Fifty-three consecutive pts, transplanted 1996-2005 were asked to participate; 44 (83%) have been examined. Median age was 47 (26-72) yrs; follow up after transplant 6 (3-12) yrs. The study encompassed (i) anamnesis and questionnaires for the identification of depression and sexual dysfunction; (ii) gynaecological examination.
Clinical findings of genital GvHD in both vulva and vagina is a dry, thin, painful mucosa, white bands and patches and narrowing stenosis. Seventeen pts (39%) had clinical symptoms and signs categorized as probable gGvHD; another 14 as possible gGvHD. Female Sexual Distress Scale revealed sexual dysfunction in 19 of 42 (45%). Beck Depression Inventory indicated depression in 12/42 (29%). Sexual dysfunction was associated with clinical gGvHD, albeit some women with painful gGvHD had no sexual problem.
GvHD is a common cause of genital problems after BMT and associated with sexual dysfunction and depression. Gynecological local intervention and sexual councelling should be part of the post-transplant care.
About 10-15 % of adults have the experience of not getting pregnant, when they have a wish to have a child. For some, this life situation is resolved spontaneously. Some undergo investigation, followed by varying treatments, resulting in a child, some adopt, and for others this situation is permanent, and without a solution. When this is the case, existential questions often arise. Earlier studies show that couples who become parent after IVF-treatment are just as content, or more, with their relationships and sexuality compared to parent who conceived spontaneously. Little is known about the couples who continue their relation without a child. Clinical experiences are that many women and men struggle with questions concerning the meaning of sexuality.
In the framework of the Coalition for Sexual and Bodily Rights in Muslim Societies (CSBR) experience to promote sexual, bodily and reproductive health and rights, this paper will explore women's approach to sexuality, sexual health, sexual rights, and sexual pleasure based on the experience of the Human Rights Education Program for Women (HREP) in Turkey, implemented in 42 cities. The paper will contexualize sexual health and rights in Muslim societies through a human rights approach, drawn on experiences of grassroots movement for women in Turkey, in a context where efforts to promote SRHR contend with patriarchal norms and taboos around sexuality.
Legal education in rural India which circumscribes rights of women with special focus on reproductive rights, rape laws, female feticide, domestic violence, child marriage etc. has played a pivotal role in translating these rights into practice. This has been possible through innovative legal education drives which have identified a set of para-legal women who act as reservoirs of knowledge and are adequately equipped to handle instances of violation of such rights.
It is commonly accepted that sex education should start at early age. Most teachers hold positive attitudes towards programs on sex education, but some surveys showed a discrepancy between overt attitudes towards sex education and willingness to practice this as part of the professional duty.
In many school settings, adolescent sexuality has been discussed largely in terms of sexual behaviour and risk. Little attention has been given to the positive aspects of sexuality and sexual expression. This study sought to explore how key stakeholders in three secondary schools in the UK understand youth sexual behaviours.
Does circumcision reduce the risk of HIV transmission? Relationship between male circumcision and HIV infection based on randomized, controlled intervention trial in three
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