sexual esteem, desire, arousal, lubrication, and orgasmic function. In the longitudinal data, partner-prescribed sexual perfectionism predicted increases in sexual anxiety and decreases in sexual esteem, arousal, and lubrication over time. The findings suggest that partner-prescribed sexual

  1. The First Sexual Experience among Adolescent Girls with and without Disabilities

    Science.gov (United States)

    Shandra, Carrie L.; Chowdhury, Afra R.

    2012-01-01

    First sexual intercourse is an important experience in the young adult life course. While previous research has examined racial, gender, and socioeconomic differences in the characteristics of first sexual intercourse, less is known about differences by disability status. Using a racially diverse (27% Black, 20% Hispanic, and 53% non-Hispanic…

  2. Sexuality Among Senior High School Students in Papua and West Papua Provinces, Indonesia

    Directory of Open Access Journals (Sweden)

    Wienta Diarsvitri

    2011-01-01

    Full Text Available High risk sexual behaviors have been found in some cultures in Papuan and West Papuan Provinces. Using qualitative and quantitative data, we explore perspectives and experiences on sexuality, alcohol use, contraceptive use, unintended pregnancy and symptoms of sexually transmitted diseases among 1,082 Year 11 students from 16 senior high schools in Papua and West Papua Provinces, Indonesia. The data were based on the 2009 Reducing the Risk of HIV/AIDS Intervention Trial for Young Papuan Study. Our results indicated that around 38.3% of students reported having sexual intercourse. It was also found the relationship between alcohol use and premarital sexual intercourse. The contraceptive use was very low, 31.8% of female students who had sexual intercourse experienced unintended pregnancy, and majority of students who reported experiencing symptoms of sexually transmitted diseases also reported having sexual intercourse.

  3. Type of Sexual Contact and Precoital Sexual Experience in Spanish Adolescents

    Directory of Open Access Journals (Sweden)

    María-Paz Bermúdez

    2011-05-01

    Full Text Available The aim of this study was to examine characterisctics of precoital sexual behaviors and types of sexual contact in adolescent. A representative sample of 4,456 Spanish high school students participated. These participants were selected by means of a stratified random sampling procedure. They completed a questionnaire about their sexual behaviour. It is a cross-sectional survey study. Differences according to age and gender in characteristics of sexualbehaviour before the onset of sexual intercourse were found. Comparedto females, males started non penetrative sexual experiences earlier, had a higher number of sexual partners and a higher percentage of males reported having had casual sexual partner. This study not only adds to knowledge about sexual behaviour before the initiation of sexual intercourse among adolescents, it also highlights the importance of developing sexual prevention strategies for young adolescents.

  4. Contextual factors in geosocial-networking smartphone application use and engagement in condomless anal intercourse among gay, bisexual, and other men who have sex with men who use Grindr.

    Science.gov (United States)

    Goedel, William C; Duncan, Dustin T

    2016-10-07

    Background: Geosocial-networking smartphone applications (apps) have been used increasingly by men who have sex with men (MSM) to meet new sexual partners. The purpose of this study was to examine associations between contexts of app use (e.g. using apps when drinking) and condomless anal intercourse among a sample of MSM who use these apps. Methods: MSM (n=174) in New York City were recruited through Grindr, a geosocial-networking app popular among MSM, using broadcast advertisements asking MSM to complete an Internet-based survey about their app use and sexual behaviours. Log-binomial regression models were fit to assess the association between each of the six app-use contexts (e.g. using apps when lonely, when drinking) and engagement in condomless insertive and receptive anal intercourse with one or more partners in the past 3 months. Results: Engagement in condomless receptive and insertive anal intercourse with one or more partners in the preceding 3 months was common (39.7% and 43.1% respectively) and was associated with several app-use contexts. For example, significant associations (Panal intercourse. Conclusion: Given that 57.5% of respondents had engaged in condomless anal intercourse in the preceding 3 months and the associations of app-use contexts with condomless sexual behaviours, these findings suggest that reductions in substance use may lead to safer sexual practices among MSM who use apps to meet sexual partners.

  5. Early sexual initiation and multiple sexual partners among Vietnamese women: analysis from the Multiple Indicator Cluster Survey, 2011

    Directory of Open Access Journals (Sweden)

    Dinh Thai Son

    2016-02-01

    Full Text Available Introduction: Under current HIV transmission mechanisms operating in Vietnam, women are seen as victims of their male partners. Having multiple sexual partners is one of the well-known risk factors for HIV infection. However, little is known about women's risky sexual behaviour and their vulnerability to HIV in Vietnam. This study aims to explore association between early sexual initiation and the number of lifetime sexual partners in Vietnamese women. Although the Vietnamese culture is socially conservative in this area, identifying women's risky sexual behaviour is important for the protection of women at risk of HIV and other sexually transmitted diseases. Design: A total of 8,791 women, who reported having had sexual intercourse, were included in this analysis of data from the 2011 Multiple Indicator Cluster Survey in Vietnam. Data were collected using two-stage strata sampling, first at the national level and second across six geographical regions (n=8,791. Multivariable logistic regressions describe association between early initiation of a sexual activity and lifetime multiple sexual partners. Results: Early sexual intercourse was significantly associated with having lifetime multiple sexual partners. Women who were aged 19 or younger at first sexual intercourse were over five times more likely to have multiple sexual partners, compared with women whose first sexual intercourse was after marriage; aged 10–14 years (OR=5.9; 95% CI=1.9–18.8 at first intercourse; and aged 15–19 years (OR=5.4; 95% CI=4.0–7.2 at first intercourse. There was significant association with having multiple sexual partners for women of lower household wealth and urban residence, but the association with educational attainment was not strong. Conclusions: The study results call for health and education policies to encourage the postponement of early sexual activity in young Vietnamese women as protection against risky sexual behaviour later in life.

  6. Drugs and sexual behavior.

    Science.gov (United States)

    Bruno, Antonio; Scimeca, Giuseppe; Marino, Antonio G; Mento, Carmela; Micò, Umberto; Romeo, Vincenzo M; Pandolfo, Gianluca; Zoccali, Rocco; Muscatello, Maria R A

    2012-01-01

    This study investigated the association between drugs and sexual behavior in a sample of polydrug substance abusers recruited from several Italian therapeutic communities; participants were 90 polydrug substance abusers (opiates, cocaine, amphetamine, inhalants, marijuana/sedatives or hallucinogens abusers) who were compared with 90 nonsubstance-abusing individuals. Sexual behavior was measured by the Italian version of the Sex and the Average Woman (or Man; SAWM), a questionnaire that assesses different kind of sexual attitudes. Results showed that drug-abusing individuals are particularly inclined to search for sexual intercourse and are open to different kinds of sexual experiences; however, they have difficulties in establishing committed and deep relationships with their partners, showing signs of inhibition, affective detachment or anger. Their sexual lives are also surrounded by negative emotions, disturbing thoughts and maladjusted behaviors. The importance of integrating sexual problems into therapeutic strategies is discussed.

  7. Retinopathy of Prematurity (ROP)

    Science.gov (United States)

    ... of Prematurity (ROP) Facts About Retinopathy of Prematurity (ROP) This information was developed by the National Eye ... blind from ROP. Are there different stages of ROP? Yes. ROP is classified in five stages, ranging ...

  8. [Premature ejaculation: pills or sexology?].

    Science.gov (United States)

    Wisard, M; Audette, N

    2008-03-26

    Premature ejaculation (PE) is a frequent male sexual complaint that affects 20 to 30% of men. The exact aetiology is unknown: psychological/behavioristic and biogenic etiologies have been proposed. The introduction of selective serotonin reuptake inhibitors (SSRI) was revolutionary in the medical treatment of PE. However precautions should be taken because of potential adverse side effects. There is no clear consensus as to whether SSRI may represent an eventual cure of PE or will be required for life. The sexocorporal approach is an other treatment of PE, but convincing scientific treatment data are also lacking.

  9. Male sex workers who sell sex to men also engage in anal intercourse with women: evidence from Mombasa, Kenya.

    Directory of Open Access Journals (Sweden)

    Priya Mannava

    Full Text Available OBJECTIVE: To investigate self-report of heterosexual anal intercourse among male sex workers who sell sex to men, and to identify the socio-demographic characteristics associated with practice of the behavior. DESIGN: Two cross-sectional surveys of male sex workers who sell sex to men in Mombasa, Kenya. METHODS: Male sex workers selling sex to men were invited to participate in surveys undertaken in 2006 and 2008. A structured questionnaire administered by trained interviewers was used to collect information on socio-demographic characteristics, sexual behaviors, HIV and STI knowledge, and health service usage. Data were analyzed through descriptive and inferential statistics. Bivariate logistic regression, after controlling for year of survey, was used to identify socio-demographic characteristics associated with heterosexual anal intercourse. RESULTS: From a sample of 867 male sex workers, 297 men had sex with a woman during the previous 30 days - of whom 45% did so with a female client and 86% with a non-paying female partner. Within these groups, 66% and 43% of male sex workers had anal intercourse with a female client and non-paying partner respectively. Factors associated with reporting recent heterosexual anal intercourse in bivariate logistic regression after controlling for year of survey participation were being Muslim, ever or currently married, living with wife only, living with a female partner only, living with more than one sexual partner, self-identifying as basha/king/bisexual, having one's own children, and lower education. CONCLUSIONS: We found unexpectedly high levels of self-reported anal sex with women by male sex workers, including selling sex to female clients as well as with their own partners. Further investigation among women in Mombasa is needed to understand heterosexual anal sex practices, and how HIV programming may respond.

  10. Pharmacotherapy for premature ejaculation

    NARCIS (Netherlands)

    Waldinger, Marcel D

    PURPOSE OF REVIEW: As there are various drugs and different treatment strategies to delay ejaculation, a review of the current drug treatments for premature ejaculation is relevant for daily clinical practice. RECENT FINDINGS: There are four premature ejaculation subtypes: lifelong premature

  11. Pharmacotherapy for premature ejaculation

    NARCIS (Netherlands)

    Waldinger, Marcel D

    2014-01-01

    PURPOSE OF REVIEW: As there are various drugs and different treatment strategies to delay ejaculation, a review of the current drug treatments for premature ejaculation is relevant for daily clinical practice. RECENT FINDINGS: There are four premature ejaculation subtypes: lifelong premature ejacula

  12. Health Issues of Premature Babies

    Science.gov (United States)

    ... Text Size Email Print Share Health Issues of Premature Babies Page Content Because premature babies are born before they are physically ready ... associated with prematurity. Because of these health concerns, premature babies are given extra medical attention and assistance ...

  13. Sexual self-concept and intended sexual behavior of young adolescent Taiwanese girls.

    Science.gov (United States)

    Pai, Hsiang-Chu; Lee, Sheuan; Chang, Ting

    2010-01-01

    People begin to become aware of their sexual drive and erotic feelings as young adolescents. Such activity often has been overlooked in Taiwan, a traditional society, because sexuality is viewed as a private issue. The purpose of this study was to explore the sexual self-concept and intended sexual behavior of young adolescent girls in Taiwan. Participants included 372 girls, 12 to 14 years old, from junior high schools in Taiwan who completed two questionnaires on sexual experience and sexually related items: the Sexual Self-Concept Inventory, the Parental Approval of Sexual Behavior Scale, and the Friends' Approval of Sexual Behavior Scale, which were combined into one scale, with separate scores. Girls' self-reports showed low (negative) sexual self-concept, high perceived parental disapproval, and somewhat high perceived friends' disapproval of sexual activities. Sexual self-concept is associated with perceived parental and peer approval of sexual activities, and it is associated with sexual experience and intended sexual activities as well. A young adolescent girl who has a high score on the perceived sexual arousability factor of the Sexual Self-Concept Inventory is more likely to report the strongest intention toward sexual behavior. Sexual self-concept may play a key role in girls' intended sexual activities, including engaging in low-level sexual activities (e.g., kissing and breast fondling) that occur before intercourse, even when associated with intercourse intention. The research suggests that addressing sexual self-concept needs to be a priority to prevent young girls from engaging in sexual intercourse.

  14. A Vicarious Experience of the Actions of Contraceptive Devices in Birth Control and Prevention of Sexually Transmitted Diseases.

    Science.gov (United States)

    Lee, Yeung Chung

    2002-01-01

    Describes how self-constructed models of the male and female reproductive systems are used to simulate sexual intercourse and the actions of contraceptive devices in preventing conception and sexually transmitted diseases. (Author/YDS)

  15. Examining the relationship between adolescent sexual risk-taking and adolescents' perceptions of monitoring, communication, and parenting styles in the home

    OpenAIRE

    2001-01-01

    This study extends the research of Rodgers (1999) on the relationship between parenting processes and adolescent sexual risk-taking. Parenting behaviors considering were parental monitoring, parent-adolescent communication, and parenting styles. Sexual risk-taking was determined by assessing number of lifetime sexual partners as well as use of condoms during last sexual intercourse. A sample (n=286) of 9th-12th grade males and females who reporting having had sexual intercourse were separa...

  16. Sex Parties: Female Teen Sexual Experimentation

    Science.gov (United States)

    Toscano, Sharyl Eve

    2006-01-01

    Adolescent participants in a study aimed at exploring the nature and characteristics of girls' dating relationships revealed the phenomenon of sex parties. These teens defined a "sex party" as an opportunity to engage in sexual contact outside of typical dating relationships. Sexual activity could involve actual intercourse, but usually involved…

  17. Human Sexuality: A Student Taught Course

    Science.gov (United States)

    Herold, Edward S.; And Others

    1973-01-01

    Four senior female students presented seminars in human sexuality to freshmen coeds. The seminar topics were (1) petting and intercourse, (2) masturbation, (3) venereal disease and problematic sexual behavior, and (4) abortion and sterilization. Improvement in knowledge was determined by pre- and post-course questionnaires. Student evaluations…

  18. Self-Esteem and Sexual Permissiveness.

    Science.gov (United States)

    Herold, Edward S.; Goodwin, Marilyn Shirley

    1979-01-01

    Studied were 486 single females aged 13-20 attending ten birth control centers. In this liberal sample, high self-esteem subjects were accepting of premarital intercourse with affection, were more willing to take sexual initiative, and felt less guilt. Those endorsing sexual abstinence had lower self-esteem. (Editor/SJL)

  19. Body image, body satisfaction, and unsafe anal intercourse among men who have sex with men.

    Science.gov (United States)

    Allensworth-Davies, Donald; Welles, Seth L; Hellerstedt, Wendy L; Ross, Michael W

    2008-01-01

    Using survey results from the 1998 Twin Cities Lesbian, Gay, Bisexual, and Transgender (LGBT) Pride Festival (N = 535), we explored associations between body image and unsafe anal intercourse (UAI) among men who have sex with men (MSM), and evaluated whether body satisfaction mediated this association. MSM who reported underweight body image had lower odds than those who reported average weight of UAI (AOR = 0.33; 95% CI = 0.13, 0.85); body satisfaction was not found to mediate this association. 13.3% of men who reported overweight/obese body image had engaged in UAI compared with 21.6% of those who reported average weight and 8.2% of those who reported underweight (p < .05). Compared with MSM in exclusive relationships, MSM in non exclusive relationships had increased odds of UAI (AOR = 5.78; 95% CI = 2.96, 11.29) as did men who were not partnered (AOR = 3.20; 95% CI = 1.72, 5.93). These findings highlight the importance of including body image in sexual behavior models of MSM to better understand body image's role in influencing sexual risk and sexually transmitted infections (STI)/human immunodeficiency virus (HIV) transmission.

  20. Pubertal Timing and Adolescent Sexual Behavior in Girls

    Science.gov (United States)

    Moore, Sarah R.; Harden, K. Paige; Mendle, Jane

    2014-01-01

    Girls who experience earlier pubertal timing relative to peers also exhibit earlier timing of sexual intercourse and more unstable sexual relationships. Although pubertal development initiates feelings of physical desire, the transition into romantic and sexual relationships involves complex biological and social processes contributing both to…

  1. An Abstinence Program's Impact on Cognitive Mediators and Sexual Initiation

    Science.gov (United States)

    Weed, Stan E.; Ericksen, Irene H.; Lewis, Allen; Grant, Gale E.; Wibberly, Kathy H.

    2008-01-01

    Objectives: To evaluate the impact of an abstinence education program on sexual intercourse initiation and on possible cognitive mediators of sexual initiation for virgin seventh graders in suburban Virginia. Methods: Measures of sexual behavior and 6 mediating variables were compared at 3 time periods for program participants and a matched…

  2. Attraction to male facial masculinity in gay men in China: relationship to intercourse preference positions and sociosexual behavior.

    Science.gov (United States)

    Zheng, Lijun; Hart, Trevor A; Zheng, Yong

    2013-10-01

    Distinctions are commonly made regarding preferences for insertive or receptive anal intercourse within gay male communities. Three sexual self-labels are typically specified: "top," meaning a man who prefers the insertive role, "bottom," meaning a man who prefers the receptive role, and "versatile," meaning a man willing to perform either role. In this study, we examined the association between intercourse position preference and preference for male facial masculinity among 447 gay men across multiple cities in China. Each participant was shown 10 pairs of male faces sequentially, with each pair consisting of a masculinized and feminized version of the same base face. Tops preferred the feminized male face over the masculinized face, bottoms preferred the masculinized male face over the feminized face, and versatiles did not have a preference. Tops preferred more feminized male faces than did bottoms and versatiles. Preferences for male facial masculinity were also associated with sociosexual orientation and the nature of the associations differed by sex role preferences. Among tops, men who were less restricted preferred more feminine male faces compared to men who were more restricted. Among bottoms, men who were less restricted preferred more masculine male faces compared to men who were more restricted. Among versatiles, there was no association between sociosexual orientation and preferences for male facial masculinity. These findings provide new evidence that less sociosexually restricted men have stronger preferences for sexual dimorphism in the sexual partners they prefer than do more restricted men.

  3. Propensity Scoring and the Relationship between Sexual Media and Adolescent Sexual Behavior: Comment on Steinberg and Monahan (2011)

    Science.gov (United States)

    Collins, Rebecca L.; Martino, Steven C.; Elliott, Marc N.

    2011-01-01

    Longitudinal research has demonstrated a link between exposure to sexual content in media and subsequent changes in adolescent sexual behavior, including initiation of intercourse and various noncoital sexual activities. Based on a reanalysis of one of the data sets involved, Steinberg and Monahan (2011) have challenged these findings. However,…

  4. Effects of relationship duration, cohabitation, and marriage on the frequency of intercourse in couples: Findings from German panel data.

    Science.gov (United States)

    Schröder, Jette; Schmiedeberg, Claudia

    2015-07-01

    Research into the changes in the frequency of sexual intercourse is (with few exceptions) limited to cross-sectional analyses of marital duration. We investigate the frequency of intercourse while taking into account relationship duration as well as the duration of cohabitation and marriage, effects of parenthood, and relationship quality. For the analysis we apply fixed effects regression models using data from the German Family Panel (pairfam), a nationwide randomly sampled German panel survey. Our findings imply that the drop in sex frequency occurs early in the relationship, whereas neither cohabitation nor marriage affects the frequency of intercourse to a significant extent. Sex frequency is reduced during pregnancy and as long as the couple has small children, but becomes revived later on. Relationship quality is found to play a role as well. These results are contrary to the honeymoon effect found in earlier research, but indicate that in times of postponed marriage an analogous effect may be at work in the initial period of the relationship.

  5. Sexual behavior and intention to engage in sexual behavior in junior secondary school students in Hong Kong.

    Science.gov (United States)

    Shek, D T L

    2013-06-01

    The present study examined the prevalence, changes, and demographic as well as psychosocial correlates of sexual behavior and intention to engage in sexual behavior in early adolescents in Hong Kong, with sexual behavior indexed by sexual intercourse. Three waves of longitudinal data on sexual intercourse, intention to engage in sexual intercourse, family functioning, and positive youth development were collected from 28 secondary schools in Hong Kong. There were significant influences of grade and gender on adolescent sexual behavior or intention to engage in sexual behavior. Significant main effects of immigration status on sexual behavior were also found. While no effect of family economic background was found, effect of family intactness existed for sexual behavior. Family functioning and positive youth development at Grade 7 were negatively associated with students' sexual behavior and intention to engage in sexual behavior at Grade 9. Grade, gender, immigration status, and family intactness were related to sexual behavior and/or intention to engage in sexual behavior in junior secondary school students. Promoting positive youth development and family functioning could serve as protective factors to reduce sexual behavior and intention to engage in sexual behavior in Chinese early adolescents in Hong Kong. Copyright © 2013 North American Society for Pediatric and Adolescent Gynecology. Published by Elsevier Inc. All rights reserved.

  6. SEXUAL BEHAVIOR OF STREET CHILDREN.

    Science.gov (United States)

    Stojadinović, Aleksandra; Batrnek Antonić, Daliborka; Perinović, Marija; Rončević, Nevenka

    2015-01-01

    Street children and youth are at risk of getting engaged in different behaviors including risky sexual behavior, which adversely affects their development and health. The aim of this study was to examine sexual behavior of street children and youth, and the risks and consequences associated with sexual behavior. A pilot study was conducted on a sample of 50 users of the Drop-in Centre for Street Children in Novi Sad, from 10 to 19 years of age. The study was conducted by a psychologist through structured interviews, with prior consent of the adolescent and parent. Among the respondents who were sexually active, 41.2% had had the first sexual intercourse by the age of 12, their median age at that time being 14 years, while the age at the time of the first sexual intercourse is 16 years in the general population of Serbia. The majority of sexually active adolescents had several partners, one male adolescent had sex with a person of the same sex, and one was paid for sex. Very few respondents used a condom. Among 15 male sexually active respondents, three (ages 11, 12 and 14) were forced to have unwanted sexual intercourse, and a quarter of adolescents (three boys and one girl) were forced to do something unwanted during sex. Despite a small and unrepresentative sample, the results of this study indicate serious problems and significant risks associated with sexual behavior of children and young people who live and work in streets. This pilot study suggests that it is necessary to conduct new research on sexual behavior of street children and youth on a representative sample and with appropriate methodology. The results of a new study should be used to plan and carry out appropriate preventive measures regarding sexual behavior of street children.

  7. Sexual coercion and behavior among a sample of sexual minority women.

    Science.gov (United States)

    Satinsky, Sonya; Jozkowski, Kristen

    2014-01-01

    Sexual coercion may affect the sexual experiences of sexual minority women differently. Women (n=445) aged 18 to 71 years (Mean=30.38) answered an online survey on sexual orientation, lifetime coercion, and sexual history. Sexual minority women (45.8%, n=204) were more likely to report having been coerced into unwanted sexual behavior (56.5%) than heterosexual women (44.8 %; p=0.010). Coerced sexual minority women reported earlier ages of initiation into performing oral sex (p=0.016), penile-vaginal (p=0.024), and penile-anal (p=0.027) intercourse. In multiple logistic regression models, currently being in a partnered relationship was the sole factor related to lifetime engagement in penile-vaginal intercourse and receiving oral sex from partners. Having at least a graduate degree was the only characteristic related to engagement in lifetime penile-anal intercourse. Sexual coercion was not related to any lifetime sexual behavior outcomes. The nature of sexual initiation and coercion should be explored further among sexual minority women, with the goal of incorporating their experiences into prevention and treatment initiatives.

  8. Safety and efficacy of tramadol hydrochloride on treatment of premature ejaculation

    Institute of Scientific and Technical Information of China (English)

    Bayoumy I Eassa; Mohamed A El-Shazly

    2013-01-01

    Premature ejaculation (PE) is the most common sexual disorder.It affects 20%-30% of adult men; the aetiology of this condition has not yet been elucidated.The aim of this study is to evaluate the efficacy,safety,tolerability,undesirable effects and improved satisfaction with sexual intercourse with tramadol hydrochloride at different dosages for the treatment of PE.A total of 300 patients who presented with lifelong (primary) PE were included in this study.The study was performed for 28 weeks,in which placebo (starch tablet) was given for 4 weeks,and active ingredient (tramadol hydrochloride) was administered at different therapeutic dosages for 24 weeks.Patients were divided into three equal groups,each consisting of 100 patients.The first group (A) was given tramadol hydrochloride capsule 25 mg.The second group (B) was given tramadol hydrochloride capsule 50 mg.The third group (C) was given tramadol hydrochloride capsule 100 mg.All of the 300 participants included completed the study voluntarily.The age of the patients varied from 25 to 50 years.After the treatment period,the recorded data were collected for each group and analysed.The results showed a highly significant increase in the mean intravaginal ejaculatory latency time (IELT) in all groups compared to baseline data (P<0.0001).We concluded that using tramadol hydrochloride at different doses on demand for the treatment of PE is effective,safe and tolerable,with minimal undesirable effects,and approval for this indication should be sought.

  9. Adolescent sexuality and sexually transmitted diseases: attitudes, beliefs, knowledge, and values.

    Science.gov (United States)

    Johnson, L S; Rozmus, C; Edmisson, K

    1999-06-01

    This study described rural adolescents' attitudes, beliefs, knowledge, and values with regard to sexuality and sexually transmitted diseases (STDs). Rotter's Social Learning Theory (1954) provided the theoretical framework for this descriptive, correlational design. The convenience sample consisted of 170 students from one rural high school. Consistent with past studies, results included the following: participants had more correct than incorrect knowledge related to sexual intercourse and STDs; the majority had positive attitudes toward condom use and believed it was OK for peers to have sex with a "steady;" the value of an exciting life correlated positively with attitudes toward sex; knowledge of sexual intercourse correlated positively with attitudes toward condom use; and the value health correlated positively with knowledge of sex and attitudes toward condom use, and negatively with attitudes toward sex. The findings in this study suggest the need for ongoing research with adolescents in the area of sexuality and STDs. Additionally, the findings support past studies, which revealed that knowledge of sexual intercourse and STDs has little impact on attitudes toward sexual intercourse. With the serious nature of some of the undesired consequences of adolescent sexual behavior, current and accurate information on this population is needed to assist health educators in developing interventions in this area.

  10. Correlates of sexuality in men and women aged 52-90 years attending a university medical health service in Colombia.

    Science.gov (United States)

    Arias-Castillo, Liliana; Ceballos-Osorio, Janeth; Ochoa, Jhon Jair; Reyes-Ortiz, Carlos A

    2009-11-01

    Limited information is available regarding sexuality among Colombian adults aged 50 years and older. To assess demographic or health characteristics associated with sexuality measures among middle- and older-aged men and women. Cross-sectional face-to-face interviews were conducted with retired persons from a university ambulatory medical care setting. Data on sexuality were obtained along with data on their demographic, emotional intimacy, practice of religion, medical conditions, and functional health measures. There were 136 participants. Appropriateness of sex, sexual desire, importance of sex, masturbation, and sexual intercourse. Fifty-seven percent of the participants were over 65 years of age, 52% were female, and 66% reported being married; 67% indicated sex is appropriate, 58% reported having sexual desire, 45% considered sex very important in their lives, 54% reported one or more instances of sexual intercourse, and 16% reported masturbating within the last year. In multivariate analyses, importance of sex and sexual intercourse decreased by age. Women had decreased odds ratios (0.20 to 0.33) for sexuality measures compared with men with the exception of appropriateness of sex. Married persons had increased odds ratios (3.06 to 9.45) for importance of sex, appropriateness of sex, and sexual intercourse compared with those of the same age who reported being unmarried. Other factors associated with some particular sexuality measures were emotional intimacy, religious practice, medical conditions, and functional health measures. There were significant mediation effects for appropriateness of sex on the relationship between sexual desire and sexual intercourse, and for importance of sex on the relationship between appropriateness of sex and sexual intercourse. Men and married persons had higher rates of most sexuality measures compared with women or their unmarried counterparts. These differences were greater at older ages (> or =65) for all sexuality

  11. Psychosexual therapy for premature ejaculation.

    Science.gov (United States)

    Althof, Stanley E

    2016-08-01

    Premature ejaculation (PE) is a male sexual dysfunction that creates considerable anguish for the man, his partner and their relationship. PE is not one disorder but includes the four subtypes (lifelong, acquired, natural and subjective) each with unique psychological concerns and issues. Psychological treatment for men and couples with PE addresses sexual skills/techniques but also focuses on issues of self-esteem, performance anxiety and interpersonal conflict. The outcome studies for psychotherapy alone are difficult to interpret and compare because of poor methodological design (lack of control groups, small sample size, poor outcome measures and lack of follow-up). However, the few studies that surmount these methodological hurdles suggest that psychological intervention offers men and couples a promising treatment option. Combination pharmaco- and psychotherapy is the most promising intervention for lifelong and acquired PE and offers superior efficacy to drug alone. This is because men and couples learn sexual skills, address the intrapsychic, interpersonal and cognitive issues that precipitate and maintain the dysfunction.

  12. 性活动与乳腺保健%Sexual activity and breast health

    Institute of Scientific and Technical Information of China (English)

    陈水娟

    1997-01-01

    Objective:To explore the correalation of sexual in tercourse with breast diseases.Methods:Sexual intercourse information was inquired of 946 women at random in routine counseling after general gynecological disease survey.Results:Good or medicore status of sexual intercourse comprised 83.5%,while good status of sexuality with good economic condition accounted for 55.6%.The prevalence rate of breast diseases in patients with bad status of sexuality accounted for 40.9%,which was rather high.Conclusion:Strenthening the premarital guidance in sexual health is beneficial to marriage quality and breast health.

  13. Maternal Predictors of Noncoital Sexual Behavior: Examining a Nationally Representative Sample of Asian and White American Adolescents Who Have Never Had Sex

    Science.gov (United States)

    Lam, Amy G.; Russell, Stephen T.; Tan, Thida C.; Leong, Sareen J.

    2008-01-01

    Current research in adolescent sexuality has largely focused on vaginal-penile intercourse, with less attention to noncoital sexual activity. This study examined how maternal factors influence the transition from virginity to noncoital behavior among White and Asian American youth who have never experienced vaginal intercourse. We conducted…

  14. The pathophysiology of acquired premature ejaculation.

    Science.gov (United States)

    McMahon, Chris G; Jannini, Emmanuele A; Serefoglu, Ege C; Hellstrom, Wayne J G

    2016-08-01

    The second Ad Hoc International Society for Sexual Medicine (ISSM) Committee for the Definition of Premature Ejaculation defined acquired premature ejaculation (PE) as a male sexual dysfunction characterized by a the development of a clinically significant and bothersome reduction in ejaculation latency time in men with previous normal ejaculatory experiences, often to about 3 minutes or less, the inability to delay ejaculation on all or nearly all vaginal penetrations, and the presence of negative personal consequences, such as distress, bother, frustration and/or the avoidance of sexual intimacy. The literature contains a diverse range of biological and psychological etiological theories. Acquired PE is commonly due to sexual performance anxiety, psychological or relationship problems, erectile dysfunction (ED), and occasionally prostatitis and hyperthyroidism, consistent with the predominant organic etiology of acquired PE, men with this complaint are usually older, have a higher mean BMI and a greater incidence of comorbid disease including hypertension, sexual desire disorder, diabetes mellitus, chronic prostatitis, and ED compared to lifelong, variable and subjective PE.

  15. Human sexual response.

    Science.gov (United States)

    Basson, Rosemary

    2015-01-01

    The human sexual response to sexually arousing stimuli is a motivational incentive-based cycle comprising subjective experience and physiologic changes. Clinical and empirical data support a circular model of overlapping phases of variable order. Brain imaging data of sexual arousal identify areas of cerebral activation and inhibition reflecting a complex network of cognitive, motivational, emotional, and autonomic components. Psychologic and biologic factors influence the brain's appraisal and processing of sexual stimuli to allow or disallow subsequent arousal. The sexual and non-sexual outcomes influence motivation to future sexual intimacy. Variability is marked both between individuals and within a person's sexual life, influenced by multiple factors, including stage of life cycle, mental health, and relationship happiness. Neurologic disease can interrupt the cycle at many points: by limiting motivation, reducing ability to attend to and feel sexual stimuli, and accomplishing the movements needed to stimulate and experience intercourse. Impairments to genital congestion, penile erection, and orgasm may also occur. Disease-associated changes to the interpersonal relationship and self-image plus frequently comorbid depression will tend to lessen motivation and temper the brain's appraisal of sexual stimuli, so precluding arousal. Therapy begins by explaining the sexual response cycle, clarifying the points of interruption in the patient's own cycle so as to guide treatment.

  16. Childhood Sexual Abuse

    Directory of Open Access Journals (Sweden)

    Evrim Aktepe

    2009-08-01

    Full Text Available Sexual abuse is defined as use of child or adolescent by the adults for satisfying of sexual urges and needs with forcing, threatening or tricking. Sexual abuse can be in the form of sexual abuse without touch, sexual touch, interfemoral intercourse, sexual penetration, and sexual exploitation. The prevalence of sexual abuse is reported as 10-40%. It is seen in female four times more than in males. Abusers are frequently male, only 5-15% of them are female. The abuse by females is usually towards male child. Thirty-fifty percent of abuse cases among child and adolescent are outside the family including strangers or familiar person. Some features of abusers are introvert personality, pedophilic and antisocial personality. Most of the abusers have a history of sexual abuse or aggression during childhood. Sexual intercourse between two people who are not allowed to marry by law is called as incest. Family pattern of incest is defined globally as disorganized and dysfunctional. The most commonly reported familial pattern is rigid and patriarchal family pattern with a harsh father using force quite frequently. The clinical features and impacts of the sexual abuse on the child varies according to the relation between abusers and the child, form of abuse, duration of abuse, presence of physical assault, developmental phase, child age and psychological development before the abuse. Sexual abuse history may result in psychiatric disorders including anxiety, depression, substance dependence, suicide act, borderline personality disorder, posttraumatic stress disorder. Abuse negatively affects interpersonal relationships and self esteem of abused individuals. Several studies reported close association between risky sexual behaviors in adulthood and a history of of sexual abuse during childhood. Four traumatic dynamics including traumatic sexuality with abuse, feeling of betrayal, weakness, and stigmatization exist in childhood abuse. Trauma can cause

  17. Sexual Absorption of Vaginal Progesterone: A Randomized Control Trial

    Directory of Open Access Journals (Sweden)

    Kathryn S. Merriam

    2015-01-01

    Full Text Available Objective. To determine if sexual intercourse reduces absorption of vaginal progesterone gel in women and to determine if progesterone is absorbed by the male during intercourse. Study Design. Prospective, randomized, cross over, controlled study of 20 reproductive-aged women and their male sexual partners randomized to receive vaginal progesterone gel (Crinone 8% gel, Actavis Inc., USA or placebo cream. Serum progesterone for both male and female partners were measured 10 hours after intercourse. One week later, subjects were crossed over to receive the opposite formulation. In the third week, women used progesterone gel at night and abstained from intercourse. Results. Serum progesterone was significantly reduced with vaginal progesterone gel + intercourse compared with vaginal progesterone gel + abstinence (P=0.0075. Men absorbed significant progesterone during intercourse with a female partner using vaginal progesterone gel compared to placebo (P=0.0008. Conclusion(s. Vaginal progesterone gel is reduced in women after intercourse which may decrease drug efficacy during luteal phase support. Because men absorb low levels of progesterone during intercourse, exposure could cause adverse effects such as decreased libido. This study is registered under Clinical Trial number NCT01959464.

  18. Profile of sexuality in Moroccan chronic low back pain patients

    Directory of Open Access Journals (Sweden)

    Bahouq Hanane

    2013-02-01

    Full Text Available Abstract Background Sexual life had an important role in preserving the good quality of life for patients and for their partner. Chronic Low Back Pain (CLBP as other musculoskeletal diseases may affect all aspects of life including sexual functioning. The purpose of this study is to describe the impact of CLBP on the sexual life of patients and to identify the factors that affect their Sexual Quality of Life (SQOL. Methods One hundred CLBP sexually active patients were included. Patients and disease Characteristics were collected. Impact on sexual life (sexual intercourse and SQOL was also assessed. Univariate and multivariate analysis were performed to analyze significant determinants associated with the SQOL disturbance. Results Eighty one percent of our patients complained about sexual difficulties related to CLBP. Libido decrease and painful intercourse position were reported respectively in 14.8 and 97.5% of cases. The most pain generating position was supine. Mean of sexual intercourse frequency decrease was at −10.4 ± 4.8 per month. SQOL score mean was at 44.6 ± 17.4%. Men suffered more than women from sexual problems (respectively 90% vs. 72%; p = 0.02. Men had worse SQOL than women (respectively 38.9 ± 17.2 vs. 50.3 ± 15.7%; p = 0.001. Univariate and multivariate analysis showed that advanced age (p = 0.009, poor functional status (p = 0.03, male gender (p = 0.03 and sexual intercourse frequency decrease (p = 0.005 were the independent variables associated with the SQOL disturbance. Conclusion Our study suggests that sexuality is profoundly disturbed in CLBP patients; both their sexual intercourse and SQOL were affected. This disturbance seems to be associated with patient and disease characteristics. Sexuality should be taken into account in managing CLBP patients.

  19. Relationship Between Methamphetamine Use and Risky Sexual Behavior in Adolescents

    Directory of Open Access Journals (Sweden)

    Cheng-Fang Yen

    2004-04-01

    Full Text Available Substance abuse and risky sexual behavior have been identified as behaviors that can endanger adolescent psychosocial development. This study examined the relationship between methamphetamine (MAMP use and risky sexual behavior in adolescents. Risky sexual behavior was compared not only between MAMP users and non-users, but also between high-frequency and low-frequency MAMP users. We compared the sexual intercourse histories of 85 adolescents formally charged as MAMP users with those of 170 gender-matched adolescents with no record of MAMP use. MAMP usage characteristics were compared between users who had and those who had not experienced sexual intercourse. Previous sexual experience was more likely in MAMP users than in non-users. MAMP users were also more likely to have had a greater total number of sexual partners and were more likely to have had unplanned sex under the influence of alcohol. High-frequency MAMP use was associated with increased tendencies to engage in unprotected sex and to use MAMP before sexual intercourse. In general, the chance of sexual intercourse increased in proportion to frequency of MAMP use. Given the clear link between MAMP use and risky sexual behavior, risk-reduction programs directed at teen MAMP users are urgently needed.

  20. The association of sexual interest and sexual behaviors among adolescent women: A daily diary perspective

    Science.gov (United States)

    Fortenberry, J. Dennis; Hensel, Devon J.

    2011-01-01

    Theoretical and empirical linkages of adult women’s sexual interest and sexual behaviors are relatively well-established, but few data address similar issues in adolescent women. This paper reviews data from published reports of associations of adolescent women’s sexual interest and various sexual behaviors. All of the papers reported data collected from a single longitudinal cohort of young women. The primary source of data collection was daily diaries, allowing close temporal pairing of sexual interest with sexual behaviors. Young women’s sexual interest on a given day was consistently and independently associated with sexual activity on that day, whether the behavior was first lifetime coitus, coitus, fellatio, cunnilingus, anal intercourse, or coitus during menses. We also found no evidence of influence of hormonal contraceptives on young women’s sexual interest. Taken together, these data demonstrate the relevance of sexual interest as a key factor in young women’s sexuality and sexual behavior. PMID:21397605

  1. Risky sexual behavior among rural female adolescents in Malaysia: a limited role of protective factors.

    Science.gov (United States)

    Ahmadian, Maryam; Hamsan, Hanina H; Abdullah, Haslinda; Samah, Asnarulkhadi Abu; Noor, Amna Md

    2014-03-23

    This paper presents the findings of a cross-sectional survey on the risk and protective factors of premarital sexual behavior among rural female adolescents in Peninsular Malaysia. We investigated data on 770 female respondents aged 13-17 years in rural areas to identify predictive factors for premarital sexual intercourse. Data were analyzed using bivariate and multivariate regression. Specific socio-demographic factors, psychological and family domains, peer delinquency, and knowledge and attitudes about sexuality were considered in risky sexual behaviors in rural Malay girls. The effects of other covariates for premarital sexual intercourse were controlled by logistic regression model. Of the 770 rural female students, about 3.2% of respondents reported experience of sexual intercourse in the past three months. Out of those sexually active girls, 36% were 17 years old and 20% stated having sexual intercourse with more than one partner, and 72% did not use contraception during the most recent sexual intercourse. Midnight activities, peer-sexual disorder, self-evaluation, and attitude toward sexual health were significant predictors of sexual intercourse in rural girls in Malaysia. The finding highlights the impact of psychological factors and peer group influences on the challenges of premarital sexual behavior among rural girls and the notion of school-based sexual health education for adolescents. This study triggers other researchers take into account a comprehensive view of protective factors operating in adolescents' risky sexual behaviors in Asian culture seeing that family domain variables, unexpectedly, exerted no predicting influence on sexually active female teens in rural areas in Malaysia.

  2. Sexual behavior among Brazilian adolescents, National Adolescent School-based Health Survey (PeNSE 2012).

    Science.gov (United States)

    Oliveira-Campos, Maryane; Nunes, Marília Lavocart; Madeira, Fátima de Carvalho; Santos, Maria Goreth; Bregmann, Silvia Reise; Malta, Deborah Carvalho; Giatti, Luana; Barreto, Sandhi Maria

    2014-01-01

    This study describes the sexual behavior among students who participated in the National Adolescent School-based Health Survey (PeNSE) 2012 and investigates whether social inequalities, the use of psychoactive substances and the dissemination of information on sexual and reproductive health in school are associated with differences in behavior. The response variable was the sexual behavior described in three categories (never had sexual intercourse, had protected sexual intercourse, had unprotected sexual intercourse). The explanatory variables were grouped into socio- demographic characteristics, substance use and information on sexual and reproductive health in school. Variables associated with the conduct and unprotected sex were identified through multinomial logistic regression, using "never had sexual intercourse" as a reference. Over nearly a quarter of the adolescents have had sexual intercourse in life, being more frequent among boys. About 25% did not use a condom in the last intercourse. Low maternal education and work increased the chance of risky sexual behavior. Any chance of protected and unprotected sex increased with the number of psychoactive substances used. Among those who don't receive guidance on the prevention of pregnancy in school, the chance to have sexual intercourse increased, with the largest magnitude for unprotected sex (OR = 1.41 and OR = 1.87 ). The information on preventing pregnancy and STD/AIDS need to be disseminated before the 9th grade. Social inequalities negatively affect risky sexual behavior. Substance use is strongly associated with unprotected sex. Information on the prevention of pregnancy and STD/AIDS need to be disseminated early.

  3. Animal models of premature and retarded ejaculation.

    Science.gov (United States)

    Waldinger, Marcel D; Olivier, Berend

    2005-06-01

    Most of our current understanding of the neurobiology of sexual behavior and ejaculatory function has been derived from animal studies using rats with normal sexual behaviour. However, none of these proposed models adequately represents human ejaculatory disorders. Based on the "ejaculation distribution theory", which postulates that the intravaginal ejaculation latency time in men is represented by a biological continuum, we have developed an animal model for the research of premature and delayed ejaculation. In this model, a large number of male Wistar rats are investigated during 4-6 weekly sexual behavioural tests. Based on the number of ejaculations during 30 min tests, rapid and sluggish ejaculating rats are distinguished, each representing approximately 10% at both ends of a Gaussian distribution. Together with other parameters, such as ejaculation latency time, these rats at either side of the spectrum resemble men with premature and delayed ejaculation, respectively. Comparable to the human situation, in a normal population of rats, endophenotypes exist with regard to basal sexual (ejaculatory) performance.

  4. Prevalence of sexual activity and outcome among female secondary school students in Port Harcourt, Nigeria.

    Science.gov (United States)

    Anochie, I C; Ikpeme, E E

    2001-08-01

    Sexual activity among 534 Nigerian female secondary school students was studied using self-administered questionnaire. Prevalence of sexual intercourse was 25.7%. There was no significant difference between the junior (48.2%) and senior (51.8%) students (p > 0.05). Seventeen (12.4%) students had initiated sexual intercourse before 11 years. The frequency of sexual exposure was high, with 34.3% of the students having intercourse more than once in a week. Pregnancy rate among sexually active females was 27.0%, with 24.8% rate of induced abortion. Early sexual health education starting from primary school would be helpful in influencing the reproductive decisions and sexual behaviour of the students, including contraceptive acceptance and usage, to avoid teenage pregnancy. Education of parents is also recommended in order to overcome the cultural barriers that discourage parents from providing sex education to their children at home.

  5. Current and emerging therapies in premature ejaculation: Where we are coming from, where we are going.

    Science.gov (United States)

    Martin, Christopher; Nolen, Hunter; Podolnick, Jason; Wang, Run

    2017-01-01

    Premature ejaculation is the most common form of sexual dysfunction among men. The pathophysiology of premature ejaculation appears to be multifactorial, implicating the need for multimodal therapeutic regimens to successfully treat premature ejaculation. Multiple treatment regimens have been shown to be effective in extending the time between penetration and ejaculation. These treatment modalities include everything from behavioral modifications and medications to diet alterations and major surgery. The goal of the present article was to review the commonly used treatment regimens used in the treatment of premature ejaculation, as well as to introduce and discuss the newest treatment routines under study for the treatment of premature ejaculation.

  6. Female gratification, sexual power and safer sex

    DEFF Research Database (Denmark)

    Skafte, Ina; Silberschmidt, Margrethe

    2014-01-01

    The gender-based response to HIV in sub-Saharan Africa has tended to reinforce normative stereotypes of women as subordinated, passive and powerless victims, in particular in sexual relations. However, based on qualitative data from Rwanda, this paper argues that such conceptualisations fail...... intercourse. This provides women a central position in sexual relations, which affords them sexual power. Recognising their sexuality as a resource and drawing upon this 'sexual capital', women are active social agents who have the capacity to manipulate and challenge male dominance in a deliberate strategy...

  7. Sexual Risk-Taking among High-Risk Urban Women with and without Histories of Childhood Sexual Abuse: Mediating Effects of Contextual Factors

    Science.gov (United States)

    Mosack, Katie E.; Randolph, Mary E.; Dickson-Gomez, Julia; Abbott, Maryann; Smith, Ellen; Weeks, Margaret R.

    2010-01-01

    This study investigated the mechanisms of risk for urban women at high risk for HIV with and without childhood sexual abuse histories. Childhood sexual abuse survivors reported more unprotected intercourse and sexually transmitted infections (STIs). The association of STI locus of control with frequency of unprotected sex was fully mediated by…

  8. [Sexological intervention on premature ejaculation].

    Science.gov (United States)

    San Martín Blanco, C

    2014-07-01

    Strategies, recommendations and techniques proposed by sex therapy for intervention on premature ejaculation, have represented for nearly four decades the most effective model of intervention in this sexual dysfunction, which currently is complemented by the efficacy of dapoxetine drug treatment. Clinical experience and recent studies support that combined intervention offers the best therapeutic results. In addition in sex therapy, etiologic diagnosis is obtained from the analysis of the interrelationship of the couple. Diagnostic and therapeutic intervention has to be always centered in the relationship, so the techniques and resources must be applied with the expectation of being implemented in the sexual interaction. It will therefore be the relationship that receive treatment, even if medication is used for one of the members of the couple. On the other hand, this model of intervention can be implemented by a professional with training, although not necessarily a specialist. Copyright © 2014 Elsevier España, S.L.U. y Sociedad Española de Medicina Rural y Generalista (SEMERGEN). All rights reserved.

  9. Medical therapy for premature ejaculation

    Science.gov (United States)

    Mohee, Amar; Eardley, Ian

    2011-01-01

    Premature ejaculation (PE) is a common male sexual dysfunction. Advances in PE research have been hampered owing to a nonstandardized definition of PE, until the definition by the International Society of Sexual Medicine (ISSM) in 2009. Once the diagnosis of PE is established through a thorough history, a variety of medical therapies is available, including tricyclic antidepressants, selective serotonin reuptake inhibitors (SSRIs), centrally acting opiates, phosphodiesterase 5 inhibitors and topical desensitizing creams. Most of these treatments increase the intravaginal ejaculation latency time (IELT) and patient satisfaction scores, with the most convincing evidence for SSRIs and topical creams. Daily SSRIs such as paroxetine, although efficacious, do have a substantial and prolonged side effect profile. Dapoxetine, which is a on-demand SSRI, is the only licensed drug for the treatment of PE, increasing IELT by a factor of 2.5 to 3 with limited and tolerable side effects. In the near future, the topical aerosol PSD502 is due to be licensed for the treatment of PE, increasing IELT by up to a factor of 6 but having minimal local and negligible systemic side effects. PMID:22046199

  10. Prevalence and Correlates of Sexual abuse among Female Out-of ...

    African Journals Online (AJOL)

    AJRH Managing Editor

    This study set out to document the prevalence and predictors of sexual intercourse with persons below the age of consent. (statutory rape) and .... children younger than a certain age15. ... perception of domestic violence. ..... scientific research.

  11. Early sex initiation and subsequent unsafe sexual behaviors and sex-related risks among female undergraduates in Wuhan, China.

    Science.gov (United States)

    Li, Jiantao; Li, Shiyue; Yan, Hong; Xu, Delong; Xiao, Han; Cao, Yue; Mao, Zongfu

    2015-03-01

    This study aims to explore the association between early sex initiation and subsequent unsafe sexual behaviors and risks among Chinese female undergraduates. Of 4769 participants, 863 (18.1%) reported ever having sexual intercourse. The mean age of sexual debut was 19.3 (±1.7) years. Females initiating sex earlier were more likely to have first sex with men who were not their "boyfriends" and less likely to take contraception, to use a condom at first encounter, to use contraception consistently in past year, and/or to use condom consistently during the course of a sexual intercourse. They were more likely to have multiple lifetime and concurrent sexual partners, to report pregnancy, and be diagnosed with sexually transmitted diseases. Comprehensive early sex education should be advocated for young people, not only teaching knowledge of physical health but also providing practical skills training for making them consciously delay start of sexual activity or protecting themselves during sexual intercourse.

  12. Sexual and Reproductive Health Behaviors of California Community College Students

    Science.gov (United States)

    Trieu, Sang Leng; Bratton, Sally; Marshak, Helen Hopp

    2011-01-01

    Objective: To explore the sexual and reproductive health behaviors of students from 13 community college campuses in California. Participants: Heterosexual college students, ages 18 to 24, who have had sexual intercourse (N = 4,487). Methods: The American College Health Association's National College Health Assessment (ACHA-NCHA) survey was…

  13. Planned Parenthood Harris Poll Findings: Teens' Sexuality Knowledge and Beliefs.

    Science.gov (United States)

    Haignere, Clara S.

    Planned Parenthood conducted a national public opinion poll, asking 1,000 12- through 17-year-olds about their knowledge and beliefs on the problem of teenage pregnancy. The results showed that over 50% of the adolescents had sexual intercourse before their 18th birthday. Those teenagers most likely to be sexually active fell into certain at-risk…

  14. Some Research and Clinical Perspectives on Adolescent Sexuality.

    Science.gov (United States)

    Chilman, Catherine S.

    This paper selects and emphasizes some of the concepts and findings to be found in the author's book, Adolescent Sexuality in a Changing Society. This paper limits itself to various aspects of premarital intercourse among adolescents, including the personality traits of virgins and non-virgins, and the effects of education upon sexual attitudes.…

  15. The Social Construction of Consent: Sexual Scripts and Acquaintance Rape.

    Science.gov (United States)

    White, Jacquelyn W.; Niles, Patricia

    The decision whether a woman has consented to sexual intercourse is rarely determined by the woman herself. Often, instead, a woman's consent, and ultimately her sexuality, is determined for her by others--her partner, the community, or the court system. Women in this culture have traditionally had very little power to control their own bodies and…

  16. Parental Influences on Young People's Sexual Behaviour: A Longitudinal Analysis

    Science.gov (United States)

    Wight, Daniel; Williamson, Lisa; Henderson, Marion

    2006-01-01

    Both family structure and processes have been associated with young people's sexual behaviour, but most studies are cross-sectional and focus on only one outcome: age at first intercourse. This paper uses longitudinal data from a survey of Scottish teenagers (N=5041) to show how low parental monitoring predicts early sexual activity for both sexes…

  17. Micafungin in Premature and Non-premature Infants

    Science.gov (United States)

    Wu, Chunzhang; Tweddle, Lorraine; Roilides, Emmanuel

    2014-01-01

    Background: Invasive fungal infections cause excessive morbidity and mortality in premature neonates and severely ill infants. Methods: Safety and efficacy outcomes of micafungin were compared between prematurely and non-prematurely born infants premature [birth weight (BW) premature, received ≥1 dose of micafungin. Among premature patients, 14.5% were low BW (1500–2499 g), 36.4% very low BW (1000–1499 g) and 49.1% extremely low BW (premature)] died. Significantly more non-premature than premature patients discontinued treatment (P = 0.003). Treatment-related adverse events were recorded in 23% of patients with no difference between groups. More extremely low BW (n = 4, 15%) and very low BW (n = 8, 40%) infants experienced treatment-related adverse events than low BW (n = 0) and there was no relation to micafungin dose or duration. For a subgroup of 30 patients with invasive candidiasis, treatment success was achieved in 73% in both premature and non-premature groups. Prophylaxis was successful in 4/5 non-premature hematopoietic stem cell transplant patients. Conclusion: Micafungin has a safe profile in premature and non-premature infants with substantial efficacy. PMID:24892849

  18. Sexual function after transvaginal cholecystectomy

    DEFF Research Database (Denmark)

    Donatsky, Anders M; Jørgensen, Lars N; Meisner, Søren

    2014-01-01

    INTRODUCTION: Despite several benefits, patients are concerned that transvaginal cholecystectomy has a negative impact on sexual health. The objective of this systematic review was to assess the impact of transvaginal cholecystectomy on postoperative dyspareunia and sexual function. METHOD......: A literature search was performed in the PubMed and EMBASE databases. Papers reporting on postoperative dyspareunia, vaginal pain or discomfort, and sexual function were included. RESULTS: Seventeen papers reported on dyspareunia and vaginal pain or discomfort. Two papers reported a rate of de novo dyspareunia...... of 3.8% and 12.5%, respectively. One study reported a nonsignificant reduction in painful sexual intercourse and the remaining 14 reported no incidents of dyspareunia. Eight papers reported on sexual function. One paper using a nonvalidated questionnaire found impaired sexual function. The papers...

  19. Clinical forensic sample collection techniques following consensual intercourse in volunteers - cervical canal brush compared to conventional swabs.

    Science.gov (United States)

    Joki-Erkkilä, Minna; Tuomisto, Sari; Seppänen, Mervi; Huhtala, Heini; Ahola, Arja; Rainio, Juha; Karhunen, Pekka J

    2014-10-01

    The purpose of the research was to evaluate gynecological evidence collection techniques; the benefit of cervical canal brush sample compared to vaginal fornix and cervical swab samples and the time frame for detecting Y-chromosomal material QiAmp DNA Mini Kit(®) and Quantifiler Y Human Male DNA Quantification Kit(®) in adult volunteers following consensual intercourse. Eighty-four adult female volunteers following consensual intercourse were recruited for the study. By combining all sample collecting techniques, 81.0% of the volunteers were Y-DNA positive. Up to 60 h the conventional swab sampling techniques detected more Y-DNA positive samples when compared to the brush technique. However, after 60 h, the cervical canal brush sample technique showed its benefit by detecting 27.3% (6/22) of Y-DNA positive samples, which were Y-DNA negative in both conventional swab sampling techniques. By combining swab and brush techniques, 75% of the volunteers were still Y-DNA positive in 72-144 post-coital hours. The rate of measurable Y-DNA decreased approximately 3% per hour. Despite reported consensual intercourse, 6.8% (3/44) of volunteers were Y-DNA negative within 48 h. Y-DNA was not detected after 144 post-coital hours (6 days). In conclusion, the brush as a forensic evidence collection method may provide additional biological trace evidence from the cervical canal, although the best biological trace evidence collection can be obtained by combining all three sampling techniques. The time frame for gynecological forensic evidence sample collection should be considered to be at least a week if sexual violence is suspected.

  20. Função sexual e qualidade de vida em gestantes de baixo risco Sexual function and quality of life of low-risk pregnant women

    Directory of Open Access Journals (Sweden)

    Denise Queiroz Ferreira

    2012-09-01

    Full Text Available OBJETIVO: Avaliar em gestantes saudáveis no segundo trimestre a associação entre função sexual e qualidade de vida, e função sexual e satisfação sexual. MÉTODOS: Estudo transversal com 51 gestantes em acompanhamento em ambulatório de pré-natal de baixo risco. A função sexual foi aferida por meio do Quociente Sexual - Versão Feminina (QS-F. A qualidade de vida e a satisfação sexual foram avaliadas pelo Instrumento Abreviado de Avaliação de Qualidade de Vida da Organização Mundial da Saúde (WHOQOL-bref. Os critérios de inclusão foram idade gestacional entre a 15ª e a 26ª semana, idade materna igual ou superior a 20 anos, mínimo de 5 anos de educação escolar, ter parceiro fixo há pelo menos 6 meses, ter tido relação sexual com penetração vaginal nos últimos 15 dias. Foram excluídas mulheres vítimas de violência sexual, com história pregressa ou atual de depressão, antecedente de aborto habitual ou complicações na gestação atual (amniorrexe prematura, trabalho de parto prematuro ou hemorragia. Para a análise dos dados foram utilizados os testes do χ² e exato de Fisher e pPURPOSE: To evaluate, in healthy women in the second trimester of pregnancy, a possible association between sexual function and quality of life, and between sexual function and sexual satisfaction. METHODS: This cross-sectional study involved 51 pregnant women managed at a low-risk antenatal care clinic. Sexual function was evaluated through the Sexual Quotient - Female Version (QS-F questionnaire. Quality of life and sexual satisfaction were evaluated though the brief version of the World Health Organization Quality of Life questionnaire (WHOQOL-bref. Inclusion criteria were pregnancy between 15-26 weeks, maternal age 20 or more years, at least five years of scholling, in a relationship with a single partner for the last 6 months, having sexual intercourse with vaginal penetration in the last 15 days. We excluded women with a history

  1. Unwanted Sexual Activity among Peers during Early and Middle Adolescence: Incidence and Risk Factors.

    Science.gov (United States)

    Small, Stephen A.; Kerns, Donell

    1993-01-01

    Assessed incidence and risk factors of unwanted sexual activity initiated by peers for 1,149 adolescent females. Twenty percent of sample reported some type of unwanted sexual contact in past year. Over one-third of this group reported having been forced to have sexual intercourse. Boyfriends were most commonly reported perpetrators followed by…

  2. Age of Sexual Debut and Physical Dating Violence Victimization: Sex Differences among US High School Students

    Science.gov (United States)

    Ihongbe, Timothy O.; Cha, Susan; Masho, Saba W.

    2017-01-01

    Background: Research has shown that early age of sexual debut is associated with physical dating violence (PDV), but sex-specific associations are sparse. We estimated the prevalence of PDV victimization in high school students who have initiated sexual intercourse and examined sex-specific association between age of sexual debut and PDV…

  3. Age of Sexual Debut and Physical Dating Violence Victimization: Sex Differences among US High School Students

    Science.gov (United States)

    Ihongbe, Timothy O.; Cha, Susan; Masho, Saba W.

    2017-01-01

    Background: Research has shown that early age of sexual debut is associated with physical dating violence (PDV), but sex-specific associations are sparse. We estimated the prevalence of PDV victimization in high school students who have initiated sexual intercourse and examined sex-specific association between age of sexual debut and PDV…

  4. Adolescent Self-Esteem in Relation to Sexual Attitudes and Behavior.

    Science.gov (United States)

    Miller, Brent C.; And Others

    1987-01-01

    Adolescents between 14 and 19 years were polled on self-esteem, sexual attitudes, and sexual behavior. A slightly negative correlation was found between sexual attitudes and premarital intercourse experience. The results are consistent with previous research although the sample consisted of slightly younger and more conservative teenagers than did…

  5. The Relation of Gender-Role Orientation to Sexual Experience among College Students.

    Science.gov (United States)

    Whitley, Bernard E., Jr.

    1988-01-01

    Examines the relations of gender role self concept, behavior, and sexual attitudes to sexual experience, reasons for intercourse, and contraceptive behavior. Finds that gender is strongly related to all three aspects of sexual behavior for a group of 185 female and 163 male college students. (FMW)

  6. Premarital Sexuality: A Five-Year Follow-Up Study of Attitudes and Behavior by Dating Stage.

    Science.gov (United States)

    Roche, John P.; Ramsbey, Thomas W.

    1993-01-01

    Surveyed 268 college students about premarital sex in 1988 and compared findings to those from similar sample in 1983. Females in 1988 showed lower levels of sexual intercourse at all five dating stages than did 1983 counterparts. Males in 1988 reported higher levels of intercourse for first four dating stages than did 1983 males. (Author/NB)

  7. Husband's control and sexual coercion within marriage: findings from a population-based survey in Egypt.

    Science.gov (United States)

    Kaplan, Rachel L; Khawaja, Marwan; Linos, Natalia

    2011-11-01

    This article examined sexual coercion within marriage in Egypt. Using cross-sectional survey data from a representative sample of married Egyptian women (N = 5,240), associations between forced intercourse and husband's control, as well as other relevant sociodemographic factors, were assessed through binary logistic regression models. The lifetime prevalence of forced intercourse was 6.2% and 4.6% during the past year, and husband's control was significantly associated with forced intercourse during a woman's lifetime (odds ratio = 3.5) and past year (odds ratio = 2.8). Interventions addressing gender patriarchy and men's control may decrease incidence of sexual coercion in Egypt and similar contexts.

  8. Premature thelarche: a follow up study of 40 girls. Natural history and endocrine findings.

    Science.gov (United States)

    Pasquino, A M; Tebaldi, L; Cioschi, L; Cives, C; Finocchi, G; Maciocci, M; Mancuso, G; Boscherini, B

    1985-01-01

    Follow up of 40 girls with premature thelarche showed that where this disorder occurred before age 2 years it usually regressed completely, thus representing a transient and isolated phenomenon. Premature thelarche after age 2 years persisted more frequently, however, and represented the first sign of sexual development, generally leading to simple early puberty. PMID:4091585

  9. Transitions in Body and Behavior : A Meta-Analytic Study on the Relationship Between Pubertal Development and Adolescent Sexual Behavior

    OpenAIRE

    Baams, Laura; Dubas, Judith Semon; Overbeek, Geertjan; Aken, Marcel A. G.

    2015-01-01

    The present meta-analysis studies the relations of pubertal timing and status with sexual behavior and sexual risk behavior among youth aged 10.5-22.4 years. We included biological sex, age, and ethnicity as potential moderators. Four databases were searched for studies (published between 1980 and 2012) on the relation between pubertal timing or status and sexual behavior. The outcomes were (1) sexual intercourse; (2) combined sexual behavior; and (3) risky sexual behavior. Earlier pubertal t...

  10. Can Sex Education Delay Early Sexual Debut?

    Science.gov (United States)

    Erkut, Sumru; Grossman, Jennifer M.; Frye, Alice A.; Ceder, Ineke; Charmaraman, Linda; Tracy, Allison J.

    2013-01-01

    In this study, we examine whether a nine-lesson sex education intervention, "Get Real: Comprehensive Sex Education That Works," implemented in sixth grade, can reduce the number of adolescents who might otherwise become "early starters" of sexual activity (defined as heterosexual intercourse) by seventh grade. Participants were…

  11. Attitudes of Gatekeepers Towards Adolescent Sexual and ...

    African Journals Online (AJOL)

    AJRH Managing Editor

    ASRH promotion including resistance from parents, attitudes of adolescents, communication gap between adults and ... Even though the median age at first birth ... contraception compared to 19% of married women ... Studies investigating sexual intercourse among .... Ghana is a multiethnic country with over 50 ethnic.

  12. Sexual excitement.

    Science.gov (United States)

    Stoller, R J

    1976-08-01

    Sexual excitement depends on a scenario the person to be aroused has been writing since childhood. The story is an adventure, an autobiography disguised as fiction, in which the hero/heroine hides crucial intrapsychic conflicts, mysteries, screen memories of actual traumatic events and the resolution of these elements into a happy ending, best celebrated by orgasm. The function of the fantasy is to take these painful experiences and convert them to pleasure-triumph. In order to sharpen excitement-the vibration between the fear of original traumas repeating and the hope of a pleasurable conclusion this time-one introduces into the story elements of risk (approximations of the trauma) meant to prevent boredom and safety factors (sub-limnal signals to the storyteller that the risk are not truly dangerous). Sexual fantasy can be studied by means of a person's daydreams (including those chosen in magazines, books, plays, television, movies, and outright pornography), masturbatory behavior, object choice, foreplay, techniques of intercourse, or postcoital behavior.

  13. [Premature craniosynostosis is related to increased criminal behavior in adolescence].

    Science.gov (United States)

    Fehlow, P

    1989-01-01

    Among 100 patients with premature synostosis of the coronal suture or of several cranial sutures there were 37 patients with problems of social adaptation. 54% of them had committed punishable offences and 22% were even recidivists. Sexual offenders with mental retardation predominated. Frontal lobe dysfunctions with increased susceptibility to environmental damages are assumed to be the basic disorder.

  14. The effects of peer education on reduction of the HIV/sexually transmitted infection risk behaviors among Turkish university students.

    Science.gov (United States)

    Bulduk, Serap; Erdogan, Semra

    2012-01-01

    This study investigated how HIV/sexually transmitted infection peer education (PE) affected HIV knowledge, perceived prevention self-efficacy, and risky sexual behaviors among Turkish university students (N = 118) who were sexually active but did not use condoms. A methodological and pre-/posttest controlled study design was used, with data collected before PE, just after PE, 3 months after PE, and 6 months after PE. We found significant differences according to group*time interaction in the variables of HIV knowledge, self-efficacy for condom use and refusing sexual intercourse, and vaginal-oral-anal intercourse with condom, talking with the partner about condom use, refusing sexual intercourse with someone not using a condom, and taking alcohol before sexual intercourse. No differences were found according to group*time interaction in self-efficacy for asking potential partners questions, using drugs before and after sexual intercourse, and sexual partner. Peer education was found to reduce risky sexual behaviors among university students. Peer education should focus on safer sexual behaviors to develop strategies to increase self-efficacy.

  15. Sexual dysfunction after radiotherapy for cancer of the cervix uteri

    Energy Technology Data Exchange (ETDEWEB)

    Ohkawa, R.; Takamizawa, H. (Chiba Univ. (Japan). School of Medicine); Arai, T.; Morita, S.

    1981-03-01

    Investigations of sexual consciousness and sexual dysfunction after radiotherapy for cancer of the cervix uteri were performed on patients of middle and old ages by questionnaires and questioning by doctors, and the following results were obtained. 1. Before radiotherapy, sexual activity was most prominent in their twenties and thirties. However, patients who were in fifties when this study was performed had most active sexual lives during the ages from 35 to 50 years. 2. Frequencies of sexual intercourse decreased markedly just before radiotherapy, and many patients received radiotherapy when sexual activity fell. 3. 32% of the patients have not experienced sexual intercourse after radiotherapy. 4. Decreases in the sex urge, sexuality, vaginal discharge, and frequency of sexual intercourse after radiotherapy were recognized in 77%, 77%, 70%, and 93% respectively. 5. Patients who became unwilling to maintain sexual lives after radiotherapy because of fear about recurrence or aggravation of cancer were 38% by questionaires and 49% by questioning by doctors. 6. Pains on sexual intercourse were found in 69% by questionaires and 49% by questionning by doctors. Most pains occurred at penis insertion and was thought to be due to atrophy and inflammation of vagina and external genitalia in most cases. 7. Both vaginal damage and sexual dysfunction in patients with radiotherapy following surgery for cancer of the cervix uteri, in patients with radiotherapy alone for cancer of the cervix uteri, and in patients with radiotherapy following surgery for cancer of the ovary and corpus uteri were marked, modest and mild, respectively. 8. Vaginal damage score was higher in patients treated more than 5 years before than those less than 2 years ago, but there were no differences in sexual dysfunction score between both groups.

  16. Premature ejaculation: current and future treatments

    Institute of Scientific and Technical Information of China (English)

    Levent Gurkan; Matthew Oommen; Wayne J. G. Hellstrom

    2008-01-01

    Premature ejaculation (PE) is recognized to be the most common male sexual disorder. PE provides difficulties for professionals who treat this condition because there is neither a universally accepted definition nor a medication approved by the Food and Drug Administration (FDA). Despite these shortcomings, physicians continue to diagnose their patients with PE according to major guidelines and treat them with either behavioral therapies or off-label medications. This review focuses on current and emerging treatment options and medications for PE. Advantages and limitations of each treatment option are discussed in the light of current published peer-reviewed literature.

  17. The effect of on-demand caffeine consumption on treating patients with premature ejaculation: a double-blind randomized clinical trial.

    Science.gov (United States)

    Saadat, Seyyed H; Ahmadi, Khodabakhsh; Panahi, Younes

    2015-01-01

    Premature ejaculation (PE) is an important and common sexual issue in male adults, since its etiology is still unknown. There are many suggested treatments such as paroxetine, clomipramine, dapoxetine, tramadol and topical agents; all of them have stigma or considerable side effects. Therefore, present study aimed to examine the effect of on-demand caffeine consumption on treating patients with PE. In this double blind RCT, 40 otherwise healthy individuals with PE were allocated into 2 groups of caffeine and placebo group. The caffeine group received 100 mg encapsulated caffeine for 3 weeks, 2 hours prior to each intercourse. Intravaginal ejaculation latency time (IELT) and index of sexual satisfaction (ISS) were measured before and after treatment in both groups. Suitable statistical analysis was performed. (Registration code: IRCT2013091614677N1). Mean age of the participants was 39.88±8.72 years. No significant difference was found between pre-treatment and post-treatment values of both IELT and ISS in the placebo group, but significant difference was seen in post treatment values between our two groups and pre-treatment and post-treatment values of the caffeine group (IELT: 144s vs 312s, p0.07, pcaffeine on several aspects of sexual life, which makes comparison impossible. Considering the fact that caffeine is a well-known and widely used drug in common disease, using this compound will not result in any stigma. Our study demonstrates that 100mg on-demand caffeine can significantly increase both IELT and ISS. Furthermore, the slope of these increasings is correlated with each other. More studies are needed to make stronger conclusions.

  18. Assessing sexuality attitudes and behaviors and correlates of alcohol and drugs.

    Science.gov (United States)

    Donnelly, J; Goldfarb, E S; Ferraro, H; Eadie, C; Duncan, D F

    2001-06-01

    The association between sexual abstinence and use of alcohol, cigarettes, and marijuana was examined in data from questionnaires completed by 874 students in Grades 6 through 8 at six urban schools. These students participated in a program that implemented and evaluated an educational program on abstinence sexuality. It focused on raising self-esteem, improving communication skills, and learning to set life goals. The evaluation instrument contained items assessing sexuality and attitudes toward behaviors related to drug use. Use of each drug (alcohol, tobacco, and marijuana) was significantly (p < .00001) and positively associated with self-report of having experienced sexual intercourse and expectation of having intercourse during the next year.

  19. A cross-sectional study on attitudes toward gender equality, sexual behavior, positive sexual experiences, and communication about sex among sexually active and non-sexually active adolescents in Bolivia and Ecuador

    Science.gov (United States)

    De Meyer, Sara; Jaruseviciene, Lina; Zaborskis, Apolinaras; Decat, Peter; Vega, Bernardo; Cordova, Kathya; Temmerman, Marleen; Degomme, Olivier; Michielsen, Kristien

    2014-01-01

    Background It is widely agreed upon that gender is a key aspect of sexuality however, questions remain on how gender exactly influences adolescents’ sexual health. Objective The aim of this research was to study correlations between gender equality attitudes and sexual behavior, sexual experiences and communication about sex among sexually active and non-sexually active adolescents in 2 Latin American countries. Design In 2011, a cross-sectional study was carried out among 5,913 adolescents aged 14–18 in 20 secondary schools in Cochabamba (Bolivia) and 6 secondary schools in Cuenca (Ecuador). Models were built using logistic regressions to assess the predictive value of attitudes toward gender equality on adolescents’ sexual behavior, on experiences and on communication. Results The analysis shows that sexually active adolescents who consider gender equality as important report higher current use of contraceptives within the couple. They are more likely to describe their last sexual intercourse as a positive experience and consider it easier to talk with their partner about sexuality than sexually experienced adolescents who are less positively inclined toward gender equality. These correlations remained consistent whether the respondent was a boy or a girl. Non-sexually active adolescents, who consider gender equality to be important, are more likely to think that sexual intercourse is a positive experience. They consider it less necessary to have sexual intercourse to maintain a relationship and find it easier to communicate with their girlfriend or boyfriend than sexually non-active adolescents who consider gender equality to be less important. Comparable results were found for boys and girls. Conclusions Our results suggest that gender equality attitudes have a positive impact on adolescents’ sexual and reproductive health (SRH) and wellbeing. Further research is necessary to better understand the relationship between gender attitudes and specific SRH

  20. A cross-sectional study on attitudes toward gender equality, sexual behavior, positive sexual experiences, and communication about sex among sexually active and non-sexually active adolescents in Bolivia and Ecuador.

    Science.gov (United States)

    De Meyer, Sara; Jaruseviciene, Lina; Zaborskis, Apolinaras; Decat, Peter; Vega, Bernardo; Cordova, Kathya; Temmerman, Marleen; Degomme, Olivier; Michielsen, Kristien

    2014-12-01

    Background It is widely agreed upon that gender is a key aspect of sexuality however, questions remain on how gender exactly influences adolescents' sexual health. Objective The aim of this research was to study correlations between gender equality attitudes and sexual behavior, sexual experiences and communication about sex among sexually active and non-sexually active adolescents in 2 Latin American countries. Design In 2011, a cross-sectional study was carried out among 5,913 adolescents aged 14-18 in 20 secondary schools in Cochabamba (Bolivia) and 6 secondary schools in Cuenca (Ecuador). Models were built using logistic regressions to assess the predictive value of attitudes toward gender equality on adolescents' sexual behavior, on experiences and on communication. Results The analysis shows that sexually active adolescents who consider gender equality as important report higher current use of contraceptives within the couple. They are more likely to describe their last sexual intercourse as a positive experience and consider it easier to talk with their partner about sexuality than sexually experienced adolescents who are less positively inclined toward gender equality. These correlations remained consistent whether the respondent was a boy or a girl. Non-sexually active adolescents, who consider gender equality to be important, are more likely to think that sexual intercourse is a positive experience. They consider it less necessary to have sexual intercourse to maintain a relationship and find it easier to communicate with their girlfriend or boyfriend than sexually non-active adolescents who consider gender equality to be less important. Comparable results were found for boys and girls. Conclusions Our results suggest that gender equality attitudes have a positive impact on adolescents' sexual and reproductive health (SRH) and wellbeing. Further research is necessary to better understand the relationship between gender attitudes and specific SRH outcomes

  1. A cross-sectional study on attitudes toward gender equality, sexual behavior, positive sexual experiences, and communication about sex among sexually active and non-sexually active adolescents in Bolivia and Ecuador.

    Science.gov (United States)

    De Meyer, Sara; Jaruseviciene, Lina; Zaborskis, Apolinaras; Decat, Peter; Vega, Bernardo; Cordova, Kathya; Temmerman, Marleen; Degomme, Olivier; Michielsen, Kristien

    2014-01-01

    It is widely agreed upon that gender is a key aspect of sexuality however, questions remain on how gender exactly influences adolescents' sexual health. The aim of this research was to study correlations between gender equality attitudes and sexual behavior, sexual experiences and communication about sex among sexually active and non-sexually active adolescents in 2 Latin American countries. In 2011, a cross-sectional study was carried out among 5,913 adolescents aged 14-18 in 20 secondary schools in Cochabamba (Bolivia) and 6 secondary schools in Cuenca (Ecuador). Models were built using logistic regressions to assess the predictive value of attitudes toward gender equality on adolescents' sexual behavior, on experiences and on communication. The analysis shows that sexually active adolescents who consider gender equality as important report higher current use of contraceptives within the couple. They are more likely to describe their last sexual intercourse as a positive experience and consider it easier to talk with their partner about sexuality than sexually experienced adolescents who are less positively inclined toward gender equality. These correlations remained consistent whether the respondent was a boy or a girl. Non-sexually active adolescents, who consider gender equality to be important, are more likely to think that sexual intercourse is a positive experience. They consider it less necessary to have sexual intercourse to maintain a relationship and find it easier to communicate with their girlfriend or boyfriend than sexually non-active adolescents who consider gender equality to be less important. Comparable results were found for boys and girls. Our results suggest that gender equality attitudes have a positive impact on adolescents' sexual and reproductive health (SRH) and wellbeing. Further research is necessary to better understand the relationship between gender attitudes and specific SRH outcomes such as unwanted teenage pregnancies and sexual

  2. A cross-sectional study on attitudes toward gender equality, sexual behavior, positive sexual experiences, and communication about sex among sexually active and non-sexually active adolescents in Bolivia and Ecuador

    Directory of Open Access Journals (Sweden)

    Sara De Meyer

    2014-07-01

    Full Text Available Background: It is widely agreed upon that gender is a key aspect of sexuality however, questions remain on how gender exactly influences adolescents’ sexual health. Objective: The aim of this research was to study correlations between gender equality attitudes and sexual behavior, sexual experiences and communication about sex among sexually active and non-sexually active adolescents in 2 Latin American countries. Design: In 2011, a cross-sectional study was carried out among 5,913 adolescents aged 14–18 in 20 secondary schools in Cochabamba (Bolivia and 6 secondary schools in Cuenca (Ecuador. Models were built using logistic regressions to assess the predictive value of attitudes toward gender equality on adolescents’ sexual behavior, on experiences and on communication. Results: The analysis shows that sexually active adolescents who consider gender equality as important report higher current use of contraceptives within the couple. They are more likely to describe their last sexual intercourse as a positive experience and consider it easier to talk with their partner about sexuality than sexually experienced adolescents who are less positively inclined toward gender equality. These correlations remained consistent whether the respondent was a boy or a girl. Non-sexually active adolescents, who consider gender equality to be important, are more likely to think that sexual intercourse is a positive experience. They consider it less necessary to have sexual intercourse to maintain a relationship and find it easier to communicate with their girlfriend or boyfriend than sexually non-active adolescents who consider gender equality to be less important. Comparable results were found for boys and girls. Conclusions: Our results suggest that gender equality attitudes have a positive impact on adolescents’ sexual and reproductive health (SRH and wellbeing. Further research is necessary to better understand the relationship between gender

  3. Overestimation of heterosexually attributed AIDS deaths is associated with immature psychological defence mechanisms and clitoral masturbation during penile-vaginal intercourse.

    Science.gov (United States)

    Brody, S; Costa, R M

    2009-12-01

    Research shows that (1) greater use of immature psychological defence mechanisms (associated with psychopathology) is associated with lesser orgasmic consistency from penile-vaginal intercourse (PVI), but greater frequency of other sexual behaviours and greater condom use for PVI, and (2) unlike the vectors of receptive anal intercourse and punctures, HIV acquisition during PVI is extremely unlikely in reasonably healthy persons. However, the relationship between overestimation of AIDS deaths due to 'heterosexual transmission' (often misunderstood as only PVI), sexual behaviour and mental health has been lacking. Two hundred and twenty-one Scottish women completed the Defense Style Questionnaire, reported past month frequencies of their various sexual activities, and estimated the total number of women who died from AIDS in Scotland nominally as a result of heterosexual transmission in the UK from a partner not known to be an injecting drug user, bisexual or infected through transfusion. The average respondent overestimated by 226,000%. Women providing lower estimates were less likely to use immature psychological defences, and had a lower frequency of orgasms from clitoral masturbation during PVI and from vibrator use. The results indicate that those who perceive 'heterosexual transmission' led to many AIDS deaths have poorer psychological functioning, and might be less able to appreciate PVI.

  4. Sexual function of women with chronic illness and cancer.

    Science.gov (United States)

    Basson, Rosemary

    2010-05-01

    Addressing the sexual sequelae of chronic disease and its treatment is now accepted as a fundamental part of healthcare. Most of the sexual effects of chronic disease are negative, and ongoing illness continues to modulate a woman's sexual self-image, energy and interest in sexual activity, as well as her ability to respond to sexual stimuli with pleasurable sensations, excitement, orgasm and freedom from pain with genital stimulation or intercourse. Nevertheless, for many women with chronic illness, sexuality remains extremely important despite the commonly associated fatigue and acquired sexual dysfunctions; sexual resilience can be substantial. Following recovery from cancer surgery, chemotherapy and radiation, prognosis can be excellent and a return to full health can often be expected, and yet, there may have been devastating changes to sexual function owing to the cancer treatment. Women with metastatic disease may still treasure sexual intimacy. Assessment and management of sexual dysfunction is therefore necessary in all women with chronic illness or past or present cancer.

  5. Altered states of consciousness are related to higher sexual responsiveness.

    Science.gov (United States)

    Costa, Rui M; Pestana, José; Costa, David; Wittmann, Marc

    2016-05-01

    Altered states of consciousness lead to profound changes in the sense of self, time and space. We assessed how these changes were related to sexual responsiveness during sex. 116 subjects reported (a) intensity of awareness concerning body, space and time, and (b) satisfaction, desire, arousal, and orgasm occurrence. We differentiated vaginal intercourse orgasm from noncoital orgasm. Female vaginal intercourse orgasm was further differentiated as with or without concurrent clitoral masturbation. Overall, sexual responsiveness was related to greater body awareness and lesser time and space awareness. Satisfaction, desire, and arousal were especially associated with less time awareness in women. Female orgasms during vaginal intercourse were related to greater body awareness and lesser time awareness, but noncoital orgasms were unrelated. Our findings provide empirical support for the hypotheses that altered states of consciousness with attentional absorption are strongly related to sexual responsiveness in women, and to a lesser extent in men.

  6. The epidemiology of premature ejaculation.

    Science.gov (United States)

    Saitz, Theodore Robert; Serefoglu, Ege Can

    2016-08-01

    Vast advances have occurred over the past decade with regards to understanding the epidemiology, pathophysiology and management of premature ejaculation (PE); however, we still have much to learn about this common sexual problem. As a standardized evidence-based definition of PE has only recently been established, the reported prevalence rates of PE prior to this definition have been difficult to interpret. As a result, a large range of conflicting prevalence rates have been reported. In addition to the lack of a standardized definition and operational criteria, the method of recruitment for study participation and method of data collection have obviously contributed to the broad range of reported prevalence rates. The new criteria and classification of PE will allow for continued research into the diverse phenomenology, etiology and pathogenesis of the disease to be conducted. While the absolute pathophysiology and true prevalence of PE remains unclear, developing a better understanding of the true prevalence of the disease will allow for the completion of more accurate analysis and treatment of the disease.

  7. Classification and definition of premature ejaculation.

    Science.gov (United States)

    Parnham, Arie; Serefoglu, Ege Can

    2016-08-01

    Premature ejaculation (PE) is a poorly understood condition and is considered as the most common sexual disorder in men. The ambiguity surrounding PE is in part due to the difficulty in conducting and interpreting research in the absence of a standardised definition that adequately encompasses the characteristics of these patients. An enhanced awareness of sexual dysfunctions in the recent decades has lead to an increase in scientific research that has challenged the traditional paradigm regarding PE. This has also enabled to establish a universal definition and classification of the disease. A move to a more evidence based approach has improved the clinicians' ability to define those who need medical treatment, as well as perform further research in this complex condition.

  8. [Questionnaires in sexual medicine].

    Science.gov (United States)

    Giuliano, F

    2013-07-01

    Screening, diagnosis and assessment of the management of male and female sexual dysfunctions have been greatly improved by the scientific development of self-administered questionnaires. Their use became the rule in clinical trials and epidemiological surveys. Nevertheless, their routine use has not yet become part of daily urological practice. Even if these tools replace neither the patient interview and medical history and the psychological and social context of the sexual behavior, nor clinical examination, they are of great assistance for determining management and are also highly reliable. Medical literature was reviewed and combined with expert opinion of the author. We present here several questionnaires which have been validated in their French version with the methodology for the calculation of the scores. The International Index of Erectile Function (15 items) and two abbreviated versions, the Erectile Function domain (six items) and the Sexual Health Inventory for Men (five questions) are mainly of use for patients with erectile dysfunction. They provide a robust classification of the severity of the condition. The Premature Ejaculation Profile (four questions) is used for patients with premature ejaculation. It describes premature ejaculation with the following criteria: time to ejaculation, control over ejaculation, the level of distress. The Male Health Sexual Questionnaire (25 questions) provides with a wider and more comprehensive approach to male sexuality of male sexuality including: erection, ejaculation, desire and satisfaction. This questionnaire is particularly useful to investigate ejaculatory disorders. Lastly, the Female Sexual Function Index (19 questions) is the tool of choice for female sexuality with questions regarding desire, arousal, lubrication, orgasm, satisfaction and pain. Validated, user-friendly questionnaires are available in French language for the diagnosis and the follow-up of sexual dysfunctions in both men and women

  9. Self Esteem and Adolescent Sexual Attitudes and Behavior

    OpenAIRE

    Christensen, Roger B.

    1985-01-01

    This study was designed to determine; (1) if adolescent self esteem is related to premarital sexual attitudes and intercourse behavior; (2) if religious affiliation and church attendance affect the relationship between adolescent self esteem and premarital sexual attitudes and behavior. Approximately 2400 adolescents residing in California, New Mexico, and Utah comprised the sample. Adolescents who attended church services more often reported less sexually permissive attitudes and behavior...

  10. Gender, Generational Status, and Parent-Adolescent Sexual Communication: Implications for Latino/a Adolescent Sexual Behavior.

    Science.gov (United States)

    Deutsch, Arielle R; Crockett, Lisa J

    2016-06-01

    There is little research on how specific parent-adolescent sexual communication topics influence Latino/a youth's sexual behaviors, and how gender and generational status may moderate effects. This study examined effects of three different messages on intercourse and condom use among 1944 Latino/as from the National Longitudinal Study of Adolescent Health (T1 mean age=15.46; sd=1.50). Results indicated discussing health consequences predicted higher odds of intercourse one year later across gender and generation groups. Birth control recommendation effects on subsequent intercourse and condom use differed by generational status and gender. Results indicated that message content is important for understanding effects of parent-adolescent sex communication on adolescents' behavior, and underscored the need to consider gender and generational status in Latino/a parent-adolescent sexual communication studies.

  11. Experimentally measured susceptibility to peer influence and adolescent sexual behavior trajectories: A preliminary study.

    Science.gov (United States)

    Choukas-Bradley, Sophia; Giletta, Matteo; Widman, Laura; Cohen, Geoffrey L; Prinstein, Mitchell J

    2014-09-01

    A performance-based measure of peer influence susceptibility was examined as a moderator of the longitudinal association between peer norms and trajectories of adolescents' number of sexual intercourse partners. Seventy-one 9th grade adolescents (52% female) participated in an experimental "chat room" paradigm involving "e-confederates" who endorsed sexual risk behaviors. Changes in participants' responses to risk scenarios before versus during the "chat room" were used as a performance-based measure of peer influence susceptibility. Participants reported their perceptions of popular peers' number of sexual intercourse partners at baseline and self-reported their number of sexual intercourse partners at baseline and 6, 12, and 18 months later. Susceptibility was examined as a moderator of the longitudinal association between perceptions of popular peers' number of sexual intercourse partners and trajectories of adolescents' own numbers of partners. High perceptions of the number of popular peers' sexual intercourse partners combined with high peer influence susceptibility predicted steeper longitudinal trajectories of adolescents' number of partners. Results provide novel preliminary evidence regarding the importance of peer influence susceptibility in adolescents' development of sexual behaviors.

  12. Lifestyle influences on prematurity.

    Science.gov (United States)

    Creasy, R K

    1991-01-01

    It is apparent from this review that the lifestyle of an individual gravida can potentially lead to a premature delivery. Some of these adverse behavioral characteristics may be dealt with by education and motivation, and some with actual medical treatment. However, there also appears to be significant need for public policy reorientation if we are to make a significant impact on the problem of preterm delivery.

  13. Sexual Force at Sexual Debut. Swedish Adolescents with Disabilities at Higher Risk than Adolescents without Disabilities

    Science.gov (United States)

    Brunnberg, Elinor; Bostrom, Margareta Linden; Berglund, Mats

    2012-01-01

    The aims of this study are first to compare the incidence of force on the first occasion of sexual intercourse reported by participants with disabilities to that of students without disabilities; second to determine whether there are significant differences in mental health, substance abuse, and school performance as reported by participants…

  14. The Effects of Dating Violence, Substance Use and Risky Sexual Behavior among a Diverse Sample of Illinois Youth

    Science.gov (United States)

    Alleyne, Binta; Coleman-Cowger, Victoria H.; Crown, Laurel; Gibbons, Maya A.; Vines, Linda N.

    2011-01-01

    This study examines the relationship between dating violence, forced sexual intercourse (FSI), and four measures of sexual risk taking (i.e., age at first sex, number of recent (within the last three months) sex partners, alcohol/drug use at last sex, and condom use at last sex) among a sample of 1124 ethnically diverse sexually active adolescents…

  15. [Sexual behavior and contraceptive practices among university students].

    Science.gov (United States)

    Repossi, A; Araneda, J M; Bustos, L; Puente, C; Rojas, C

    1994-01-01

    The aim of this work was to study the knowledge, opinions and sexual behaviour of a sample of 464 students from the Universidad Austral de Chile. Results show that 78% of male and 41% of female students have had a sexual intercourse and that 78% of males and 72% of females with an active sexual life use contraceptive methods. The principal reasons to avoid the use of these methods are the irregularity of sexual intercourse and the reduction in pleasure. Most students think that these methods are harmful for their health but they should be used. The use of contraceptive methods increase with the frequency of sexual relations and university experience, but first year students use them more frequently than second year students. Most students know several contraceptive methods, but their knowledge about mechanisms of action is inadequate or distorted. Likewise, more than 50% think that it is possible to prevent pregnancy after a sexual intercourse. It is concluded that most sexually active students use contraceptive methods, but inappropriately. Stereotypes, myths and lack of information are influencing their sexual and contraceptive practices, showing incoherence between their knowledge and behavior. A possible explanation could be a scarce influence of high school and religion on their sexual formation.

  16. Synaesthesia and Sexuality: The influence of synaesthetic perceptions on sexual experience

    Directory of Open Access Journals (Sweden)

    Janina eNielsen

    2013-10-01

    Full Text Available Introduction. Synaesthesia is a phenomenon in which a certain stimulus induces a concurrent sensory perception; it has an estimated prevalence of 4 %. Sexual arousal as an inducer for synaesthetic perceptions is rarely mentioned in the literature but can be found sometimes in case reports about subjective orgasmic experiences.Aims. To examine whether synaesthetic perceptions during sexual intercourse have an impact on the sexual experience and the extent of sexual trance compared to non-synaesthetes.Methods. In total, 19 synaesthetes with sexual forms of synaesthesia (17 female; 2 male were included as well as corresponding control data of 36 non-synaesthetic subjects (n = 55. Two questionnaires were used to assess relevant aspects of sexual function and dysfunction (a German adaption of the Brief Index of Sexual Functioning, KFSP as well as the occurrence and extent of sexual trance (german version of the Altered States of Consciousness Questionnaire, OAVAV. Additionally qualitative interviews were conducted in some subjects to further explore the nature of sexual experiences in synaesthetes.Main Outcome Measures. Sexual experience and extent of sexual trance during intercourse.Results. Synaesthetes depicted significantly better overall sexual function on the KFSP with increased scores for the subscale sexual appetence but coevally significant lower subscale scores for sexual satisfaction. Sexual dysfunction was not detected in this sample. Synaesthetes depicted significantly higher levels of the subscales oceanic boundlessness and visionary restructuralization than controls using the OAVAV. Qualitative interviews revealed varying synaesthetic perceptions during the different states of arousal. Furthermore, synaesthetes reported an unsatisfactory feeling of isolation caused by the idiosyncratic perceptions. Conclusions. Synaesthetes with sexual forms of synaesthesia seem to experience a deeper state of sexual trance without, however,

  17. Education for sexuality.

    Science.gov (United States)

    Sapire, K E

    1988-03-01

    Sex education provides a means to reduce the growing incidence of sexual abuse and of sexually transmitted diseases. Knowledge, which differs from permission, may protect. Sex education needs to provide factual information about anatomy and physiology and sexual development and responses. Further, it must guide young people towards healthy attitudes that develop concern and respect for others. This should enable them to make sound decisions about sexual behavior based on both knowledge and understanding of their own sexual identity and interpersonal relationships. The recent research shows that teenagers exposed to sex education are no more likely to engage in sexual intercourse than are other adolescents, and those who become sexually active are more likely to use a contraceptive method at 1st intercourse and are slightly less likely to experience premarital pregnancies. The nonuse of contraceptives is related to ignorance, lack of awareness of the consequences of sexual activity, and inaccessibility of suitable services. Consequently, young people need help to learn about the risks of pregnancy, how to avoid unwanted pregnancy, and where to go for counseling and services before they become sexually active. The provision of contraceptives must be made to meet the needs of adolescents. Formal sex education should be given in schools only with parental knowledge and cooperation. Youth leaders can influence young people positively by teaching about health and hygiene and promoting responsible attitudes toward sex and religion. Doctors and nurses have a unique opportunity to provide counseling throughout their patients' lives. The Department of Health (Capetown, South Africa) has appointed 445 nurses who oversee the youth program. They give sex education at schools, teaching colleges, youth camps, and at clinics. They also provide individual and group counseling for never pregnant, pregnant, and parent adolescents and their parents and partners at 8 youth health

  18. Sexual Fears and Avoidant Sexual Behavior in Medical Students.

    Science.gov (United States)

    Popov, Stefan P; Mateva, Nonka G; Iliev, Yanko T; Dechev, Ivan D; Karalilova, Rositsa V

    2015-01-01

    Sexual fears, sometimes in the form of phobias, lead to aversive or sexually avoidant behavior blocking sexual closeness and resulting in deep personal and interpersonal distress. To determine the types of sexual fears and aversive behavior in young people of reproductive age (students) and their degree of markedness as to encourage a further implementation of prevention programs and interventions. The study included 116 fifth-year medical students in Plovdiv Medical University. Of these, 55 men and 61 women were assessed with the Sexual Aversion Scale, a 30-item self-rating questionnaire. The Diagnostic and Statistical Manual of Mental Disorders criteria of sexual aversion were used. The statistical analyses used were descriptive statistics and independent samples t-test. Sexual fears and aversive or blocking behavior are mild to moderate, mean score of 1.54 ± 0.04, without statistically significant gender differences. Both sexes have established fear-related sexual aversive motives of sexual behavior related to the risk of unwanted pregnancy and HIV infection. Women have significantly higher average scores for the following statements: fear of sexual intercourse (1.61 vs 1.25), avoidance of situations in which they may be involved sexually (1.95 vs 1.51), avoidance of genital sexual contact (1.44 vs 1.16), fear of catching a sexually transmitted disease (2.46 vs 2.09 ), fear of pregnancy (2.61 vs 2.15) and concerns what other people think of them (2.34 vs 1.93 ). Sexual fears and aversive or blocking behavior were mild to moderate. In both sexes similar fears--aversive or blocking patterns of sexual behavior were found, mainly associated with the fear of unwanted pregnancy and the risk of HIV infection, more expressed in women.

  19. The Sexual Behaviour of Secondary School Adolescent Students in Tanzania: Patterns and Trends

    Directory of Open Access Journals (Sweden)

    Madan Mohan Laddunuri

    2013-01-01

    Full Text Available Introduction: A surge of sexual interest occurs around puberty and continues through adolescence. Heightened adolescent sexuality may be caused by a number of factors, including bodily changes, sexual hormones, social forces, and rehearsal for adult gender roles. The main objective of the present study is to understand the patterns and trends of adolescent students’ sexual behaviour in Tanzania.Methodology: A descriptive cross sectional study was conducted and 550 secondary school students (13 to 19 years old were recruited by using a multistage random sampling technique from Tanzania’s secondary schools. The data collection tool was a structured questionnaire. Data were analysed by using SPSS software package version 16.Results: More than one third (40.2% of the participant students had experienced intercourse with mean age 17.2±1.8 years and one sixth (17.6% of the participants had multiple sexual partners. The mean age for hugging, kissing and breast fondling was significantly younger when compared to the sexual intercourse. Most (78.5% of the students had used contraceptives but the frequency of contraception was less than half (48.6% “always”. The main reasons beyond sexual debut were “just for fun” (37% and “peer pressure” (27.6%. A male student was 1.46 times more likely to have had intercourse than a female. Parental education was the most significant association with sexual debut of adolescents and the odds ratio indicates that sexual intercourse among students is decreasing with the increasing of parental education.Conclusion: A relatively high sexual intercourse has been recorded and risky sexual behaviour also existed among the respondents. Hence, there is a need to promote specific intervention programmes built upon those factors which are associated with an increased likelihood for early sexual debut and risky sexual behaviour.

  20. Committee Opinion No. 678: Comprehensive Sexuality Education.

    Science.gov (United States)

    2016-11-01

    Current sexuality education programs vary widely in the accuracy of content, emphasis, and effectiveness. Data have shown that not all programs are equally effective for all ages, races and ethnicities, socioeconomic groups, and geographic areas. Studies have demonstrated that comprehensive sexuality education programs reduce the rates of sexual activity, sexual risk behaviors (eg, number of partners and unprotected intercourse), sexually transmitted infections, and adolescent pregnancy. One key component of an effective program is encouraging community-centered efforts. In addition to counseling and service provision to individual adolescent patients, obstetrician-gynecologists can serve parents and communities by supporting and assisting sexuality education. Because of their knowledge, experience, and awareness of a community's unique challenges, obstetrician-gynecologists can be an important resource for sexuality education programs.

  1. Determinants of condom use at sexual debut among young Vietnamese.

    Science.gov (United States)

    Do, Trang H T; Le, Linh C; Burgess, John A; Bui, Dinh S

    2014-01-01

    Condom use at sexual debut is associated with subsequent condom use and with decreased risk of sexually transmitted infections. There is a dearth of data on determinants of condom use at first sexual intercourse. We aimed to determine factors associated with condom use at first sexual intercourse before marriage among Vietnamese adolescents and youths. The study involved the analysis of data from the Survey Assessment of Vietnamese Youth, 2003, the first nationally representative survey of young people in Vietnam. The survey included 7584 adolescents and youths aged 14-25 years. In this study, data of 605 adolescents and youths who had engaged in premarital sex were analyzed for factors associated with condom use using descriptive analyses, and regression techniques, allowing for sampling weights, clustering and stratification. Of 605 adolescents and youths who had engaged in premarital sex, 28.6% reported condom use at first sexual intercourse. Condom use at sexual debut was less common in females than males [odds ratio (OR)=0.15; 95% confidence interval (95% CI)=0.07-0.30] and less common in those who experienced peer pressure to engage in social higher risk behaviors (OR=0.57; 95% CI=0.32-0.99). Condom use was more common if a friend/acquaintance or a stranger/sex worker was the first sexual partner (OR=2.20; 95% CI=1.16-4.17 and OR=17.90; 95% CI=6.88-46.54) respectively, each compared with fiancé/boyfriend/girlfriend as first sexual partner. These data suggest that approximately one in three unmarried Vietnamese youths used a condom at first sexual intercourse. Gender, peer pressure and the nature of the relationship to the first sexual partner were independently associated with condom use. These results can inform programs directed at preventing HIV and other sexually transmitted infections among young Vietnamese.

  2. Sexuality during pregnancy: what is important for sexual satisfaction in expectant fathers?

    Science.gov (United States)

    Nakić Radoš, Sandra; Soljačić Vraneš, Hrvojka; Šunjić, Marijana

    2015-01-01

    This cross-sectional study aimed to examine changes in some aspects of sexuality (sexual desire, frequency, and satisfaction) in expecting fathers and to determine predictors of sexual satisfaction. Men whose partners were in the third trimester of pregnancy participated in the study (N = 105). Findings demonstrate that a majority of men experienced a decrease in the frequency of sexual activity during their partner's pregnancy. However, decrease in sexual desire was experienced by less than a third of the participants. Even though there was a decrease in sexual satisfaction in almost half of the men, participants generally perceived their sexual satisfaction as quite high. Aspects of the relationship with one's partner were shown to be the most important determinant of sexual satisfaction, and closeness with one's partner to be especially important. Most men (80%) reported fear of hurting the fetus during intercourse as one of the main reasons that prevented intercourse during pregnancy. However, this specific fear was not a significant determinant of sexual satisfaction. Results are discussed in light of previous findings examining sexuality among expecting fathers as well as among men in general.

  3. Women Report Vaginal Ring for Preventing HIV had Little Effect on Sexual Intercourse

    Science.gov (United States)

    ... News Releases News Release Tuesday, October 18, 2016 Women report vaginal ring for preventing HIV had little ... social harm were associated with low adherence. Most women who used an experimental vaginal ring for HIV ...

  4. Urinating after Sexual Intercourse Prevents Pregnancy: Adolescents' Misconceptions of Reproductive Health Knowledge

    Directory of Open Access Journals (Sweden)

    Dyah Anantalia Widyastari

    2012-11-01

    Full Text Available Latar belakang: Kesehatan reproduksi remaja pada masa ini menuntut perhatian semua pihak. Banyaknya kasus seks pranikah, kehamilan yang tidak diinginkan dan aborsi di kalangan remaja menuntut pemerintah dan semua pihak yang berkepentingan mengambil sebuah tindakan untuk mengatasinya. Kurangnya pengetahuan remaja tentang kesehatan reproduksi ditengarai menjadi penyebab utama remaja melak'ttkan perilaku seks beresiko. Tujuan: Penelitian ini bertujuan mengukur tingkat pengetahuan kesehatan reproduksi remaja dan menganalisa faktor-faktor yang mempengaruhinya. Metode: Penelitian ini merupakan penelitian kuantitatif dengan pendekatan cross sectional yang melibatkan 320 orang siswa sekolah menengah di kota Semarang. Data dikumpulkan dengan mempergunakan angket yang mengukur tingkat pengetahuan remaja tentang kesehatan reproduksi dan hal yang berkaitan dengan seksualitas. Hasil: Enam puluhpersen remaja mempunyai tingkat pengetahuan yang rendah. Miskonsepsi terjadi pada isu seputar terjadinya kehamilan dimana sebagian besar mereka beranggapan bahwa buang air kecil setelah berhubungan seksual dapat menghindarkan si gadis dari kehamilan. Sebagian lagi beranggapan bahwa kehamilan tidak akan terjadi pada hubungan seks yang pertama. Teman sebaya dan media terbukti signifikan sebagai prediktor pengetahuan remaja. Kesimpulan: Dengan banyaknya remaja yang mempunyai tingkat pengetahuan rendah dan banyaknya miskonsepsi seputar kesehatan reproduksi remaja, pendidikan seks menjadi sangat penting dibangun sebagai sarana untuk meningkatkan pengetahuan kesehatan reproduksi remaja. Kata kunci: Pengetahuan, Kesehatan Reproduksi, Remaja, Miskonsepsi

  5. Knowledge of sexual and reproductive health among adolescents attending school in Kelantan, Malaysia.

    Science.gov (United States)

    Ab Rahman, Azriani; Ab Rahman, Razlina; Ibrahim, Mohd Ismail; Salleh, Halim; Ismail, Shaiful Bahri; Ali, Siti Hawa; Muda, Wan Manan Wan; Ishak, Maizun; Ahmad, Amaluddin

    2011-05-01

    The objectives of this study were to describe the knowledge of sexual and reproductive health among adolescents attending school and to compare the levels of knowledge between males and females and between older and younger groups of adolescents. Across-sectional study was conducted among 1,034 secondary school students using a self administered validated questionnaire. The items with the fewest correct responses included: whether one can get pregnant after a single act of sexual intercourse (30.4%), whether sexual intercourse causes sexually transmitted diseases (STDs) (12.4%) and whether washing the vagina after sexual intercourse prevents pregnancy (17.0%). Their main source of sexual information was friends (64.4%). An independent t-test revealed the mean knowledge score was significantly higher among females than males on items assessing whether the genitalia may be touched freely by family members, females having attained menarche may become pregnant if having sex, whether pregnancy will occur if there is penetration of the penis into the vagina, whether premarital sexual intercourse causes pregnancy and if there is a relationship between abandoned babies and premarital pregnancies. The mean knowledge score assessing whether pregnancy can be prevented using condoms was higher among males than females. The mean knowledge scores were significantly higher among form four and form five students than forms one, two and three students. Lack of knowledge regarding important aspects of sexual and reproductive health warrant the need to strengthen sexual and reproductive health education.

  6. Premature aging syndrome.

    Science.gov (United States)

    Coppedè, Fabio

    2012-01-01

    Hutchinson-Gilford progeria syndrome and Werner syndrome are two of the best characterized human progeroid diseases with clinical features mimicking physiological aging at an early age. Both disorders have been the focus of intense research in recent years since they might provide insights into the pathology of normal human aging. The chapter contains a detailed description of the clinical features of both disorders and then it focuses on the genetics, the resulting biochemical alterations at the protein level and the most recent findings and hypotheses concerning the molecular basis of the premature aging phenotypes. A description of available diagnostic and therapeutic approaches is included.

  7. Sexual behavior in Spanish adolescents of divorced parents.

    Science.gov (United States)

    Orgilés, Mireia; Espada, José P; Johnson, Blair T; Huedo-Medina, Tania B; Carratalá, Elena

    2012-05-01

    Marital breakup has been associated with numerous behavioral problems in children, such as sexual risk behaviors. This research is the first to examine sexual behaviors of Spanish adolescents related to whether their parents were married or divorced. Participants were 342 boys and girls aged between 14 and 18 years. The sample provided confidential information about their sexual behavior and birth control methods. Significant differences were only found in percentages of adolescents who had engaged in mutual masturbation, intercourse, or oral sex, and who had practiced these sexual relations in the last six months, in both cases, they were higher when the parents had broken their marital relationship. Regarding adolescents of divorced parents, engaging in intercourse is more likely in older teenagers who live with a stepparent. Moreover, older adolescents who were younger when parents divorced and who live in a reconstituted family, have more sexual partners. These and other findings are discussed.

  8. Therapeutic options for patients returning to sexual activity.

    Science.gov (United States)

    Nusbaum, Margaret R H

    2004-03-01

    No head-to-head studies have been conducted with the phosphodiesterase type 5 (PDE5) inhibitors to date. Results of noncomparative studies, however, suggest that tadalafil and vardenafil hydrochloride are at least as effective as sildenafil citrate in improving erections and increasing the number of successful intercourse attempts in men with erectile dysfunction (ED) at all levels of severity. By facilitating a sexual response, PDE5 inhibitors lend naturalness to sexual activity and may permit couples to return to their previous sexual lifestyle. By providing a broader window of opportunity, a longer-acting PDE5 inhibitor such as tadalafil adds to the variety of options currently available in managing ED with PDE5 inhibitors. This option offers increased flexibility by minimizing the need to plan sexual activity; allowing more time for intimacy or romance before sexual intercourse; and reducing the pressure on the patient to perform.

  9. Challenges in sexual medicine

    DEFF Research Database (Denmark)

    Cellek, Selim; Giraldi, Annamaria

    2012-01-01

    The sexual medicine field has been in mode of revolution until recently. Like all other fields of biomedical research, the economic situation around the world has had a negative impact on the field's momentum-research funding bodies, regulatory bodies and pharmaceutical companies seem to have...... placed sexual medicine in their low-priority list. But this is not the only challenge the field is facing. The successful development of phosphodiesterase type 5 (PDE5) inhibitors for treatment of erectile dysfunction (ED) means that research in this area seems to have slowed. However, there remain...... several unmet medical needs within sexual medicine such as premature ejaculation, severe ED and hypoactive sexual desire disorder, which await novel therapeutic approaches. Despite these challenges, research into finding and developing such therapies is likely to continue in the sexual medicine field...

  10. A cognitive behavioural intervention to reduce sexually transmitted infections among gay men: randomised trial

    OpenAIRE

    Imrie, J.; Stephenson, J R; Cowan, F. M.; Wanigaratne, S; Billington, A. J. P.; Copas, A. J.; French, L.; French, P D; Johnson, A. M.; Behav Intervention Gay Men Project

    2001-01-01

    Objective To determine the effectiveness of a brief cognitive behavioural intervention in reducing the incidence of sexually transmitted infections among gay men.Design Randomised controlled trial with 12 months' follow up.Setting Sexual health clinic in London.Participants 343 gay men with an acute sexually transmitted infection or who reported having had unprotected anal intercourse in the past year.Main outcome measures Number of new sexually transmitted infections diagnosed during follow ...

  11. A Survey on the Sexual and Contraceptive Behaviors in Chinese Female College Students

    Institute of Scientific and Technical Information of China (English)

    2006-01-01

    To get information in the sexual and contraceptive behaviors in Chinese female college students, a randomized cluster sampling was conducted in colleges and universities in Wuhan Area,China, in terms of types of colleges, subjects (literature, sciences, medicines, art etc), and grades etc.A total number of 2450 questionnaires were distributed, with 2365 questionnaires returned being valid. The return rate of valid questionnaires was 96.6%. The questionnaire investigation was conducted on a multiple-choice and anonymous basis. Data were input into computer and SPSS12.0software package was employed for statistical analysis. Among the female students, 1196 had the experiences of hugging and kissing (50.57%) and 423 (17.89%) had sexual experiences (sexual intercourse). The first sexual intercourse took place at the age of 19.23±1.74 y. There were significant differences in the sexual experiences among the majors of different subjects, with the rate of sexual experiences in art majors (43.17%) and high-grade students (34.31%) being the highest. The causes of the first sexual intercourse included sexual impulse, curiosity, intention to strengthen the relationship or to show loyalty to boyfriend and sometimes violence. While the motives of the sexual intercourse within the past one year before the investigation were to satisfy the sexual needs and to strengthen the relation with their boyfriends. With both first intercourse and sexual experiences within last one year,the partners of the sexual intercourse were mainly their boyfriends (95.7% and 97.3% respectively),but the partners also included acquaintances, "one night stand" partners and customers of sex trade.Some of them had multiple sexual partners, with the highest number of the sexual partners being 11.In the first sexual intercourse of the subjects, 44.0% of them did not take any contraceptive measures;only 16.4 % of them used condoms. In the sexual intercourse within the last one year, only 44.6%took

  12. Tattoos, piercing, and sexual behaviors in young adults.

    Science.gov (United States)

    Nowosielski, Krzysztof; Sipiński, Adam; Kuczerawy, Ilona; Kozłowska-Rup, Danuta; Skrzypulec-Plinta, Violetta

    2012-09-01

    Body piercing and tattooing are accepted by a growing number of teenagers and young adults as a way of self-expressing. Some authors suggest association between body piercings/tattoos and early sexual initiation, higher number of sexual partners, or risky sexual behaviors. The aim of the study was to evaluate sexual behaviors among young adults with body modifications (BMs)--tattoos and piercings. One hundred twenty young healthy adults, ages between 20 and 35, were included in the population study. The study group was divided into three subgroups: controls (N = 60), adults with tattoos (N = 28), and adults with piercings (N = 32). The research instrument was a self-prepared questionnaire containing 59 questions assessing socioepidemiological parameters, sexual behaviors, incidents of sexual harassment in the past, and self-attractiveness evaluation, as well as questions concerning tattoos and piercings. Socioepidemiological variables and sexual behaviors were compared between subgroups. To assess and describe the correlation between having BM--tattoos and piercing--and sexual behaviors in the population of young adults by using the logistic regression model. Adults with BMs have had their first intercourse statistically earlier and were more sexually active compared with controls. There were no statically significant differences in sexual orientation, sexual preferences, engaging in risky sexual behaviors, frequency of masturbation, and history of sexual abuse between the groups. In contrast, the frequency of sexual intercourses was statistically higher and oral sex was more likely to be a dominant sexual activity in adults with BM compared with controls. The multivariate logistic model revealed that adults with BM were four times less likely to participate in religious practices and twice more likely to have early sexual initiation. Having BM is associated with early sexual initiation and more liberal attitudes toward sexual behaviors but not with engaging in

  13. Differences between users and non-users of emergency contraception after a recognized unprotected intercourse

    DEFF Research Database (Denmark)

    Sørensen, M B; Pedersen, B L; Nyrnberg, L E

    2000-01-01

    Knowledge of emergency contraception is crucial but might not transform into use. Factors influencing decision-making related to use of emergency contraception after an unprotected intercourse and the characteristics of users of emergency contraception (EC) were assessed. In an abortion clinic...... of EC does not necessarily transform into action. Neglect of risk after an unprotected intercourse is frequent in younger well-informed women and information has to be better targeted....

  14. Heteronormativity and sexual partnering among bisexual Latino men.

    Science.gov (United States)

    Muñoz-Laboy, Miguel; Garcia, Jonathan; Wilson, Patrick A; Parker, Richard G; Severson, Nicolette

    2015-05-01

    Our analyses address the question of how bisexual Latino men organize their sexual partnerships. Heteronormativity can be understood as the set of social norms and normative structures that guide sexual partnering among men and women. We provide descriptive statistics to describe bisexual Latino men's sexual partnerships. Logistic and linear regression modeling were used to explore bivariate and multivariate relationships. Of our total sample (N = 142), 41.6 % had unprotected vaginal intercourse 2 months prior to the interview; 21.8 % had unprotected anal intercourse with female partners; 37.5 % had unprotected insertive anal intercourse with male partners; and 22.5 % had unprotected receptive anal intercourse with male partners. In our multivariate model, machismo was directly associated with meeting female partners through formal spaces (workplace, school, and/or church), but inversely associated with meeting male partners in formal spaces. Machismo was positively associated with meeting male sex partners through social networks (i.e., friendship and kinship networks). The more comfortable men were with homosexuality the less likely they were to meet men online and the more likely they were to meet men through social networks of friends and kinship. Interventions to reduce sexually transmitted diseases that target bisexual behavior as an epidemiological "bridge" of transmission from homosexual to heterosexual networks might very well benefit from a more complex understanding of how Latino bisexuality is patterned. Thus, this exploratory analysis might lead to a rethinking of how to address risk and vulnerability among Latino bisexual men and their sexual networks.

  15. [Erectile dysfunction: results of the Brazilian Sexual Life Study].

    Science.gov (United States)

    Abdo, Carmita Helena Najjar; Oliveira, Waldemar Mendes de; Scanavino, Marco de Tubino; Martins, Fernando Gonini

    2006-01-01

    To estimate the prevalence of ED and related risk factors in a sample of the Brazilian male population. Cross-sectional study was carried out with a convenience sample of 2,862 men, 18 years of age or older, using an anonymous self-administered questionnaire. ED prevalence in the sample was obtained by a general question which was directly derived from the ED definition. Data were submitted to chi-square or Student's t tests. Logistic regression analyses were used for risk factor calculations. The prevalence of ED was 45.1% (31.2% mild, 12.2% moderate and 1.7% complete). Subjects with ED presented lower self-esteem, hindered interpersonal relationships, fewer sexual intercourses per week, more extra-marital relationships, complaints of lack of libido and premature ejaculation. When compared with men aged 18-39 years, men aged 60-69 presented 2.2 higher risk of ED (95% CI; 1.4-3.4; p < 0.01), whereas men aged 70 or older presented 3.0 higher risk of ED (95% CI; 1.4-6.3; p < 0.01). Level of education was inversely proportional to risk of ED. Yellow race, unemployment, religious affiliation, prostate tumor, hypertension and depression were variables that increased ED risk. The prevalence of ED was high and comparable to that found in other studies. Subjects with ED suffer from less sexual activity and poorer quality of life. Age and lower socioeconomic level are directly proportional to ED risk. Therapeutic and preventive measures should be implemented to minimize the negative impact of this condition, especially in developing countries.

  16. Sexual behaviour and self-reported sexually transmitted diseases (STDs): comparison between White and Chinese American young people.

    Science.gov (United States)

    Kuo, Wen-Hung; St Lawrence, Janet S

    2006-01-01

    This study examined the sexual behaviour and self-reported incidence of STDs of White and Chinese American young people in a nationally representative US sample. 10,419 White and 340 self-identified Chinese American young people in grade 7 through 12 were selected from the National Longitudinal Study of Adolescent Health. Prevalence of sex initiation, ever having casual sex partners, number of lifetime sex partners, age of first sexual intercourse, and history of self-reported STD diagnoses were compared between these two groups. Chinese American young people reported significantly lower rates of sexual intercourse than Whites. Among sexually active young people, Chinese Americans were also less likely to report non-regular sexual partners and to report having a lower number of such sexual partners in the past year. There was no difference in self-reported STDs between the two groups. Ever having been romantically involved, older age, not living in a two-parent household, having more relaxed attitudes about sex, and reported substance use were associated with a higher likelihood of sexual intercourse in both groups. Being native-born was not associated with patterns of sexual behaviour among Chinese Americans.

  17. Timing of parent and child communication about sexuality relative to children's sexual behaviors.

    Science.gov (United States)

    Beckett, Megan K; Elliott, Marc N; Martino, Steven; Kanouse, David E; Corona, Rosalie; Klein, David J; Schuster, Mark A

    2010-01-01

    To examine timing of parent-child discussions about sexual topics relative to child-reported sexual behavior. Longitudinal study of employed parents and their children, with an initial survey followed by subsequent surveys 3, 6, and 12 months later. Participants were 141 parents, along with their children (13-17 years), who were control participants in a randomized, controlled trial to evaluate a worksite-based intervention to improve parent-adolescent communication. Main outcomes were parent and child reports of discussion of up to 24 sexual topics and presexual and sexual acts (ranging from handholding to vaginal intercourse) that occurred before the first survey and in the intervals between subsequent pairs of surveys. Sexual topics tend to group into 3 sets. The first set includes topics such as girls' bodies and menstruation and typically coincides with children's presexual stage (handholding, kissing). The second set includes topics such as birth control efficacy and refusing sex and typically coincides with the precoital stage (genital touching and oral sex). The third set typically occurs when children have initiated intercourse. Over half of children engage in genital touching before discussing birth control efficacy, resisting partner pressure for sex, sexually transmitted disease symptoms, condom use, choosing birth control, or partner condom refusal; >40% of children have intercourse before any discussion about sexually transmitted disease symptoms, condom use, choosing birth control, or partner condom refusal. Many parents and adolescents do not talk about important sexual topics before adolescents' sexual debut. Clinicians can facilitate this communication by providing parents with information about sexual behavior of adolescents.

  18. AIDS education, condom demand, and the sexual activity of American youth.

    Science.gov (United States)

    Tremblay, Carol Horton; Ling, Davina C

    2005-08-01

    This paper examines the effects of AIDS education at school and at home on the sexual behavior of American youth. Multinomial logit equations of the probabilities of abstinence, sexual intercourse with a condom, and intercourse without a condom are estimated using data from the Youth Risk Behavior Supplement of the 1992 National Health Interview Survey. We find no significant effects of AIDS education on the probability of abstinence, but we do find that AIDS education significantly raises the likelihood of condom-protected relative to unprotected intercourse. These results indicate that risk-altering and risk-revealing AIDS education dominate any utility-altering effects favoring intercourse over abstinence. We also find that young women are influenced by AIDS education to a greater extent than young men. Overall, our results suggest that educating young people about AIDS does not promote sex and encourages safer sex, reducing the likelihood of HIV transmission and lowering the subsequent social costs.

  19. Gendered sexual uses of alcohol and associated risks: a qualitative study of Nigerian University students.

    Science.gov (United States)

    Dumbili, Emeka W

    2016-06-06

    Alcohol misuse among young people is a global phenomenon. In many countries, young people engage in heavy drinking and this exacerbates risky sexual behaviour. In Nigeria, alcohol held multiple roles in the traditional era but was mainly consumed by adult males for pleasure. Adult females and young people were culturally constrained from drinking in most communities. In contemporary Nigeria, young people's drinking is increasing, and many engage in sexual intercourse under the influence of alcohol. This study draws on the traditional gender and social sexual scripts to explore the factors that motivate young people to use alcohol for sexual purposes. In-depth interviews were conducted with 19 to 23-year old male and female undergraduate students from a Nigerian university. Thematic analysis was conducted with the aid of NVivo 10 software. Men drink to become confident to initiate sexual relationships, stimulate sexual urges, prolong erection, increase sexual satisfaction and become more aggressive during sexual intercourse. Women also drink to be bold in initiating sexual relationships, for sexual arousal and to increase satisfaction. Relatedly, not every brand of alcohol is used for sexual purposes. For example, while men use 'herbal' alcoholic beverages and a mixture of locally-produced gin and marijuana, women use champagne and other flavoured alcoholic beverages. The results also revealed that young people use alcohol or salt in a bid to prevent conception after sexual intercourse. Adherence to the traditional gender (masculinity) and social sexual scripts amongst men and the enactment of what appears to be a new form of femininity script amongst women contribute to a culturally specific understanding of the motivations to use alcohol for sexual purposes. Evidence-based strategies should be employed to distribute information about the consequences of sexual intercourse under the influence of alcohol.

  20. "Adolescents Can't Be Gay": Perceptions on Youth, Sexual Diversity, and the Case of Mexico

    Science.gov (United States)

    Alvarez, Paulina Millan

    2006-01-01

    When it comes to adolescent sexuality, researchers have focused on topics such as sexuality education, contraceptive methods, the use of condoms, and first intercourse. These studies have provided valuable information on issues that need attention from authorities and that are widely recognized as social problems (unwanted pregnancies, for…

  1. How Sources of Sexual Information Relate to Adolescents' Beliefs about Sex

    Science.gov (United States)

    Bleakley, Amy; Hennessy, Michael; Fishbein, Martin; Jordan, Amy

    2009-01-01

    Objectives: To examine how sources of sexual information are associated with adolescents' behavioral, normative, and control beliefs about having sexual intercourse using the integrative model of behavior change. Methods: Survey data from a quota sample of 459 youth. Results: The most frequently reported sources were friends, teachers, mothers,…

  2. Magnetic resonance imaging of male and female genitals during coitus and female sexual arousal

    NARCIS (Netherlands)

    Schultz, WW; van Andel, P; Sabelis, [No Value; Mooyaart, E

    1999-01-01

    Objective To find out whether taking images of the male and female genitals during coitus is feasible and to find out whether former and current ideas about the anatomy during sexual intercourse and during female sexual arousal are based on assumptions or on facts. Design Observational study Setting

  3. [Use of condoms among Mexican adolescents for the prevention of sexually transmitted diseases].

    Science.gov (United States)

    Gayet, Cecilia; Juárez, Fátima; Pedrosa, Laura A; Magis, Carlos

    2003-01-01

    To investigate the current sexual behavior and condom use during the first sexual intercourse among adolescents, as well as variations and factors influencing condom use at first sexual intercourse. The data source for this study was Mexico's National Health Survey 2000. Study subjects were male and female adolescents aged 12 to 19 years (n = 16,258). Statistical analysis consisted of descriptive statistics and multivariate logistic regression, to assess the association of four types of factors (demographic, socioeconomic, cultural, and cognitive) with condom use during the first sexual intercourse. Males and residents of urban areas reported greater sexual activity and condom use. Typically, adolescents who used condoms during the first sexual intercourse were male, older, resided in urban areas, non-speakers of an indigenous language, and with higher schooling. New policies should be framed to prevent sexually transmitted infections to span the gap between knowledge and practice, targeting adolescents starting sexual activity earlier, those who speak an indigenous language, living in rural areas, with less schooling, and females. The English version of this paper is available too at:http://www.insp.mx/salud/index.html.

  4. Correlates of Precoital Behaviors, Intentions, and Sexual Initiation among Thai Adolescents

    Science.gov (United States)

    Atwood, Katharine A.; Zimmerman, Rick; Cupp, Pamela K.; Fongkaew, Warunee; Miller, Brenda A.; Byrnes, Hilary F.; Chamratrithirong, Aphichat; Rhucharoenpornpanich, Orratai; Chaiphet, Nonthathorn; Rosati, Michael J.; Chookhare, Warunee

    2012-01-01

    This paper examines the risk and protective factors associated with sexual behaviors among Thai youth ages 13-14 (N=420) living in Bangkok, Thailand. Cross-sectional data were collected using a random sample of households methodology. Three outcomes were assessed: (1) intention to engage in sexual intercourse, (2) pre-coital behaviors, and (3)…

  5. Adolescent Perceptions of Maternal Approval of Birth Control and Sexual Risk Behavior.

    Science.gov (United States)

    Jaccard, James; Dittus, Patricia J.

    2000-01-01

    Used data from the Longitudinal Study of Adolescent health to examine the relationship between adolescent perception of maternal approval of the use of birth control and sexual outcomes over 12 months. Overall, adolescents' perceptions of maternal approval related to an increased likelihood of sexual intercourse in the next year and an increase in…

  6. Preventing Sexually Transmitted Infections among Adolescents: An Assessment of Ecological Approaches and Study Methods

    Science.gov (United States)

    Shoveller, Jean A.; Johnson, Joy L.; Savoy, Daphne M.; Pietersma, W. A. Wia

    2006-01-01

    Most primary prevention research has attempted to explain sexual health outcomes, such as sexually transmitted infections, by focusing on individual characteristics (e.g. age), qualities (e.g. knowledge levels), and risk behaviour (e.g. unprotected intercourse). Emerging evidence indicates that population-level health outcomes are unlikely to be…

  7. Sexual Behavior and Perceived Peer Norms: Comparing Perinatally HIV-Infected and HIV-Affected Youth

    Science.gov (United States)

    Bauermeister, Jose A.; Elkington, Katherine; Brackis-Cott, Elizabeth; Dolezal, Curtis; Mellins, Claude Ann

    2009-01-01

    A large proportion of perinatally HIV-infected (PHIV) children are becoming adolescents and exploring their sexuality. This study explored the prevalence of sexual behaviors (kissing, touching, engaging in oral sex, or having vaginal/anal intercourse) in a sample of predominantly ethnic minority youths (N = 339; 54.1% Black and 30.4% Latino; 51%…

  8. Social Environment and Problem Behavior: Perceived School Safety, Gender, and Sexual Debut

    Science.gov (United States)

    March, Alice L.; Atav, A. Serdar

    2010-01-01

    In 2007, 48% of U.S. students of grades 9 to 12 had experienced sexual debut, 7% before the age of 13 years. Preventing early intercourse, sexually transmitted diseases, adolescent pregnancy, and the loss of educational opportunity are important concerns for nurses and educators. A secondary data analysis of the Youth Risk Behavior Survey (YRBS)…

  9. Adolescent Perceptions of Maternal Approval of Birth Control and Sexual Risk Behavior.

    Science.gov (United States)

    Jaccard, James; Dittus, Patricia J.

    2000-01-01

    Used data from the Longitudinal Study of Adolescent health to examine the relationship between adolescent perception of maternal approval of the use of birth control and sexual outcomes over 12 months. Overall, adolescents' perceptions of maternal approval related to an increased likelihood of sexual intercourse in the next year and an increase in…

  10. "Adolescents Can't Be Gay": Perceptions on Youth, Sexual Diversity, and the Case of Mexico

    Science.gov (United States)

    Alvarez, Paulina Millan

    2006-01-01

    When it comes to adolescent sexuality, researchers have focused on topics such as sexuality education, contraceptive methods, the use of condoms, and first intercourse. These studies have provided valuable information on issues that need attention from authorities and that are widely recognized as social problems (unwanted pregnancies, for…

  11. Hiding the word: examining the relationship between a new measure of religiosity and sexual behavior.

    Science.gov (United States)

    Young, Michael; Denny, George; Penhollow, Tina; Palacios, Rebecca; Morris, Duston

    2015-06-01

    The relationship between religiosity and sexual behavior has been previously investigated, but researchers have not examined the relationship between the intellectual dimension of religiosity and sexual behavior. In this study, we developed an intellectual measure of religiosity, Hiding the Word (HTW), and examined whether it accounted for variation in the sexual behavior of college students, beyond that for which age and a generic measure of religiosity could account. Results showed, after accounting for age and generic religiosity, HTW made a significant contribution to distinguishing between students who had, and those who had not, engaged in various sexual behaviors. For females, this was the case in three of the five behaviors examined (all except receiving oral sex and participating in unprotected penile-vaginal intercourse at most recent sexual encounter), and for males, two of the four behaviors (sexual intercourse and anal intercourse). HTW was less of a factor in accounting for variation in the frequency of participation. For males, HTW was significant for the frequency of participation in penile-vaginal intercourse, receiving oral sex, and the number of sexual partners in the last month. For females, HTW was significant only for the number of sexual partners in the last month. Thus, religiosity, and specifically HTW, seems to play more of a role in determining whether or not a person has participated in behavior, rather than in the frequency of participation.

  12. Sexual behavior among high school students in Brazil: alcohol consumption and legal and illegal drug use associated with unprotected sex

    Directory of Open Access Journals (Sweden)

    Zila M. Sanchez

    2013-04-01

    Full Text Available OBJECTIVE: Alcohol and other drug use appears to reduce decision-making ability and increase the risk of unsafe sex, leading to possible unplanned pregnancies, sexually transmitted diseases/human immunodeficiency virus/HIV transmission, and multiple sexual partners. This study aimed to test the hypothesis that risky sexual behaviors among adolescents are associated with legal and illegal drug use. METHODS: A national cross-sectional survey of 17,371 high-school students was conducted in 2010. Students were selected from 789 public and private schools in each of the 27 Brazilian state capitals by a multistage probabilistic sampling method and answered a self-report questionnaire. Weighted data were analyzed through basic contingency tables and logistic regressions testing for differences in condom use among adolescents who were sexually active during the past month. RESULTS: Approximately one third of the high school students had engaged in sexual intercourse in the month prior to the survey, and nearly half of these respondents had not used a condom. While overall sexual intercourse was more prevalent among boys, unsafe sexual intercourse was more prevalent among girls. Furthermore, a lower socioeconomic status was directly associated with non-condom use, while binge drinking and illegal drug use were independently associated with unsafe sexual intercourse. CONCLUSION: Adolescent alcohol and drug use were associated with unsafe sexual practices. School prevention programs must include drug use and sexuality topics simultaneously because both risk-taking behaviors occur simultaneously.

  13. Personal stories of growing up sexually.

    Science.gov (United States)

    Beausang, C C

    2000-01-01

    Prevention of problems related to sexuality during adolescence continues to be a major public health challenge. Describing childhood perceptions of sexuality is an important step in understanding sexual issues during adolescence. However, there is a paucity of information about sexuality in early life. Therefore, the purpose of this study was to describe recurrent themes in personal stories of growing up sexually. A thematic analysis with a narrative perspective was applied using the method described by Miles and Huberman (1994). Four interrelated themes pervaded the stories: parents as teachers, sex is secret, learning by experience, and first intercourse as a turning point. These findings have major implications for sexual health education and counseling in addition to further research.

  14. The Influence of Parental Communication and Perception of Peers on Adolescent Sexual Behavior.

    Science.gov (United States)

    Sneed, Carl D; Tan, Huey Peing; Meyer, Jacob C

    2015-08-01

    The authors used the theory of planned behavior to examine the influence of parents and peers on early adolescent sexual attitudes, self-efficacy to limit sexual behavior, and behavioral intentions to have vaginal intercourse. Adolescents (N = 212) provided self-reports of their perception of parent and peer attitudes regarding sexual behavior. The authors used bivariate and regression analyses to examine the relation between parent and peer attitudes with adolescent sexual attitudes, self-efficacy to limit sexual behavior, and behavioral intentions to have vaginal intercourse. Although there were gender differences, the analyses revealed the importance of both parents and peers on adolescent sexual attitudes, self-efficacy to limit sexual behavior, and intentions to have vaginal sex in the next year.

  15. Premature ovarian failure.

    Science.gov (United States)

    Shelling, Andrew N

    2010-11-01

    Premature ovarian failure (POF) is a common cause of infertility in women, and is characterised by amenorrhoea, hypo-oestrogenism and elevated gonadotrophin levels in women under the age of 40. Known causes include iatrogenic agents that cause permanent damage to the ovaries, such as chemotherapy, radiation therapy and surgery, autoimmune conditions, X-chromosome abnormalities and autosomal genetic conditions. However, few genes have been identified that can explain a substantial proportion of cases of POF. Most women with POF are deeply upset by the diagnosis, partly due to the unexpected menopausal symptoms, but also due to infertility. Therefore, early detection would provide better opportunity for early intervention, and furthermore, the identification of specific gene defects will help to direct potential targets for future treatment.

  16. Apnea of prematurity

    Directory of Open Access Journals (Sweden)

    Piermichele Paolillo

    2013-06-01

    Full Text Available Apnea of prematurity (AOP is one of the most frequent pathologies in the Neonatal Intensive Care Unit, with an incidence inversely related to gestational age. Its etiology is often multi factorial and diagnosis of idiopathic forms requires exclusion of other underlying diseases. Despite being a self-limiting condition which regresses with the maturation of the newborn, possible long-term effects of recurring apneas and the degree of desaturation and bradycardia who may lead to abnormal neurological outcome are not yet clarified. Therefore AOP needs careful evaluation of its etiology and adequate therapy that can be both pharmacological and non-pharmacological. Proceedings of the 9th International Workshop on Neonatology · Cagliari (Italy · October 23rd-26th, 2013 · Learned lessons, changing practice and cutting-edge research

  17. Personal values and sexual decision-making among virginal and sexually experienced urban adolescent girls.

    Science.gov (United States)

    Paradise, J E; Cote, J; Minsky, S; Lourenco, A; Howland, J

    2001-05-01

    To guide the development of an intervention to reduce the incidence of sexually transmitted diseases (STDs) in urban, adolescent girls, we investigated such girls' reasons for deciding to have or not to have sexual intercourse. Consecutive girls >or=14 years of age attending an urban adolescent clinic were invited to complete an anonymous survey about sexual decision-making. In this pilot study, girls were asked: (a) whether they agreed with a statement that they had or had not had sexual intercourse "because of my values and beliefs"; and (b) to select from a list one or more specific reasons why they had or had not had intercourse. The girls were categorized by self-report as either "virgins," "currently inactive" (no intercourse in the preceding 3 months), or "currently active" (had intercourse during the preceding 3 months). Usable surveys were obtained from 197 adolescents whose age (18.2 +/- 2.6 years) and race (69% black) were comparable to those of clinic attendees in general. Forty girls (20%; age 16.1 +/- 2.1 years) were virgins, 25 girls (13%; age 17.8 +/- 2.3 years) were inactive, and 132 girls (67%; age 18.9 +/- 2.5 years) were currently active. "Values and beliefs" were cited as the reason for decisions about sexual behavior by 53% of the virgins, but only by 24% of the sexually inactive and 24% of the sexually active girls (p = .002). Virgins were more likely than inactive girls to cite three specific reasons for not having sex: "not the right thing for me now" (82% vs. 50%, p = .007), "waiting until I am older" (69% vs. 8%, p = .001), and "waiting until I am married" (67% vs. 38%, p = .02). The reason "against my religious beliefs" was cited by 23% of virgins and 13% of inactive girls (p = not significant). Personal values were implicit in the two specific reasons for having sex that active girls chose most frequently, namely, "I like/love the person" (86%) and "I like having sex" (37%), although only 24% of these girls had explicitly cited "values

  18. Intrauterine infection and prematurity.

    Science.gov (United States)

    Gonçalves, Luís F; Chaiworapongsa, Tinnakorn; Romero, Roberto

    2002-01-01

    Intrauterine infection is a major cause of premature labor with and without intact membranes. Intrauterine infection is present in approximately 25% of all preterm births and the earlier the gestational age at delivery, the higher the frequency of intra-amniotic infection. Microorganisms may also gain access to the fetus before delivery. A fetal inflammatory response syndrome elicited in response to microbial products is associated with the impending onset of preterm labor and also with multi-systemic organ involvement in the human fetus and a higher rate of perinatal morbidity. The most common microorganisms involved in intrauterine infections are Ureaplasma urealyticum, Fusobacterium species and Mycoplasma hominis. The role of Chlamydia trachomatis and viruses in preterm labor remain to be determined. Use of molecular microbiology techniques to diagnose intrauterine infection may uncover the role of fastidious microorganisms that have not yet been discovered. Antibiotic administration to patients with asymptomatic bacteriuria is associated with a significant reduction in the rate of preterm birth. However, such benefit has not been demonstrated for patients with bacterial vaginosis, or women who carry Streptococcus agalactia, Ureaplasma urealyticum or Trichomonas vaginalis. Antibiotic administration to patients with preterm premature rupture of membranes is associated with prolongation of pregnancy and a reduction in the rate of clinical chorioamnionitis and neonatal sepsis. The benefit has not been demonstrated in patients with preterm labor and intact membranes. Major efforts are required to determine why some women develop an ascending intrauterine infection and others do not and also what interventions may reduce the deleterious effect of systemic fetal inflammation. Copyright 2002 Wiley-Liss, Inc.

  19. Contextual factors associated with sexual behavior among Brazilian adolescents.

    Science.gov (United States)

    Oliveira-Campos, Maryane; Giatti, Luana; Malta, Deborah; Barreto, Sandhi M

    2013-10-01

    There are few studies about the influence of the context on sexual behavior among adolescents in developing countries, such as Brazil. Adolescent pregnancy and the high incidence of sexually transmitted disease (STDs) among Brazilian youngsters are a public health problem. The object of this study was to investigate whether factors from family and school contexts are associated with sexual behavior among Brazilian adolescents. This study used data from 60,973 adolescent participants in the National Survey of School Health. The response variable was sexual behavior, described in three categories (never had sexual intercourse, had protected sexual intercourse, had unprotected sexual intercourse). The explanatory variables were grouped into sociodemographic characteristics, number of risk behavior factors (regular use of alcohol, smoking, and experimenting with illicit drugs), and family and school context. Variables associated with having protected and unprotected sexual relations in each context were identified by means of multinomial logistic regression. The reference was "never had sexual intercourse." Approximately one fourth of adolescents have already had sexual intercourse, most frequently boys. Among the adolescents who declared sexual initiation, the most part had their first sexual relation with age of 13 years or younger. Almost 21% did not use protection the last time they had sex. The greater the number of risk factors involved, the higher the incidence of protected and unprotected sex. In the family context, living with only one or with neither parent and low parental supervision increased the frequency of protected and unprotected sex. Never eating meals with the parents augmented the incidence of unprotected sex (odds ratio [OR], 1.60). In the school context, students from private schools were less likely to have had protected and unprotected sex (OR, 0.58 and 0.68). Not receiving instructions at school about pregnancy prevention increased the

  20. Sexuality attitudes and behaviors of self-described very religious urban students in middle school.

    Science.gov (United States)

    Donnelly, J; Duncan, D F; Goldfarb, E; Eadie, C

    1999-10-01

    Data from a survey of 869 students aged 11 to 15 years and attending six urban middle schools were analyzed to identify differences in sex attitudes and behaviors between self-reported very religious students and their less religious peers. The two groups were demographically similar. They differed on only two attitude items, one suggesting that intercourse was a normal part of teenage dating and the other suggesting intercourse was alright if the two people were in love. The groups did not differ in their estimation of their peers' sexual activity or attitude or in terms of their own intercourse behavior or future intentions.

  1. Apnea of Prematurity (For Parents)

    Science.gov (United States)

    ... other babies. The apnea of prematurity does not cause brain damage. A healthy baby who is apnea free for a week will probably never have AOP again. Although sudden infant death syndrome (SIDS) does happen more often in premature infants, no relationship between AOP and SIDS has ...

  2. Does Sexual Satisfaction Change With Relationship Duration?

    Science.gov (United States)

    Schmiedeberg, Claudia; Schröder, Jette

    2016-01-01

    Despite a large body of empirical literature on sexual satisfaction, its development over the course of a relationship is still unclear. Only a small number of studies, most of which have relied on cross-sectional data of convenience samples, have explicitly focused on relationship duration, and empirical evidence is mixed. We analyzed how sexual satisfaction changes over the course of a relationship using three waves of the German Family Panel study (pairfam). We concentrated our analyses on young and middle-aged heterosexual individuals in committed relationships (N = 2,814) and applied fixed effects regression models, which have the advantage of estimations based on changes within individuals over time. We found a positive development of sexual satisfaction in the first year of a relationship, followed by a steady decline. This pattern persisted even when controlling for the frequency of intercourse, although the effects were, in part, mediated by intercourse frequency. We explained the non-linear effect of relationship duration on sexual satisfaction with an initial learning effect regarding partner-specific sexual skills, which is then outweighed by a decline in passion at later stages of a relationship. Moreover, we found significant effects for the control variables of health status, intimacy in couple communication, and conflict style, as expected. In contrast to past research, however, cohabitation and marriage were not found to play a role for sexual satisfaction in our data. Further research is required to deepen the understanding of the reasons why sexual satisfaction changes with relationship duration.

  3. Are sexual media exposure, parental restrictions on media use and co-viewing TV and DVDs with parents and friends associated with teenagers' early sexual behaviour?

    Science.gov (United States)

    Parkes, Alison; Wight, Daniel; Hunt, Kate; Henderson, Marion; Sargent, James

    2013-12-01

    Sexual content in teenagers' media diets is known to predict early sexual behaviour. Research on sexual content has not allowed for the social context of media use, which may affect selection and processing of content. This study investigated whether sexual media content and/or contextual factors (co-viewing, parental media restrictions) were associated with early sexual behaviour using 2251 14-15 year-olds from Scotland, UK. A third (n = 733) reported sexual intercourse. In multivariable analysis the likelihood of intercourse was lower with parental restriction of sexual media and same-sex peer co-viewing; but higher with mixed-sex peer co-viewing. Parental co-viewing, other parental restrictions on media and sexual film content exposure were not associated with intercourse. Findings suggest the context of media use may influence early sexual behaviour. Specific parental restrictions on sexual media may offer more protection against early sex than other restrictions or parental co-viewing. Further research is required to establish causal mechanisms.

  4. Sexual functions of Turkish women with gynecologic cancer during the chemotherapy process.

    Science.gov (United States)

    Akkuzu, Gulcihan; Ayhan, Ali

    2013-01-01

    The negative effects of gynecologic cancer on women's health is multidimensional. Sexual problems arising after chemotherapy are decreased interest and vaginal lubrication, lack of orgasm and dyspareunia and sense of reduction in sexual attractiveness in general. The purpose of this study was to evaluate changes that patients who receive chemotherapy for a gynecologic oncology disorder experience in their sexual functions. A descriptive/cross-sectional and qualitative study was performed. The Female Sexual Function Index (FSFI) was used in order to collect data on sexual capacity. The quantitative data obtained were evaluated with frequency and percentage calculations while content analysis was performed for the qualitative data. All of the information related to sexuality was provided by the physician. Chemotherapy treatment affected sexuality negatively in 55.9%. Since receiving the diagnosis, 52.9% of women had experienced no sexual intercourse at all. Those who had an FSFI score of 30 and below made up 75% of the women. After the content analysis of data obtained during in in-depth interviewing, we focused on three main themes: desire for sexual intercourse, problems experienced during sexual intercourse, and coping with problems. An integrated system where sexual problems can be handled professionally should be present during gynecological cancer treatment.

  5. Sexual differences in lipoprotein composition in a family with dyslipidemic hypertension with premature atheroschlerosis: deficiency of high-density lipoprotein-L and high-density lipoprotein-M "apolipoprotein-I alone" particle.

    Science.gov (United States)

    Hughes, T A; Moore, M A; Joyce, M; Go, R C; Segrest, J P; Blackwell, T

    1992-01-01

    This article describes a family with a high incidence of premature atherosclerosis and primary hypertriglyceridemia in the women. The lipoprotein composition of this family was investigated with a new methodology that combines gradient ultracentrifugation to isolate lipoprotein subfractions with high-performance liquid chromatography to quantitate apolipoproteins. The major lipoprotein abnormalities that were identified in the hyperlipidemic women in this family were (1) an increased mass of very low density lipoprotein (VLDL) and intermediate density lipoprotein (IDL) with triglyceriderich VLDL but normal IDL composition; (2) triglyceride-rich low-density lipoprotein (LDL) with normal cholesterol and apolipoprotein B concentrations; (3) a relatively normal total mass of high-density lipoprotein (HDL)-L and HDL-M but with a reduction in the apolipoprotein A-I/A-II ratio and a decrease in the cholesterol to triglyceride ratio; (4) an elevation of HDL-D apolipoprotein A-I. The reduction in the apolipoprotein A-I/A-II ratio was also seen in the hyperlipidemic men and in most of nonhyperlipidemic family members and was the most common lipoprotein abnormality that was identified in this family (9 of 11 family members who were not on lipid-lowering medications were affected). The hypertriglyceridemic women appeared to have an increase in the "A-I + A-II" HDL particles in all subfractions and an increase in the "A-I alone" particles in HDL-D. These increases provided the apparently normal total mass of HDL that was observed in these women. These increases in HDL were not seen in the hypertriglyceridemic men. We conclude that a deficiency of the "A-I alone" particle in HDL-L and HDL-M may contribute to the premature atherosclerosis that was seen in this family and that it appears to precede the appearance of hypertriglyceridemia. The increase in the "A-I + A-II" HDL particles did not appear to provide the same protection as would be expected from "A-I alone" HDL.

  6. Adolescent sexuality and its problems.

    Science.gov (United States)

    Yang, M

    1995-09-01

    Adolescent sexual activity is increasing globally. Abstinence and a delay in the start of sexual intercourse may be the most effective methods in preventing the consequences of teenage sexual activity. However, these goals are seldom met. With the change in social norms, peer pressure and media influences; teenagers are engaging in premarital sex earlier. Family life education in countries like Sweden and Finland reduces teenage pregnancy and abortion. It is unrealistic to expect sexually active adolescents to stop their sexual activity. An effective contraceptive method will provide an alternative to prevent teenage pregnancy. Issues on compliance of contraceptive use, especially at the very outset of sexual activity should be addressed. Most of the problems associated with teenage pregnancy are now thought to be related to the social circumstances of the mother, the poor nutritional status before pregnancy and poor attendance at antenatal clinics. Risk-taking behaviour in this age group will also make them more prone to contracting sexually transmitted diseases. High risk groups should be screened and treated early. Contraceptive methods with protection against sexually transmitted diseases should be advised.

  7. Sexuality and sexual reproductive health of disabled young people in Ethiopia.

    Science.gov (United States)

    Kassa, Tigist Alemu; Luck, Tobias; Birru, Samuel Kinde; Riedel-Heller, Steffi G

    2014-10-01

    In Ethiopia, young people with disabilities (YPWD) are often marginalized and not recognized as being sexual, and only little is known about their sexual reproductive health (SRH) status. We therefore aimed to assess the SRH status and associated factors among 426 YPWD in Addis Ababa, Ethiopia. A cross-sectional survey was conducted in 2012. Data were collected by trained interviewers using a structured questionnaire. Fifty-two percent of YPWD ever had sexual intercourse. Seventy-five percent started sex between 15 and 19 years. Only 35% had used contraceptive during their first sexual encounter. Fifty-nine percent of the sexually experienced YPWD had multiple lifetime sexual partners; 19%, a casual sexual partner; and 21%, a commercial sexual partner. Only 48% consistently used condoms with their casual or commercial sexual partners. Twenty-four percent of the sexually experienced YPWD had a history of sexually transmitted infections. Our findings indicate that YPWD in Ethiopia are sexually active, but also highly involved in risky sexual practices. There is a need for in-depth research to better understand the determinants of risky sexual behavior and to propose preventive approaches.

  8. Relationships between attitudes toward sexuality, sexual behaviors, and contraceptive practices among Chinese medical and nursing undergraduates.

    Science.gov (United States)

    Zeng, Yingchun; Luo, Taizhen; Zhou, Ying

    2015-09-01

    In this study, we investigated attitudes toward sexuality, the prevalence of sexual behaviors and contraceptive use among Chinese medical and nursing undergraduates, and relationships between attitudes toward sexuality and sexual and contraceptive practices among these participants. This was a descriptive, cross-sectional study carried out by using a Personal Attitude toward Sexuality Scale and Sexual and Contraceptive Questionnaire. The participants were recruited in the researcher's lectures. A total of 158 participants joined this study. Overall, Chinese medical and nursing undergraduates in this study held relatively conservative attitudes toward sexuality. The prevalence of sexually-active students was relatively low, and the percentage of contraceptive use among those sexually-active students was also low. Participants' attitudes toward sexuality had statistically-significant effects on their sexual and contraceptive practices. Nearly half of the sexually-active participants reported never using any contraceptive method during sexual intercourse. This finding has important public health implications, as young people represent the group with the largest rate of new infections of HIV/AIDS in China. A more comprehensive sexual education program that extends to college undergraduates and promotes the social acceptability of using contraception, specifically condoms, is needed.

  9. HIV Serodisclosure and Sexual Behavior During International Travel.

    Science.gov (United States)

    Truong, Hong-Ha M; Chen, Yea-Hung; Grasso, Michael; Robertson, Tyler; Tao, Luke; Fatch, Robin; Curotto, Alberto; McFarland, Willi; Grant, Robert M; Reznick, Olga; Raymond, H Fisher; Steward, Wayne T

    2016-07-01

    When traveling internationally, HIV serodisclosure and knowledge of partners' serostatus were hampered by the lack of a common language. Condomless anal intercourse was less likely to occur in partnerships where HIV serostatus was not disclosed or known. Taken together, these observations suggest that language barriers may affect sexual decision making.

  10. Factors Associated with Sexual Behavior among Adolescents: A Multivariate Analysis.

    Science.gov (United States)

    Harvey, S. Marie; Spigner, Clarence

    1995-01-01

    A self-administered survey examining multiple factors associated with engaging in sexual intercourse was completed by 1,026 high school students in a classroom setting. Findings suggest that effective interventions to address teenage pregnancy need to utilize a multifaceted approach to the prevention of high-risk behaviors. (JPS)

  11. Adolescent Sexuality and the Risk of Marital Dissolution

    Science.gov (United States)

    Paik, Anthony

    2011-01-01

    This research investigates whether first sexual intercourse during adolescence is associated with increased risk of first marriage dissolution and tests whether the results are consistent with causal or selection explanations. Drawing on a sample of 3,793 ever-married women from the 2002 National Survey of Family Growth, this study estimated…

  12. Sexual trauma associated with fisting and recreational drugs.

    Science.gov (United States)

    Cohen, C E; Giles, A; Nelson, M

    2004-12-01

    There is a rising trend in high risk sexual behaviour among men who have sex with men (MSM), with concomitant use of recreational drugs. Activities include fisting and unprotected anal intercourse with a partner who is HIV serodiscordant or of unknown status. We describe three cases of HIV positive MSM who have recently attended our unit as a result of complications secondary to fisting.

  13. Sexual trauma associated with fisting and recreational drugs

    OpenAIRE

    Cohen, C; Giles, A.; Nelson, M.

    2004-01-01

    There is a rising trend in high risk sexual behaviour among men who have sex with men (MSM), with concomitant use of recreational drugs. Activities include fisting and unprotected anal intercourse with a partner who is HIV serodiscordant or of unknown status. We describe three cases of HIV positive MSM who have recently attended our unit as a result of complications secondary to fisting.

  14. Adolescent Sexuality and the Risk of Marital Dissolution

    Science.gov (United States)

    Paik, Anthony

    2011-01-01

    This research investigates whether first sexual intercourse during adolescence is associated with increased risk of first marriage dissolution and tests whether the results are consistent with causal or selection explanations. Drawing on a sample of 3,793 ever-married women from the 2002 National Survey of Family Growth, this study estimated…

  15. Prenatal Stress, Prematurity, and Asthma.

    Science.gov (United States)

    Medsker, Brock; Forno, Erick; Simhan, Hyagriv; Celedón, Juan C

    2015-12-01

    Asthma is the most common chronic disease of childhood, affecting millions of children in the United States and worldwide. Prematurity is a risk factor for asthma, and certain ethnic or racial minorities such as Puerto Ricans and non-Hispanic blacks are disproportionately affected by both prematurity and asthma. In this review, we examine current evidence to support maternal psychosocial stress as a putative link between prematurity and asthma, while also focusing on disruption of the hypothalamic-pituitary-adrenal (HPA) axis and immune responses as potential underlying mechanisms for stress-induced "premature asthma." Prenatal stress may cause not only abnormalities in the HPA axis but also epigenetic changes in the fetal glucocorticoid receptor gene (NR3C1), leading to impaired glucocorticoid metabolism. Moreover, maternal stress can alter fetal cytokine balance, favoring TH2 (allergic) immune responses characteristic of atopic asthma: interleukin 6 (IL-6), which has been associated with premature labor, can promote TH2 responses by stimulating production of IL-4 and IL-13. Given a link among stress, prematurity, and asthma, future research should include birth cohorts aimed at confirming and better characterizing "premature asthma." If confirmed, clinical trials of prenatal maternal stress reduction would be warranted to reduce the burden of these common comorbidities. While awaiting the results of such studies, sound policies to prevent domestic and community violence (eg, from firearms) are justified, not only by public safety but also by growing evidence of detrimental effects of violence-induced stress on psychiatric and somatic health.

  16. Effect of Interventions for Premature Ejaculation in the Treatment of Chronic Prostatitis with Secondary Premature Ejaculation.

    Science.gov (United States)

    Chen, Chang-Qing; Yi, Qing-Tong; Chen, Chu-Hong; Gong, Min

    2016-08-01

    Objective To evaluate the effect of interventions for premature ejaculation (PE) in the management of patients with chronic prostatitis and secondary premature ejaculation. Methods Totally 90 patients diagnosed as chronic prostatitis with PE were randomly divided into control group (n=45) and interventional group (n=45). Control group received a conventional therapy consisted of oral administration of antibiotics,α-receptor blocker,and proprietary Chinese medicine for clearing away heat and promoting diuresis. Interventional group received a conventional therapy combined with treatment for ameliorating the PE symptom (oral dapoxetine on-demand and ejaculation control exercise).National Institutes of Health Chronic Prostatitis Symptom Index (NIH-CPSI),Chinese Index of Sexual Function for Premature Ejaculation (CIPE)-5 questionnaires,intravaginal ejaculatory latency time,and the number of coituses per week were applied for evaluating the treatment outcomes. Results Follow-up was accomplished in 35 and 38 patients in the control and interventional group.The CIPE-5 score,intravaginal ejaculatory latency time,and the number of coituses per week were significantly improved in both two groups but more significantly in interventional group (all P<0.05). The NIH-CPSI pain,urination,and quality of life subscores and total score were improved significantly in both two groups after treatment,but the NIH-CPSI pain and quality of life subscores had been improved more significantly in the interventional group (all P<0.05). The variation of NIH-CPSI was negatively correlated with that of CIPE-5 in both two groups (r=-0.362,P=0.016;r=-0.330,P=0.021). Conclusions For CP with secondary PE patients,the interventions for PE can not only improve the quality of sexual life but also help improve the NIH-CPSI pain and quality of life subscores. PE should be routinely screened and treated during the management of CP.p.

  17. Kurthia gibsonii as a sexually transmitted zoonosis: From a neglected condition during World War II to a recent warning for sexually transmitted disease units

    OpenAIRE

    2016-01-01

    Context: Zoonotic sexual transmission. Aims: Identification of unknown microorganisms causing sexually transmitted zoonotic infection was a common effort of clinicians and the laboratory. Settings and Design: A male patient had recurring urethritis and balanitis after having repeated unprotected penetrative sexual intercourse with female piglets. He claimed allergy to metals and plastics. Routine microbiological tests were carried out. Materials and Methods: Specimens from the urethra, glans,...

  18. Limited role of body satisfaction and body image self-consciousness in sexual frequency and satisfaction in pregnant women.

    Science.gov (United States)

    Radoš, Sandra Nakić; Vraneš, Hrvojka Soljačić; Šunjić, Marijana

    2014-01-01

    This cross-sectional study examined the role of maternal body image and body image self-consciousness in sexual satisfaction and intercourse frequency during pregnancy when controlling for satisfaction with partnership. Pregnant women in their third trimester of pregnancy (N = 150) participated in the study. Body image was measured by the Body Areas Satisfaction Scale (BASS) and Body Image Self-Consciousness Scale (BISC), while relationship satisfaction was measured by different subscales of the Perceived Quality of Marital Relationship (PQMR) Scale. Sexual satisfaction was also measured by one of the subscales of the PQMR (Intimate Relationship). The sexual behavior questionnaire comprised questions about frequency of sexual intercourse, desire, and other aspects of sexual functioning as well as the reasons that might prevent women from having intercourse during pregnancy. Findings suggested that satisfaction with body image and body image self-consciousness were related to sexual satisfaction. Nevertheless, other aspects of partnership, such as communication, appeared to be much more important predictors of sexual satisfaction than body image variables. The best predictor of sexual frequency was fear that intercourse might harm the fetus. Implications for education about sexuality issues in pregnancy are discussed.

  19. Structuring the Future: Anticipated Life Events, Peer Networks, and Adolescent Sexual Behavior

    Science.gov (United States)

    Soller, Brian; Haynie, Dana L.

    2013-01-01

    While prior research has established associations between individual expectations of future events and risk behavior among adolescents, the potential effects of peers’ future perceptions on risk-taking have been overlooked. We extend prior research by testing whether peers’ anticipation of college completion is associated with adolescent sexual risk-taking. We also examine whether adolescents’ perceptions of the negative consequences of pregnancy and idealized romantic relationship scripts mediate the association between peers’ anticipation of college completion and sexual risk-taking. Results from multivariate regression models with data from the National Longitudinal Study of Adolescent Health (Add Health) indicate peers’ anticipation of college completion is negatively associated with a composite measure of sexual risk-taking and positively associated with the odds of abstaining from sexual intercourse and only engaging in intercourse with a romantic partner (compared to having intercourse with a non-romantic partner). In addition, perceptions of the negative consequences of pregnancy and sexualized relationship scripts appear to mediate a large portion of the association between peers’ anticipation of future success and sexual risk-taking and the likelihood of abstaining (but not engaging in romantic-only intercourse). Results from our study underscore the importance of peers in shaping adolescent sexual behavior. PMID:24223438

  20. The mass media are an important context for adolescents' sexual behavior.

    Science.gov (United States)

    L'Engle, Kelly Ladin; Brown, Jane D; Kenneavy, Kristin

    2006-03-01

    This study compared influences from the mass media (television, music, movies, magazines) on adolescents' sexual intentions and behaviors to other socialization contexts, including family, religion, school, and peers. A sample of 1011 Black and White adolescents from 14 middle schools in the Southeastern United States completed linked mail surveys about their media use and in-home Audio-CASI interviews about their sexual intentions and behaviors. Analysis of the sexual content in 264 media vehicles used by respondents was also conducted. Exposure to sexual content across media, and perceived support from the media for teen sexual behavior, were the main media influence measures. Media explained 13% of the variance in intentions to initiate sexual intercourse in the near future, and 8-10% of the variance in light and heavy sexual behaviors, which was comparable to other contexts. Media influences also demonstrated significant associations with intentions and behaviors after all other factors were considered. All contextual factors, including media, explained 54% of the variance in sexual intentions and 21-33% of the variance in sexual behaviors. Adolescents who are exposed to more sexual content in the media, and who perceive greater support from the media for teen sexual behavior, report greater intentions to engage in sexual intercourse and more sexual activity. Mass media are an important context for adolescents' sexual socialization, and media influences should be considered in research and interventions with early adolescents to reduce sexual activity.

  1. [Sexual dysfunction following pelvic surgery].

    Science.gov (United States)

    Hojo, K

    1997-11-01

    In male, sexual dysfunction was a common complication that occurred after radical pelvic surgery: radical protectomy, radical cysto-, prostatectomy. Upon the recent pelvic neuroanatomical findings and preservation of these nerves, it is now possible to perform successful cancer operation on the rectum, prostate or bladder with preservation of sexual function in the group of early cancer patients. Depending on the location and severity of these nerve injury, this could result in temporary or permanent erectile and ejaculation dysfunction. In female, the total hysterectomy for cervical cancer sacrifices or injuries the faculty of pregnancy or sexual intercourse. The oophorectomies causes a deficiency of female hormones. But recently the numbers of patients with a small or early stages cancer of uterine or ovary are increasing and we have become to be able to save the functions of these organs in many patients well with minimum local excision or partial resection of them.

  2. Sexuality related attitudes and behaviors of Turkish university students.

    Science.gov (United States)

    Askun, Duysal; Ataca, Bilge

    2007-10-01

    In this study, sexual attitudes and behaviors of Turkish university students were explored by taking many influential agents both at the distal and the proximal levels into consideration. A total of 563 students from three universities located in three cities completed a questionnaire that assessed their virginity status, first intercourse, sexual permissiveness, pornography usage, endorsement of traditional sexual double standards, and the perception of parental attitudes about sexuality. The results showed that women and students from rural areas were more traditional and conservative in their attitudes and behaviors regarding sexuality. The perception of maternal restriction about sexuality was related to sexual conservatism, negative affective reaction at first coitus, and endorsing traditional sexual double standards. The results are discussed in terms of various degrees of influences originating from proximal and distal variables in the Turkish context.

  3. Correlates of unprotected anal intercourse: the influence of anal sex position among men who have sex with men in Beijing, china.

    Science.gov (United States)

    Zhang, Heng; Lu, Hongyan; Pan, Stephen W; Xia, Dongyan; Zhao, Yuejuan; Xiao, Yan; He, Xiong; Yue, Hai; Sun, Zheya; Xu, Yunan; Ruan, Yuhua; Shao, Yiming

    2015-02-01

    Understanding barriers to consistent condom use among men who have sex with men (MSM) requires consideration of the context in which risk behaviors occur. Anal sex position is one such context. This pooled cross-sectional study used survey data from 1,230 MSM and their 2,618 reported male sexual partnerships. Overall, nearly half of the participants engaged in unprotected anal intercourse (UAI) with at least one of upto three partners in the past 6 months. "Insertive" men engaged in less UAI (39 %) than "receptive" (53 %) or "versatile" (51 %) men. Regardless of sexual position, UAI was associated with cohabiting with a male or female partner and perceiving great or moderate risk of HIV from male contact at the individual level, and steady (vs. casual) partnership at the dyad level. However, early MSM anal sex debut, high number of male partners, alcohol use, receiving and buying condoms, HIV testing, and MSM sex-seeking venues were found to be only statistically significantly correlated with UAI among some but not all sexual positions, implying that interventions to increase condom use should take into account how anal sex position may influence willingness and ability to engage in safer sex. Dyad level data appear to provide additional insight into the influence of sexual positions, and should be used to complement individual data for future intervention designs.

  4. Sexual behavior of infertile women: a qualitative study.

    Science.gov (United States)

    Bokaie, Mahshid; Simbar, Masoumeh; Yassini Ardekani, Seyed Mojtaba

    2015-10-01

    Infertility makes an essential challenge to the sexual life of couples, especially infertile women. When pregnancy does not happen, infertile women think that sexual intercourse is not fruitful and sexual desire became reduce gradually. Infertile women progressively forget that their sexual relationship is also a response to their natural need. This qualitative study was conducted to explore the infertility consequences in the sexual behavior of infertile women. This was a qualitative content analysis study; and it was part of a widespread study, used a sequential mixed-method and conducted from August 2014 until February 2015. A purposeful sampling was used to recruit infertile women who had referred to Yazd Research and Clinical Center for Infertility. Data gathering techniques employed in this research included in-depth semi structured open face-to-face interviews and field notes. Credibility, transferability, confirm ability, and dependability were assessed for the rigor of the data collection. Totally, 15 infertile women and 8 key informants were interviewed. Data analysis showed four themes about impact of infertility on female sexual behavior: 1/ Impact of infertility drugs on couple sexual behavior, 2/ Impact of assisted reproductive technologies on female sexual behavior, 3/ Timed intercourse during infertility and 4/ The psychological impact of infertility on sexual behavior. Some of Iranian infertile women could cope with their problems, but some of them were very affected by infertility drugs and assisted reproductive technologies procedures. Psychosexual counseling before medical treatment could help them to have a better sexual life.

  5. Perceived HIV status is a key determinant of unprotected anal intercourse within partnerships of men who have sex with men in Amsterdam.

    Science.gov (United States)

    Matser, Amy; Heijman, Titia; Geskus, Ronald; de Vries, Henry; Kretzschmar, Mirjam; Speksnijder, Arjen; Xiridou, Maria; Fennema, Han; Schim van der Loeff, Maarten

    2014-12-01

    The practice of unprotected anal intercourse (UAI) involves at least two partners. We examined the associations between insertive or receptive UAI and perceived HIV seroconcordance and partnership type in self-perceived HIV-negative and self-perceived HIV-positive men who have sex with men (MSM). MSM (age ≥ 18 years) were recruited for a cross-sectional survey at the sexually transmitted infections clinic in Amsterdam, the Netherlands, in 2008-2009. Participants completed a questionnaire concerning partnerships in the preceding 6 months. Associations were quantified via multinomial logistic regression models using generalized estimating equations. The outcomes were 'no, or safe anal intercourse', 'insertive UAI', and 'receptive UAI'. We included 5,456 partnerships from 1,890 self-perceived HIV-negative men and 1,861 partnerships from 558 self-perceived HIV-positive men. Within the partnerships, perceived HIV status of the partner was an important determinant of UAI (p < 0.001). Among HIV-negative men, perceived HIV discordance was negatively associated with receptive UAI compared with no or safe UAI (OR 0.57; 95 % CI 0.36-0.92); when the partners were more familiar with each other, the risk of receptive UAI was increased relative to no or safe anal intercourse. Among HIV-positive men, perceived HIV discordance was negatively associated with insertive UAI (OR 0.05; 95 % CI 0.03-0.08). Within partnerships, perceived HIV status of the partner was one of the strongest determinants of UAI among self-perceived HIV-negative and HIV-positive MSM, and discordant serostatus was negatively associated with UAI. The findings suggest that serosorting is one of the main strategies when engaging in UAI.

  6. The Role of Religiousness and Gender in Sexuality Among Mexican Adolescents.

    Science.gov (United States)

    Espinosa-Hernández, Graciela; Bissell-Havran, Joanna; Nunn, Anna

    2015-01-01

    This study examined the role of religiousness and gender in age at first intercourse, and sexual expectations and values in Mexico, a macrocontext where the majority is Mexican and Catholic (83%). Participants were Catholic and nonreligious adolescents (54% girls) attending middle (71%) or high school. Findings indicated that Catholic adolescents engaged in sexual intercourse at later ages than nonreligious adolescents. Both religious attendance and importance of religion and values in sexual decision making were associated with more conservative sexual values. Boys who were raised Catholic were more likely to endorse female virginity values and were less likely to expect to wait to have sex until married than nonreligious boys. These associations were not significant among girls. Catholic boys may be more likely to internalize sexual double standard beliefs regarding premarital sex than nonreligious boys. This study expands our understanding of the role of religiousness in Mexican adolescents' sexuality.

  7. Sexual behaviour among Italian adolescents: knowledge and use of contraceptives.

    Science.gov (United States)

    Capuano, Simona; Simeone, Serena; Scaravilli, Giuseppina; Raimondo, Daniele; Balbi, C

    2009-08-01

    Comprehensive data concerning the sexual behaviour of Italian adolescents are lacking; the planning of prevention programmes is therefore difficult. The current study evaluates the knowledge of Italian adolescents about sexuality and their use of methods to prevent pregnancy and sexually transmitted infections. The age at first intercourse in the current sample was compared to that found in past samples to ascertain whether sex education was needed at an earlier age. The efficacy of one school-based sex education programme was analysed. Overall 630 students in three Italian cities were surveyed. Just over half the students were sexually active. Among these, the mean age at first intercourse was 15.6 years (SD +/- 1.3). The contraception most widely used was the condom although 'coitus interruptus', 'natural family planning' and 'no method' were also mentioned. The knowledge among students from Latina, after they had received sex education, was significantly better. Our data show a lower mean age at first intercourse than has been reported for earlier periods by other authors. School-based sexual education is effective in improving knowledge. Sexual health services for young people must be available and counselling services improved.

  8. Prevalence of sexually transmitted infections, and risk factor for sexual health of adolescents, Medellín, Colombia, 2013

    Directory of Open Access Journals (Sweden)

    Villegas-Castaño, Aracelly

    2016-01-01

    Full Text Available Objective: To determine the prevalence of sexually transmitted infections in a group of adolescents in Medellín, Colombia, and the most frequent risk factors for acquiring them. Materials and methods: Cross-sectional study, between 2010 and 2013, in 569 students who had started sexual intercourse. A questionnaire was applied, and screening was done for the following infections: hepatitis B, syphilis, HIV, HPV, gonorrhea, Chlamydia trachomatis, bacterial vaginosis, candidiasis, and nongonococcal urethritis in men. Results: Women had the following frequencies of infections: HPV 28.1 %; Chlamydia trachomatis 11.4 %; bacterial vaginosis 42.7 %; candidiasis 14.1 %. Nongonococcal urethritis was found in 6.2 % of men. Hepatitis B, syphilis, HIV, and gonococcal infections were not found. The most frequent risk factors were as follows: to have started sexual relations before the age of 15 (59.9 %; not to use condom (58.2 %; not to have utilized condom in the last sexual intercourse (41.7 %; to lack adequate knowledge on sexual health (39.1 %; to have had three or more sexual partners (30.6 %; to have had sexual partners 10 or more years older than themselves (20.4 %, and to have sexual relations with persons different from the formal partner (18.8 %. Conclusions: The high prevalence of STIs in teenagers that are just starting sexual life must be an alert to implement high impact sexual health programs.

  9. Female urinary incontinence and sexuality.

    Science.gov (United States)

    Mota, Renato Lains

    2017-01-01

    Urinary incontinence is a common problem among women and it is estimated that between 15 and 55% of them complain of lower urinary symptoms. The most prevalent form of urinary incontinence is associated with stress, followed by mixed urinary incontinence and urge urinary incontinence. It is a symptom with several effects on quality of life of women mainly in their social, familiar and sexual domains. Female reproductive and urinary systems share anatomical structures, which promotes that urinary problems interfere with sexual function in females. This article is a review of both the concepts of female urinary incontinence and its impact on global and sexual quality of life. Nowadays, it is assumed that urinary incontinence, especially urge urinary incontinence, promotes anxiety and several self-esteem damages in women. The odour and the fear of incontinence during sexual intercourse affect female sexual function and this is related with the unpredictability and the chronicity of incontinence, namely urge urinary incontinence. Female urinary incontinence management involves conservative (pelvic floor muscle training), surgical and pharmacological treatment. Both conservative and surgical treatments have been studied about its benefit in urinary incontinence and also the impact among female sexual function. Unfortunately, there are sparse articles that evaluate the benefits of female sexual function with drug management of incontinence.

  10. Female urinary incontinence and sexuality

    Science.gov (United States)

    Mota, Renato Lains

    2017-01-01

    ABSTRACT Urinary incontinence is a common problem among women and it is estimated that between 15 and 55% of them complain of lower urinary symptoms. The most prevalent form of urinary incontinence is associated with stress, followed by mixed urinary incontinence and urge urinary incontinence. It is a symptom with several effects on quality of life of women mainly in their social, familiar and sexual domains. Female reproductive and urinary systems share anatomical structures, which promotes that urinary problems interfere with sexual function in females. This article is a review of both the concepts of female urinary incontinence and its impact on global and sexual quality of life. Nowadays, it is assumed that urinary incontinence, especially urge urinary incontinence, promotes anxiety and several self-esteem damages in women. The odour and the fear of incontinence during sexual intercourse affect female sexual function and this is related with the unpredictability and the chronicity of incontinence, namely urge urinary incontinence. Female urinary incontinence management involves conservative (pelvic floor muscle training), surgical and pharmacological treatment. Both conservative and surgical treatments have been studied about its benefit in urinary incontinence and also the impact among female sexual function. Unfortunately, there are sparse articles that evaluate the benefits of female sexual function with drug management of incontinence. PMID:28124522

  11. Teenagers' Sexual Behavior in Sweden, Europe

    Institute of Scientific and Technical Information of China (English)

    Lars I Holmberg; Dan Hellberg

    2005-01-01

    Objective To investigate the development of sexuality from early to late adolescence,and to compare girls and boys of different agesMethods A cross sectional survey in all schools was performed covering all pupilsbetween 13 and 18years of age that were in school when the survey was conducted. Avalidated instrument, Q90, created for use in teenagers was distributed in the class-rooms to 3 216 teenagers. Q90 covers 30 questions about body development andsexual behavior. Non-response was insignificant (n=19; 0. 6%).Results Pubertal development was considered "early" or "late" by about 50% ofboth boys and girls. Eighty percent of the 13 to 15 years old boys and girls had had aromance and 30% had experience of sexual cuddling (petting), while significantlymore girls than boys had sexual intercourse (18% vs 13%; odds ratio 1.5, 95% CI1.1-1.9). The difference between girls and boys remained in those being 16-18 yearsold, where 63% of the girls and 53% of the boys (odds ratio 1.5, 95% CI 1.2-1.9)admitted having intercourse. Mean age at first intercourse was 14.9 and 15 years,respectively. At 16-18years of age, 23% of the sexually active girls, as compared with25% of the boys estimated that they had had 6 or more sexual partners. About 30% ofthe adolescents, irrespective of age and gender, did not use contraceptives at theirfirst and latest intercourse. Eight percent of the older girls had been pregnant, andthey had an increased history of sexually transmitted infections, as compared withthe boys (6.2% vs 2.7%; odds ratio 2.4, 95% CI 1.2-5.0).Conclusion Exploring sexuality and experimentation is a normal behavior inadolescence. The results of this study, however, indicate that there are substantialgroups of teenagers who practice sexual risk-taking. In addition to general sexualeducation, programs should also be directed to define sexual risks and its consequences.

  12. Premature ovarian failure

    Directory of Open Access Journals (Sweden)

    Vujović Svetlana

    2012-01-01

    Full Text Available Premature ovarian failure (POF is the occurrence of hypergonadotropic hypoestrogenic amenorrhea in women under the age of forty years. It is idiopathic in 74-90% patients. Known cases can be divided into primary and secondary POF. In primary POF genetic aberrations can involve the X chromosome (monosomy, trisomy, translocations, deletions or autosomes. Genetic mechanisms include reduced gene dosage and non-specific chromosome effects impairing meiosis, decreasing the pool of primordial follicles and increasing atresia due to apoptosis or failure of follicle maturation. Autoimmune ovarian damage is caused by alteration of T-cell subsets and T-cell mediated injury, increase of autoantibody producing B-cells, a low number of effector/cytotoxic lymphocyte, which decreases the number and activity of natural killer cells. Bilateral oophorectomy, chemotherapy, radiotherapy and infections cause the secondary POF. Symptoms of POF include irritability, nervousness, loss of libido, depression, lack of concentration, hot flushes, weight gaining, dry skin, vaginal dryness, frequent infections etc. The diagnosis is confirmed by the level of FSH of over 40 IU/L and estradiol below 50 pmol/L in women aged below 40 years. Biochemical and other hormonal analysis (free thyroxin, TSH, prolactin, testosterone, karyotype (<30 years of age, ultrasound of the breasts and pelvis are advisable. Optimal therapy is combined estrogen progestagen therapy given in a sequential rhythm, after excluding absolute contraindications. Testosterone can be added to adnexectomized women and those with a low libido. Sequential estrogen progestagen replacement therapy is the first line therapy for ovulation induction in those looking for pregnancy and after that oocyte donation will be advised. Appropriate estro-progestagen therapy improves the quality of life and prevents complications such as cardiovascular diseases, osteoporosis, stroke etc.

  13. [Sexual behavior and associated factors among Korean junior high school students].

    Science.gov (United States)

    Lee, Gyuyoung; Song, Seunghun

    2015-01-01

    The study purpose was to identify the sexual behavior and associated factors of Korean junior high school students. Raw data from the 2013 Korean Youth Risk Behavior Web-Based Survey were used. Among the data from 72,435 students, 36,530 junior high school students were analyzed. Complex sample frequency analysis and complex sample chi-square were used to identify the condition of sexual behavior, and complex sample logistic regression was used to examine the factors related to sexual behavior. Among the students, 3.8% responded that they had experienced sexual intercourse, and the prevalence of sexual intercourse was higher among male students (5.0%) compared to female students (2.5%). Among male students, those who had the following were more likely to have had sexual intercourse: perceived high economic status, living with a relative, experience with a partti-me job, a foreign father, experience with smoking and drinking during the past month, experience with drug use, and depression during the past 12 months. Among the female students who were more likely to have had sexual intercourse, the following were ascertained: higher grades, perceived high economic status, living with a relative or in childcare facilities, experience with a part-time job, a foreign father or mother, experience with smoking and drinking during the past month, and experience with drug use. The results suggest that it is important to develop a comprehensive approach program not only focused on sexual behavior but also including mental health or other health behaviors to effectively reduce the likelihood of sexual intercourse among Korean junior high school students.

  14. Sexual Health

    Science.gov (United States)

    ... of your life, including your physical health and self-esteem. As men age, testosterone levels decline and changes ... Ask your doctor for a referral. Expand your definition of sex. Intercourse is only one way to ...

  15. "The Pleasure Is Better as I've Gotten Older": Sexual Health, Sexuality, and Sexual Risk Behaviors Among Older Women Living With HIV.

    Science.gov (United States)

    Taylor, Tonya N; Munoz-Plaza, Corrine E; Goparaju, Lakshmi; Martinez, Omar; Holman, Susan; Minkoff, Howard L; Karpiak, Stephen E; Gandhi, Monica; Cohen, Mardge H; Golub, Elizabeth T; Levine, Alexandra M; Adedimeji, Adebola A; Gonsalves, Rebecca; Bryan, Tiffany; Connors, Nina; Schechter, Gabrielle; Wilson, Tracey E

    2017-05-01

    There is limited research examining the sexual health and well-being of older women living with HIV (OWLH). Most studies focus on sexual dysfunction, leaving aside the richer context of sexuality and sexual health, including the effect of age-related psychosocial and interpersonal changes on sexual health behaviors. Guided by the integrative biopsychosocial model and the sexual health model, this study explored the importance of sex and sexuality among OWLH to identify their sexual health and HIV prevention needs for program planning. A purposive sample (n = 50) of OWLH was selected from a parent study (n = 2052). We conducted 8 focus groups and 41 in-depth interviews with 50 African American and Latina OWLH aged 50-69 years old in three U.S. cities. The triangulation approach was used to synthesize the data. Six salient themes emerged: sexual pleasure changes due to age, sexual freedom as women age, the role of relationships in sexual pleasure, changes in sexual ability and sexual health needs, sexual risk behaviors, and ageist assumptions about older women's sexuality. We found that sexual pleasure and the need for intimacy continue to be important for OWLH, but that changing sexual abilities and sexual health needs, such as the reduction of sexual desire, as well as increased painful intercourse due to menopause-associated vaginal drying, were persistent barriers to sexual fulfillment and satisfaction. Particular interpersonal dynamics, including low perceptions of the risk of HIV transmission as related to gender, viral suppression, and habitual condomless sex with long-term partners without HIV transmission have resulted in abandoning safer sex practices with serodiscordant partners. These findings suggest that HIV prevention for OWLH should focus on how sexual function and satisfaction intersect with sexual risk. HIV prevention for OWLH should promote ways to maintain satisfying and safe sex lives among aging women.

  16. Knowledge and attitude about sexually transmitted infections other than HIV among college students

    OpenAIRE

    Nagesh Tumkur Subbarao; A Akhilesh

    2017-01-01

    Background: Sexually transmitted infections (STIs) are the infections which are mainly transmitted through sexual intercourse. Young individuals in the age group of 16 to 24 years are considered to be at more risk for STIs compared to older adults. Young individuals are more likely to practice unprotected sex and have multiple sexual partners. If the STIs are not treated adequately, it can lead to various complications.Most of the people may be aware about HIV/AIDs because of the awareness cr...

  17. Preterm labor and premature birth: Are you at risk?

    Science.gov (United States)

    ... labor and premature birth: Are you at risk? Preterm labor and premature birth: Are you at risk? ... for preterm labor and premature birth. What are preterm labor and premature birth? Preterm and premature mean ...

  18. Race Differences in Family Experience and Early Sexual Initiation: Dynamic Models of Family Structure and Family Change.

    Science.gov (United States)

    Wu, Lawrence L.; Thomson, Elizabeth

    2001-01-01

    Examines the effects of family structure on age at first sexual intercourse before marriage for a recent cohort of women. For neither White nor Black women are results consistent with hypotheses positing earlier initiation of sexual activity for women with prolonged exposure to a single-mother or father-absent family. (BF)

  19. Knowledge about human immunodeficiency virus infection and sexual behavior among drug users: a cross sectional study in Pokhara submetropolitan city, Nepal.

    Science.gov (United States)

    Neupane, Sanjeev Raj; Mishra, Shiva Raj

    2014-01-01

    Drug abuse is one of the public health problems in Nepal. Only limited research has been done to explore knowledge and sexual behaviors of injection drug users in Nepal. The objective of this research was to explore knowledge about human immunodeficiency virus (HIV) infection and sexual behavior among drug users in Nepal. More than 90% of participants had heard of HIV. Almost all participants who had heard of HIV knew that HIV is transmitted through unsafe sexual intercourse and through syringe use. In comparison to that, a small percentage of participants knew of infected blood and mother to child as modes of transmission of HIV. Injection drug users were less likely to use condoms during sexual intercourse with their wives. Awareness programs and behavior-change communication to alert drug users to the risks of sharing syringes need to be conducted, in addition to promoting the use of condoms during sexual intercourse with other women as well as with their wives.

  20. Safety and efficacy of tramadol hydrochloride with behavioral modification in the treatment of premature ejaculation%盐酸曲马多联合行为疗法治疗早泄的安全性、有效性临床观察

    Institute of Scientific and Technical Information of China (English)

    熊国根; 吴飞华; 陈胜辉; 姚文亮

    2011-01-01

    目的:评价盐酸曲马多联合行为疗法治疗早泄的安全性、有效性.方法:按随机原则将72例早泄患者分为治疗组和对照组,治疗组(n=36)性生活前2 h口服盐酸曲马多50 mg联合行为疗法,对照组(n=36)予以单纯行为疗法,两组疗程均为8周,记录治疗前后阴道内射精潜伏期(IELT)、配偶性生活满意度评分、临床总有效率、不良反应和肝、肾功能.结果:两组治疗前后在IELT和改善配偶性交满意度评分方面有显著性差异(P0.05).结论:盐酸曲马多联合行为疗法在延长IELT及改善配偶性交满意度评分、临床总有效率和肝、肾功能方面,其安全性和有效性值得肯定.但盐酸曲马多为阿片类药物,成瘾性还有待评估,是否作为国内治疗早泄的常规治疗药物尚需进行多中心、双盲临床安全性及有效性的进一步研究.%Objective: To evaluate the efficacy and safety of tramadol hydrochloride with behavioral modification in delaying ejaculation in patients with premature ejaculation. Methods: Seventy-two potent men with premature ejaculation were equally and randomly assigned to a treatment group and control group, the former received 50 mg tramadol hydrochloride with behavioral modification approximately 2 hours before planned sexual activity, while the latter underwent behavioral therapy only, both treated for 8 weeks. Intravaginal ejaculatory latency time (IELT), intercourse satisfaction of the partners, total therapeutic effectiveness, adverse reactions,and hepatic and renal function of the patients were recorded and compared before and after the treatment. Results: Both the treatment and the control groups showed significant differences from pretreatment in the mean IELT and intercourse satisfaction domain values (P < 0.01 ). The total rate of effectiveness was 72.2% in the treatment group and 47.2% in the control. The former exhibited even more significant improvement than the latter in the mean

  1. Sexual risk behavior in young adulthood: broadening the scope beyond early sexual initiation.

    Science.gov (United States)

    Epstein, Marina; Bailey, Jennifer A; Manhart, Lisa E; Hill, Karl G; Hawkins, J David

    2014-01-01

    A robust link between early sexual initiation and sexual risk-taking behavior is reported in previous studies. The relationship may not be causal, however, as the effect of common risk factors is often not considered. The current study examined whether early initiation was a key predictor of risky sexual behavior in the 20s and 30s, over and above co-occurring individual and environmental factors. Data were drawn from the Seattle Social Development Project, a longitudinal panel of 808 youth. Early predictors (ages 10 to 15) and sexual risk taking (ages 21 to 24 and 30 to 33) were assessed prospectively. Early sexual initiation (before age 15) was entered into a series of probit regressions that also included family, neighborhood, peer, and individual risk factors. Although a positive bivariate relation between early sexual initiation and sexual risk taking was observed at both ages, the link did not persist when co-occurring risk factors were included. Behavioral disinhibition and antisocial peer influences emerged as the strongest predictors of sexual risk over and above early sexual initiation. These results suggest that early sexual initiation must be considered in the context of common antecedents; public health policy aimed at delaying sexual intercourse alone is unlikely to substantially reduce sexual risk behavior in young adulthood.

  2. Is Food Insecurity Associated with HIV Risk? Cross-Sectional Evidence from Sexually Active Women in Brazil

    OpenAIRE

    Tsai, Alexander C.; Hung, Kristin J.; Weiser, Sheri D.

    2012-01-01

    Editors' Summary Background At the beginning of the AIDS epidemic, more men than women were infected with HIV, the virus that causes AIDS, but currently half of all HIV-positive adults are women. Most women become infected with HIV through unprotected sexual intercourse with an infected male partner. Biologically, women are twice as likely to become infected through unprotected heterosexual intercourse as men. Moreover, women are often unable to negotiate condom use because of unequal gender ...

  3. The impact of Parkinson disease on patients' sexuality and relationship.

    Science.gov (United States)

    Buhmann, C; Dogac, S; Vettorazzi, E; Hidding, U; Gerloff, C; Jürgens, T P

    2016-11-16

    This study aimed at examining the impact of Parkinson disease (PD) on patients' sexuality and relationship and to evaluate gender-specific differences. Using a standardized questionnaire on sexual functioning in chronic diseases (SFCE), the impact of PD diagnosis on 38 domains of sexuality before and since PD diagnosis was evaluated retrospectively in 53 consecutive patients in a relationship. Changes in self-assessed ratings on a four-point Likert scale were determined for all patients. In addition, gender-specific differences and the influence of age, depression (BDI-II), medication, disease severity and disease duration on domains of the SFCE were calculated. The importance of non-sexual relational aspects, such as talking about feelings or tenderness increased for both genders after PD diagnosis, especially in women. Sexual function, such as frequency of intercourse, sexual arousal, subjective abnormal sexual fantasies or sexual satisfaction deteriorated in both genders, especially in men. Some sexual aspects improved in women but worsened in men after PD diagnosis. This includes frequency of orgasm dysfunction, fear not to fulfill sexual expectations of the partner, avoidance of sexual acts, withdrawal from relationship, increase of thoughts about divorce, or increase of dissatisfaction with sexuality and relationship. With age, thoughts about divorce declined. With disease duration, frequency of tenderness with the partner increased. Depression unexpectedly correlated with higher frequency of intercourse. Dopaminergic dosage influenced stability of the relationship negatively. PD influences patients' sexuality negatively, independently of age, disease duration or disease severity and men show greater sexual dysfunction and impairment of their sexual relationship than women.

  4. [Drug use and sexual practices of teenagers in the city of Medellin (Colombia)].

    Science.gov (United States)

    Castaño Pérez, Guillermo A; Arango Tobon, Eduardo; Morales Mesa, Santiago; Rodríguez Bustamante, Alexander; Montoya Montoya, Carolina

    2012-01-01

    The purpose of this research project was to study the relationship between drug consumption and sexual practices in teenagers in the city of Medellin, Colombia. A transversal studied was designed in order to identify the variables related to having had sexual intercourse under the effects of drugs or alcohol. The sample was made up of 955 teenagers between 14 and 17, who were in 9th, 10th and 11th grades in public and private schools in the city of Medellin. The results show that the prevalence of drug and alcohol influence in sexual intercourse is 43,67%. The most common drugs used for sexual practices are alcohol, marihuana, popper, cocaine and ecstasy. Consuming alcohol or drugs and having sexual practices shows an associated meaningful statistic (p= .001). The more common sexual practices under psychoactive substances are the exploratory ones (caresses and touching) (71%), vaginal penetration (63.67%), oral sex (45.30%) and masturbation (19.59%). Regarding the protection methods during sexual intercourse under drug or alcohol influence 55,9% always use a condom, 37,3% sometimes use it, and 6,8% never do it. This study proves what had been previously established by other research projects that show a high statistic association between drug consumption and sexual practices, but realizes that there is no statistically significant association between sexual practices under the influence of alcohol or drugs and the use or non-use of protective methods, which is the most important finding.

  5. Longitudinal association between teen sexting and sexual behavior.

    Science.gov (United States)

    Temple, Jeff R; Choi, HyeJeong

    2014-11-01

    This study examines the temporal sequencing of sexting and sexual intercourse and the role of active sexting (sending a nude picture) in mediating the relationship between passive sexting (asking or being asked for a nude picture) and sexual behaviors. Data are from Wave 2 (spring 2011) and Wave 3 (spring 2012) of an ongoing 6-year longitudinal study of high school students in southeast Texas. Participants included 964 ethnically diverse adolescents with a mean age of 16.09 years (56% female; 31% African American, 29% Caucasian, 28% Hispanic, 12% other). Retention rate for 1-year follow-up was 93%. Participants self-reported history of sexual activity (intercourse, risky sex) and sexting (sent, asked, been asked). Using path analysis, we examined whether teen sexting at baseline predicted sexual behavior at 1-year follow-up and whether active sexting mediated the relationship between passive sexting and sexual behavior. The odds of being sexually active at Wave 3 were 1.32 times larger for youth who sent a sext at Wave 2, relative to counterparts. However, sexting was not temporally associated with risky sexual behaviors. Consistent with our hypothesis, active sexting at Wave 2 mediated the relationship between asking or being asked for a sext and having sex over the next year. This study extends cross-sectional literature and supports the notion that sexting fits within the context of adolescent sexual development and may be a viable indicator of adolescent sexual activity. Copyright © 2014 by the American Academy of Pediatrics.

  6. New agents in the treatment of premature ejaculation.

    Science.gov (United States)

    McMahon, Chris G; McMahon, Chelsea N; Leow, Liang Joo

    2006-12-01

    Premature ejaculation (PE) is a common male sexual disorder. Recent normative data suggest that men with an intravaginal ejaculatory latency time (IELT) of less than 1 minute have "definite" PE, while men with IELTs between 1 and 1.5 minutes have "probable" PE. Although there is insufficient empirical evidence to identify the etiology of PE, there is limited correlational evidence to suggest that men with PE have high levels of sexual anxiety and inherited altered sensitivity of central 5-HT (serotonin) receptors. Pharmacological modulation of the ejaculatory threshold using off-label daily or on-demand selective serotonin re-uptake inhibitors (SSRIs) offers patients a high likelihood of achieving improved ejaculatory control within a few days of initiating treatment, consequential improvements in sexual desire and other sexual domains and is well tolerated. Investigational drugs such as the ejaculo-selective serotonin transport inhibitors (ESSTIs) such as dapoxetine and UK-390,957 represent a major development in sexual medicine. These drugs offer patients the convenience of on-demand dosing, significant improvements in IELT, ejaculatory control, and sexual satisfaction with minimal adverse effects.

  7. The prevalence of sexual activity, and sexual dysfunction and behaviours in postmenopausal woman in Poland

    Science.gov (United States)

    Lew-Starowicz, Zbigniew; Szymańska, Monika

    2016-01-01

    Introduction Despite the aging of the population, there is limited data available about sexual life and behaviours among of postmenopausal and late postmenopausal women. Aim of the study was to assess the prevalence of sexual dysfunction, behaviours, and preferences in the Polish population in 2015. Material and methods This observational survey study involved 538 women, of whom 220 were over 50 years old. The main focus was on the differences and changes between older age groups, mainly 50-59 years and over 60 years. Results For 80.9% of the women above 50 years old, sex played at least a moderately important role in life. Sex was definitely important and very important for 40.45% of them. Most women over 50 years old (65.5%) were sexually active. Regardless of age, the respondents were more likely to have sexual intercourse several times a month. Less than half of the women over 50 years old (42.7%) realised their sexual fantasies. Women in the group of 50-59 years old statistically less often than younger women declared that the frequency of intercourse they had was too small. There was a statistical tendency showing that women up to 49 years old declared more sexual problems than older women. Women over 50 years old reported fewer problems in comparison to younger women, e.g. less often they claimed that sex is not pleasurable (p = 0.064). Conclusions The prevalence of sexual activity declines with age, yet a substantial number of woman engage in vaginal intercourse, oral sex, and masturbation even past the seventh decade of life. PMID:27980527

  8. The prevalence of sexual activity, and sexual dysfunction and behaviours in postmenopausal woman in Poland

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    Kamila B. Czajkowska

    2016-11-01

    Full Text Available Introduction: Despite the aging of the population, there is limited data available about sexual life and behaviours among of postmenopausal and late postmenopausal women. Aim of the study was to assess the prevalence of sexual dysfunction, behaviours, and preferences in the Polish population in 2015. Material and methods: This observational survey study involved 538 women, of whom 220 were over 50 years old. The main focus was on the differences and changes between older age groups, mainly 50-59 years and over 60 years. Results : For 80.9% of the women above 50 years old, sex played at least a moderately important role in life. Sex was definitely important and very important for 40.45% of them. Most women over 50 years old (65.5% were sexually active. Regardless of age, the respondents were more likely to have sexual intercourse several times a month. Less than half of the women over 50 years old (42.7% realised their sexual fantasies. Women in the group of 50-59 years old statistically less often than younger women declared that the frequency of intercourse they had was too small. There was a statistical tendency showing that women up to 49 years old declared more sexual problems than older women. Women over 50 years old reported fewer problems in comparison to younger women, e.g. less often they claimed that sex is not pleasurable (p = 0.064. Conclusions : The prevalence of sexual activity declines with age, yet a substantial number of woman engage in vaginal intercourse, oral sex, and masturbation even past the seventh decade of life.

  9. The Language of Love?--Verbal versus Implied Consent at First Heterosexual Intercourse: Implications for Contraceptive Use

    Science.gov (United States)

    Higgins, Jenny A.; Trussell, James; Moore, Nelwyn B.; Davidson, J. Kenneth, Sr.

    2010-01-01

    Background: Little is known about how young people communicate about initiating intercourse. Purpose: This study was designed to gauge the prevalence of implied versus verbal consent at first intercourse in a U.S. college population, assess effects of consent type on contraceptive use, and explore the influences of gender, race and other factors.…

  10. A Sex-Positive Framework for Research on Adolescent Sexuality.

    Science.gov (United States)

    Harden, K Paige

    2014-09-01

    In this article, I propose a sex-positive framework for research on adolescent sexuality in which I consider consensual sexual activities in adolescence as developmentally normative and potentially healthy. The sex-positive framework is contrasted with the predominant "risk" perspective that presumes that abstinence from sexual activity is the ideal behavioral outcome for teenagers. Evidence from longitudinal and behavioral genetic studies indicates that engaging in sexual intercourse in adolescence does not typically cause worse psychological functioning. The relationship context of sexual experience may be a critical moderator of its psychological impact. Moreover, cross-cultural data on adolescents' contraception usage, unintended pregnancy, and sexually transmitted infections suggest that, despite the unacceptably high rate of negative health consequences among U.S. teenagers, adolescents can have the developmental capacity to regulate the health risks inherent in sexual activity. Understanding adolescent sexuality can be fostered by considering sexual well-being, a multidimensional construct that incorporates an adolescent's sexual self-efficacy, sexual self-esteem, feelings of sexual pleasure and satisfaction, and freedom from pain and negative affect regarding sexuality. New research is necessary to understand the development of adolescent sexual well-being, including its normative age trends, its reciprocal links with sexual behavior, and its impact on psychological and physical health. © The Author(s) 2014.

  11. Urine specimen collection following consensual intercourse - A forensic evidence collection method for Y-DNA and spermatozoa.

    Science.gov (United States)

    Joki-Erkkilä, Minna; Tuomisto, Sari; Seppänen, Mervi; Huhtala, Heini; Ahola, Arja; Karhunen, Pekka J

    2016-01-01

    The purpose of the prospective research was to evaluate the benefit of urine specimen as a collection technique for biological forensic evidence in adult volunteers following consensual intercourse. For detecting Y-chromosomal material Buccal Swab Spin Protocol(®) was used in DNA extraction and purification and samples were analysed with Quantifiler Y Human Male DNA Quantification Kit(®). The time frame for positive Y-DNA was evaluated. Immediate microscopy for detection of spermatozoa was performed. Y-DNA was detected in 173/205 (84.4%) urine samples. Of the 86 first post-coital void urine samples available, Y-DNA was detected in 83 (96.5%) specimens. Of the 119 urine samples from volunteers with post-coital activities Y-DNA was still measurable in 70 (58.8%) urine specimens. The male DNA amount was below 0.023 ng/μl in 28/153 (18.3%) urine samples. Of the 22 urine samples obtained after 24 post-coital hours, 9 (40.9%) were still Y-DNA positive. No associations were found between coital durance, coital frequency during the past two weeks prior to the study intercourse, post-coital activities, and the urine sample Y-DNA positivity. Of the 111 urine samples where the immediate microscopy was performed, in 66 (59.5%) samples spermatozoa were verified and one sample even contained motile spermatozoa. Microscopy detected 66 (67.3%) and failed to detect spermatozoa in 32 (32.7%) of Y-DNA positive samples. In addition to conventional invasive swab techniques, urine samples seem to be an effective biological trace collection method for Y-DNA and spermatozoa within 24 h following penile-vaginal penetration. Furthermore, it may be considered as a non-invasive collection method in suspected acute child sexual abuse cases to diminish time delay in forensic evidence collection and to improve patients' positive attitudes towards evidence collection.

  12. Sexual health knowledge, sexual relationships and condom use among male trekking guides in Nepal: a qualitative study.

    Science.gov (United States)

    Simkhada, Padam; van Teijlingen, Edwin R; Regmi, Pramod R; Bhatta, Prakash

    2010-01-01

    People in Nepal generally hold fairly traditional views about sex and sexual health, whilst Western tourists often have a more liberal approach towards sex and relationships. There is evidence that significant sexual interaction occurs between male trekking guides and female travellers and/or local female sex workers in Nepal. This qualitative study explored trekking guides' sexual health knowledge, sexual relationships and condom use with female trekkers and local female sex workers. A total of 21 in-depth interviews were conducted with male trekking guides. Most reported having had sexual relationships with female trekkers and local female sex workers. Explanations for intercourse with female trekkers included: financial support; getting future trekkers through word-of-mouth advertising from the women they have had sex with; and opportunities for emigration. Interestingly, sexual intercourse is reported as more likely to be initiated by female trekkers than by guides, and more so by older women. In contrast, the main reasons for having sex with local female sex workers included: romantic love or sexual excitement and novelty. Awareness regarding sexual health was high among guides, but several factors discouraged the regular use of condoms. Further research with female tourists would help understand the motivations and reasons for their sexual behaviour.

  13. Socialization patterns and their associations with unprotected anal intercourse, HIV, and syphilis among high-risk men who have sex with men and transgender women in Peru.

    Science.gov (United States)

    Verre, Michael C; Peinado, Jesus; Segura, Eddy R; Clark, Jesse; Gonzales, Pedro; Benites, Carlos; Cabello, Robinson; Sanchez, Jorge; Lama, Javier R

    2014-10-01

    The association of socialization patterns with unprotected anal intercourse (UAI) and HIV/STI prevalence remains underexplored in men who have sex with men (MSM) and transgender women (TW) in developing country settings. We evaluated the correlation of UAI, HIV, and syphilis with MSM/TW venue attendance and social network size among high-risk MSM and TW in Peru according to self-reported sexual identity. Frequency of venue attendance and MSM/TW social network size were lowest among heterosexual MSM and highest among TW respondents. Attendance (frequent or occasional) at MSM/TW venues was associated with increased odds of insertive UAI among heterosexual participants. Frequent venue attendance was associated with increased odds of receptive UAI among gay/homosexual, bisexual, and TW participants. Further investigation of the differing socialization patterns and associations with HIV/STI transmission within subgroups of Peruvian MSM and TW will enable more effective prevention interventions for these populations.

  14. Socialization Patterns and Their Association with Unprotected Anal Intercourse, HIV, and Syphilis Among High-Risk Men Who Have Sex with Men and Transgender Women in Peru

    Science.gov (United States)

    Verre, MC; Peinado, J; Segura, ER; Clark, JC; Gonzales, P; Benites, C; Cabello, R; Sanchez, J; Lama, JR

    2014-01-01

    The association of socialization patterns with unprotected anal intercourse (UAI) and HIV/STI prevalence remains underexplored in men who have sex with men (MSM) and transgender women (TW) in developing country settings. We evaluated the correlation of UAI, HIV, and syphilis with MSM/TW venue attendance and social network size among high-risk MSM and TW in Peru according to self-reported sexual identity. Frequency of venue attendance and MSM/TW social network size were lowest among heterosexual MSM and highest among TW respondents. Attendance (frequent or occasional) at MSM/TW venues was associated with increased odds of insertive UAI among heterosexual participants. Frequent venue attendance was associated with increased odds of receptive UAI among gay/homosexual, bisexual, and TW participants. Further investigation of the differing socialization patterns and associations with HIV/STI transmission within subgroups of Peruvian MSM and TW will enable more effective prevention interventions for these populations. PMID:24788782

  15. Psychosocial variables of sexual satisfaction in Chile.

    Science.gov (United States)

    Barrientos, Jaime E; Páez, Dario

    2006-01-01

    This study analyzed psychosocial variables of sexual satisfaction in Chile using data from the COSECON survey. Participants were 5,407 subjects (2,244 min and 3,163 women, aged 18-69 years). We used a cross-sectional questionnaire with a national probability sample. Data were collected using a thorough sexual behavior questionnaire consisting of 190 face-to-face questions and 24 self-reported questions. A single item included in the COSECON questionnaire assessed sexual satisfaction. Results showed that high education level, marital status, and high socioeconomic levels were associated with sexual satisfaction in women but not in men. The results also showed important gender differences and sustain the idea that sexuality changes may be more present in middle and high social classes. The proximal variables typically used for measuring sexual satisfaction, such as the frequency of sexual intercourse and orgasm, showed a positive but smaller association with sexual satisfaction. Other important variables related to sexual satisfaction were being in love with the partner and having a steady partner. The results confirmed previous findings and are discussed in the frame of approaches like the exchange, equity, and sexual scripts theories.

  16. Committee Opinion No. 678 Summary: Comprehensive Sexuality Education.

    Science.gov (United States)

    2016-11-01

    Current sexuality education programs vary widely in the accuracy of content, emphasis, and effectiveness. Data have shown that not all programs are equally effective for all ages, races and ethnicities, socioeconomic groups, and geographic areas. Studies have demonstrated that comprehensive sexuality education programs reduce the rates of sexual activity, sexual risk behaviors (eg, number of partners and unprotected intercourse), sexually transmitted infections, and adolescent pregnancy. One key component of an effective program is encouraging community-centered efforts. In addition to counseling and service provision to individual adolescent patients, obstetrician-gynecologists can serve parents and communities by supporting and assisting sexuality education. Because of their knowledge, experience, and awareness of a community's unique challenges, obstetrician-gynecologists can be an important resource for sexuality education programs.

  17. Yoga in male sexual functioning: a noncompararive pilot study.

    Science.gov (United States)

    Dhikav, Vikas; Karmarkar, Girish; Verma, Myank; Gupta, Ruchi; Gupta, Supriya; Mittal, Deeksha; Anand, Kuljeet

    2010-10-01

    Yoga is practiced both in developing and developed countries. Many patients and yoga protagonists claim that it is useful in improving sexual functions and treating sexual disorders. We wanted to study the effect of yoga on male sexual functioning. We studied 65 males (age range= 24-60 years, average age=40±8.26 years) who were enrolled in a yoga camp and administered a known questionnaire, i.e., Male Sexual Quotient (MSQ) before and after 12 weeks session of yoga. MSQ scores before and after yoga sessions. It was found that after the completion of yoga sessions, the sexual functions scores were significantly improved (Pfunctions as studied by MSQ (desire, intercourse satisfaction, performance, confidence, partner synchronization, erection, ejaculatory control, orgasm). Yoga appears to be an effective method of improving all domains of sexual functions in men as studied by MSQ. © 2010 International Society for Sexual Medicine.

  18. Sexual behavior and erotism in university students, Cali, Colombia

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    Liliana Arias

    2011-09-01

    Full Text Available Aim: To identify the main components related to the thoughts and erotic practices of students at Universidad del Valle, San Fernando Campus. Method: A descriptive study was conducted during 2008-2009 to evaluate the students´ necessities on sexual and reproductive health (SRH in two faculties in a public university in Valle del Cauca, Colombia. A total of 1120 students were evaluated. Results: An information technology system was designed for this study. Six hundred and ninety five (62% of the subjects were women with an average age of 20 years, mostly coming from underprivileged economic backgrounds. The average age for the beginning of sexual intercourse was 16 without differences by educational level. Fifty percent had their first intercourse before their final adolescence, 42.3% have had 2 to 5 sexual partners. Women enjoy sex with less frequency than men (p=0.022. Men have higher frequency of sexual intercourse outside of the couple than women (p=0.001. Conclusions: Men adopted risk behaviors in erotic practices such as more sexual couples, high frequency of unfaithfulness. Men report more pleasure in their erotic practices.

  19. How can parents make a difference? Longitudinal associations with adolescent sexual behavior.

    Science.gov (United States)

    Deptula, Daneen P; Henry, David B; Schoeny, Michael E

    2010-12-01

    Parents have the potential to protect against adolescent sexual risk, including early sexual behavior, inconsistent condom use, and outcomes such as pregnancy and sexually transmitted infections (STIs). Identification of the specific parenting dimensions associated with sexual risk in adolescence and young adulthood is necessary to inform and focus prevention efforts. The current study examined the relation of proximal (e.g., discussions of sexual costs) and distal (e.g., parental involvement, relationship quality) parenting variables with concurrent and longitudinal adolescent sexual behavior. The National Longitudinal Study of Adolescent Health (Add Health) provided a nationally representative sample with information about the family using adolescent and parent informants. Longitudinal information about sexual risk included adolescent condom use and adolescent sexual initiation, as well as young adult unintended pregnancy, reports of STIs, and biological assay results for three STIs. Higher parent-adolescent relationship quality was associated with lower levels of adolescent unprotected intercourse and intercourse initiation. Better relationship quality was also associated with lower levels of young adult STIs, even when accounting for prior sexual activity. Unexpectedly, more parent reports of communication regarding the risks associated with sexual activity were negatively associated with condom use and greater likelihood of sexual initiation. These results demonstrate that parents play an important role, both positive and negative, in sexual behavior, which extends to young adulthood, and underscores the value of family interventions in sexual risk prevention.

  20. Ethnic Identity and Sexual Initiation Among East Asian Youth in Canada.

    Science.gov (United States)

    Homma, Yuko; Wong, Sabrina T; Zumbo, Bruno D; Saewyc, Elizabeth M

    2015-10-01

    Despite the large number of East Asian youth in Canada, little is known about their health and risk behaviors. We examined the relationship between ethnic identity and sexual initiation among East Asians. This secondary analysis of a population-based survey selected 4,311 students in 7-12th grades who described themselves as East Asian (e.g., Chinese, Japanese, Korean). Gender-stratified logistic regression analyses examined whether ethnic identity was associated with sexual initiation, controlling for age, living situation, and cultural exposure. Boys with stronger commitment to their ethnic groups were less likely to have ever had sexual intercourse (aOR 0.80). Girls with higher levels of ethnic identity exploration were less likely to report sexual initiation (aOR 0.71). Stronger ethnic identity was associated with not having sexual intercourse among East Asian adolescents. The findings suggest the need to consider ethnocultural factors in future research and practice.

  1. Parental Influence on Their Adult Children’s Sexual Values: A Multi-National Comparison Between the United States, Spain, Costa Rica, and Peru

    OpenAIRE

    Negy, Charles; Velezmoro, Rodrigo; Reig-Ferrer, Abilio; Smith-Castro, Vanessa; Livia, Jose

    2016-01-01

    We examined the influence of perceived parental sexual values, religiosity, and family environment on young adults’ sexual values from the United States (n = 218), Spain (n = 240), Costa Rica (n = 172), and Peru (n = 105). On average, and across the four national groups, the messages young adults received from their parents about broad domains of sexual behaviors (masturbation, non-intercourse types of heterosexual sexual activity, premarital sex, same-sex activity, and cohabiting) were unequ...

  2. The impact of rheumatic diseases on sexual function.

    Science.gov (United States)

    Tristano, Antonio G

    2009-06-01

    Sexuality is a complex aspect of the human being's life and is more than of only the sexual act. Normal sexual functioning consists of sexual activity with transition through the phases from arousal to relaxation with no problems, and with a feeling of pleasure, fulfillment and satisfaction. Rheumatic diseases may affect all aspects of life including sexual functioning. The reasons for disturbing sexual functioning are multifactorial and comprise disease-related factors as well as therapy. In rheumatoid arthritis and ankylosing spondylitis patients, pain and depression could be the principal factors contributing to sexual dysfunction. On the other hand, in women with Sjögren's syndrome, systemic lupus erythematosus and systemic sclerosis sexual dysfunction is apparently most associated to vaginal discomfort or pain during intercourse. Finally, sexual dysfunction in patients with fibromyalgia could be principally associated with depression, but the characteristic symptoms of fibromyalgia (generalized pain, stiffness, fatigue and poor sleep) may contribute to the occurrence of sexual dysfunction. The treatment of sexual dysfunction will depend on the specific patient's symptoms, however, there are some general recommendations including: exploring different positions, using analgesics drug, heat and muscle relaxants before sexual activity and exploring alternative methods of sexual expression. This is a systemic review about the impact of several rheumatic diseases on sexual functioning. There are no previous overviews about this topic so far.

  3. Individual and Environmental Impacts on Sexual Health of Caribbean youth

    Directory of Open Access Journals (Sweden)

    Sarah J. Lerand

    2006-01-01

    Full Text Available Individual health risk behaviors among Caribbean youth account for the majority of adolescent morbidity and mortality in that area. This study explores the associations between individual factors, socioenvironmental factors, and sexual health–related behaviors in Caribbean youth. Data from the 1995 Caribbean Youth Health Survey, a nine-country, cross-sectional study completed by 15,695 in-school youth 10—18 years of age were analyzed. One-third of the sample (n = 5,060 reporting sexual activity was analyzed. This study examined age at first sexual intercourse, number of sexual partners, history of pregnancy, and condom use. The predictor variables were rage, depressed mood, expectation of early death, self-reported school performance, parental mental health or substance abuse problems, and family connectedness. Bi- and multivariate analyses were done separately for males and females, controlling for age, to examine associations between individual and socioenvironmental factors and sexual health behaviors. In the multivariate model, there were associations between rage, abuse, family mental health and substance use, anticipation of early death, and many of the outcome variables in males and females. Family connectedness and positive self-reported school status were correlated with greater condom use at last intercourse in males. Family connectedness was correlated with older age at first sexual intercourse. Depressed mood was not correlated with any of the outcome variables.The findings of the study demonstrate an association between individual and socioenvironmental factors and sexual health behaviors in the lives of Caribbean youth. Strong associations between rage and physical/sexual abuse and risky sexual behaviors are of notable concern.

  4. Transitions in body and behavior: a meta-analytic study on the relationship between pubertal development and adolescent sexual behavior.

    Science.gov (United States)

    Baams, Laura; Dubas, Judith Semon; Overbeek, Geertjan; van Aken, Marcel A G

    2015-06-01

    The present meta-analysis studies the relations of pubertal timing and status with sexual behavior and sexual risk behavior among youth aged 10.5-22.4 years. We included biological sex, age, and ethnicity as potential moderators. Four databases were searched for studies (published between 1980 and 2012) on the relation between pubertal timing or status and sexual behavior. The outcomes were (1) sexual intercourse; (2) combined sexual behavior; and (3) risky sexual behavior. Earlier pubertal timing or more advanced pubertal status was related to earlier and more sexual behavior, and earlier pubertal timing was related to more risky sexual behavior. Further, the links between (1) pubertal status and combined sexual behavior and (2) pubertal timing and sexual intercourse status, combined sexual behavior, and risky sexual behavior were stronger for girls than boys. Most links between pubertal status, timing, and sexual behavior and sexual risk behavior were stronger for younger adolescents. Moderation by ethnicity did not yield consistent results. There was significant variation in results among studies that was not fully explained by differences in biological sex, age, and ethnicity. Future research is needed to identify moderators that explain the variation in effects and to design sexual health interventions for young adolescents. Copyright © 2015 Society for Adolescent Health and Medicine. Published by Elsevier Inc. All rights reserved.

  5. HIV and Sexually Transmitted Disease Testing Behavior Among Adolescent Sexual Minority Males: Analysis of Pooled Youth Risk Behavior Survey Data, 2005-2013.

    Science.gov (United States)

    Sharma, Akshay; Wang, Li Yan; Dunville, Richard; Valencia, Rachel K; Rosenberg, Eli S; Sullivan, Patrick S

    2017-04-01

    Adolescent sexual minority males (ASMM) comprise a high-risk group that may benefit from expanded human immunodeficiency virus (HIV) and sexually transmitted disease (STD) prevention services. The purpose of this study was to estimate the prevalence of HIV and STD testing among ASMM from pooled high school Youth Risk Behavior Surveys (YRBSs). Data came from 26 YRBSs from 2005 to 2013, which included questions on sexual identity and/or sex of sexual contacts and questions on ever being tested for HIV and/or STDs. Multivariable logistic regression was used to identify factors independently associated with lifetime HIV testing among sexually experienced ASMM. Overall, 3027 of 43,037 (6.3%, 95% confidence interval [CI]: 5.8%-6.8%) males were categorized as ASMM. Among 1229 sexually experienced ASMM, 413 (26.6%, 95% CI: 21.8%-31.4%) reported ever being tested for HIV, and among 571 ASMM who reported not using a condom during last intercourse, 192 (29.4%, 95% CI: 21.3%-37.6%) reported testing. A longer duration since first intercourse (≥3 vs. ≤1 year: adjusted prevalence ratio [aPR]: 1.6, 95% CI: 1.0-2.6) and recent intercourse (within the past 3 months vs. earlier: aPR: 2.2, 95% CI: 1.4-3.4) was associated with a higher adjusted prevalence of HIV testing. Sixty-four of 252 (30.2%, 95% CI: 20.0%-40.4%) sexually experienced ASMM reported ever being tested for STDs. Low levels of testing among sexually experienced ASMM, particularly those who reported sex without a condom at last intercourse, highlight the exigency of improving age-appropriate HIV and STD prevention services. Educating healthcare providers to better assess adolescent sexual histories is essential to increasing testing.

  6. Evaluation of sexual functions and marital adjustment of pregnant women in Turkey.

    Science.gov (United States)

    Yanikkerem, E; Goker, A; Ustgorul, S; Karakus, A

    2016-09-01

    The aim of this study was to evaluate pregnant women's sexual function and marital adjustment. The sample of the study included 298 women, and it was evaluated using Golombok Rust Inventory of Sexual Satisfaction (GRISS) Scale and Marital Adjustment Scale. The most important reasons for decreasing the frequency of sexual intercourse included the fear of harming the fetus during intercourse (62.1%), fear of having miscarriage (47.8%) and decreased sexual desire (34.7%). It was found that women with sexual dysfunction had a significantly lower educational level, were living with three or more people in their home, were multiparious, had an unplanned pregnancy, reported pain during sexual intercourse and felt that their sexual life was very affected during pregnancy. The findings of the study showed that women had ⩾5 points for GRISS for the subscales as follows: infrequency (47.3%), non-communication (57.4%), dissatisfaction (15.4%), avoidance (6.4%), non-sensuality (19.1%), vaginismus (28.9%), anorgasmia (29.9%) and sexual dysfunction (17.4%). In conclusion, women who were living with three or more people at home, had lower income level, were smoking and had an unplanned pregnancy scored under 43.5 of MAS. It was found negative and there was a medium correlation between MAS score and total GRISS score.

  7. Identifying the Causal Pathways from Religiosity to Delayed Adolescent Sexual Behavior

    Science.gov (United States)

    Hull, Shawnika J.; Hennessy, Michael; Bleakley, Amy; Fishbein, Martin; Jordan, Amy

    2015-01-01

    This study used the Integrative Model as a framework to examine whether religiosity delays onset of coitus among a longitudinal sample of virgins, and investigated the causal pathways of this relationship. In addition, this study examined the behavioral beliefs about the consequences of engaging in sex, which distinguishes between youth who vary in level of religiosity. A further analysis was also conducted to examine whether religiosity offers protective effects in terms of progression toward sexual intercourse on a sexual behavior index. The sexual behavior index assumes a progressive nature of sexual behaviors, and includes the following seven behaviors: kissing, having breasts touched (touching for boys), genital touching, receiving oral sex, vaginal intercourse, giving oral sex, and receiving (or giving) anal sex. Religiosity at baseline was negatively associated with sexual debut one year later. This relationship was mediated through attitudes toward personally engaging in sexual intercourse. Religiosity at baseline was also negatively associated with scores on the sexual behavior index one year later. These results suggest that religiosity offers protective effects for both coital and noncoital sexual behaviors. PMID:20960362

  8. Family Structure, Maternal Dating, and Sexual Debut: Extending the Conceptualization of Instability.

    Science.gov (United States)

    Zito, Rena Cornell; De Coster, Stacy

    2016-05-01

    Family structure influences the risk of early onset of sexual intercourse. This study proposes that the family structures associated with risk-single-mother, step-parent, and cohabiting-influence early sexual debut due to family instability, including shifts in family structure and maternal dating, which can undermine parental control and transmit messages about the acceptability of nonmarital sex. Previous research has not considered maternal dating as a component of family instability, assuming single mothers who date and those who do not date experience comparable levels of family disruption and transmit similar messages about the acceptability of nonmarital sex. Hypotheses are assessed using logistic regression models predicting the odds of early onset of sexual intercourse among 9959 respondents (53 % female, 47 % male) from the National Longitudinal Study of Adolescent to Adult Health. Respondents were ages 12-17 at the first wave of data collection and 18-26 at the third wave, when respondents reported the age at which they first had sexual intercourse. Results show that maternal dating is a source of family instability with repercussions for early sexual debut. Parental control and permissive attitudes towards teenage sex and pregnancy link at-risk family structures and maternal dating to early sexual initiation among females, though these variables do not fully explain family structure and maternal dating effects. Among males, the influence of maternal dating on early sexual debut is fully explained by the learning of permissive sexual attitudes.

  9. Trends in adolescent sexual behavior, impact of information, and attitudes about HIV/AIDS in Portugal.

    Science.gov (United States)

    Ramiro, Lúcia; Reis, Marta; de Matos, Margarida Gaspar; Diniz, José Alves

    2014-01-01

    There is a recent decline in HIV in a significant number of countries due to the adoption of preventive sexual behaviors, which demonstrates that HIV reduction is possible. The goal of this research was to deepen knowledge of preventive sexual behavior in adolescents, including knowledge and attitudes about HIV/AIDS, and assessing whether they changed from 2002 to 2010. Data were collected through a self-administered questionnaire from the Portuguese sample of the Health Behavior in School-aged Children, a collaborative WHO study. The study provided national representative data of 10,587 Portuguese adolescents attending 8th and 10th grade. In terms of preventive behaviors, results showed an increasing trend regarding the percentage reporting first sexual intercourse at 14 years old or more and condom use at last intercourse and a stabilized trend concerning having had intercourse, contraceptive pill use at last intercourse and having had intercourse under the influence of alcohol or drugs. Nevertheless, results showed a systematic decreasing trend in terms of knowledge and attitudes. This suggested that sex education programs are still too limited to teaching sessions, strongly homogenized in their content and inadequate to enhance knowledge and attitudes regarding HIV, let alone personal and social skills of different target groups.

  10. Associations of Body Mass Index with Sexual Risk-Taking and Injection Drug Use among US High School Students

    Directory of Open Access Journals (Sweden)

    Richard Lowry

    2014-01-01

    Full Text Available The purpose of this study was to determine if body mass index (BMI is associated with behaviors that may increase risk for HIV and other sexually transmitted diseases (STDs among US high school students. We analyzed nationally representative data from the 2005–2011 national Youth Risk Behavior Surveys (YRBS to examine associations of BMI categories with sexual risk behaviors and injection drug use among sexually active high school students, using sex-stratified logistic regression models. Controlling for race/ethnicity and grade, among female and male students, both underweight (BMI < 5th percentile and obesity (BMI ≥ 95th percentile were associated with decreased odds of being currently sexually active (i.e., having had sexual intercourse during the past 3 months. However, among sexually active female students, obese females were more likely than normal weight females to have had 4 or more sex partners (odds ratio, OR = 1.59, not used a condom at last sexual intercourse (OR = 1.30, and injected illegal drugs (OR = 1.98. Among sexually active male students, overweight (85th percentile ≤ BMI < 95th percentile was associated with not using a condom at last sexual intercourse (OR = 1.19 and obesity was associated with injection drug use (OR = 1.42. Among sexually active students, overweight and obesity may be indicators of increased risk for HIV and other STDs.

  11. Sexual activity, knowledge and contraceptive usage by gender among university students in Turkey.

    Science.gov (United States)

    Yilmaz, Hatice Bal; Kavlak, Oya; Atan, Senay Unsal

    2010-12-01

    To assess sexual activity and contraceptive knowledge and practice by gender among university students. Descriptive and cross-sectional study conducted at Ege University, Turkey, with 1000 volunteering students. Data collection was stopped when 500 students of each gender had participated. Of the surveyed students, 50.3% (27.4% female, 73.2% male) reported having had sexual intercourse; the mean age at first sexual intercourse was 18.4 years for girls and 16.9 years for boys. We found that 44.5% of female and 30.6% of male students failed to use contraception at their first coitus, whereas 2.2% of female and 13.7% of male students failed to do so at their most recent intercourse. The rate of condom usage for students' first sexual encounter was 50.1% (35.8% female, 55.5% male) and was 67.8% (70.1% female, 66.9% male) at their most recent intercourse. Abortion was mentioned by 43.9% of female and 39.2% of male students as a method of preventing pregnancy after unprotected coitus. Male Turkish students had started sexual relations at a younger age but had less often unprotected first sex than female students.

  12. [Sexuality and risk for sexual transmission of HIV among serodiscordant couples in Ouagadougou, Burkina Faso].

    Science.gov (United States)

    Guira, O; Tiéno, H; Sawadogo, S; Drabo, J Y

    2013-02-01

    This article is a contribution to improve the management of serodiscordant couples in Ouagadougou. The aim of the study was to explore sexuality and the risk for sexual transmission of HIV among serodiscordant couples followed-up in CHU-YO. The study consisted of a descriptive cross-sectional study conducted over 6 months, from 1 January 2010 to 30 June 2010. A total of 80 heterosexual serodiscordant couples participated. Women were infected with HIV in most cases (75%). The mean age was 37.5 years for HIV partners and 40 years for seronegatives. Men were significantly older than women (p = 0.01). The couples weremarried (83.7%) or cohabiting (16.3%). The average of serodiscordance duration was 4 years. Seventy-four couples (92.5%) engaged in sexual intercourses, mostly vaginal intercourses. Both partners were satisfied only in 9 couples (12.2%). Although most couples (97.5%) knew the use of condoms for HIV prevention, 59.5% did not use it consistently, particularly when women were the seropositive partners (p = 0.01). The lack of privacy (37.5%) and desire of childbearing (26.25%) were the main reasons for not consistently using condoms among couples. Sexual dysfunction was a concern with 97.5% of the couples. The decrease in libido was most common (37.2%). Sexual intercourses with an outside partner were reported in 20 couples (25%), mostly regarding men (p = 0.03). Specific management could improve the quality of sexual life for couples in the light of the difficulties they face and reduce the risk for HIV transmission to negative partners.

  13. Sexual Health Care, Sexual Behaviors and Functioning, and Female Genital Cutting: Perspectives From Somali Women Living in the United States.

    Science.gov (United States)

    Connor, Jennifer Jo; Hunt, Shanda; Finsaas, Megan; Ciesinski, Amanda; Ahmed, Amira; Robinson, Beatrice Bean E

    2016-01-01

    We investigated the sexual values, attitudes, and behaviors of 30 Somali female refugees living in a large metropolitan area of Minnesota by collecting exploratory sexual health information based on the components of the sexual health model-components posited to be essential aspects of healthy human sexuality. A Somali-born bilingual interviewer conducted the semistructured interviews in English or Somali; 22 participants chose to be interviewed in Somali. Interviews were translated, transcribed, and analyzed using descriptive statistics and thematic analyses. Our study findings highlighted a sexually conservative culture that values sexual intimacy, female and male sexual pleasure, and privacy in marriage; vaginal sexual intercourse as the only sanctioned sexual behavior; and the importance of Islamic religion in guiding sexual practices. Findings related to human immunodeficiency virus (HIV) revealed HIV testing at immigration, mixed attitudes toward condom use, and moderate knowledge about HIV transmission modes. Female genital cutting (FGC) was a pervasive factor affecting sexual functioning in Somali women, with attitudes about the controversial practice in transition. We recommend that health professionals take the initiative to discuss sexual health care and safer sex, sexual behaviors/functioning, and likely challenges to sexual health with Somali women--as they may be unlikely to broach these subjects without permission and considerable encouragement.

  14. Sexual behaviours and associated risks in Chinese young people: a meta-analysis.

    Science.gov (United States)

    Yu, Xiao-ming; Guo, Shuai-Jun; Sun, Yu-ying

    2013-11-01

    The earlier and unprotected sexual behaviour of young Chinese, and the consequences of these actions, have become a health concern, posing a challenge to traditional Chinese concepts. The aim of the present study was to investigate changes in sexual behaviour and associated risks among adolescents and young people in mainland China over the past three decades. A meta-analysis was undertaken to comprehensively review the sexual behaviour of Chinese young people (aged from 10 to 24 years) over the past 30 years. Relevant data published from 1979 to 2009 in the Chinese literature database were identified and retrieved. Analysis was performed based on set criteria. Seventy-five studies were identified that were published after 1990. Overall, the estimated prevalence of sexual intercourse among young people was 12.6%, with an average age at sexual debut of 19.4 years. The rate of condom use at sexual debut was 37.2%; 53.6% of young people reported not using a condom during the most recent act of sexual intercourse. The rates of unintentional pregnancy and abortion among the sexually active were 15.1% and 10.8%, respectively. Reviewing the data according to decades revealed that the number of young people engaging in sexual intercourse decreased from 14.3% in 1990-1999 to 11.8% in 2000-2009. However, these rates are higher than the prevalence of sexual activity reported before 1990, which, according to sporadic studies, did not exceeded 1%. There have been increases in sexual activity and high-risk sexual behaviour in Chinese young people in the decades since the adoption of the open door policy in China, particularly since the mid-1990s. High-risk sexual behaviours have contributed to certain adverse consequences in adolescents and young people, such as unwanted pregnancy and sexually transmissible infection. Thus, efficacious intervention strategies need to be developed and implemented.

  15. Your Premature Baby: Low Birthweight

    Science.gov (United States)

    ... many low-birthweight babies are born prematurely, many risk factors for having a low-birthweight baby are the same for preterm labor and ... risk for having a low-birthweight baby. Medical risk factors for having a low-birthweight baby Preterm labor . This is labor that starts ...

  16. Music Therapy with Premature Infants

    Science.gov (United States)

    Standley, Jayne

    2003-01-01

    Over 20 years of research and clinical practice in music therapy with premature infants has been compiled into this text designed for Board Certified Music Therapists specializing in Neonatal Intensive Care clinical services, for NICU medical staff incorporating research-based music therapy into developmental care plans, and for parents of…

  17. Music Therapy with Premature Infants

    Science.gov (United States)

    Standley, Jayne

    2003-01-01

    Over 20 years of research and clinical practice in music therapy with premature infants has been compiled into this text designed for Board Certified Music Therapists specializing in Neonatal Intensive Care clinical services, for NICU medical staff incorporating research-based music therapy into developmental care plans, and for parents of…

  18. Sexual transmission of Trypanosoma cruzi in murine model.

    Science.gov (United States)

    Ribeiro, Marcelle; Nitz, Nadjar; Santana, Camilla; Moraes, Aline; Hagström, Luciana; Andrade, Rafael; Rios, Adriano; Sousa, Alessandro; Dallago, Bruno; Gurgel-Gonçalves, Rodrigo; Hecht, Mariana

    2016-03-01

    Trypanosoma cruzi is mainly transmitted by blood-sucking triatomines, but other routes also have epidemiological importance, such as blood transfusion and congenital transmission. Although the possibility of sexual transmission of T. cruzi has been suggested since its discovery, few studies have been published on this subject. We investigated acquisition of T. cruzi by sexual intercourse in an experimental murine model. Male and female mice in the chronic phase of Chagas disease were mated with naive partners. Parasitological, serological and molecular tests demonstrated the parasites in tissues and blood of partners. These results confirm the sexual transmission of T. cruzi in mice.

  19. Examining the relationship between use of sexually explicit media and sexual risk behavior in a sample of men who have sex with men in Norway

    DEFF Research Database (Denmark)

    Traeen, Bente; Noor, Syed W; Hald, Gert Martin

    2015-01-01

    The purpose of this study was to investigate consumption patterns of gay-oriented sexually explicit media (SEM) among men who have sex with men (MSM) in Norway, with a particular emphasis on a possible relationship between gay SEM consumption and HIV risk behavior. Participants included 529 MSM...... living in Norway recruited online to complete a SEM consumption and sexual risk survey. Of the 507 participants who responded to the all items measuring exposure to SEM, 19% reported unprotected anal intercourse with a casual partner (UAI) in last 90 days, and 14% reported having had sero-discordant UAI....... Among those with UAI experience, 23% reported receptive anal intercourse (R-UAI) and 37% reported insertive anal intercourse (I-UAI). SEM consumption was found to be significantly associated with sexual risk behaviors. Participants with increased consumption of bareback SEM reported higher odds of UAI...

  20. Sexual knowledge, attitudes and activity of men conscripted into the military

    Directory of Open Access Journals (Sweden)

    Ku Yanchiou

    2010-09-01

    Full Text Available Abstract Background Military conscripts may experience a change in their attitude towards sex at times when sexual urges are at their peak during their physical growth. This study examines the experience, understanding, knowledge and attitudes regarding sexual activity of the military conscripts. Methods Data was obtained from a cross-sectional survey of 1127 young adult military conscripts, and were evaluated in Southern Taiwan from January to July 2009, their demographic data, sexual knowledge, attitudes and activities were assessed. Results Nearly 43% of the participants had performed penetrative vaginal intercourse at least once; 34% of the participants performed heterosexual oral sex at least once; almost 7% of participants had had homosexual intercourse, and 7.5% of participants had experienced homosexual oral sex in the past year. The mean sexual knowledge score based on 30 questions was 23.2 ± 4.0. The higher the educational level of the participants, the greater sexual knowledge they had obtained. Conclusion This study found that 43% of unmarried young recruits had experienced premarital sexual activity. However, their sexual knowledge was insufficient and should be strengthened by sex education from an earlier age. College aged and adult learners also have sex education needs, especially with regard to integrating sexuality and life, being able to relate responsibly as sexual beings to others, the use of contraception, and about sexually transmitted disease. Keywords Young recruits, Sexual behavior, Sexual knowledge, Sex education

  1. A content analysis of the prevalence and portrayal of sexual activity in adolescent literature.

    Science.gov (United States)

    Callister, Mark; Coyne, Sarah M; Stern, Lesa A; Stockdale, Laura; Miller, Malinda J; Wells, Brian M

    2012-01-01

    Most research on sexual content in the media has focused on visual images such as those in TV, film, advertisements, and magazines. However, researchers have largely overlooked sexual content in novels. The popularity of novels and the potential for such literature to educate teens on sexual behaviors merits a closer examination into the sexual messages contained in popular adolescent literature. This study content analyzes the top 40 novels targeting adolescents. Results show that adolescent novels are replete with sex-related information, especially in novels targeted to girls. These sexual behaviors range from passionate kissing and romantic ideation to sexual intercourse. Over one third of the instances focus on references to sex, suggestive innuendos, or sexual descriptions; and an additional one third of sexual behavior involved sexual affection in the form of passionate kissing, intimate touching, and playful sexual behavior. Across the 40 books, there were 56 instances of sexual intercourse, most of which involved unmarried couples (94%); and many were in non-committal relationships. Moreover, sexual material rarely dealt with issues of abstinence, safe sex practices, and the health risks associated with sex.

  2. Acculturation, gender disparity, and the sexual behavior of Asian American youth.

    Science.gov (United States)

    Tong, Yuying

    2013-01-01

    Asian American youth are less likely to be sexually active than adolescents from other ethnic groups; however, with acculturation, they may adopt the more liberal sexual norms of American society. Moreover, owing to differing parental expectations for sons and daughters about sexuality, gender disparity might exist in the adoption of American sexual norms. This article used the proportional hazards model and the generalized estimating equations Poisson model to examine how acculturation influences the initiation of sexual intercourse and the number of sexual partners. The results show that acculturation leads to more liberal sexual mores among Asian American youth. However, despite what might be expected from the sexual double standard, the models show that more acculturated females, as indicated by their use of English at home, had an earlier onset of sexual intercourse and a higher number of sexual partners. This is the opposite of what would be predicted by the sexual double standard theory. This might be due to the fact that Asian females tend to be more socially accepted by the host society than Asian males. Information on partners shows that Asian American females have more diversified racial backgrounds than their male counterparts. They are also more likely to have older sexual partners.

  3. Exploring co-parent experiences of sexuality in the first 3 months after birth.

    Science.gov (United States)

    van Anders, Sari M; Hipp, Lauren E; Kane Low, Lisa

    2013-08-01

    Research on postpartum sexuality has focused primarily on mothers, though new findings suggest that relational perceptions may have a strong influence over sexual desire and behavior. Little investigation exists regarding sexuality in partners of postpartum women. Additionally, recent findings point to the importance of a partner's sexuality for postpartum women's perceptions of their own sexuality in this time. The goal of this research was to explore women's partners' sexuality in the early postpartum phase taking into account psychosocial context. Partners (N = 114; 95 men, 18 women, 1 unspecified) of postpartum women completed a retrospective online questionnaire about their sexuality during the 3 months following their youngest child's birth. Primary measures included sexual desire (Sexual Desire Inventory), latency to sexual behavior, and enjoyment and initiation of sexual behavior. Other psychosocial variables were investigated: partners' perceptions of the birth mother's sexual desire, perceptions of the birth experience (Questionnaire Measuring Attitudes About Labor and Delivery), postpartum stress (Perceived Stress Scale), body image self-consciousness (Body Image Self-Consciousness Scale), social support (Multidimensional Scale of Perceived Social Support), fatigue, and experiences surrounding breastfeeding. Partners reported most frequent engagement in intercourse in the postpartum period, earliest engagement in masturbation, and highest enjoyment of receiving oral sex compared with other sexual activities. Partners' sexual desire was not correlated with the psychosocial variables measured in the study. Findings for partners' sexuality were similar by gender, except for perceptions of social support and likelihood to engage in intercourse. This study provided a novel perspective on the study of postpartum sexuality by investigating physical and psychosocial influences on the experiences of partners of parous women. Given parallels between sexuality

  4. MODERN PRODUCTS FOR FEEDING PREMATURE BABIES

    National Research Council Canada - National Science Library

    A. V. Surzhik

    2012-01-01

    .... Adequate feeding is one of the fundamental factors of premature babies nursing. To ensure a premature baby with all necessary components for power saving in breast milk intake, breast milk fortifiers...

  5. Plato, Wilde, and Woolf: the poetics of homoerotic "intercourse" in A Room of One's Own.

    Science.gov (United States)

    Vanita, Ruth

    2010-01-01

    This article places Woolf in the context of homoerotic literary ancestry. It suggests that the overall argument in A Room of One's Own owes a debt to Wilde's 1891 pamphlet The Soul of Man under Socialism. It also examines Woolf's controversial meditation on male-female collaboration and intercourse in A Room, and suggests a homoerotic reading of this meditation, drawing on images and ideas of literary transmission and creation from Plato's Symposium.

  6. Sexual risk behaviour amongst young people in the Vhembe district of the Limpopo province, South Africa

    Directory of Open Access Journals (Sweden)

    Thelmah X. Maluleke

    2010-03-01

    Full Text Available This study entailed a quantitative, cross-sectional survey amongst young people in four villages of the Vhembe district of the Limpopo province. The purpose of the research was to determine the sexual health risk behaviour indicators prevalent amongst young people that could contribute to the spread of HIV and AIDS in this district. The objectives of this study were (1 to identify sexual risk behaviour, (2 to establish the prevalence of substance use before sexual intercourse, (3 to determine the prevalence of coerced sexual intercourse and (4 to determine the prevalence of forced sexual intercourse amongst young people in the Vhembe district.

    Purposive sampling was used to select the four villages that participated in the study and simple,random sampling was used to select the respondents. A total of 400 respondents participated in the study, 227 of which were female and 173 were male. The following sexual risk behaviour indicators were identified (1 early sexual debut, (2 teenage pregnancy and (3 early marriage. It was found that young people expose themselves to sexual intercourse without condoms, and that they are likely to have sexual intercourse without a condom in return for reward, and to have sexual intercourse with a famous person. Approximately 20% of the sexually active respondents had used substances before sexual intercourse. Alcohol and marijuana (‘dagga’ were most commonly used amongst those respondents taking substances before sexual intercourse, and these were used predominantly in coerced and forced sexual intercourse.

    Opsomming

    Die studie was ’n kwantitatiewe, deursnee-opname wat onder jongmense in vier dorpies in die Vhembe-distrik van die Limpopo-provinsie uitgevoer is. Die doel van die navorsing was om vas te stel watter aanwysers van risikogedrag ten opsigte van seksuele gesondheid onder die jongmense voorkom wat moontlik tot die verspreiding van MIV en vigs in hierdie distrik bydra

  7. Impact of Mode of Delivery on Female Postpartum Sexual Functioning: Spontaneous Vaginal Delivery and Operative Vaginal Delivery vs. Cesarean Section.

    Science.gov (United States)

    Barbara, Giussy; Pifarotti, Paola; Facchin, Federica; Cortinovis, Ivan; Dridi, Dhohua; Ronchetti, Camilla; Calzolari, Luca; Vercellini, Paolo

    2016-03-01

    Several studies have explored the association between modes of delivery and postpartum female sexual functioning, although with inconsistent findings. To investigate the impact of mode of delivery on female postpartum sexual functioning by comparing spontaneous vaginal delivery, operative vaginal delivery, and cesarean section. One hundred thirty-two primiparous women who had a spontaneous vaginal delivery, 45 who had an operative vaginal delivery, and 92 who underwent a cesarean section were included in the study (N = 269). Postpartum sexual functioning was evaluated 6 months after childbirth using the Female Sexual Function Index. Time to resumption of sexual intercourse, postpartum depression, and current breastfeeding also were assessed 6 months after delivery. Female Sexual Function Index total and domain scores and time to resumption of sexual intercourse at 6 months after childbirth. Women who underwent an operative vaginal delivery had poorer scores on arousal, lubrication, orgasm, and global sexual functioning compared with the cesarean section group and lower orgasm scores compared with the spontaneous vaginal delivery group (P < .05). The mode of delivery did not significantly affect time to resumption of sexual intercourse. Women who were currently breastfeeding had lower lubrication, more pain at intercourse, and longer time to resumption of sexual activity. Operative vaginal delivery might be associated with poorer sexual functioning, but no conclusions can be drawn from this study regarding the impact of pelvic floor trauma (perineal laceration or episiotomy) on sexual functioning because of the high rate of episiotomies. Overall, obstetric algorithms currently in use should be refined to decrease further the risk of operative vaginal delivery. Copyright © 2016. Published by Elsevier Inc.

  8. Sexuality After Cancer: A Model for Male Survivors.

    Science.gov (United States)

    Katz, Anne; Dizon, Don S

    2016-01-01

    For men with cancer, sexual dysfunction is a common issue and has a negative impact on quality of life, regardless of whether he has a partner. In general, sexuality encompasses much more than intercourse; it involves body image, identity, romantic and sexual attraction, and sexual thoughts and fantasies. Acknowledging that cancer affects multiple physical and psychosocial domains in patients, the authors propose that such changes also inform sexual function for the male survivor. An in-depth review of the literature describing alterations to sexual functioning in men with cancer was undertaken. Based on this and the clinical expertise of the authors, a new model was created and is presented. This biopsychosocial model is intended to expand the understanding of male sexuality beyond a purely biomedical model that addresses dysfunction as distinct from the context of a man's life and sexual identity. Most data on sexual dysfunction in men with cancer are derived from those with a history of prostate cancer, although other data suggest that men with other types of malignancies are similarly affected. Unfortunately, male sexuality is often reduced to aspects of erection and performance. Acknowledging that cancer affects multiple physical and psychosocial domains in patients, the authors propose that such changes also inform sexual function for the male survivor. This biopsychosocial model might form the basis for interventions for sexual problems after cancer that includes a man and his partner as a complex whole. Copyright © 2016 International Society for Sexual Medicine. Published by Elsevier Inc. All rights reserved.

  9. Gist of classical Chinese sexual medicine and its academic features%古典性医学梗概及其学术特色

    Institute of Scientific and Technical Information of China (English)

    徐升阳

    1997-01-01

    Based on nine important ancient Chinese books,the gist of classical Chinese sexual medicine and its academic feature arc concluded as follows.First,health carein sexual intercourse,which underlines sperm preservation as its key point,including marriage at right age,moderate coital frequency and taboos against sexuality,Secondly,sexual pleasure,which is interpreted as the basis for maintaining marital harmony and morals in human relations,and moderateness in sexual pleasure is stressed.Thirdly,art of copulation,which embraces application of bionics and practice of qigong in sexual intercourse.Fourthly,procreation of healthier offspring,which involves prenatal training and precautions in pregnancy.The author expounds the scientific and ethical essence of the classical Chinese sexual medicine,which is of historical and real significance.

  10. Estimation of changes in spermogram and index of sperm DNA fragmentation in patients with premature ejaculation receiving Neurodoz biocomplex

    Directory of Open Access Journals (Sweden)

    M. N. Korshunov

    2016-01-01

    Full Text Available Background. An incidence of premature ejaculation (PE in men of reproductive age of 24–45 years is 23 %. The treatment of PE is based on antidepressants from the group of selective serotonin re-uptake inhibitors. However, drugs of this group have gametotoxic action.Objective. Evaluate the effectiveness of Neurodoz biocomplex, its effect on the parameters of spermogram and sperm DNA integrity in patients with PE.Materials and methods. The study involved 16 patients with PE and normozoospermia aged from 26 to 35 years. Ejaculate and sperm DNA fragmentation were assessed by Halosperm (Halotech® method before and after the therapy. Duration of treatment was 2 months. Evaluation of efficacy was based on the duration of sexual intercourse, as well as on the visual analogue scale and the questionnaire data of patients with premature ejaculation.Results. In 8 weeks there was a decrease in ejaculate volume from to 3.6 ± 1.1 down to 3.2 ± 1.1 mL (p = 0.312 and an increase in the concentration of sperm (34.2 ± 9.8 × 106 up to (35.6 ± 9.7 × 106 (p = 0.688. Sperm motility (category a + b increased from 36.6 ± 4.3 to 37.2 ± 4.5 % (p = 0.703, the percentage of morphologically normal forms increased from 14.6 ± 1.4 up to 14.8 ± 1.1 (p = 0.656. DNA fragmentation of sperm has decreased from 15.6 ± 2.7 down to 15.4 ± 2.7 % (p = 0.635. Duration of intravaginal latency increased from 101.8 ± 34.4 (45–150 up to 217.3 ± 28.9 (190–280 sec (p < 0.001. An overall score according to the premature ejaculation questionnaire decreased from 13.9 ± 3.0 (9–20 down to 4.4 ± 1.9 (0–7 (p < 0.001. Visual analogue scale symptoms improved from 7.3 ± 1.7 (5–10 to 2.6 ± 1.2 (0–4 (p < 0.001.Conclusion. Neurodoz is an effective and safe agent for PE correction. Giving an absence of negative impact of biocomplex on spermatogenesis in patients with normozoospermia, it is possible to administer it to men who are trying to conceive. Further study

  11. Associations between religiosity and sexual and contraceptive behaviors

    Science.gov (United States)

    Gold, M. A.; Sheftel, A. V.; Chiappetta, L.; Young, A. J.; Zuckoff, A.; DiClemente, C. C.; Primack, B.A.

    2010-01-01

    Study Objective To determine associations between religiosity and female adolescents' sexual and contraceptive behaviors. Design We conducted a secondary analysis on data from a randomized controlled trial comparing interventions designed to prevent pregnancy and STDs. Multivariable modeling assessed the association between a religiosity index consisting of items related to religious behaviors and impact of religious beliefs on decisions and sexual outcomes. Participants 572 female adolescents aged 13 to 21, recruited via a hospital-based adolescent clinic and community-wide advertisements. Main Outcome Measures Sexual experience, pregnancy, STDs, number of lifetime partners, frequency of sexual activity, previous contraceptive use, and planned contraceptive use. Results Mean participant age was 17.4±2.2 years and 68% had been sexually active. Most (74.1%) had a religious affiliation and over half (52.8%) reported that their religious beliefs impact their decision to have sex at least “somewhat.” Multivariate analyses showed that, compared with those with low religiosity, those with high religiosity were less likely to have had sexual intercourse (OR=0.23, 95% CI=0.14, 0.39). Among sexually active participants, those with high religiosity were less likely to have been pregnant (OR=0.46, 95% CI=0.22, 0.97), to have had an STD (OR=0.42, 95% CI=0.22, 0.81), or to have had multiple (≥4) lifetime partners (OR=0.38, 95% CI=0.21, 0.68) compared to those with low religiosity. Levels of religiosity were not significantly associated with frequency of intercourse, contraception use at last intercourse, or planned contraceptive use. Conclusion In this cohort, religiosity appeared to be a protective factor rather than a risk factor with regard to sexual behavior and was not associated with contraception use. PMID:20493738

  12. Role of risk and protective factors in risky sexual behavior among high school students in Cambodia.

    Science.gov (United States)

    Yi, Siyan; Poudel, Krishna C; Yasuoka, Junko; Palmer, Paula H; Yi, Songky; Jimba, Masamine

    2010-08-12

    In many developing countries, adolescents have become increasingly prone to engage in habitual risky sexual behavior such as early sexual initiation and unprotected sex. The objective of this study was to identify the operation of risk and protective factors in individual, family, peer, school, and community domains in predicting risky sexual behavior among male and female adolescents in Cambodia. From October 2007 to January 2008, we collected data from 1,049 students aged 14 to 20 years. Risky sexual behavior was measured using a scale consisting of four items: sexual intercourse during the past three months, number of sex partners during the past three months, age at first experience of sexual intercourse, and use of condom in last sexual intercourse. The risk factors examined included substance use, depression, peer delinquency, family violence, and community violence. Studied protective factors included family support function, frequency of family dinner, and school attachment. Of the 1,049 students surveyed, 12.7% reported sexual intercourse during the past three months. Out of those sexually active students, 34.6% reported having two or more sex partners over the same period, and 52.6% did not use a condom during their last sexual intercourse. After controlling for other covariates, a higher likelihood of risky sexual behavior remained significantly associated among male participants with higher levels of substance use, higher levels of peer delinquency, and higher family income. In contrast, risky sexual behavior did not retain its associations with any of the measured protective factors among male participants. Among female participants, a higher likelihood of risky sexual behavior remained significantly associated with higher levels of substance use, higher levels of community-violence witnessing, and lower levels of family support. The findings suggest the importance of considering gender-related differences in the effects of risk and protective factors

  13. Role of risk and protective factors in risky sexual behavior among high school students in Cambodia

    Directory of Open Access Journals (Sweden)

    Yi Siyan

    2010-08-01

    Full Text Available Abstract Background In many developing countries, adolescents have become increasingly prone to engage in habitual risky sexual behavior such as early sexual initiation and unprotected sex. The objective of this study was to identify the operation of risk and protective factors in individual, family, peer, school, and community domains in predicting risky sexual behavior among male and female adolescents in Cambodia. Methods From October 2007 to January 2008, we collected data from 1,049 students aged 14 to 20 years. Risky sexual behavior was measured using a scale consisting of four items: sexual intercourse during the past three months, number of sex partners during the past three months, age at first experience of sexual intercourse, and use of condom in last sexual intercourse. The risk factors examined included substance use, depression, peer delinquency, family violence, and community violence. Studied protective factors included family support function, frequency of family dinner, and school attachment. Results Of the 1,049 students surveyed, 12.7% reported sexual intercourse during the past three months. Out of those sexually active students, 34.6% reported having two or more sex partners over the same period, and 52.6% did not use a condom during their last sexual intercourse. After controlling for other covariates, a higher likelihood of risky sexual behavior remained significantly associated among male participants with higher levels of substance use, higher levels of peer delinquency, and higher family income. In contrast, risky sexual behavior did not retain its associations with any of the measured protective factors among male participants. Among female participants, a higher likelihood of risky sexual behavior remained significantly associated with higher levels of substance use, higher levels of community-violence witnessing, and lower levels of family support. Conclusions The findings suggest the importance of considering

  14. A clinical study to assess the effectiveness of a hyaluronic acid-based procedure for treatment of premature ejaculation

    OpenAIRE

    Littara, A; Palmieri, B.; Rottigni, V.; Iannitti, T

    2013-01-01

    Premature ejaculation is a sexual debilitating condition affecting a large number of men worldwide and leading to important dysfunctions influencing the patients' affective and emotional life. Hyaluronic acid is a natural and safe compound that has been widely used not only in the aesthetic medicine clinic, but also for treatment of osteoarthritis. The present study shows the effectiveness of a hyaluronic acid-based procedure for treatment of premature ejaculation. A hundred and ten male pati...

  15. HIV seropositive gay men: understanding adoption of safe sexual practices.

    Science.gov (United States)

    Godin, G; Savard, J; Kok, G; Fortin, C; Boyer, R

    1996-12-01

    The aim of this study was to determine the best predictors of safe sex practices among HIV seropositive gay men. A group of 96 homosexual men living with HIV completed a questionnaire that investigated theoretical constructs of the Ajzen's (1988) theory of planned behavior with respect to condom use for anal intercourse and sexual practices without anal intercourse. Other variables such as Triandis's (1977) construct of personal normative belief, psychological distress, and alcohol and drug use before sexual encounters were also investigated. Results indicated that the best predictor of intention to use condoms was perceived behavioral control. Personal normative belief was another important predictor of this intention. Although the best predictor of intention to have only sex without anal intercourse was perceived subjective norm, this intention was also significantly explained by perceived behavioral control. Moreover, perceived behavioral control was a significant predictor of having only sex without anal intercourse. Public health interventions among HIV seropositive gay men should aim mainly at increasing perception of behavioral control.

  16. Outcomes for Extremely Premature Infants

    Science.gov (United States)

    Glass, Hannah C.; Costarino, Andrew T.; Stayer, Stephen A.; Brett, Claire; Cladis, Franklyn; Davis, Peter J.

    2015-01-01

    Premature birth is a significant cause of infant and child morbidity and mortality. In the United States, the premature birth rate, which had steadily increased during the 1990s and early 2000s, has decreased annually for four years and is now approximately 11.5%. Human viability, defined as gestational age at which the chance of survival is 50%, is currently approximately 23–24 weeks in developed countries. Infant girls, on average, have better outcomes than infant boys. A relatively uncomplicated course in the intensive care nursery for an extremely premature infant results in a discharge date close to the prenatal EDC. Despite technological advances and efforts of child health experts during the last generation, the extremely premature infant (less than 28 weeks gestation) and extremely low birth weight infant (ELBW) (premature labor improved neonatal mortality and morbidity in the late 1990s. The recognition that chronic postnatal administration of steroids to infants should be avoided may have improved outcomes in the early 2000s. Evidence from recent trials attempting to define the appropriate target for oxygen saturation in preterm infants suggests arterial oxygen saturation between 91–95% (compared to 85–89%) avoids excess mortality. However, final analyses of data from these trials have not been published, so definitive recommendations are still pending The development of neonatal neurocognitive care visits may improve neurocognitive outcomes in this high-risk group. Long-term follow up to detect and address developmental, learning, behavioral, and social problems is critical for children born at these early gestational ages. The striking similarities in response to extreme prematurity in the lung and brain imply that agents and techniques that benefit one organ are likely to also benefit the other. Finally, since therapy and supportive care continue to change, the outcomes of ELBW infants are ever evolving. Efforts to minimize injury, preserve

  17. Outcomes for extremely premature infants.

    Science.gov (United States)

    Glass, Hannah C; Costarino, Andrew T; Stayer, Stephen A; Brett, Claire M; Cladis, Franklyn; Davis, Peter J

    2015-06-01

    Premature birth is a significant cause of infant and child morbidity and mortality. In the United States, the premature birth rate, which had steadily increased during the 1990s and early 2000s, has decreased annually for 7 years and is now approximately 11.39%. Human viability, defined as gestational age at which the chance of survival is 50%, is currently approximately 23 to 24 weeks in developed countries. Infant girls, on average, have better outcomes than infant boys. A relatively uncomplicated course in the intensive care nursery for an extremely premature infant results in a discharge date close to the prenatal estimated date of confinement. Despite technological advances and efforts of child health experts during the last generation, the extremely premature infant (less than 28 weeks gestation) and extremely low birth weight infant (death and disability with 30% to 50% mortality and, in survivors, at least 20% to 50% risk of morbidity. The introduction of continuous positive airway pressure, mechanical ventilation, and exogenous surfactant increased survival and spurred the development of neonatal intensive care in the 1970s through the early 1990s. Routine administration of antenatal steroids during premature labor improved neonatal mortality and morbidity in the late 1990s. The recognition that chronic postnatal administration of steroids to infants should be avoided may have improved outcomes in the early 2000s. Evidence from recent trials attempting to define the appropriate target for oxygen saturation in preterm infants suggests arterial oxygen saturation between 91% and 95% (compared with 85%-89%) avoids excess mortality; however, final analyses of data from these trials have not been published, so definitive recommendations are still pending. The development of neonatal neurocritical intensive care units may improve neurocognitive outcomes in this high-risk group. Long-term follow-up to detect and address developmental, learning, behavioral, and

  18. The epidemiology of bacterial vaginosis in relation to sexual behaviour

    Science.gov (United States)

    2010-01-01

    Background Bacterial vaginosis (BV) has been most consistently linked to sexual behaviour, and the epidemiological profile of BV mirrors that of established sexually transmitted infections (STIs). It remains a matter of debate however whether BV pathogenesis does actually involve sexual transmission of pathogenic micro-organisms from men to women. We therefore made a critical appraisal of the literature on BV in relation to sexual behaviour. Discussion G. vaginalis carriage and BV occurs rarely with children, but has been observed among adolescent, even sexually non-experienced girls, contradicting that sexual transmission is a necessary prerequisite to disease acquisition. G. vaginalis carriage is enhanced by penetrative sexual contact but also by non-penetrative digito-genital contact and oral sex, again indicating that sex per se, but not necessarily coital transmission is involved. Several observations also point at female-to-male rather than at male-to-female transmission of G. vaginalis, presumably explaining the high concordance rates of G. vaginalis carriage among couples. Male antibiotic treatment has not been found to protect against BV, condom use is slightly protective, whereas male circumcision might protect against BV. BV is also common among women-who-have-sex-with-women and this relates at least in part to non-coital sexual behaviours. Though male-to-female transmission cannot be ruled out, overall there is little evidence that BV acts as an STD. Rather, we suggest BV may be considered a sexually enhanced disease (SED), with frequency of intercourse being a critical factor. This may relate to two distinct pathogenetic mechanisms: (1) in case of unprotected intercourse alkalinisation of the vaginal niche enhances a shift from lactobacilli-dominated microflora to a BV-like type of microflora and (2) in case of unprotected and protected intercourse mechanical transfer of perineal enteric bacteria is enhanced by coitus. A similar mechanism of mechanical

  19. The epidemiology of bacterial vaginosis in relation to sexual behaviour

    Directory of Open Access Journals (Sweden)

    Temmerman Marleen

    2010-03-01

    Full Text Available Abstract Background Bacterial vaginosis (BV has been most consistently linked to sexual behaviour, and the epidemiological profile of BV mirrors that of established sexually transmitted infections (STIs. It remains a matter of debate however whether BV pathogenesis does actually involve sexual transmission of pathogenic micro-organisms from men to women. We therefore made a critical appraisal of the literature on BV in relation to sexual behaviour. Discussion G. vaginalis carriage and BV occurs rarely with children, but has been observed among adolescent, even sexually non-experienced girls, contradicting that sexual transmission is a necessary prerequisite to disease acquisition. G. vaginalis carriage is enhanced by penetrative sexual contact but also by non-penetrative digito-genital contact and oral sex, again indicating that sex per se, but not necessarily coital transmission is involved. Several observations also point at female-to-male rather than at male-to-female transmission of G. vaginalis, presumably explaining the high concordance rates of G. vaginalis carriage among couples. Male antibiotic treatment has not been found to protect against BV, condom use is slightly protective, whereas male circumcision might protect against BV. BV is also common among women-who-have-sex-with-women and this relates at least in part to non-coital sexual behaviours. Though male-to-female transmission cannot be ruled out, overall there is little evidence that BV acts as an STD. Rather, we suggest BV may be considered a sexually enhanced disease (SED, with frequency of intercourse being a critical factor. This may relate to two distinct pathogenetic mechanisms: (1 in case of unprotected intercourse alkalinisation of the vaginal niche enhances a shift from lactobacilli-dominated microflora to a BV-like type of microflora and (2 in case of unprotected and protected intercourse mechanical transfer of perineal enteric bacteria is enhanced by coitus. A similar

  20. Acculturation-related variables, sexual initiation, and subsequent sexual behavior among Puerto Rican, Mexican, and Cuban youth.

    Science.gov (United States)

    Guilamo-Ramos, Vincent; Jaccard, James; Pena, Juan; Goldberg, Vincent

    2005-01-01

    The relationship among acculturation-related variables, past sexual activity, and subsequent sexual behavior was examined for a sample of Latino youth in the United States over a 12-month period. A subsample from the National Longitudinal Study of Adolescent Health database was analyzed by means of a prospective design. History of sexual intercourse predicted subsequent sexual behavior over the ensuing 12 months. The acculturation-related variables were related to whether an adolescent reported being sexually active at Wave 1 but in a complex fashion. Among recent immigrants, youth from English-speaking homes were less likely to be sexually active than those from Spanish-speaking homes. The opposite was observed for youth who were born in the United States or who had resided in the United States most of their lives.

  1. Non-disclosure of Sexual Orientation to Parents Associated with Sexual Risk Behaviors Among Gay and Bisexual MSM in China.

    Science.gov (United States)

    Zhao, Ye; Ma, Ying; Chen, Ren; Li, Feng; Qin, Xia; Hu, Zhi

    2016-01-01

    The objective of this study was to explore the relationship between non-disclosure of sexual orientation to parents and sexual risk behaviors among gay and bisexual men who have sex with men (MSM) in China. A total of 295 eligible participants (gay n = 179, bisexual n = 116) were recruited from MSM venues and MSM organizations in Anhui Province, China. Overall, 16.6 % of participants chose to disclose their sexual orientation to parents. Fewer bisexual participants chose to disclose their sexual orientation than gay participants (9.5 vs. 21.2 %, p sexual orientation to parents was positively associated with the number of female sex partners (AOR = 3.40) and with engagement in unprotected anal intercourse with men (AOR = 2.49) among gay MSM, in the past 6 months. Our findings indicated that HIV/AIDS intervention programs should promote the disclosure of sexual orientation and should design interventions specific to gay and bisexual MSM separately.

  2. Prevalence of Sexual Concerns and Sexual Dysfunction among Sexually Active and Inactive Men and Women with Screen‐Detected Type 2 Diabetes

    Science.gov (United States)

    Charles, Morten; Kristensen, Ellids; Lauritzen, Torsten; Sandbæk, Annelli; Giraldi, Annamaria

    2015-01-01

    Abstract Introduction Type 2 diabetes negatively impacts sexual health. Only limited information is available regarding sexual health among sexually inactive patients with type 2 diabetes. Aim The aim of this study was to examine the prevalence of sexual concerns among sexually active and sexually inactive men and women with type 2 diabetes and of sexual dysfunction (SD) among sexually active. Methods Data from the Anglo–Danish–Dutch Study of Intensive Treatment in People with Screen‐Detected Diabetes in Primary Care‐Denmark study was used. A total of 1,170 Danish patients with screen‐detected type 2 diabetes attended a health examination, including assessment of sexual concerns using self‐report questionnaires and of SD using the Female Sexual Function Index (FSFI‐R) and the International Index of Erectile Function (IIEF‐5) instruments. Main Outcome Measures The main outcome measures used regarding sexual concerns are the following: prevalence of failure to fill sexual needs, of experiencing sexual distress, finding it important to have a good sexual life, and additionally, prevalence of SD. Results Data regarding sexual activity status during the last 12 months were available among 583 men and 377 women. Seventeen percent of men and 47% of women reported to be sexually inactive, among whom 57% of men and 42% of women reported failure to fill sexual needs; 31% of men and 10% of women that it was important to have a good sexual life, and 32% of men and 11% of women that they were experiencing sexual distress. Around half of men and women were excluded from the SD analysis, mainly because of reporting lack of sexual intercourse during the last 4 weeks. Among those included, 54% of men and 12% of women were found to have SD. Conclusions Sexual inactivity is highly prevalent among middle‐aged and older men and women with early type 2 diabetes and these patients often have sexual concerns. The high exclusion rates when assessing SD using the FSFI

  3. Surgery is not indicated for the treatment of premature ejaculation.

    Science.gov (United States)

    Anaissie, James; Yafi, Faysal A; Hellstrom, Wayne J G

    2016-08-01

    Premature ejaculation (PE) is considered the most common male sexual disorder, affecting up to 75% of men at some point in their lives. While medical management is the mainstay of therapy, surgical options such as dorsal nerve neurectomy (DNN), hyaluronic acid (HA) gel glans penis augmentation, and circumcision have been studied as alternative forms of treatment. Preliminary studies have suggested that DNN and HA gel glans penis augmentation are relatively safe and effective, but due to a lack of large, multicenter, randomized-control trials with long-term follow-up, the International Society of Sexual Medicine (ISSM) has been unable to endorse DNN or HA gel glans penis augmentation as options in the treatment of PE. Conflicting data regarding the efficacy and safety of circumcision has similarly led to its exclusion from ISSM recommendations for the treatment of PE. Ethical concerns, particularly the fundamental concept of non-maleficence, are also barriers to the implementation of surgery for PE.

  4. Premarital Sexual Behavior among male college students of Kathmandu, Nepal

    Directory of Open Access Journals (Sweden)

    Tamang Jyotsna

    2009-07-01

    Full Text Available Abstract Background In Nepal, as in other Asian countries, the issue of sexuality still remains a taboo. Despite this fact, an increasing number of sexual activities is being reported by Nepalese students. This trend warrants serious and timely attention. Due to the sensitivity of the topic of premarital sexuality, youth receive inadequate education, guidance and services on reproductive health. The main objectives of this paper are to explore the sexual behavior especially focusing on prevalence of premarital sex among college men and to investigate the factors surrounding premarital sexual behavior. Methods A cross-sectional survey of college students was conducted in April-May 2006. A self-administered questionnaire was completed by 573 male students. Association between premarital sex and the explanatory variables was assessed in bivariate analysis using Chi-square tests. The associations were further explored using multivariate logistic analysis. Results Despite the religious and cultural restrictions, about two-fifths of survey respondents (39% reported that they have had premarital sex. The study has also shown that substantial proportions of students indulge in sexual activities as well as risky sexual behavior. Sex with commercial sex workers, multiple sex partners, and inconsistence use of condom with non-regular partner was common among the students. Less than two in five male students (57% had used condom at the first sexual intercourse. The prevalence of premarital sex varied on different settings. Older students aged 20 and above were more likely to have premarital sex compared with younger students aged 15–19. Men who had liberal attitude towards male virginity at marriage were almost two times more likely to have engaged in premarital sex compared to their counterparts who have conservative attitude towards male virginity at marriage. Moreover, those students who believe in Hindu religion were more than two times (OR = 2.5 more

  5. Frequency and Perception of Sexual Activity during Pregnancy in Iranian Couples

    Directory of Open Access Journals (Sweden)

    Farahnaz Torkestani

    2012-01-01

    Full Text Available Background: Pregnancy stimulates partners to search for ways to preserve their mutual emotionalrelations and satisfy their sexual needs, with some limitations. This study evaluates thefrequency and perception of sexual intercourse during pregnancy in a group of Iranian couples.Materials and Methods: In this cross-sectional study, 155 pregnant women were recruitedfrom two academic clinics in Tehran. The exclusion criteria were: any underlying disease,history of pelvic surgery or gynecologic and obstetric complications, abortion or sterility, andprevious preterm labor. A checklist was administrated in the labor room, that included: demographicdata, partus and their viewpoints about sexuality. Frequency of sexual activity in eachtrimester, vaginal intercourse, coitus position, orgasm, breast stimulation, condom usage, andpregnancy outcome were recorded. Data were analyzed with t- and chi-square tests.Results: Women and their husbands with sexual behaviors during pregnancy had a lowermean age; the majority were nulipara (p<0.05. The biggest reason for decreased intercoursein the first trimester was fear of abortion (39.45%. No significant relationshipbetween sexual activity in pregnancy and preterm labor, gestational age, membrane rupture,and fetal outcome was shown. There was a significant negative relationship betweenintercourse in the 2nd and 3rd trimesters and need to induction.Conclusion: Although our results showed that sexual intercourse had no adverse effecton the fetus and was a proper stimulus for the induction of delivery, its frequency wasreduced during the gestational stage due to parents’ fear of adverse effects.

  6. Women's beliefs about infertility and sexual behaviors: A qualitative study.

    Science.gov (United States)

    Bokaie, Mahshid; Simbar, Masoumeh; Ardekani, Seyed Mojtaba Yassini; Majd, Hamid Alavi

    2016-01-01

    Infertility is a reproductive health problem and its prevalence is increasing in developing countries. This problem has some significant effects on the sexual behaviors of infertile women, especially during infertility treatment periods. Discovering the existing beliefs in the field of sexual and reproductive health and also determining the misconceptions would define the educational needs for providing sexual health programs for infertile women. Women should be able to distinguish risky behaviors from healthy behaviors that falsely have been marked as infertility-related behaviors. This qualitative study was conducted to determine women's beliefs about infertility and sexual behaviors among Iranian infertile women. The present study was a qualitative conventional content analysis study conducted on 15 infertile women and 8 key informants until reaching data saturation. Guba and Lincoln evaluative criteria were used for ensuring rigor of the study. Data analysis defined three classes of beliefs that directly or indirectly affected sexual behaviors in infertile women: 1) Cultural, religious, or ethnic beliefs, 2) believing in the effect of diet on infertility, and 3) effect of the type of intercourse on getting pregnant. Three themes of religious, cultural, and ethnic beliefs, believing in the effect of diet on infertility, and the effect of the type of intercourse were the most important factors indicating sexual behaviors among infertile women. It seems that cultural and social matters are the most effective factors on sexual behaviors of infertile Iranian women.

  7. Sexual activity and chronic heart failure.

    Science.gov (United States)

    Mandras, Stacy A; Uber, Patricia A; Mehra, Mandeep R

    2007-10-01

    Little has been published about sexual function in chronic heart failure (CHF) and knowledge among clinicians in this regard is sparse. To review data regarding sexual function and dysfunction in patients with CHF, 2 of the authors (S.A.M. and P.A.U.) independently conducted a literature search using the MEDLINE database. English-language articles and cited bibliographies published between January 1996 and November 2006 were reviewed. Search terms included heart failure or CHF or ventricular dysfunction or heart disease in conjunction with sexual activity, erectile dysfunction, impotence, or sex. Articles were selected for inclusion if they had a primary focus on CHF and sexual function or dysfunction. Critical reviews of the literature, observational studies using self-reported patient surveys, and prospective, blinded, randomized, placebo-controlled trials were included. Articles were not excluded on the basis of patient sample size but were excluded if the article concerned a broad aspect of cardiovascular disease rather than CHF. When properly screened and treated, most patients with CHF can safely engage in sexual activity and be treated for erectile dysfunction with sildenafil, provided that they do not have active ischemia and do not require treatment with nitrates. Clinicians should know the physiological requirements of sexual activity and the impact CHF has on sexual performance. Fear of a cardiac event during intercourse can interfere with patients' ability to perform and enjoy sex, and so it is important that the physician be able to counsel patients with CHF about sexual activity.

  8. MODERN PRODUCTS FOR FEEDING PREMATURE BABIES

    Directory of Open Access Journals (Sweden)

    A. V. Surzhik

    2012-01-01

    Full Text Available In recent decades there has been substantial progress in the technology of premature infants nursing, especially with extremely low birth weight. Adequate feeding is one of the fundamental factors of premature babies nursing. To ensure a premature baby with all necessary components for power saving in breast milk intake, breast milk fortifiers — specifically developed additives that adjust the composition of food for premature babies, are used for more than 20 years (for premature babies receiving breast milk. On the one hand, to preserve all benefits of breastfeeding, on the other — to prevent the deficit development of necessary elements for adequate growth and development of nutrients.

  9. In search of animal models for male sexual dysfunction

    NARCIS (Netherlands)

    Chan, J.S.W.

    2010-01-01

    Around half of all men have sexual problems. The main complaints and prevalence are orgasmic disorders (10%), premature ejaculation (PE) (27%), and erectile difficulties (10%). These statistics do not include the sexual side effects of medications such as antidepressants. Research experiments in hum

  10. 西酞普兰治疗早泄的临床观察%Efficacy of citalopram on premature ejaculation: A clinical observation

    Institute of Scientific and Technical Information of China (English)

    商学军; 耿强; 张凯; 夏欣一; 邵永; 黄宇烽

    2012-01-01

    目的:探讨西酞普兰治疗早泄的临床疗效和安全性. 方法:将2011年5月至2012年5月男科门诊就诊的80例早泄患者随机分为治疗组和对照组,每组40例.治疗组每天口服西酞普兰20 mg,对照组口服安慰剂,记录治疗前、治疗2周和4周后患者阴道内射精潜伏时间(IELT)和性交满意度分值. 结果:治疗组治疗2、4周后IELT分别为(5.64±1.31) min和(7.12 ±1.56)min,均比治疗前[(0.91±0.18) min]明显延长(P均<0.01),且西酞普兰治疗4周后的IELT明显高于2周后(P<0.01);治疗组治疗2、4周后性交满意度分别为(6.1±1.3)分和(6.3±1.1)分,与治疗前[(2.5±0.8)分]相比有明显提高(P<0.01),而治疗2周和4周后性交满意度无显著性差异(P>0.05).对照组治疗2、4周后IELT和性交满意度分别为(1.02±0.24) min、1.01±0.21 min和(3.0±1.1)分、(3.1±1.3)分,与治疗前[(0.95±0.17) min和(3.2±1.2)分]比较,均无显著性差异(P均>0.05). 结论:每天口服西酞普兰20 mg,对早泄患者IELT和性交满意度均有明显改善,西酞普兰治疗早泄具有较好的临床疗效和安全性.%To investigate the clinical efficacy and reliability of citalopram in the treatment of premature ejaculation. Methods: We included in this study 80 patients who came to our andrological clinic for premature ejaculation from May 2011 to May 2012, and randomly assigned them to a treatment and a control group of equal number to receive citalopram (20 mg/d) and placebo, respectively. We recorded the intravaginal ejaculation latency time (IELT) and sexual intercourse satisfaction scores before and at 2 and 4 weeks after treatment, and compared them between the two groups. Results: In the treatment group, IELT was significantly longer at 2 and 4 weeks than before treatment ([5. 64 ± 1. 31 ] and [7. 12 ± 1.56] min vs [0.91 ±0. 18] min, P 0.05). The control group showed no significant differences in the mean IELT and sexal intercourse satisfaction scores

  11. School-Related Assets and Youth Risk Behaviors: Alcohol Consumption and Sexual Activity

    Science.gov (United States)

    Aspy, Cheryl B.; Vesely, Sara K.; Oman, Roy F.; Tolma, Eleni; Rodine, Sharon; Marshall, LaDonna; Fluhr, Janene

    2012-01-01

    Background: Two risk behaviors, alcohol consumption and early initiation of sexual intercourse (ISI), can have devastating consequences for youth. The purpose of this study was to determine the association of school connectedness and school-related behaviors (eg, academic performance, skipping school, getting into trouble at school) with these 2…

  12. Other-Sex Friendships in Late Adolescence: Risky Associations for Substance Use and Sexual Debut?

    Science.gov (United States)

    Mrug, Sylvie; Borch, Casey; Cillessen, Antonius H. N.

    2011-01-01

    Adolescents' friendships with other-sex peers serve important developmental functions, but they may also facilitate engagement in problem behavior. This study examines the unique contributions of other-sex friendships and friends' behavior to alcohol use, smoking, and initiation of sexual intercourse among late adolescent girls and boys. A total…

  13. Automatic and Deliberate Affective Associations with Sexual Stimuli in Women with Superficial Dyspareunia

    NARCIS (Netherlands)

    Brauer, M.; de Jong, P.J.; Huijding, J.; Laan, E.; ter Kuile, M.M.

    2009-01-01

    Current views suggest that in women with superficial dyspareunia the prospect of penile-vaginal intercourse automatically activates fear-related associations. The automatic activation of negative associations is assumed to interfere with the development of sexual arousal. In turn, this may further a

  14. Likelihood of Condom Use When Sexually Transmitted Diseases Are Suspected: Results from a Clinic Sample

    Science.gov (United States)

    Crosby, Richard A.; Milhausen, Robin R.; Graham, Cynthia A.; Yarber, William L.; Sanders, Stephanie A.; Charnigo, Richard; Shrier, Lydia A.

    2014-01-01

    Objective: To determine the event-level associations between perceived risk of sexually transmitted disease (STD) acquisition/transmission and condom use during penile-vaginal intercourse (PVI) among STD clinic attendees. Method: A convenience sample (N = 622) completed daily electronic assessments. Two questions were proxies of perceived risk:…

  15. Dyspareunia in women : a painful affair : the role of fear of pain and sexual arousal

    NARCIS (Netherlands)

    Brauer, Marieke

    2008-01-01

    Dyspareunia, defined as genital pain associated with penile-vaginal intercourse, is a common problem in women. According to the prevailing cognitive-behavioural model of dyspareunia (Spano & Lamont, 1975), fear of pain and diminished sexual arousal are key components in the onset and maintenance of

  16. Sexual dysfunction after inguinal hernia repair with the Onstep versus Lichtenstein technique

    DEFF Research Database (Denmark)

    Andresen, Kristoffer; Burcharth, Jakob; Fonnes, Siv

    2017-01-01

    BACKGROUND: Sequelae after inguinal hernia repair include pain-related impairment of sexual function. Pain during intercourse can originate from the scar, scrotum, penis, or during ejaculation. The aim of this study was to investigate if the Onstep technique resulted in better results than...

  17. [Subject for discussion: is sexual abuse of a sleeping person possible or fantasy or simulated?].

    Science.gov (United States)

    Hohner, Melanie; Püschel, Klaus

    2011-01-01

    There have been reports of sexual acts on sleeping women since ancient times. Whether this is possible at all has been under controversial discussion by lawyers and lay people. The paper presents two cases of non-consenting penetrating intercourse with sleeping women and various legal and expert opinions. The authors discuss the possible influence of drugs and alcohol.

  18. Parental Monitoring during Early Adolescence Deters Adolescent Sexual Initiation: Discrete-Time Survival Mixture Analysis

    Science.gov (United States)

    Huang, David Y. C.; Murphy, Debra A.; Hser, Yih-Ing

    2011-01-01

    We used discrete-time survival mixture modeling to examine 5,305 adolescents from the 1997 National Longitudinal Survey of Youth regarding the impact of parental monitoring during early adolescence (ages 14-16) on initiation of sexual intercourse and problem behavior engagement (ages 14-23). Four distinctive parental-monitoring groups were…

  19. Other-Sex Friendships in Late Adolescence: Risky Associations for Substance Use and Sexual Debut?

    Science.gov (United States)

    Mrug, Sylvie; Borch, Casey; Cillessen, Antonius H. N.

    2011-01-01

    Adolescents' friendships with other-sex peers serve important developmental functions, but they may also facilitate engagement in problem behavior. This study examines the unique contributions of other-sex friendships and friends' behavior to alcohol use, smoking, and initiation of sexual intercourse among late adolescent girls and boys. A total…

  20. School-Related Assets and Youth Risk Behaviors: Alcohol Consumption and Sexual Activity

    Science.gov (United States)

    Aspy, Cheryl B.; Vesely, Sara K.; Oman, Roy F.; Tolma, Eleni; Rodine, Sharon; Marshall, LaDonna; Fluhr, Janene

    2012-01-01

    Background: Two risk behaviors, alcohol consumption and early initiation of sexual intercourse (ISI), can have devastating consequences for youth. The purpose of this study was to determine the association of school connectedness and school-related behaviors (eg, academic performance, skipping school, getting into trouble at school) with these 2…

  1. Educational Differences in Adolescents' Sexual Health : A Pervasive Phenomenon in a National Dutch Sample

    NARCIS (Netherlands)

    De Graaf, Hanneke; Vanwesenbeeck, Wilhelmina; Meijer, Suzanne

    2015-01-01

    Educational level is strongly associated with age of first intercourse and risk of unintended pregnancies. This study examined these associations in a large representative sample of Dutch adolescents and also included associations of educational level with other sexual health aspects. Adolescents ag

  2. Controlled Prospective Longitudinal Study of Women with Cancer: I. Sexual Functioning Outcomes.

    Science.gov (United States)

    Andersen, Barbara L.; And Others

    1989-01-01

    Studied 47 women treated for early gynecologic cancer, 18 women treated for benign gynecologic disease, and 57 gynecologically healthy women. Found that frequency of intercourse declined for women treated for disease, whether malignant or benign. Diminution of sexual excitement was pronounced for women with disease; more severe and distressing for…

  3. Contraceptive Attitudes and Intention to Use Condoms in Sexually Experienced and Inexperienced Adolescent Males.

    Science.gov (United States)

    Pleck, Joseph H.; And Others

    1990-01-01

    Assessed contraceptive attitudes and intention to use a condom at next intercourse among 1,880 adolescent males. Findings showed that about three-fifths of sexually experienced and inexperienced adolescent males intending to have sex in the next year reported an "almost certain chance" of condom use with a hypothetical future partner. (Author/PVV)

  4. Sexual Health of Adolescents and Young Adults in the United States

    Science.gov (United States)

    ... method of contraceptive during last sexual intercourse. Emergency contraceptive (EC) pills can prevent pregnancy when taken within a few ... had ever had sex had ever used EC pills. 20 The American Congress of ... reversible contraceptives (LARCs), such as intra-uterine devices (IUDs), for ...

  5. Parents' Behavioral Norms as Predictors of Adolescent Sexual Activity and Contraceptive Use.

    Science.gov (United States)

    Baker, Sharon A.; And Others

    1988-01-01

    Used clustered sample household survey of 329 males and females aged 14 to 17, and 470 of their parents to examine influence of parental factors on adolescent sexual behavior and contraceptive use. Found parents' reported behavioral norms accounted for 5% of variance in whether adolescents had had intercourse, and for 33% of variance in…

  6. Human papillomavirus (HPV) vaccination and subsequent sexual behaviour: Evidence from a large survey of Nordic women

    DEFF Research Database (Denmark)

    Hansen, Bo T.; Kjaer, Susanne K.; Arnheim-Dahlstrom, Lisen;

    2014-01-01

    . Among vaccinees, 1539 received the HPV vaccine before or at the same age as sexual debut, of which 476 and 1063 were eligible for organized catch-up and opportunistic vaccination, respectively. MAIN OUTCOME MEASURES: Self-reported sexual behaviour, compared by hazard ratios and odds ratios for women who...... than did non-vaccinees. Non-use of contraception during first intercourse was more common among non-vaccinees than among HPV vaccinees. The results were similar for organized catch-up and opportunistic vaccinees. CONCLUSION: Women who received the HPV vaccine before or at the same age as sexual debut......OBJECTIVE: To assess whether recipients and non-recipients of the human papillomavirus (HPV) vaccine subsequently differ in terms of sexual risk taking behaviour. DESIGN: Cross-sectional survey. Sequential analyses constructed from self-reported age at vaccination, age at first intercourse and age...

  7. Women's sexual behavior, body image and satisfaction with surgical outcomes after hysterectomy: a comparison of vaginal and abdominal surgery.

    Science.gov (United States)

    Gütl, P; Greimel, E R; Roth, R; Winter, R

    2002-03-01

    The aim of this study was to investigate the impact of vaginal and abdominal hysterectomy on women's sexual behavior, sexual dysfunction, body image and satisfaction with surgery. A prospective study was conducted on 90 women to evaluate the outcomes of hysterectomy. Data were collected prior to surgery, three months and two years after surgery, using self-report questionnaires. The results showed significant differences in women's sexual behavior and sexual dysfunction before and after hysterectomy, independent of the surgical procedure performed. Women in both groups reported improvements in sexual desire, sexual activity and sexual intercourse three months and two years after surgery. Sexual dysfunction such as dyspareunia, vaginismus, lack of orgasm and loss of sexual interest diminished significantly after surgery. Regression analyses revealed that postmenopausal status, severity of gynecological complaints and frequency of sexual intercourse were the most important factors for improved sexual outcomes. Women in the abdominal group were dissatisfied with their body image because of the abdominal scar, experienced more pain and had a longer period of recovery from surgery compared to women in the vaginal group. According to the results, sexual behavior alone is not an important factor in choosing vaginal or abdominal hysterectomy. However, sexual behavior was important in both groups when evaluating outcomes after hysterectomy.

  8. Impact of Overactive Bladder Syndrome on Female Sexual Function

    Directory of Open Access Journals (Sweden)

    Serdar Toksöz

    2015-12-01

    Full Text Available The etiology of female sexual dysfunction includes psychological, physiological and iatrogenic causes. Physiological and iatrogenic causes are abdominal surgery, menopause, smoking, spinal cord injuries and some antipsychotic, antihypertensive, and antidepressant drugs. When assessing sexual function, sexual function questionnaires, such as the Female Sexual Function Index, and the Sexual Function Questionnaire are used. The prevalence of female sexual dysfunction is 43% and it has been reported to increase depending on menopause and age. Estrogen, estrogen + testosterone and tibolone, PDE5, apomorphine, bupropion and flibanserin are used in the treatment of female sexual dysfunction. Overactive bladder is a disease affecting the quality of life and is characterized by urgency, frequency, nocturia and urge incontinence with especially filling phase of the bladder resulting from loss of detrusor muscle inhibition. The prevalence of overactive bladder in women in the United States has been reported to be 16.9%. Lower urinary tract symptoms and overactive bladder syndrome are not known how to cause female sexual dysfunction. Menopause and partner status were the most important predictors for female sexual dysfunction. It has been reported that overactive bladder syndrome and urinary incontinence provide prediction of development of female sexual dysfunction. Shame, fear of incontinence, and urinary incontinence as well as urge sensation during sexual intercourse in individuals with overactive bladder syndrome have been reported to be the main factors causing female sexual dysfunction. Pathophysiological relationship between the two disorders has not been elucidated and further clinical and experimental studies are needed in this regard.

  9. Sexual and reproductive health of Portuguese adolescents.

    Science.gov (United States)

    Mendes, Neuza; Palma, Fátima; Serrano, Fátima

    2014-01-01

    As adolescent pregnancy and sexually transmitted infections (STIs) are major sources of morbidity, preventing them is an important health goal for Portuguese society. To review data on the knowledge, attitudes and statistics on sexual and reproductive health. A systematic review was conducted including peer-reviewed articles addressing issues influencing the sexuality of Portuguese adolescents (aged 13 to 19), published up to 2011 and conducted in any type of setting. After crossing-cleaning the reference list, 33 articles were included. The rate of sexual activity by Portuguese adolescents is high (44%-95%), but there has been an increase in the age of intercourse debut (currently 15.6 years). Early commencement of sexual intercourse is associated with smoking and regular alcohol consumption. Condoms are the most frequently chosen contraceptive method for first (76%-96%) and subsequent (52%-69%) sexual encounters. The perception of a double standard in sex still exists in teenage culture for both genders and influence behavior. There are significant differences between migrant and native adolescents: African adolescents initiate sexual intercourse at earlier ages and are more likely to have unprotected sex. Only one-third of Portuguese teenagers have ever visited a health facility to seek counseling concerning contraception or STIs, and less than half have ever attended classes on reproductive health. Very few (12%) have knowledge about Chlamydia trachomatis infection. The prevalence of STIs in Portuguese youth is unknown. The adolescent fertility rate is still high (14.7 births per 1000 females aged 15-19 years), but it, as well as the rate of abortion, is steadily decreasing. There is still a long way to go towards promoting a resourceful young population. Citizens and institutions must focus on increasing both the competence of youths and external supports. Information must be provided systematically and health services must have greater accessibility. Studies

  10. Recent advances in the treatment of premature ejaculation

    Directory of Open Access Journals (Sweden)

    Kate D Linton

    2010-01-01

    Full Text Available Kate D Linton, Kevan R WylieSheffield Teaching Hospitals, Sheffield, UKAbstract: Premature ejaculation (PE is the most common sexual problem affecting men. It can affect men at all ages and has a serious impact on the quality of life for men and their partners. Currently there are no pharmaceutical agents approved for use in the UK, and so all drugs used for this condition are off label. Behavioral therapy has been used to treat PE, but the results are not durable once therapy has been concluded. Several topical therapies have been used including severance-secret (SS cream, lignocaine spray, lidocaine-prilocaine cream and lidocaine-prilocaine spray (TEMPE. There has been recent interest in the selective serotonin reuptake inhibitors (SSRIs for the treatment of PE, due to the fact that one of their common side effects is delayed ejaculation. Currently used SSRIs have several non-sexual side effects and long half lives, therefore there has been interest in developing a short acting, efficacious SSRI that can be used on-demand for PE. Dapoxetine has been recently evaluated for the treatment of PE by several groups, and results so far appear promising.Keywords: premature ejaculation, topical therapies, selective serotonin re-uptake inhibitor, dapoxetine

  11. Current pharmacological agents for the treatment of premature ejaculation

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    Onur Dede

    2014-06-01

    Full Text Available This study was aimed to review and assess the update studies regarding medical treatment for premature ejaculation (PE. It is the most common sexual problem affecting men. It can affect men at all ages and has a serious impact on the quality of life for men and their partners. A wide variety of therapeutic modalities have been tried for treatment of premature ejaculation. Psychological therapies may be helpful for patients with complaint PE. Several topical therapies have been used including lidocaine cream, lidocaine-prilocaine cream. There has been recent interest in the selective serotonin reuptake inhibitors (SSRI for the treatment of PE, due to the fact that one of their common side effects is delayed ejaculation. Currently used SSRIs have several non-sexual side effects and long half lives, therefore there has been interest in developing a short acting, and efficacious SSRI that can be used on-demand for PE. Dapoxetine has been recently evaluated for the treatment of PE by several groups, and results so far appear promising.

  12. The Effect of Peer-Education on Sexually Transmitted Diseases and Safer Sexual Life Knowledge and Behaviour of Young People.

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    Evin Kirmizitoprak

    2011-08-01

    Full Text Available Aim: To determine the effect of peer education on the knowledge and attitudes of the young about safe sexual life and sexually transmitted diseases (STDs. Method: In this intervention type epidemiologic study, 1100 youngs were reached at 95% level of significance by probability sampling method. These young people were given education by peer trainers; level of knowledge and attitudes of the young were evaluated before and after education. ‘Young’s Health Information Form’ prepared by the investigators and including questions about safe sexual life, family planning and STDs along with socio-demographic informations was used for data collection. In statistical analysis, ‘t test’ was used for comparison of two averages, one-way anova for three groups in independent groups, ‘coupled t test’ was used in dependent groups, ‘qui-square test’ was used for comparison of percents in independent groups, ‘McNemar qui-square test’ was used in dependent groups. Results: A total of 977 young people (females 45.1%, males 54.9% aged between 15-24 years were included in the study (response ratio 88.8%. It was determined that 15.6% of unmarried young had a relationship resulted in sexual intercourse. Boys constitute the majority of the young experienced sexual intercourse and mean age of sexual intercourse was determined as 17.6. Of the young, 43.1% had a sexual intercourse with a prostitute, 43.3% with a close friend and a girlfriend, 8.3% with a maquette or an animal. Total knowledge score increased to 32.6 from 14.6 following peer education intervention carried out based on health attitude theories (p<0.05. Significant improvements were detected in each of ‘avoidance of sexual intercourse’, ‘being monogamous’ and ‘condom use’ in the context of safe sexual life (p<0.05. While ratio of modern method use increased to 80.8% from 53.8%, using no methods decraesed to 11.8% from 28%. Conclusion: Peer education model is suggested to be

  13. What's In an Identity Label? Correlates of Sociodemographics, Psychosocial Characteristics, and Sexual Behavior Among African American Men Who Have Sex With Men.

    Science.gov (United States)

    Rutledge, Scott Edward; Jemmott, John B; O'Leary, Ann; Icard, Larry D

    2016-07-22

    African American men who have sex with men (AAMSM) are vastly overrepresented among people with HIV/AIDS. Using data from 595 AAMSM in Philadelphia, we explored differences in sociodemographics, psychosocial characteristics related to beliefs about ethnicity, sexuality and masculinity, and sexual behavior with men and women by self-reported sexual identity (gay, bisexual, down low, straight). Roughly equivalent numbers identified as gay (40.6 %) and bisexual (41.3 %), while fewer identified as straight (7.6 %) or down low (10.5 %), with significant differences in age, income, history of incarceration, HIV status, alcohol and drug problems, childhood sexual abuse, and connection to the gay community evident among these groups. Analysis of psychosocial characteristics theorized to be related to identity and sexual behavior indicated significant differences in masculinity, homophobia, and outness as MSM. Gay and straight men appeared to be poles on a continuum of frequency of sexual behavior, with bisexual and down low men being sometimes more similar to gay men and sometimes more similar to straight men. The percentage of men having total intercourse of any kind was highest among down low and lowest among gay men. Gay men had less intercourse with women, but more receptive anal intercourse with men than the other identities. There were no significant differences by identity in frequency of condomless insertive anal intercourse with men, but gay men had significantly more condomless receptive anal intercourse. There were significant differences by identity for condomless vaginal and anal intercourse with women. This study demonstrates the importance of exploring differences in types of sex behavior for AAMSM by considering sexual identity.

  14. Does early sexual debut reduce teenagers' participation in tertiary education? Evidence from the SHARE longitudinal study

    OpenAIRE

    Parkes, Alison; Wight, Daniel; Henderson, Marion; West, Patrick

    2010-01-01

    Negative effects of early sexual debut on academic outcomes can extend beyond secondary school, although concurrent changes in other psychosocial risk factors have not been investigated. Data from three waves of a longitudinal survey of Scottish teenagers were used to examine associations between early sexual debut (first heterosexual intercourse) and both expectations for (N = 5,061) and participation in (N = 2,130) tertiary education at college or university. Early debut was associated with...

  15. Early-stage cervical carcinoma, radical hysterectomy, and sexual function. A longitudinal study

    DEFF Research Database (Denmark)

    Jensen, Pernille T; Groenvold, Mogens; Klee, Marianne C

    2004-01-01

    BACKGROUND: Limited knowledge exists concerning the impact of radical hysterectomy (RH) alone on the sexual function of patients with early-stage cervical carcinoma. The authors investigated the longitudinal course of self-reported sexual function after RH. METHODS: The current study was comprised...... with an age-matched control group from the general population. RESULTS: Compared with control women, patients experienced severe orgasmic problems and uncomfortable sexual intercourse due to a reduced vaginal size during the first 6 months after RH, severe dyspareunia during the first 3 months, and sexual...

  16. Sexual Health

    Science.gov (United States)

    ... Basic HIV/AIDS information and resources for prevention LGBT Health Information for lesbian, gay, bisexual, or transgender (LGBT) individuals Sexual Health News & Information Understanding Sexual Health ...

  17. Capacidad predictiva de la erotofilia y variables sociodemográficas sobre el debut sexual

    Directory of Open Access Journals (Sweden)

    Mª Paz Bermúdez

    2014-01-01

    Full Text Available The aim of the present study was to compare the predictive ability of erotophilia and socio-demographic variables (i.e., sex, age, religion, school shift (morning/afternoon, sexual orientation, socio-economic status and family structure with regard to participants’ sexual experience or lack of it and age of sexual debut in an adolescent sample. The sample was composed of 1,503 Colombian adolescents (45% females aged between 12 and 18 years (M = 14.95; SD = 1.46. The Spanish adaptation of the Sexual Opinion Survey to assess participants’ level of erotophilia was applied. Results suggested that, after age, erotophilia is the second best predictor of having sexual intercourse. Yet, erotophilia was not found to predict age of sexual debut, which was influenced by sex, age and sexual orientation instead. We concluded that erotophilia is a construct that differentiates adolescents who have sexual relations from those who have decided not to have them yet.

  18. Acculturation influences on AAPI adolescent-mother interactions and adolescents' sexual initiation.

    Science.gov (United States)

    Kao, Tsui-Sui Annie; Loveland-Cherry, Carol; Guthrie, Barbara; Caldwell, Cleopatra H

    2011-08-01

    The purpose of this secondary analysis of data is to examine relationships among Asian American Pacific Islanders (AAPI) adolescents' level of acculturation, maternal influences, and age of sexual initiation. Selected predictive variables are based on the theoretical frameworks and literature review. The results indicate that for these adolescents speaking English at home was positively associated with maternal sexual discussion, mothers' perceptions of connectedness with their adolescents, adolescents' perceived maternal sexual expectations, and later sexual initiation at Wave 1. Adolescents' years of U.S. residency are positively associated with adolescents' level of perceived connectedness with their mothers and later sexual initiation at Wave 2. Adolescents' level of acculturation influence how they interacted with their mothers, perceived their mothers' sexual expectations, and when they decided to initiate sexual intercourse. Interventions to delay AAPI adolescents' sexual debut should consider factors related to AAPI adolescents' and their mothers' levels of acculturation.

  19. Sexual attitudes, pattern of communication, and sexual behavior among unmarried out-of-school youth in China

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    Naar-King Sylvie

    2007-07-01

    Full Text Available Abstract Background In recent years, more adolescents are engaging in premarital sex in China. However, only a limited number of studies have explored out-of-school youth's sexual attitudes and behaviors, critical for prevention intervention development. Methods Using data from the baseline survey of a comprehensive sex education program that was conducted in a suburb of Shanghai in 2000–2002, this study describes sexual attitudes, patterns of communication on sexual matters, and premarital sexual behavior among 1,304 out-of-school youth. Multivariate logistic regression analysis was conducted to examine the factors associated with youth's premarital sexual intercourse. Results The majority (60% of out-of-school youth held favorable attitudes towards premarital sex. Males were more likely to have favorable attitudes compared with females. Male youth generally did not communicate with either parent about sex, while one-third of female youth talked to their mothers about sexual matters. Both males and females chose their friends as the person with whom they were most likely to talk about sexual matters. About 18% of the youth reported having engaged in sexual intercourse. One-fifth of sexually active youth had always used a contraceptive method, and one-quarter had been pregnant (or had impregnated a partner. There were no gender differences in rate of premarital sex or frequency of contraceptive use. Multivariate analysis revealed that age, education, family structure, parent's discipline, attitudes towards premarital sex, pattern of communication and dating were significantly associated with youth premarital sex. Conclusion A substantial proportion of out-of-school youth engage in risky sexual behaviors. Prevention programs that empower communication and sexual negotiation skills, and promote condom use should be implemented for this vulnerable group.

  20. Beyond sexual desire and curiosity: sexuality among senior high school students in Papua and West Papua Provinces (Indonesia) and implications for HIV prevention.

    Science.gov (United States)

    Diarsvitri, Wienta; Utomo, Iwu Dwisetyani; Neeman, Teresa; Oktavian, Antonius

    2011-10-01

    When it comes to sexuality and norms, young Indonesians are becoming more open. Concern about this is related to the rapid increase in HIV prevalence in Indonesia, especially in Papua and West Papua Provinces. While much research has been conducted among youth who have left school, little is known about senior high school students' sexuality and sexual practices in these provinces. Using qualitative and quantitative data, we explore perspectives on and experiences of sexuality, contraceptive use, unintended pregnancy and unsafe abortion among 1082 Year 11 students from 16 senior high schools in both provinces. Findings suggest that around 38.3% of students reported having had sexual intercourse and 36.5% of these having had their first sexual encounter before they were 15 years old. Furthermore, contraceptive use among sexually active students was very low. Around 32% of female students who reported having had sexual intercourse also reported having an unintended pregnancy and the majority of them had had unsafe abortions. The paper points to the implications of students' high-risk sexual behaviours for HIV prevention.

  1. Pastoral evaluation on the Basotho’s view of sexuality: Revisiting the views on sexuality of Augustine, Thomas Aquinas, Martin Luther and John Calvin

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    David K. Semenya

    2015-02-01

    Full Text Available This article examines the Basotho’s views on sexuality within a theological context as wellas the conflict between Christianity and cultural beliefs. Most Basotho have strong opinions on the subject of sexuality and those views undoubtedly emanate from the Basotho culture,which makes it necessary to evaluate them. The issue of sexuality is always a topic of discussion amongst people and did not go unnoticed by church fathers, like Augustine. Thomas Aquinas also expressed an interest in the topic in the Middle-Ages. Likewise, reformers of the calibre of Martin Luther and John Calvin espoused views on sexuality. Itis clear that the aforementioned theologians made a marked contribution toward shapingthe current views on sexuality, especially amongst theologians of this age and this is thereason for revisiting their views in this article examining the Basotho view on sexuality.In examining Basotho views on sexuality, the writer of this article will then discuss andevaluate the views of Augustine, Aquinas, Luther and Calvin with special reference tosexual intercourse, sexual intercourse within matrimony, extramarital sexual intercourseand also the unmarried state. 

  2. Characteristics and determinants of sexual behavior among adolescents of migrant workers in Shangai (China

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    Xu Gang

    2009-06-01

    Full Text Available Abstract Background China is facing a critical challenge of rapid and widespread human immunodeficiency virus (HIV/acquired immunodeficiency syndrome (AIDS increase. Rural-to-urban migration plays a crucial role in shifting the HIV/sexual transmitted infection (STI epidemic. The purpose of this study was to assess the prevalence of sexual behaviors and the correlates among the early adolescents of migrant workers in China. Methods A cross-sectional study was conducted in 10 junior high schools from April to June of 2008. A total of 2821 adolescents aged 14.06 ± 0.93 years (8.9% of migrant workers vs. 91.1% of general residents participated in the survey. A self-administrated questionnaire was used to collect information on knowledge, attitude, and behaviors associated with increased risk for HIV/STI. Results The percentage of adolescents who ever had sexual intercourse or had sexual intercourse in last three months was 7.2% and 4.3% in adolescents of migrant workers, respectively; in contrast, 4.5% and 1.8% in their peers of general residents, respectively. 47.3% adolescents of migrant workers and 34.3% of those adolescents of general residents reported no condom use in sexual intercourse during last three months. Multivariate logistic regression analyses found that migration was a independent risk factor for sexual intercourse in last three months in our sampled adolescents (odds ratio [OR] = 1.23, 95% confidence interval [CI]: 1.01–1.72. In adolescents of migrant workers, factors such as lower family income (OR: 2.22, CI: 1.09–3.05 for low level; OR:1.25, CI: 1.04–1.59 for medium level, younger age at first sexual intercourse (OR: 1.24, CI: 1.09–1.57, lower knowledge on HIV/AIDS (OR: 0.93, CI: 0.90–0.97, and fewer communication on HIV/AIDS related issues (OR: 0.79, CI: 0.90–0.97 were related to sexual intercourse in last three months. Conclusion Based on these results, we advocated that heightened concerns targeting the

  3. Sexual behaviors and their correlates among young people in Mauritius: a cross-sectional study

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    Lang Delia L

    2007-10-01

    Full Text Available Abstract Background Little is known about the HIV/AIDS epidemic in the Indian Ocean region, including Mauritius. National records suggest a prevalence of HIV in Mauritius of Methods We identified 1200 participants using two-stage cluster sampling. Demographic, social, sexual, and knowledge of HIV/AIDS data were obtained in face-to-face interviews using a structured questionnaire administered by trained interviewers. The prevalence of sexual behaviors was described in relation to gender, and the correlates of ever having had sex and nonuse of condom at last sex were analyzed using logistic regression. Results In the target population, 30.9% of males and 9.7% of females reported a history of sexual intercourse. Of the currently sexually active participants, 50.6% of men and 71.2% of women did not use condoms at their last sexual encounter. Logistic regression revealed that work experience and marijuana use were significantly associated with men's sexual experience, whereas being out of school and drinking experience were significantly associated with women's sexual experience. For both men and women, being Christian and visiting nightclubs were associated with having ever had sexual intercourse (P Conclusion Young people in Mauritius are at risk of a future HIV epidemic because behaviors predisposing to HIV infection are prevalent among sexually experienced youth. A focused prevention program targeting young people should be reinforced as part of the National AIDS Control Program, taking into account the predictors of sexual behaviors identified here.

  4. Correlates of Unprotected Receptive Anal Intercourse Among Gay and Bisexual Men: Kampala, Uganda

    OpenAIRE

    Raymond, H Fisher; Kajubi, Phoebe; Kamya, Moses R.; Rutherford, George W.; Mandel, Jeffrey S.; McFarland, Willi

    2009-01-01

    We conducted a respondent-driven sampling survey (N = 215) to characterize correlates of risk for HIV infection among gay and bisexual men in Kampala, Uganda. We used RDSAT software to produce population estimates for measures and created exportable weights for multivariable analysis. Overall, 60.5% of gay/bi men identify as gay and 39.5% as bisexual; 91.6% are Ugandans. Unprotected receptive anal intercourse (URAI) was associated with identifying as gay, being younger and having had an HIV t...

  5. Premature birth and diseases in premature infants: common genetic background?

    Science.gov (United States)

    Hallman, Mikko

    2012-04-01

    It has been proposed that during human evolution, development of obligate bipedalism, narrow birth canal cross-sectional area and the large brain have forced an adjustment in duration of pregnancy (scaling of gestational age; Plunkett 2011). Children compared to other mammals are born with proportionally small brains (compared to adult brains), suggesting shortening of pregnancy duration during recent evolution. Prevalence of both obstructed delivery and premature birth is still exceptionally high. In near term infants, functional maturity and viability is high, and gene variants predisposing to respiratory distress syndrome (RDS) are rare. Advanced antenatal and neonatal treatment practices during the new era of medicine allowed survival of also very preterm infants (gestation premature birth. Specific genes associating with diseases in preterm infants may also contribute to the susceptibility to preterm birth. Understanding and applying the knowledge of genetic interactions in normal and abnormal perinatal-neonatal development requires large, well-structured population cohorts, studies involving the whole genome and international interdisciplinary collaboration.

  6. Health disparities in the forensic sexual assault examination related to skin color

    Science.gov (United States)

    Sommers, Marilyn S.; Fargo, Jamison D.; Baker, Rachel B.; Fisher, Bonnie S.; Buschur, Carol; Zink, Therese M.

    2013-01-01

    Little is known about the role of skin color in the forensic sexual assault examination. The purpose of this study was to determine whether anogenital injury prevalence and frequency vary by skin color in women after consensual sexual intercourse. The sample consisted of 120 healthy (63 Black, 57 White) women who underwent a forensic sexual assault examination following consensual sexual intercourse. Experienced sexual assault forensic examiners using visual inspection, colposcopy technique with digital imaging, and toluidine blue application documented the number, type, and location of anogenital injuries. Although 55% of the total sample was observed to have at least one anogenital injury of any type following consensual intercourse, the percentages significantly differed for White (68%) and Black (43%) participants (p 0.02). When the presence of anogenital injury was analyzed by specific anatomical region, a significant difference between White and Black participants was only evident for the external genitalia (White = 56%, Black = 24%, p = .003), but not for the internal genitalia (White = 28%, Black = 19%, p = .20) or anus (White = 9%, Black = 10%, p = 0.99). A one standard deviation-unit increase in L* values (lightness) was related to a 150% to 250% increase in the odds of external genitalia injury prevalence (p dark skin color rather than race was a strong predictor for decreased injury prevalence. Sexual assault forensic examiners, therefore, may not be able to detect injury in women with dark skin as readily as women with light skin, leading to health disparities for women with dark skin. PMID:19947958

  7. Altered sexual and reproductive functions in epileptic men taking carbamazepine.

    Science.gov (United States)

    Reis, Rosana Maria; de Angelo, Alexandre Gonçalves; Sakamoto, Américo Ceiki; Ferriani, Rui Alberto; Lara, Lúcia Alves Silva

    2013-02-01

    Epileptic men may experience hormonal changes that may alter semen quality and sexual function. Alterations in male sexual and reproductive parameters may also be due to treatment with antiepileptic drugs to control seizures. To evaluate serum hormone concentrations, semen quality, the frequency of sexual intercourse (FSI), and erectile function in men with epileptic seizures controlled by carbamazepine (CBZ). The five-question form of the International Index of Erectile Function (IIEF-5), and semi-structured questionnaire. One hundred and eighteen men, aged 18-45 years, were included in this controlled, cross-sectional study: 63 men taking CBZ (epileptic group) were compared to 55 healthy men (control group). Blood sample was collected to determine hormones concentrations. Erectile function and the frequency of sexual relations were assessed by using questionnaires. Sperm morphology was analyzed by examining the quality of the head, intermediate part and tail of the spermatozoa. Using the IIEF-5, we observed a significant association between erectile dysfunction (ED) and groups (P sexual intercourse then controls (P ≤ 0.001). Epileptic men taking CBZ present with changes in hormonal levels, altered semen quality, ED, and a reduction in coital frequency. © 2012 International Society for Sexual Medicine.

  8. The origins of human sexuality: procreation or recreation?

    Science.gov (United States)

    Benagiano, Giuseppe; Mori, Maurizio

    2009-01-01

    Human sexuality has multiple meanings, although reproduction is considered the focus of sexual activity. In spite of this, human sexuality began to lose its exclusive reproductive meaning very early in the evolution of the genus Homo and, with a concealed ovulation and a female accessible to the male during the entire menstrual cycle, the need became that of avoiding, rather than seeking conception during intercourse. The 'contraceptive revolutions' of the 20th century (sex without reproduction, reproduction without sex, reproduction in menopause and, one day, reproduction without gametes) are having a major impact on the lives of individual couples and women. At the same time, this tumultuous progress drew the attention of religious moralists, since ethics have always focused on sexuality and its moral regulation. Catholic ethicists have been at the forefront of the battle against 'dehumanizing' the reproductive process, whereas Judaism took a much more open position. Early Christian teaching on sexuality, focused on abstinence; this is because Christ himself defined celibacy as a better life choice for human beings. Drawing on this basis, early Church fathers developed the concept, upheld until the 20th century, that intercourse is totally justifiable only in order to procreate. Today, some cautious overtures are being made and the Church has recognized that sexuality can be expression of conjugal love independent from procreation.

  9. Guest editorial: Pharmacology of male sexual behavior

    NARCIS (Netherlands)

    Waldinger, Marcel D; Olivier, Berend

    2014-01-01

    The introduction of the selective serotonin reuptake inhibitors (SSRIs) in the mid 1980s has led not only to an increased attention to antidepressant-induced sexual side effects, but also to a paradigm shift in the theory of premature ejaculation (PE). Because of their ejaculation delaying effects,

  10. Sexually transmitted diseases: epidemiological and clinical aspects in adults.

    Science.gov (United States)

    Siracusano, Salvatore; Silvestri, Tommaso; Casotto, Daniela

    2014-01-01

    Sexually transmitted diseases (STDs) are the first 10 causes of unpleased diseases in young adult women in the world. The concept of STDs includes a series of syndromes caused by pathogens that can be acquired by sexual intercourse or sexual activity.Adolescents and young adults are responsible for only 25% of the sexually active population and they represent almost 50% of all newly acquired STDs.In this way, we evaluated the epidemiological and clinical aspects of most relevant pathogens as Neisseria gonorrhoeae, Chlamydia trachomatis, Treponema pallidum, Haemophilus Ducreyi, Trichomonas vaginalis, herpes simplex virus, human papilloma virus (HPV) with the exception of hepatitis, and HIV infections for which we suggest specific guidelines.To attain this objective, we analyzed the results of epidemiological and clinical aspects of STDs through a review of the literature using MEDLINE and PubMed database for original articles published using the terms "sexual transmitted disease, epidemiology, diagnosis and therapy" from 2005 to 2014.

  11. Sexuality and reproduction: implications in the process of healthy adolescence

    Directory of Open Access Journals (Sweden)

    Adelita Campos Araújo

    2012-06-01

    Full Text Available This study aimed to understand the perceptions of adolescents about their process of healthy adolescence with regard to sexuality and reproduction. This is a qualitative research of exploratory type, involving 10 teenagers, in a state school in southern Rio Grande do Sul, between August and October 2007. To collect the data, were used semi-structured interviews, whose contents were subjected to thematic analysis, emerging the theme: sexuality and reproduction in adolescence. At the data, it was noticed the need to provide more guidelines to a healthy adolescence, in the sense of strengthening and promoting the necessary security for the exercise of adolescent sexuality and reproduction. It also showed the need to prepare the adolescent by professionals of health, of education or the family, to face some situations, such as: unwanted pregnancy, first sexual intercourse, self-medication, fear of talking to parents about sexuality and reproduction, among others.

  12. Positional moulding in premature hydrocephalics.

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    Kumar R

    2002-04-01

    Full Text Available Seven premature hydrocephalics presenting with lambdoid positional moulding (LPM were reviewed. All were treated for hydrocephalus secondary to aqueductal stenosis, Dandy Walker Syndrome and infection. Parenchymal hemorrhage, intraventricular bleed, cortical atrophy, septal agenesis, cortical anomalies and subdural hygroma were the other common associations. These children did not show expected improvement in their higher mental functions at 6 months to 5.4 years of follow-up, following the management of hydrocephalus. It was not the LPM but associated intracranial anomalies, which were most probably responsible for their poor outcome. The differentiation from posterior plagiocephaly is also highlighted.

  13. Metabolic bone disease of prematurity

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    Stacy E. Rustico, MD

    2014-09-01

    Full Text Available Metabolic bone disease (MBD of prematurity remains a significant problem for preterm, chronically ill neonates. The definition and recommendations for screening and treatment of MBD vary in the literature. A recent American Academy of Pediatrics Consensus Statement may help close the gap in institutional variation, but evidence based practice guidelines remain obscure due to lack of normative data and clinical trials for preterm infants. This review highlights mineral homeostasis physiology, current recommendations in screening and monitoring, prevention and treatment strategies, and an added perspective of a bone health team serving a high volume referral neonatal intensive care center.

  14. Current therapies for premature ejaculation.

    Science.gov (United States)

    Gur, Serap; Kadowitz, Philip J; Sikka, Suresh C

    2016-07-01

    Premature ejaculation (PE) subjectively affects 20-30% of men globally. Until recently, understanding of PE was hampered by the absence of a widely accepted definition, paucity of evidence-based clinical studies, and the absence of an appropriate animal model. Here, we elaborate on the current definition of PE, its pathogenesis, currently available therapies, and future treatment prospects. Most treatments for PE are 'off-label' and include selective serotonin reuptake inhibitors (SSRIs), topical anesthetics, tramadol, and phosphodiesterase type 5 (PDE5) inhibitors. Such knowledge of the benefit and limitations of each treatment will help to direct future drug design and formulations.

  15. Uso del profiláctico entre la juventud en sus relaciones de coito vaginal Condom use among the young engaging in vaginal intercourse

    Directory of Open Access Journals (Sweden)

    J.L. Bimbela

    2002-08-01

    tipo de pareja con la que llevan a cabo la práctica. Se sugieren intervenciones basadas en la participación activa de los jóvenes encaminadas a conseguir que perciban la compatibilidad entre la confianza en la pareja y el uso del condón, y a que cuestionen la «falsa seguridad» que parece proporcionarles una pareja percibida como habitual.Objective: To describe young people's use of condoms in penetrative vaginal intercourse, and to identify the factors associated with this use. Method: The information was collected using a self-administered questionnaire put in 1,000 people between 14 and 24 years of age resident in the region of Andalusia (Spain. The results of the sample were representative and the trust interval was 95%. A bivariante analysis was carried out and hierarchical logistic regression equations were adjusted to verify associations between the dependent variable «use of the condom in the vaginal intercourse» and the variables proposed from PRECEDE model (predisposing, enabling, and reinforcing. The adjustment of the model was of a 38%, according to the Nagelkerke's statistic. Results: Of the people surveyed, 750 had affective and/or sexual relations with physical contact, and 63% of these had vaginal intercourse (47% of all surveyed. Of those, people that only had vaginal intercourse once (12% of all surveyed, 83% (10,3% of all surveyed used a condom, whereas, people that had sex more than once (34% of all surveyed, 49% always used a condom (16,9% of all surveyed. The variables associated with always using a condom were: intention of «safe» behaviour with their regular partner and low frequency of practice. The variables associated with never using a condom were: living emancipated, having an external locus of control (thinking that becoming infected depends upon external factors, low number of zones of the body identified as pleasure-sensitive, thinking that a condom is not necessary if one trusts his or her partner, intention of

  16. Impact of Delivery Types on Women's Postpartum Sexual Health

    Institute of Scientific and Technical Information of China (English)

    Huan-ying WANG; Xiao-yang XU; Zhen-wei YAO; Qin ZHOU

    2003-01-01

    Objective To investigate the impact of childbirth on the sexual health of primiparous women in China and the prevalence of women's postpartum sexual problems Method In this cross-sectional study, obstetric records of 460 primiparous women delivering a live-birth at the First Affiliated Hospital of Chongqing University of Medical Sciences between November 1, 2000 and July 31, 2001 were analyzed together with the data collected from questionnaire survey conducted six months after delivery.Results Totally 460 women participated in the questionnaire survey. Though 94. 74% of the subjects had resumed sexual activity within six months after birth, most of them had experienced postpartum sexual problems, among which dyspareunia was the most common type. There was no significant association between delivery types and women's sexual health status in six months after birth, including their satisfactory degree of sexual intercourse, sexual desire, sex active rate, the incidence of dyspareunia and pubococcygeal muscle strength ( P>0. 05 ). Only 20.80%of women had knowledge of sexual health and 8.02% of them had consulted for sexual problems.Conclusions Women's postpartum sexual health problems were very common, they deserve more attention. There was no significant association between delivery types and women's postpartum sexual problems at the 6th month after delivery.

  17. Sexual function of women practicing sex in nonconventional settings.

    Science.gov (United States)

    Silveira, Liliam Renata; Romão, Adriana Peterson Mariano Salata; Vieira, Carolina Sales; de Sá Rosa E Silva, Ana Carolina Japur; Reis, Rosana Maria; Ferriani, Rui Alberto; Navarro, Paula Andrea de Albuquerque Salles; Lara, Lúcia Alves da Silva

    2015-01-01

    The quality of sexual intercourse in the context of conjugal visits by women to their jailed partners is unknown. This study aimed to assess the quality of the sex lives and psychological conditions of women attending conjugal visits with their jailed inmate partners. This controlled study involved 124 women between the ages of 18 to 40 years who engaged in sexual relations with their inmate partners (conjugal visit group) or with their partners at home (control group). Sexual function was assessed using a semi-structured questionnaire and the Female Sexual Function Index, and psychological parameters were evaluated using the Hospital Anxiety and Depression scale. The total Female Sexual Function Index scores was similar in the 2 groups. The percentage of women reporting good quality of the relationship was significantly higher in the conjugal visit group. Also, the Hospital Anxiety and Depression scale scores were higher in the conjugal visit group. Depression was a risk factor for sexual dysfunction and had a negative effect on scores in the desire, excitement, lubrication, and sexual satisfaction domains, whereas anxiety was associated with lower sexual desire scores. A regular + poor quality of the relationship and being religious were factors associated with sexual dysfunction. Sexual practices in jail were not a risk for sexual dysfunction in this sample.

  18. Perceived Effects of Sexually Explicit Media among Men Who Have Sex with Men and Psychometric Properties of the Pornography Consumption Effects Scale (PCES)

    DEFF Research Database (Denmark)

    Hald, Gert Martin; Smolenski, Derek; Rosser, B R Simon

    2013-01-01

    Introduction. Researchers have proposed that consumption of Sexually Explicit Media (SEM) may not only adversely influence sexual attitudes and behaviors of Men Who Have Sex with Men (MSM) but (also) play a positive role in the development and sexual education of MSM, be a major source of sexual....... To investigate how MSM who consume SEM self-perceive the impact of SEM on their sexually-transmitted-infections-related sexual risk behaviors (i.e., anal intercourse), sexual knowledge, enjoyment of sex, interest in sex, attitudes toward sex, and understanding of their sexual orientation. Further, to provide...... of their consumption of sexually explicit materials in areas related to their sexual knowledge, attitudes, behaviors, and orientation. This finding could have important implications for the sexual health and well-being of MSM by suggesting that SEM-based education and intervention might hold considerable overall...

  19. Premature ventricular contractions associated with isotretinoin use.

    Science.gov (United States)

    Alan, Sevil; Ünal, Betül; Yildirim, Aytül

    2016-01-01

    Isotretinoin has been considered a unique drug for acne treatment. However, it is associated with numerous adverse effects. Isotretinoin can trigger premature ventricular contractions. This report describes a 33-year-old-woman who presented with palpitations for 1 week while undergoing 1-month isotretinoin treatment for mild-moderate facial acne. An electrocardiogram and Holter monitoring showed premature ventricular contractions during isotretinoin (Roaccutane, Roche) treatment. Isotretinoin-related premature ventricular contractions were strongly suggested in this case due to the existence of documented premature ventricular contractions on electrocardiograms and the disappearance of these premature ventricular contractions two weeks after termination of the treatment To the authors' knowledge, there has been 1 reported case of premature ventricular contractions linked to isotretinoin use; this report describes a second such case.

  20. Premature ventricular contractions associated with isotretinoin use*

    Science.gov (United States)

    Alan, Sevil; Ünal, Betül; Yildirim, Aytül

    2016-01-01

    Isotretinoin has been considered a unique drug for acne treatment. However, it is associated with numerous adverse effects. Isotretinoin can trigger premature ventricular contractions. This report describes a 33-year-old-woman who presented with palpitations for 1 week while undergoing 1-month isotretinoin treatment for mild-moderate facial acne. An electrocardiogram and Holter monitoring showed premature ventricular contractions during isotretinoin (Roaccutane, Roche) treatment. Isotretinoin-related premature ventricular contractions were strongly suggested in this case due to the existence of documented premature ventricular contractions on electrocardiograms and the disappearance of these premature ventricular contractions two weeks after termination of the treatment To the authors' knowledge, there has been 1 reported case of premature ventricular contractions linked to isotretinoin use; this report describes a second such case. PMID:28099609