From 1,771 men screened for androgen deficiency, 1,365 received testosterone treatment and were monitored for up to 15 years. All patients were pre-screened with digital rectal examination (DRE) and serum PSA at baseline to exclude PCa, with at least annual monitoring while on treatment. Abnormal findings or rising PSA were investigated by transrectal ultrasound and prostate biopsy. Urinary symptoms, serum creatinine and endocrine profiles were also monitored. The data are compared for the four testosterone preparations used, Restandol, Proviron, Testosterone pellet implants and Testogel.
After prescreening for PCa, 14 new cases developed during approximately 3,000 man-years of treatment. Time to diagnosis ranged from 6 months to 15 years. All tumours were clinically localized. Treatment had no significant effect on total and free PSA or total/free PSA ratio. These results were identical for the four different testosterone preparations in spite of significant differences in the endocrine profiles they produced. 0.47 new cases of early stage PCa were diagnosed per 100 man-years treatment, and all were diagnosed at a potentially curable stage. This study emphasises the importance of screening for PCa before commencing treatment, as well as continued monitoring during treatment.
Sexually traumatized patients often have problems with flashbacks, nightmares and avoidance. This workshop teaches an integrated method for trauma relief, combining knowledge from NLP, psycho dynamic therapy, cognitive therapy and modern trauma research. The method is based on the human memory storing system, which functions in the same way in all human beings. This means that the method easily can be used cross-culturally and for all gender combinations.
To explore how sexual health and sexual ethics are represented in the Bible and how these are relevant to the 21st century. God created humans as physical and relational beings. Sexuality is a good, healthy element of that created physical relatedness, with three functions: relational bonding; mutual pleasure; and procreation. The biblical pattern for sexual expression which best accords with these functions is heterosexual monogamy.
How should the Public Health Model be applied so it really contributes to improved sexual health for all? Public Health recognizes three levels of prevention - Primary, Secondary and Tertiary. Primary prevention involves prevention of the disease or injury itself, Fluoride, Immunization, Education to avoid smoking and substance abuse. Secondary prevention blocks the progression of an injury or disease from an impairment to a disability. An impairment has already occurred, but disability may be prevented through early intervention.
The UK has among the highest teenage pregnancy and STI rates in Western Europe and strategies to reduce these outcomes have a high priority. This paper seeks to draw lessons from the rigorous evaluations of three sexual health initiatives: SHARE (a cluster randomised trial (CRT) of teacher-delivered sex education), RIPPLE (CRT of peer-delivered school sex education) and Healthy Respect Phase 2 (a quasi-experimental study of a multi-component Scottish national sexual health demonstration project encompassing youth friendly sexual health drop-ins, social marketing, branding, a parenting component and SHARE).
This symposium will focus on presentation of the results and discussion of a ground-breaking study into the cost and cost-effectiveness of sexuality education (SE) in six countries, commissioned by UNESCO in 2010. Why an economic analysis? Policy-makers all over the world, involved in decisions on school-based sexuality education (SE) programmes, are facing three important economic questions: what are the costs of developing the programmes, what are the costs of implementing and scaling up the programmes, and do the programmes provide value for money?
This presentation, "Responding to the needs of consumers with complex trauma histories a consumer perspective" focuses on the needs of adult survivors of child abuse, highlighting the frequent