Background: Several authors are studying sexual activity of hysterectomies women. However, the review of literature reveals few data in sub-Saharan Africa on the psychological and sexual impact of this treatment option. Objective: To assess sexual activity and sexual satisfaction of women after hysterectomy for benign disorders. Methods: Single center analytical study based on patient opinion. It was conducted in a five-year period: from January 2012 to December 2016 at the Yopougon teaching Hospital. 53 patients who answered two questionnaires, on sexuality by Pelvic organ prolapse-urinary Incontinence Sexual Questionnaire (PISQ-12) and sexual satisfaction by Derogatis Sexual Functioning Inventory (DSFI). Results: Hysterectomy accounted for 15.9% of gynecological surgical activities. Hysterectomy for benign pathology accounted for 3.3% of hysterectomies. The average age was 47.6 years old. The indications were dominated by uterine fibroid (88.68%). Hysterectomy was performed by the abdominal route in 86.79% of cases. Sexual activity was resumed in the second trimester post-operative in 69.81%. After hysterectomy, dyspareunia was reduced (p < 0.05), orgasm was more intense (p < 0.05) with a greater sexual satisfaction (p < 0.05). Conclusion: This study shows that there is no significant difference for women's sexuality before and after hysterectomy.
The authors report the clinical case of a multipara whose intracervical myoma had been diagnosed during the prenatal follow-up and who was delivered into the vagina during labor. Caesarean section was indicated to avoid rupture of the pedicle during fetal expulsion. The myomectomy was performed in a second operation via the vagina, without complications.
The authors report the case of a pregnant victim of a road accident, complicated by uterine rupture. The maternal outcome was favorable, with a fetal death. The interest of this observation lies in the 3 delays described by Thaddeus and Maine involved in the maternal mortality of the developing countries.
Objectives: To describe our management strategy of ovulation disorders. Patients and methods: From a retrospective collection of data from the records, we identified over a period of one year (January 2016-December 2016), 47 patients followed in gynecology department of University and Hospital Centers of Yopougon and Treichville in Abidjan (Côte d'Ivoire) for ovulation disorders. The diagnosis of dysovulation was made following a hormonal check up and a follicular monitoring ultrasound. These patients underwent a specific treatment according to the type of dysovulation they presented. Results: The average age was 31.9 years with a significant proportion of nulliparous (66%). Body mass index was high in 44.7% of patients, of whom 19.1% were obese and 25.6% overweight. The hormonal balance was disrupted in 48.9% of cases. Polycystic ovary syndrome (WHO type IIb dysovulation) was the most common pathology (36%). The proposed treatments were dominated by clomiphene citrate (31.9%) and gonadotrophins (25.5%). 14.9% of pregnancies were obtained. Conclusion: This study allows us to offer better management of ovulation disorders, but this necessarily entails a careful exploration and an appropriate treatment.
scite is a Brooklyn-based organization that helps researchers better discover and understand research articles through Smart Citations–citations that display the context of the citation and describe whether the article provides supporting or contrasting evidence. scite is used by students and researchers from around the world and is funded in part by the National Science Foundation and the National Institute on Drug Abuse of the National Institutes of Health.
hi@scite.ai
10624 S. Eastern Ave., Ste. A-614
Henderson, NV 89052, USA
Copyright © 2024 scite LLC. All rights reserved.
Made with 💙 for researchers
Part of the Research Solutions Family.