Stable extramarital affairs are breaking the heart

Fisher, Alessandra D.; Bandini, Elisa; Corona, Giovanni; Monami, Matteo; Smith, Mike; Melani, Cecilia; Balzi, Daniela; Forti, Gianni; Mannucci, Edoardo; Maggi, Mario

doi:10.1111/j.1365-2605.2011.01176.x

Cited by 17 publications

(25 citation statements)

References 27 publications

(49 reference statements)

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“…Besides of sexually transmitted diseases, a higher frequency of cardiovascular events is recently found in extradyadic individuals [57], probably related to stress-mediated hypersympathetic vasoconstriction and cardiomyopathy [57]. In this study and previous HSA reports, there are four lines of evidence to support hypersympathetism in HSA.…”

Section: Discussionsupporting

confidence: 59%

Sexual Behavior, Function and Satisfaction in Headache Associated with Sexual Activity: A Systematic Review of Literature

Chen¹,

Chu²,

Lin³

2017

ASM

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Introduction: Headache associated with sexual activity (HSA) is the painful event of head and neck precipitated only by sexual activity. The negative impact of sexuality is expected to be more severe in HSA patients and their partners than other headache disorder. In addition, social and cultural taboo may conceal sexual problem or hinder seeking counseling for sexual perplexity. A sufficient scientific evidence is therefore needed to clarify the misunderstanding and schedule appropriate education in clinical practice. Methods: A systematic review of literature was completed to elucidate the sexual behavior, function and satisfaction in HSA patients and their partners. Results: A total of 97 publications are eligible after careful screening. However, most of the studies focus on the etiopathogenesis or treatment. Sexual change was mentioned in 23 publications. Orgasmic headache is the most frequent type of HSA. The HSA occurs more frequent in dyadic than extradyadic sexual activity. Intercourse is the leading sexual act for HSA occurrence, following by masturbation. A few patients suffer HSA under specific sexual position, like kneeling, and trigger, such as cannabis. Pain can be rapidly ceased in half of patients when sexual activity was halted. Sexual function and sexual satisfaction may decrease in HSA patient and partner but improve after pain reversal. Conclusions: A shortage of sexuality data of HSA is documented in literature but that still clarifies the extradyadic and masturbatory effect on HSA occurrence. Nevertheless, HSA disturbs sexual function and satisfaction in patients and their partners. The pathogenesis of pain includes two components, the hypersympathetic status and exertional action. Therefore, physician can schedule their education and counseling for HSA according to these findings. Further investigation for sexual function and satisfaction is warranted.

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Section: Discussionsupporting

confidence: 59%

Sexual Behavior, Function and Satisfaction in Headache Associated with Sexual Activity: A Systematic Review of Literature

Chen¹,

Chu²,

Lin³

2017

ASM

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“…This discordant behavior with respect to the couple's sexual life may have harmful consequences, such as chronic tension, deterioration of other aspects of the couple's life, or even extramarital affairs. In fact, men reporting extramarital affairs often complain about the primary relationship (Fisher et al ., ,b). Obviously, sexual problems may be either the cause or the result of dysfunctional or unsatisfactory relationships (Conaglen & Conaglen, ).…”

Section: Discussionmentioning

confidence: 99%

First‐generation phosphodiesterase type 5 inhibitors dropout: a comprehensive review and meta‐analysis

et al. 2016

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The discontinuation rate with phosphodiesterase type 5 inhibitors (PDE5i) remains very high. The aim of this study was to review and meta-analyze currently available data regarding dropout of the first-generation of PDE5i including sildenafil, vardenafil, and tadalafil. An extensive Medline Embase and Cochrane search was performed including the following words: 'PDE5i', 'discontinuation'. All observational studies reporting the dropout rate of PDE5i and its specific causes without any arbitrary restrictions were included. Out of 103 retrieved articles, 22 were included in the study. Retrieved trials included a total of 162,936 patients with a mean age of 58.8 ± 7.9 years. Prevalence of reported comorbid diabetes and hypertension were 27.7% and 36.9%, respectively. PDE5i were associated with a mean discontinuation rate of 4% per month (almost 50% after one year). This rate was higher in younger subjects and in those reporting a higher prevalence of associated morbidities. Six main reasons of PDE5i dropout were identified in the evaluated trials. Partner-related problems and lack of efficacy represented the most important reasons for PDE5i discontinuation, although no significant difference among factors was detected. In conclusion, despite their high efficacy and easy administration, the discontinuation rate and dissatisfaction with PDE5i are still very high. Our data showed that no single factor plays a major role in PDE5i dropout, suggesting that the discontinuation rate is usually because of a combination of both medical problems and psychosocial and relational factors.

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“…Spouses involved in unprotected extra-marital sex act as conduits through which HIV enters marriages whose partners were hitherto concordant negative. Apart from HIV and other STIs as health conditions associated with extra-marital partnerships, major adverse cardiovascular events (MACE) have also been observed for those at risk of such events[8], [9]. Cardiac deaths observed in situations of extra-marital sex are associated with psychological stress due to the need for discretion and haste during such encounters[9].…”

Section: Introductionmentioning

confidence: 99%

Predictors of Extra-Marital Partnerships among Women Married to Fishermen along Lake Victoria in Kisumu County, Kenya

et al. 2014

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BackgroundThe vulnerability of women to HIV infection makes establishing predictors of women's involvement in extra-marital partnerships critical. We investigated the predictors of extra-marital partnerships among women married to fishermen.MethodsThe current analyses are part of a mixed methods cross-sectional survey of 1090 gender-matched interviews with 545 couples and 12 focus group discussions (FGDs) with 59 couples. Using a proportional to size simple random sample of fishermen as our index participants, we asked them to enrol in the study with their spouses. The consenting couples were interviewed simultaneously in separate private rooms. In addition to socio-economic and demographic data, we collected information on sexual behaviour including extra-marital sexual partnerships. We analysed these data using descriptive statistics and multivariate logistic regression. For FGDs, couples willing to participate were invited, consented and separated for simultaneous FGDs by gender-matched moderators. The resultant audiofiles were transcribed verbatim and translated into English for coding and thematic content analysis using NVivo 9.ResultsThe prevalence of extra-marital partnerships among women was 6.2% within a reference time of six months. Factors that were independently associated with increased likelihood of extra-marital partnerships were domestic violence (aOR, 1.45; 95% CI 1.09–1.92), women reporting being denied a preferred sex position (aOR, 3.34; 95% CI 1.26–8.84) and spouse longer erect penis (aOR, 1.34; 95% CI 1.00–1.78). Conversely, women's age – more than 24years (aOR, 0.33; 95% CI 0.14–0.78) and women's increased sexual satisfaction (aOR, 0.92; 95% CI 0.87–0.96) were associated with reduced likelihood of extra-marital partnerships.ConclusionDomestic violence, denial of a preferred sex positions, longer erect penis, younger age and increased sexual satisfaction were the main predictors of women's involvement in extra-marital partnerships. Integration of sex education, counselling and life skills training in couple HIV prevention programs might help in risk reduction.

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Stable extramarital affairs are breaking the heart

Cited by 17 publications

References 27 publications

Sexual Behavior, Function and Satisfaction in Headache Associated with Sexual Activity: A Systematic Review of Literature

Sexual Behavior, Function and Satisfaction in Headache Associated with Sexual Activity: A Systematic Review of Literature

First‐generation phosphodiesterase type 5 inhibitors dropout: a comprehensive review and meta‐analysis

Predictors of Extra-Marital Partnerships among Women Married to Fishermen along Lake Victoria in Kisumu County, Kenya

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