Objective: There are many predisposing factors associated with vaginismus, but there is lack of data in the literature regarding which and how of these factors influence the success rate of treatment. Our aim is to investigate the effects of factors that are considered as predisposing factors for vaginismus on treatment prognosis and success rate, with cognitive-behavioral therapy and desensitization exercises after sexual therapy.Methods: Patients with vaginismus were divided into three groups. Group 1: patients who successfully completed vaginal penetration exercises after sexual therapy and experienced vaginal sexual intercourse; Group 2: patients who started penetration exercises but could not reach success; Group 3: patients who discontinued treatment before starting exercises. Demographic and sexual parameters were compared between the groups.Results: There were statistically significant differences between the groups in terms of history of vaginismus in relatives (4.3%, 23% and 35.7%, p=0.047, respectively), the unsuccessful therapy history (69%, 61% and 21.4%, p=0.014, respectively), and anal and/or oral sex ratios (47.8%, 7.7% and 57.1%, p=0.019, respectively). Mean number of sessions were significantly higher in patients saying, "It is my fault" than among those perceiving it as a common problem (10.6±2.9 ve 7.5±5.7, p=0.042, respectively), and in patients with sexual disorder in their male partners than those not having any problem (13.3±3.7 ve 8.2±3.7, p=0.013, respectively). Conclusion:Patients are more resistant to treatment if they have a history of vaginismus among relatives or when one of the couple say, it is his or her fault.
PRECIS: Human papilloma virus results of the patients does not related to sexual dysfunction. Öz Amaç: Çalışmadaki amacımız servikal human papilloma virüsler (HPV) taramasında pozitif sonuç alan hastalarda cinsel fonksiyonlarda değişiklik olup olmadığını araştırmaktır. Gereç ve Yöntemler: Tek merkezli prospektif, tanımlayıcı-kesitsel olarak planlanan bu çalışma HPV testi yapılan 300 kadın hasta rastgele seçildi [HPV pozitif (n=187) ve HPV negatif (n=113)]. Yüz yüze görüşülerek Arizona Cinsel Yaşantılar Ölçeği (ACY) ve Kadın Cinsel İşlev Ölçeği (FSFI) uygulandı. Bulgular: HPV pozitif ve negatif hastalar ile cinsel fonksiyonlar arasındaki ilişki açısından bakıldığında ACY ve FSFI ölçeklerinde anlamlı bir farklılık olmadığı izlenmiştir (p=0,343, 0,604). Ayrıca HPV tanısı alması anında ve takip süresince seksüel fonksiyonların etkilenip etkilenmemesine bakıldığında (tanıdan sonraki ilk 2 haftada, 2 hafta-1 ay, 1-3 ay, 3-6 ay, 6-12 ay ve 1 yıldan fazla) anlamlı bir farklılık bulunmamıştır (p>0,05). Evli kadınlarda ACY ölçeğine göre cinsel fonksiyon bozukluğu (CFB) daha az görülmektedir (p=0,03), bu fark FSFI ölçeği uygulandığında saptanmamıştır. Çalışan kadınlarda CFB görülme oranı çalışmayan ve emeklilere göre daha sıktır (p=0,006, 0,01). Sonuç: Eğitim düzeyi, sosyo-ekonomik durum, yaş, işte çalışıyor olmak ve medeni durumun cinsel fonksiyon üzerine istatistiksel olarak anlamlı olarak bulunmuştur. HPV tanısının pozitif ya da negatif olması ve HPV pozitif tanısı alan hastalarda tanı süresinin cinsel fonksiyonlar üzerine etkisi saptanmamıştır. Anahtar Kelimeler: Cinsel fonksiyon bozukluğu, fizyolojik, HPV, serviks Objective: To investigate whether testing positive for human papilloma virus (HPV) in cervical screening has an impact on female sexual functioning. Materials and Methods: This study was designed as a single-center, prospective, descriptive-cross-sectional study and 300 women who received HPV testing in our hospital [HPV-positive (n=187) or HPV-negative (n=113)]. The Arizona Sexual Experiences (ASEX) scale and Female Sexual Functioning index (FSFI) were administered to study participants during face-to-face interviews. Results: No significant differences were found between women who were HPV-positive and HPV-negative in sexual functions as assessed using the ASEX and FSFI scales (p=0.343 and p=0.604, respectively). In addition, the analyses addressing whether sexual functioning was affected by a positive test result, at diagnosis or during the follow-up (before 2 weeks, 2 weeks-1 month, 1-3 months, 3-6 months, 6 months-1 year and over 1 year) revealed no significant differences between HPV-positive and HPV-negative women in sexual functioning (p>0.05). Sexual dysfunction was less common in married women than in the ASEX scale (p=0.03), and this difference was not detected when the FSFI scale was applied. The incidence of dysfunction was more frequent in working women than in retirees (p=0.006, p=0.01). Conclusion: Educational attainment, socioeconomic status, age, employment status, and marital status were fo...
Objective: Covid-19 infection was first diagnosed in Wuhan, China, and became a pandemic. Afterward, it had a devastating effect on mental and physical health. Postpartum depression (PPD) is a common health problem that needs attention to improve women’s healthcare. Herein, we aim to search for the PPD incidence in the pandemic period. Methods: A prospective cross-sectional study was conducted. A total of 126 pregnant women were included for the study. None of the patients had Covid-19 infection. Inclusion criteria included; women were aged 18 or over and ability to communicate fluently provided informed consent to participate. Women who had late fetal loss and stillbirth or neonatal death were excluded. Patients age, gravida, medical history, previous or ongoing psychological disease, and drug use, alcohol use and smoking, obstetric follow-up regarding any complication for the fetus or mother, socio-economic status, spouse support, sleep disorder, hyperemesis gravidarum, type of delivery, fetal birth weight, height, AGGAR scores 1-5th min, neonatal intensive care unit (NICU) admissions were recorded. Postpartum depression diagnosis was evaluated via Edinburgh Postpartum Depression Scale (EPDS). Patients were grouped into two, group 1 consisted of patients who are at low risk for postpartum depression and group 2 was at high risk for depression according to their EPDS scores. Results: The mean age of the patients was 28.90±5.26 (18-41). 68 (54%) of the patients had vaginal deliveries and 58 (46%) of them had cesarean section. The average weight of newborn babies was 3324±586.11 grams (2750-4950), 1st minute APGAR score was 7.75±0.9 (4-8), 5th minute APGAR score was 8.88±0.45 (7-9). 23 (18.3%) of the newborns were admitted to neonatal intensive care (Table 1). According to the EDPS scores, only 12% of the patients were classified as having high risk group for depression. Lower income, previous psychiatric illness, higher education levels and having newborn needs NICU were found to significantly related to PPD (p = 0.029, p = 0.034, p=0.046 and p = 0.001 respectively) (Table 2). The other parameters were not found to be significantly related to PPD scores. Conclusion: Covid-19 was not found to increase the rate of PPD in short term notice in our center, which was affected seriously. Studies with a higher number of patients and in different regions are necessary to state a precise conclusion.
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