Selective Serotonin Reuptake Inhibitors (SSRIs) are common antidepressants prescribed for depression, anxiety and obsessive compulsive disorders in Australia and worldwide. Whilst this medication has many benefits, SSRIs can negatively impact on sexual functioning, yet disclosure of this issue is rare. Given that women are at increased risk of mental disorders and that SSRI use is more prevalent in this target group, this project used a qualitative research approach known as Interpretative Phenomenological Analysis (IPA) to explore the lived experience of coping with sexual difficulties amongst women who have been taking SSRI medication. This paper is aimed at health practitioners and will provide recommendations on how to improve the management of SSRI related sexual difficulties for women.
To gain meaningful insight into this phenomenon, a qualitative research design using a phenomenological approach was used. A purposively selected sample of 10 Australian women under 45 years old were interviewed twice using semi structured interviews to gather a detailed account of individual experiences. The interviews were transcribed verbatim and analysed through an iterative and inductive process.
Background: STI prevalence is changing. With society aging, life expectancy increasing and changes in sexual practices, STIs in senior citizens are of interest from economic, health related and social burden perspectives. Few studies on STIs in older men greater than 60 years of age exist, hence, a need to obtain further information about this subpopulation.
Conducting clinical audits in the context of continuous quality improvement (CQI) programs in Aboriginal Community Controlled Health Services (ACCHS) has provided valuable information regarding what factors facilitate or create challenges to improving outcomes in sexual health service delivery.
Homosexual men are at increased risk of anal cancer. Screening and treatment of the precursor, HSIL, has been advocated by some, but screening is not recommended in widely-accepted guidelines. We aimed to describe the prevalence, incidence, and clearance rates of anal HSIL, and association with human papillomavirus (HPV) status, in a community-recruited cohort of homosexual men.
Since 2009, the Victorian syphilis enhanced surveillance system has been collecting HIV status and syphilis re-infection status for infectious syphilis cases. Baseline data from 2009 showed that 31% of the infectious syphilis cases were HIV positive and 18% reported were re-infections. This suggested that syphilis transmission among a pool of HIV positive MSM was making a considerable contribution to the syphilis epidemic in Victoria. We analysed the data from 2009 to 2012 to determine whether this pattern of transmission is continuing. Notification data for infectious syphilis between 2009 and 2012 were reviewed by HIV infection status, syphilis re-infection status and risk factor exposures.
HIV positive gay men have high rates of cigarette smoking. The risks of smoking in addition to the elevated risk of cardiovascular disease and some malignancies in people with HIV means smoking cessation interventions should be prioritised.
We investigated the association between chlamydia detection and stage in the menstrual cycle to investigate whether chlamydia detection was higher at different stages of the cycle. Electronic medical records for women attending Melbourne Sexual Health Centre March 2011 - 31st December 2012, who were tested for chlamydia by nucleic acid amplification of high vaginal, cervical, or urinary samples, and who recorded a date of last normal menstrual period (LNMP) between 0-28 days were included in the analysis. Logistic regression was used to calculate OR (95%CI) for the association of chlamydia with menstrual cycle adjusted by demographics and behavioural variables.