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Sexual Health in Adolescence

Sexual Health in Adolescence

Morbidity and mortality in most adolescents is related to personal behavior and, as such, is preventable. This includes issues related to sexual health. Physicians play an important role in early identification of risks during screening, counseling, general health guidance and immunizations. In the field of gynecology, preventive or “anticipatory” counseling to adolescents is recommended. Monitoring is most effective when anticipating risks. Educating for responsible sexual behaviors in potential vulnerabilities includes addressing gender issues, physical, sexual and emotional violence, unwanted pregnancy, or sexually transmitted diseases.

In this case, discussion of adequate contraception in adolescence, care with disease prevention and criteria of responsibility when initiating sexual life, especially when it is premature. There are sex education measures to detect risk behaviors and provide an opportunity to discuss changes. Annual screening for sexually transmitted infections is recommended. Avoid sharing personal information on the internet, alcohol and other drugs, as they are variables that can cause harm. Also, evaluate vulnerabilities of minorities, learning difficulties and issues about depression and suicide, associated with risk factors.

Parents’ attitudes affect adolescents in their behaviors and health outcomes. These should receive early guidance at least once during the beginning, middle and late teens of their children. This set of recommendations and this vision of anticipatory prevention can be used by the Gynecology and Obstetrics (GO), in the approach with the adolescents, in the sexual questions. These strategies help in the detection of potential risks, identifies those who need initial assessment and those who are an immediate concern. This theme aims to expand knowledge about sexual health in adolescence. It contemplates variables of sexual behavior in different stages of approach, with demands that include doubts about the beginning of relationships, issues of diversity, minorities, orientation, identity and well-being.

Areas of Interest / Categories: WAS 2017

WAS 2017

An Introduction to the Spectrum of Short Term Approaches in the Conversational Model

Although the Conversational Model began as an approach to seeing difficult patients, often on the wards as well as outpatients and of varying length, it became more associated in Australia with intensive long term therapy for complex trauma. This talk will instead outline some of the various shorter term applications of the CM including: 1) ultra- brief work in the ED, clinic, wards or general practice; 2) Formal Psychodynamic Interpersonal Therapy (PIT) of 4-8 sessions and its evidence base; 3) the CM as a model of trauma-informed care for individual clinicians and team, including acute care teams and their supervision.

Gender, Genital Alteration, and Beliefs About Bodily Harm

In 2015, a senior British judge, Sir James Munby, stated that nontherapeutic childhood male circumcision must be a “significant harm”. His reasoning was that the law currently treats all forms of nontherapeutic cutting or alteration of female genitalia as significantly harmful, including forms that are less invasive than male circumcision (such as “pricking” of the clitoral hood). In his words, “to dispute that the more invasive procedure [i.e., male circumcision] involves the significant harm involved in the less invasive [female] procedures would seem almost irrational”. Against this view, one could note that most men who were circumcised in infancy do not appear to regard themselves as “significantly harmed” by the procedure, seeing it instead as “normal” in their culture or community.

The Etiology of Sexual Desire Disorder (Spanish)

Introduction and objective: Women with disorder of sexual desire persistently manifest clinically significant discomfort with distress because of decreased sexual interest / arousal or due to significant interference with quality of life, well-being and their interpersonal relationships (1). Prevalence studies on sexual dysfunction in the general female population suggest that it affects 10% to 52% of women (2), and low sexual desire seems to be the most common sexual dysfunction, with a prevalence ranging from 8% to 30% (3,4). Its etiology is complex and may include biological, psychological and sociocultural factors. For this reason, when addressing this dysfunction, it is an important objective to know and consider the different factors that can affect it to make a correct diagnosis.

Integrating Body, Mind, Heart and Spirit: A Holistic Approach to Sex Therapy and Supervision

Female Sexual Pain Disorders: It's No Longer Only in Their Heads!

For many years, women with sexual pain were told that it is “in their heads” and were sent off for counselling sessions. These sessions were probably beneficial on many levels, but it seldom cured the pain. Scientific research and clinical practice have since taught us that there are, in most cases, very specific medical conditions causing the pain these women are experiencing. All over the world, more and more clinicians are taking the hands of their multidisciplinary team members and are starting to treat these women holistically and effectively.

Who's in the Spotlight? Interrogating Sexuality and Disorder in ICD-11

Next year the World Health Organisation intends to approve the ICD-11 diagnostic manual; the first ICD revision in over a quarter century. Some of the changes proposed in areas of sexual disorder and sexual health are highly controversial. In this presentation I examine some of the proposals, drawing on my experience as a member of the WHO Working Group from which most of the proposals have come. Focussing on proposed revisions to the following ICD-10 diagnostic blocks; ’psychological and behavioural disorders associated with sexual development and orientation’ (proposal to remove the block entirely); ’disorders of sexual preference’ (proposals for significant revisions), and ’gender identity disorders’ (proposals for renaming and relocation). I adopt a critical perspective, and will share previously unavailable information with the audience.

History of the Czech Scientific Sexology

From its very beginnings, the Czech sexology has been closely linked with the field of medicine. As early as 1921, the Institute for Sexual Pathology (later Institute of Sexology) was founded in Prague by Dermatovenerological clinic of the Faculty of Medicine of Charles University. In 1935, the main representative of the Czech sexological school, Professor Josef Hynie (1900-1989) was put in charge of the Institute for Sexology. In 1940, Hynie published his monography ‘Introduction to Medical Sexology’. Josef Hynie headed the Sexological Institute at the School of Medicine of Charles University until 1974.