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.

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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.

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Better life conditions and better health care improves population constitutional characteristics that have implications in higher birth weight and birth length. This could be an important change that influences delivery modalities.

SUMMARY -Endometriosis is a common chronic disease characterized by growth of the endometrial gland and stroma outside the uterus. Symptoms aff ect physical, mental and social well-being. Extrapelvic location of endometriosis is very rare. Abdominal wall endometriosis occurs in 0.03%-2% of women with a previous cesarean section or other abdominopelvic operation. Th e leading symptoms are abdominal nodular mass, pain and cyclic symptomatology. Th e number of cesarean sections is increasing and so is the incidence of abdominal wall endometriosis as a potential complication of the procedure. Th ere are cases of malignant transformation of abdominal wall endometriosis. Th erefore, it is important to recognize this condition and treat it surgically. We report a case of a 37-year-old woman with abdominal wall endometriosis 11 years after cesarean section. She had low abdominal pain related to menstrual cycle, which intensifi ed at the end of menstrual bleeding. A nodule painful to palpation was found in the medial part of previous Pfannenstiel incision. Ultrasound guided biopsy was performed and the diagnosis of endometriosis confi rmed. Surgery is the treatment of choice for abdominal wall endometriosis. Excision with histologically proven free surgical margins of 1 cm is mandatory to prevent recurrence. A wide spectrum of mimicking conditions is the main reason for late diagnosis and treatment of abdominal wall endometriosis. In our case, the symptoms lasted for eight years and had intensifi ed in the last six months prior to surgery.

The aim of our retrospective study was to compare the performance of transvaginal sonography in relation to histologic diagnosis of samples obtained by hysteroscopy through analysis of data collected over 16 years. Data on suspected formation of endometrial polyp or submucosal fibroid found on ultrasound examination were extracted. The study included a total of 3679 women examined during the 2000-2015 period. All women underwent ultrasound examination preoperatively for better planning the type and scope of operation to be performed. The study included only women with samples for histopathologic analysis collected during the operation. Ultrasound diagnosis of polyps compared with histology showed 89.6% sensitivity and 39.1% specificity. For submucosal myomas, sensitivity was 69.2% and specificity 91.3%. In conclusion, ultrasound is not reliable method for definitive diagnosis but it is an excellent orientation method.

Our data show a secular trend in reproductive health similar to developed countries.