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Sexual life in women after bone marrow transplantation

Sexual life in women after bone marrow transplantation

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.

Areas of Interest / Categories: WAS 2009

WAS 2009

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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.

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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.

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