Pub Date : 2023-06-15DOI: 10.20473/iabj.v4i2.50097
William William, Sally Suharyani
Sexsomnia is one type of parasomnia that can negatively impact the quality of life for individuals affected and potentially lead to legal complications. The growing prevalence of sexsomnia demands attention due to the widespread misinformation and the misconception that it is not a medical issue. This review will delve deeper into sexsomnia, including its diagnosis and management. Parasomnia refers to undesired physical events or experiences that occur during various stages of sleep. Sexsomnia, a form of parasomnia associated with non-rapid eye movement (NREM) sleep, is characterized by unconscious, abnormal sexual behavior. Sexsomnia can manifest during any sleep phase but is most frequently observed during NREM sleep. Clinical manifestations of sexsomnia include vocalizations, fondling, kissing, masturbation, and even engaging in sexual intercourse without recollection upon waking. A comprehensive evaluation, including a thorough medical history and additional investigations such as polysomnography with electroencephalography, aids in establishing a diagnosis of sexsomnia. Presently, there is no definitive treatment for sexsomnia. Management approaches involve non-pharmacological and pharmacological. Sexsomnia, if not recognized as early as possible, can have detrimental effects on both the affected individual and the surrounding environment. Lack of awareness about sexsomnia and hesitation to seek treatment contribute to the lack of information about its prevalence. In-depth knowledge is crucial for accurate diagnosis and determining the appropriate management strategies for this condition. Further research is needed to determine sexsomnia and its management.
{"title":"Unveiling Sexsomnia: An In-Depth Exploration","authors":"William William, Sally Suharyani","doi":"10.20473/iabj.v4i2.50097","DOIUrl":"https://doi.org/10.20473/iabj.v4i2.50097","url":null,"abstract":"Sexsomnia is one type of parasomnia that can negatively impact the quality of life for individuals affected and potentially lead to legal complications. The growing prevalence of sexsomnia demands attention due to the widespread misinformation and the misconception that it is not a medical issue. This review will delve deeper into sexsomnia, including its diagnosis and management. Parasomnia refers to undesired physical events or experiences that occur during various stages of sleep. Sexsomnia, a form of parasomnia associated with non-rapid eye movement (NREM) sleep, is characterized by unconscious, abnormal sexual behavior. Sexsomnia can manifest during any sleep phase but is most frequently observed during NREM sleep. Clinical manifestations of sexsomnia include vocalizations, fondling, kissing, masturbation, and even engaging in sexual intercourse without recollection upon waking. A comprehensive evaluation, including a thorough medical history and additional investigations such as polysomnography with electroencephalography, aids in establishing a diagnosis of sexsomnia. Presently, there is no definitive treatment for sexsomnia. Management approaches involve non-pharmacological and pharmacological. Sexsomnia, if not recognized as early as possible, can have detrimental effects on both the affected individual and the surrounding environment. Lack of awareness about sexsomnia and hesitation to seek treatment contribute to the lack of information about its prevalence. In-depth knowledge is crucial for accurate diagnosis and determining the appropriate management strategies for this condition. Further research is needed to determine sexsomnia and its management.","PeriodicalId":385352,"journal":{"name":"Indonesian Andrology and Biomedical Journal","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-06-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139369929","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-06-10DOI: 10.20473/iabj.v4i1.42110
Anak Agung Sintya Padma Dewi, I. G. N. Pramesemara, Yukhi Kurniawan, I Gusti Ayu Widianti
Background: Every human being, especially a married couple, wants children. Obstacles to obtaining children are called infertility. One of the Assisted Reproductive Technology (ART) procedures used for treating infertility is intrauterine insemination (IUI), a non-invasive procedure with affordable costs. The success of IUI is influenced by many factors, one of which is sperm agglutination. Objective: This study determined the relationship between sperm agglutination and the success rate of the IUI procedure. Methods: The study is a descriptive-analytic study with a cross-sectional approach. The sample collection technique uses non-probability. The data used were medical records of male patients diagnosed with infertility, aged 25-45 years, and undergoing IUI procedures at the Rumah Sakit Ibu dan Anak Puri Bunda Denpasar from January to July 2022. Results: Of the 91 samples obtained, 9 people experienced sperm agglutination (9,9%), and 82 people did not experience sperm agglutination (90,1%). The success rate of the IUI procedure was 29 people (31,9%), 1 person (11.1%) experiencing sperm agglutination, and 28 people (34,1%) not experiencing sperm agglutination. Fisher's Exact test carried out has obtained a result (p=0.263). And the value of the odds ratio (OR) obtained=0.241) Conclusion: This study concluded that there is no significant relationship between sperm agglutination in infertile men and the success rate of the IUI procedure. The value of OR showed sperm agglutination is not included in the factors that affect the success rate of IUI. Keywords: Sperm Agglutination, Intrauterine Insemination, Male Infertility
背景:每个人，尤其是已婚夫妇，都想要孩子。获得孩子的障碍称为不孕症。用于治疗不孕症的辅助生殖技术(ART)程序之一是宫内人工授精(IUI)，这是一种费用负担得起的非侵入性程序。影响人工授精成功率的因素很多，其中精子凝集是影响人工授精成功率的重要因素之一。目的:探讨精子凝集与人工授精成功率的关系。方法:本研究采用横断面方法进行描述性分析研究。样本收集技术使用非概率。所使用的数据是2022年1月至7月期间在Rumah Sakit Ibu dan Anak Puri Bunda Denpasar接受IUI手术的25-45岁男性不孕症患者的医疗记录。结果:在获得的91个样本中，9人经历了精子凝集(9.9%)，82人没有经历精子凝集(90.9%)。IUI手术的成功率为29人(31.9%)，1人(11.1%)出现精子凝集，28人(34.1%)未出现精子凝集。费雪精确检验得到了一个结果(p=0.263)。结论:本研究认为，不育男性精子凝集与人工授精成功率无显著关系。OR值显示精子凝集不包括在影响人工授精成功率的因素中。关键词:精子凝集，宫内人工授精，男性不育症
{"title":"Sperm Agglutination in Infertile Men and The Success Rate of Intrauterine Insemination in Rumah Sakit Ibu dan Anak Puri Bunda Denpasar","authors":"Anak Agung Sintya Padma Dewi, I. G. N. Pramesemara, Yukhi Kurniawan, I Gusti Ayu Widianti","doi":"10.20473/iabj.v4i1.42110","DOIUrl":"https://doi.org/10.20473/iabj.v4i1.42110","url":null,"abstract":"Background: Every human being, especially a married couple, wants children. Obstacles to obtaining children are called infertility. One of the Assisted Reproductive Technology (ART) procedures used for treating infertility is intrauterine insemination (IUI), a non-invasive procedure with affordable costs. The success of IUI is influenced by many factors, one of which is sperm agglutination. \u0000Objective: This study determined the relationship between sperm agglutination and the success rate of the IUI procedure. \u0000Methods: The study is a descriptive-analytic study with a cross-sectional approach. The sample collection technique uses non-probability. The data used were medical records of male patients diagnosed with infertility, aged 25-45 years, and undergoing IUI procedures at the Rumah Sakit Ibu dan Anak Puri Bunda Denpasar from January to July 2022. \u0000Results: Of the 91 samples obtained, 9 people experienced sperm agglutination (9,9%), and 82 people did not experience sperm agglutination (90,1%). The success rate of the IUI procedure was 29 people (31,9%), 1 person (11.1%) experiencing sperm agglutination, and 28 people (34,1%) not experiencing sperm agglutination. Fisher's Exact test carried out has obtained a result (p=0.263). And the value of the odds ratio (OR) obtained=0.241) \u0000Conclusion: This study concluded that there is no significant relationship between sperm agglutination in infertile men and the success rate of the IUI procedure. The value of OR showed sperm agglutination is not included in the factors that affect the success rate of IUI. \u0000Keywords: Sperm Agglutination, Intrauterine Insemination, Male Infertility","PeriodicalId":385352,"journal":{"name":"Indonesian Andrology and Biomedical Journal","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-06-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"115348895","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-06-10DOI: 10.20473/iabj.v4i1.44619
Geraldo Laurus, Cennikon Pakpahan, W. William, Raditya Ibrahim
Background: Converting Ego-dystonic homosexual to heterosexual is still controversial. homosexuals are encouraged to be accepted and do not require conversion. Currently, many cases of homosexuals are required to accept their identity and do not require conversion. However, there are times when patients want to be heterosexual and experience sexual dysfunction because of this orientation. Then, how a medical professional deal with such a case especially in the era of ease of information and technology? Choose to demand that the patient accept their sexual orientation or help the patient to become heterosexual. Objective: Here we present the case of a man, 44 years old, with a psychogenic erection with ego-dystonic homosexual disorientation, along with a review of the literature related to the case. Method: A case report with literature review Case/Result: We report 44-year-old man who has been married for six years complains of difficulty and decreased erection for 5.5 years. This man had a history of sexual intercourse with men during college but decided to become a heterosexual man and married his current wife. For the first six months, the patient performed oral sex with his wife. Then afterwards, the patient has difficulty getting an erection and even fails. The patient feels guilty toward his wife until their relationship becomes a crisis. The patient wants to commit to being a heterosexual man. So, the patient came to the andrology clinic for therapy. We applied intersystemic assessment approach to the patient. There is progress in the patient’s condition until now. Conclusion: Many experts say that homosexuality should be accepted and should not be converted. But in the end, the choice is returned to the patient, whether to choose to convert or not. Physicians only need to support the patient's therapy and choices so that he does not experience any mental disorders that ultimately endanger his life. Keywords: , , , ,
{"title":"A Case Report of Psychogenic Erectile Dysfunction with Ego Dystonic Sexual Disorientation: Is Still Relevant to Treat?","authors":"Geraldo Laurus, Cennikon Pakpahan, W. William, Raditya Ibrahim","doi":"10.20473/iabj.v4i1.44619","DOIUrl":"https://doi.org/10.20473/iabj.v4i1.44619","url":null,"abstract":"Background: Converting Ego-dystonic homosexual to heterosexual is still controversial. homosexuals are encouraged to be accepted and do not require conversion. Currently, \u0000many cases of homosexuals are required to accept their identity and do not require conversion. However, there are times when patients want to be heterosexual and experience sexual dysfunction because of this orientation. Then, how a medical professional deal with such a case especially in the era of ease of information and technology? Choose to demand that the patient accept their sexual orientation or help the patient to become heterosexual. \u0000Objective: Here we present the case of a man, 44 years old, with a psychogenic erection with ego-dystonic homosexual disorientation, along with a review of the literature related to the case. \u0000Method: A case report with literature review \u0000Case/Result: We report 44-year-old man who has been married for six years complains of difficulty and decreased erection for 5.5 years. This man had a history of sexual intercourse with men during college but decided to become a heterosexual man and married his current wife. For the first six months, the patient performed oral sex with his wife. Then afterwards, the patient has difficulty getting an erection and even fails. The patient feels guilty toward his wife until their relationship becomes a crisis. The patient wants to commit to being a heterosexual man. So, the patient came to the andrology clinic for therapy. We applied intersystemic assessment approach to the patient. There is progress in the patient’s condition until now. \u0000Conclusion: Many experts say that homosexuality should be accepted and should not be converted. But in the end, the choice is returned to the patient, whether to choose to convert or not. Physicians only need to support the patient's therapy and choices so that he does not experience any mental disorders that ultimately endanger his life. \u0000Keywords: , , , , ","PeriodicalId":385352,"journal":{"name":"Indonesian Andrology and Biomedical Journal","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-06-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"125454073","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-06-10DOI: 10.20473/iabj.v4i1.44617
S. Herman, A. Amiruddin, Muhammad Sirih, Ardina Ardina, R. Rusli
To know the correlation between the level of knowledge about reproductive health, attitude about reproductive health and gender with the teenager sexual behavior at SMAN 4 Kendari. The research population is class X and XI SMAN 4 Kendari student which amount 827 people. The sample retrieval technique is proportional stratified random sampling thus gained as much as 270 respondents. Data collection technique are done with an analytic survey through a cross sectional approach. The data analysis technique’s using descriptive and inferential statistics. The results: Showed that the men as much as 117 respondents (43,33%), women 152 respondents (56,67%), high level of knowledge as much as 160 respondents (59,26%), level of intermediate knowledge 73 respondents (27,04%), low knowledge level 37 respondents (13,7%), a good attitude as much as 76 respondents (28,15%), a medium attitude 147 respondents (54,44%), a deficient attitude 47 respondents (17,41%), sexual behavior is risk as much as 244 respondents (90,37%), and sexual behavior is not risk 26 respondents (9,63%). The level of knowledge is unrelated to the teenager sexual behavior (p > 0,05), attitude is related to the teenager sexual behavior (p < 0,05), and gender is related to the teenager sexual behavior (p < 0,05).
{"title":"Level of Knowledge, Attitude About Reproductive Health and Gender with Teenager Sexual Behaviour at SMAN 4 Kendari","authors":"S. Herman, A. Amiruddin, Muhammad Sirih, Ardina Ardina, R. Rusli","doi":"10.20473/iabj.v4i1.44617","DOIUrl":"https://doi.org/10.20473/iabj.v4i1.44617","url":null,"abstract":"To know the correlation between the level of knowledge about reproductive health, attitude about reproductive health and gender with the teenager sexual behavior at SMAN 4 Kendari. The research population is class X and XI SMAN 4 Kendari student which amount 827 people. The sample retrieval technique is proportional stratified random sampling thus gained as much as 270 respondents. Data collection technique are done with an analytic survey through a cross sectional approach. The data analysis technique’s using descriptive and inferential statistics. The results: Showed that the men as much as 117 respondents (43,33%), women 152 respondents (56,67%), high level of knowledge as much as 160 respondents (59,26%), level of intermediate knowledge 73 respondents (27,04%), low knowledge level 37 respondents (13,7%), a good attitude as much as 76 respondents (28,15%), a medium attitude 147 respondents (54,44%), a deficient attitude 47 respondents (17,41%), sexual behavior is risk as much as 244 respondents (90,37%), and sexual behavior is not risk 26 respondents (9,63%). The level of knowledge is unrelated to the teenager sexual behavior (p > 0,05), attitude is related to the teenager sexual behavior (p < 0,05), and gender is related to the teenager sexual behavior (p < 0,05).","PeriodicalId":385352,"journal":{"name":"Indonesian Andrology and Biomedical Journal","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-06-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"115887882","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Erectile dysfunction (ED) is a common condition that has a substantial impact on quality of life. It is described as the continuous inability to develop or maintain sufficient stiffness of the penis to allow satisfactory sexual performance. Early detection and treatment of ED and comorbidities associated with ED, such as hypertension, diabetes mellitus, and hyperlipidemia, can significantly improve the quality of life for men and their partners. About 35.6% of Indonesian adults have ED. The bulk of ED treatments now on the market are pharmacological and surgical procedures. Even though there has been substantial progress, it seems that the aforementioned treatment has a high dropout rate due to cultural restrictions and taboos. These patients would then look for herbal nutritional supplements like ginseng as an alternative. This systematic review evaluates the current evidence for the effectiveness of red ginseng in managing erectile dysfunction. We performed systematic review conducted from MEDLINE, ScienceDirect, ProQuest. The authors screened the articles based on inclusion criteria : (1) Mild-to-moderate erectile dysfunction; (2) Ginseng as interventional therapy; (3) Human studies that have IIEF score as an outcome; (4) Written in English. Four randomized control trials (RCT) using keywords “((Erectile Dysfunction) AND (Korean Ginseng) AND (Ginseng))” were included. Three randomized control trials (RCT) study involving 454 male patients with mild to moderate erectile dysfunction, aged from 20 to 70 years old. Our findings support that the mean in International Index of Erectile Function scores were significantly higher in patients treated with Korean ginseng than in those who received placebo. Korean ginseng could be an effective alternative treatment for male erectile dysfunction if more research with larger-scale clinical trials and higher standards is done in the future on the safety and effectiveness of ginseng.
{"title":"Systematic Review of The Efficacy of Korean Ginseng in Men with Erectile Dysfunction","authors":"Rayi Megasari Putri, Aucky Hinting, Primasitha Maharani Harsoyo, Fiosanda Rizky Nugrahanti","doi":"10.20473/iabj.v4i1.44796","DOIUrl":"https://doi.org/10.20473/iabj.v4i1.44796","url":null,"abstract":"Erectile dysfunction (ED) is a common condition that has a substantial impact on quality of life. It is described as the continuous inability to develop or maintain sufficient stiffness of the penis to allow satisfactory sexual performance. Early detection and treatment of ED and comorbidities associated with ED, such as hypertension, diabetes mellitus, and hyperlipidemia, can significantly improve the quality of life for men and their partners. About 35.6% of Indonesian adults have ED. The bulk of ED treatments now on the market are pharmacological and surgical procedures. Even though there has been substantial progress, it seems that the aforementioned treatment has a high dropout rate due to cultural restrictions and taboos. These patients would then look for herbal nutritional supplements like ginseng as an alternative. This systematic review evaluates the current evidence for the effectiveness of red ginseng in managing erectile dysfunction. We performed systematic review conducted from MEDLINE, ScienceDirect, ProQuest. The authors screened the articles based on inclusion criteria : (1) Mild-to-moderate erectile dysfunction; (2) Ginseng as interventional therapy; (3) Human studies that have IIEF score as an outcome; (4) Written in English. Four randomized control trials (RCT) using keywords “((Erectile Dysfunction) AND (Korean Ginseng) AND (Ginseng))” were included. Three randomized control trials (RCT) study involving 454 male patients with mild to moderate erectile dysfunction, aged from 20 to 70 years old. Our findings support that the mean in International Index of Erectile Function scores were significantly higher in patients treated with Korean ginseng than in those who received placebo. Korean ginseng could be an effective alternative treatment for male erectile dysfunction if more research with larger-scale clinical trials and higher standards is done in the future on the safety and effectiveness of ginseng.","PeriodicalId":385352,"journal":{"name":"Indonesian Andrology and Biomedical Journal","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-06-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"123937084","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-06-10DOI: 10.20473/iabj.v4i1.43832
Ria Margiana, Azlansyah Azlansyah
Sjogren's Syndrome is an autoimmune disorder characterized by the loss of salivary and lacrimal glands, resulting in dry mouth and eyes. Erectile dysfunction (ED) is a prevalent complaint among people with Sjogren's Disease, however the underlying mpoiechanism is not yet known. The purpose of this article is to examine the mechanism through which Sjogren's Disease causes ED and to identify potential therapies. Using MEDLINE, EMBASE, and the Cochrane Library databases, a systematic review was done. Papers investigating the link between Sjogren's Syndrome and ED published between 1990 and 2021 were included in the study. The review paper discusses a number of potential mechanisms for the association between Sjogren's Disease and ED. They include low levels of testosterone, endothelial dysfunction, autonomic neuropathy, and psychosocial issues. The article also discusses potential treatments for ED caused by Sjogren's Disease, including inhibitors of phosphodiesterase type 5, testosterone replacement therapy, and psychological counseling. The research implies a connection between Sjogren's Disease and ED, although the underlying mechanisms remain unknown. It is necessary to conduct additional studies to better comprehend the relationship and develop targeted remedies.
{"title":"The Mechanism in which Sjogren's Syndrome Contributes to The Onset of Erectile Dysfunction","authors":"Ria Margiana, Azlansyah Azlansyah","doi":"10.20473/iabj.v4i1.43832","DOIUrl":"https://doi.org/10.20473/iabj.v4i1.43832","url":null,"abstract":"Sjogren's Syndrome is an autoimmune disorder characterized by the loss of salivary and lacrimal glands, resulting in dry mouth and eyes. Erectile dysfunction (ED) is a prevalent complaint among people with Sjogren's Disease, however the underlying mpoiechanism is not yet known. The purpose of this article is to examine the mechanism through which Sjogren's Disease causes ED and to identify potential therapies. Using MEDLINE, EMBASE, and the Cochrane Library databases, a systematic review was done. Papers investigating the link between Sjogren's Syndrome and ED published between 1990 and 2021 were included in the study. The review paper discusses a number of potential mechanisms for the association between Sjogren's Disease and ED. They include low levels of testosterone, endothelial dysfunction, autonomic neuropathy, and psychosocial issues. The article also discusses potential treatments for ED caused by Sjogren's Disease, including inhibitors of phosphodiesterase type 5, testosterone replacement therapy, and psychological counseling. The research implies a connection between Sjogren's Disease and ED, although the underlying mechanisms remain unknown. It is necessary to conduct additional studies to better comprehend the relationship and develop targeted remedies.","PeriodicalId":385352,"journal":{"name":"Indonesian Andrology and Biomedical Journal","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-06-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"128515021","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-06-10DOI: 10.20473/iabj.v4i1.41761
Anak Agung Ngurah Perdana Anantadiva, I Gusti Ngurah Pramesemara, Yukhi Kurniawan, I Gusti Ayu Widianti
Infertility is a condition after a year of regular sexual intercourse, without the use of contraceptives, and ends with the absence of pregnancy. Intrauterine Insemination (IUI) is a procedure that is widely used in fertility clinics and is usually the first treatment option in patients who are experiencing infertility disorders, diagnosis of infertility due to cervical factors, diagnosis of factor infertility in men, and diagnosis of unexplained infertility. the cause. IUI is also a simple, inexpensive, and quite effective infertility treatment. One of the factors that can influence the success of IUI is leukospermia. This study is an analytical study using a cross-sectional design and using medical records of patients diagnosed with infertility, aged from 25 to 45 years, and undergoing IUI procedures from January to June 2022 at the RSIA Puri Bunda Denpasar. The sampling method in this study used a purposive sampling method which was selected based on inclusion and exclusion criteria. In this study, 53 samples were obtained. Of the 53 samples that have been collected, 13 people experienced leukospermia (24.5%), 40 people were non-leukospermic (75.5%). The success of IUI in this study was 17 people (32.1%) consisting of 3 leukospermic (23.1%) and 14 non-leukospermic (35.0%). The results of the Fisher's Exact test obtained, namely the p value = 0.511, it can be concluded that leukospermia with the success of IUI does not have a significant relationship. Calculation of odds ratio (OR) obtained a figure of 1.759 (CI95% 0,423-7,610).
不孕症是在没有使用避孕药具的情况下进行一年的正常性交，并以未怀孕结束的情况。宫内人工授精(IUI)是一种广泛应用于生育诊所的程序，通常是患有不孕症、宫颈因素导致的不孕症诊断、男性因素性不孕症诊断和不明原因不孕症诊断的患者的第一治疗选择。原因。人工授精也是一种简单、廉价、有效的不孕症治疗方法。影响人工授精成功的因素之一是白精症。本研究是一项分析性研究，采用横断面设计，并使用诊断为不孕症的患者的医疗记录，年龄在25至45岁之间，并于2022年1月至6月在RSIA Puri Bunda Denpasar接受了IUI手术。本研究的抽样方法采用有目的的抽样方法，根据纳入和排除标准进行选择。本研究共获得53份样本。在已收集的53份样本中，有13人患有白精症(24.5%)，40人患有非白精症(75.5%)。本研究成功人工授精17例(32.1%)，其中白精3例(23.1%)，非白精14例(35.0%)。得到的Fisher’s Exact检验结果，即p值= 0.511，可以得出结论，白精症与IUI成功与否没有显著关系。计算优势比(OR)得到1.759 (CI95% 0,423-7,610)。
{"title":"Leukospermia in Infertile Men and Successful Intrauterine Insemination at Rumah Sakit Ibu dan Anak Puri Bunda Denpasar","authors":"Anak Agung Ngurah Perdana Anantadiva, I Gusti Ngurah Pramesemara, Yukhi Kurniawan, I Gusti Ayu Widianti","doi":"10.20473/iabj.v4i1.41761","DOIUrl":"https://doi.org/10.20473/iabj.v4i1.41761","url":null,"abstract":"Infertility is a condition after a year of regular sexual intercourse, without the use of contraceptives, and ends with the absence of pregnancy. Intrauterine Insemination (IUI) is a procedure that is widely used in fertility clinics and is usually the first treatment option in patients who are experiencing infertility disorders, diagnosis of infertility due to cervical factors, diagnosis of factor infertility in men, and diagnosis of unexplained infertility. the cause. IUI is also a simple, inexpensive, and quite effective infertility treatment. One of the factors that can influence the success of IUI is leukospermia. \u0000 This study is an analytical study using a cross-sectional design and using medical records of patients diagnosed with infertility, aged from 25 to 45 years, and undergoing IUI procedures from January to June 2022 at the RSIA Puri Bunda Denpasar. The sampling method in this study used a purposive sampling method which was selected based on inclusion and exclusion criteria. \u0000 In this study, 53 samples were obtained. Of the 53 samples that have been collected, 13 people experienced leukospermia (24.5%), 40 people were non-leukospermic (75.5%). The success of IUI in this study was 17 people (32.1%) consisting of 3 leukospermic (23.1%) and 14 non-leukospermic (35.0%). The results of the Fisher's Exact test obtained, namely the p value = 0.511, it can be concluded that leukospermia with the success of IUI does not have a significant relationship. Calculation of odds ratio (OR) obtained a figure of 1.759 (CI95% 0,423-7,610).","PeriodicalId":385352,"journal":{"name":"Indonesian Andrology and Biomedical Journal","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-06-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"123703586","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2022-12-19DOI: 10.20473/iabj.v3i2.40773
Geraldo Laurus, Supardi
Abstract Background: Late Onset Hypogonadism (LOH) is a disease associated with advancing age, characterized by symptoms and a deficiency in serum testosterone. It is important to choose which patient suitable for testosterone replacement therapy (TRT), but there is no one consensus that fits for all. After treating patients with testosterone replacement therapy (TRT), several parameters need to be evaluated. Case: A 74-years old male came with chief complaint of difficulty to maintain erection since 2 years ago.. PADAM questionnaire was positive and IIEF-5 score was 6. Physical examination showed an underweight condition. Total testosterone level was 3,65ng/mL, and patient chose to be given TRT instead of evaluating his free testosterone. PDE-5 inhibitor and non-pharmacologic treatment was also given. Follow-up showed that his erection was improved. Discussions: At which level should testosterone be substituted is still debatable. Several consensuses issued by several organization still cannot be used universally. Study in Indonesia showed that symptoms of LOH had been occur when the testosterone level still in normal range. After giving TRT to our patients, routine follow up is needed. Non pharmacologic treatment also needs to be addressed to improve the outcome. Conclusions: Symptoms of LOH had been occurred even though testosterone level is still in normal range. The consideration made by clinician is the most important thing to be evaluated, whether to give TRT or not. Somatic and laboratory parameters mentioned in this study is important to be evaluated.
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Pub Date : 2022-12-19DOI: 10.20473/iabj.v3i2.41479
Aldrich Alexander Afeli Tungga
The decrease in erectile function performance is the inability to sustain an erection long enough during intercourse (NIH Consensus Conference, 1993). The etiology of decrease in erectile function performance is multifactorial; organic factors, and psychogenic factors involved in the ability to get and maintain an erection (Agarwal, 2006). The decrease in erectile function performance in this study was measured using IIEF-5 questionnaire. This study is a cross-sectional observative research that use the results of the questionnaire answers of the respondents. Obtained a population of 161 people who were then screened to 109 people who fit the criteria of this research by using insidential sampling method. The results of this study showed a decrease in erectile function performance of 56.88% of the total respondents. Correlation test results showed a significant association of each variable age, duration of smoking, number of cigarettes per day, diabetes, dyslipidemia, and hypertension with a decrease in erectile function performance. Then for Body Mass Index (BMI) in this study did not show any significant relationship with decreased in erectile function performance. This is because the respondents in this study consist only of normal wight (18.5 to 24.9) and over weight (25 to 29.9). Advice given to avoid decrease in erectile function performance is to reduce cigarette consumption, and improve or treat an unhealthy condition such as BMI above normal, Diabetes, Dyslipidemia and hypertension. This study only retrieve data from the questionnaire so that the data are less and incomplete clear risk factors.
{"title":"Relationships on Old Smoking, Number of Cigarette Consumption Per Day, Body Mass Index (Bmi), Diabetes, Dyslipidemia, and Hypertension with The Decrease of Erection Function Performance in Men 45-64 Years Old Visiting Hospitals","authors":"Aldrich Alexander Afeli Tungga","doi":"10.20473/iabj.v3i2.41479","DOIUrl":"https://doi.org/10.20473/iabj.v3i2.41479","url":null,"abstract":"The decrease in erectile function performance is the inability to sustain an erection long enough during intercourse (NIH Consensus Conference, 1993). The etiology of decrease in erectile function performance is multifactorial; organic factors, and psychogenic factors involved in the ability to get and maintain an erection (Agarwal, 2006). The decrease in erectile function performance in this study was measured using IIEF-5 questionnaire. This study is a cross-sectional observative research that use the results of the questionnaire answers of the respondents. Obtained a population of 161 people who were then screened to 109 people who fit the criteria of this research by using insidential sampling method. The results of this study showed a decrease in erectile function performance of 56.88% of the total respondents. Correlation test results showed a significant association of each variable age, duration of smoking, number of cigarettes per day, diabetes, dyslipidemia, and hypertension with a decrease in erectile function performance. Then for Body Mass Index (BMI) in this study did not show any significant relationship with decreased in erectile function performance. This is because the respondents in this study consist only of normal wight (18.5 to 24.9) and over weight (25 to 29.9). Advice given to avoid decrease in erectile function performance is to reduce cigarette consumption, and improve or treat an unhealthy condition such as BMI above normal, Diabetes, Dyslipidemia and hypertension. This study only retrieve data from the questionnaire so that the data are less and incomplete clear risk factors.","PeriodicalId":385352,"journal":{"name":"Indonesian Andrology and Biomedical Journal","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2022-12-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"133834830","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2022-12-19DOI: 10.20473/iabj.v3i2.35877
Andhika Bhayangkara Putra Anak Agung Gde, I Gusti Ngurah Pramesemara, Yukhi Kurniawan, I Gusti Ayu Widianti
Background: Assisted Reproductive Technology (ART), such as intrauterine insemination (IUI), can be an option for infertile couples who are expecting a pregnancy. However, the success of IUI can be influenced by various factors, one of which is varicocele. Objective: This study aims to determine the association between varicocele and IUI success. Methods: This study is an analytical cross-sectional study using patient medical records. The sample of this study was male patients aged 25-45 years with infertility and undergoing IUI in the period April to June 2021 at Rumah Sakit Ibu dan Anak Puri Bunda Denpasar. The sampling technique used, purposive sampling, was selected based on inclusion and exclusion criteria. Based on the criteria, this study selected 32 samples. Result: From 32 participants, 5 had varicocele (15.6%), and 27 were without varicocele (84.4%). In this study, we found 12 success pregnancy after IUI (37.5%), with 3 participants having varicocele (9.4%) and 9 participants without varicocele (28.1%). The chi-square analysis carried out obtained the results (p>0.05), and the calculation of the relative risk got the result (RR=0.600). Conclusion: This study showed no significant association between varicocele in infertile men and the success of IUI. The RR calculation showed that varicocele was not a risk factor for IUI failure.
背景:辅助生殖技术(ART)，如宫内人工授精(IUI)，可以作为不孕夫妇怀孕的一个选择。然而，影响人工授精成功的因素很多，精索静脉曲张就是其中之一。目的:本研究旨在确定精索静脉曲张与人工授精成功的关系。方法:本研究是一项利用患者医疗记录的分析性横断面研究。本研究的样本是2021年4月至6月期间在Rumah Sakit Ibu dan Anak Puri Bunda Denpasar接受IUI治疗的25-45岁男性不育症患者。使用的抽样技术，目的抽样，是根据纳入和排除标准选择的。根据标准，本研究选取了32个样本。结果:32名参与者中，5名患有精索静脉曲张(15.6%)，27名无精索静脉曲张(84.4%)。在本研究中，我们发现12例IUI后妊娠成功(37.5%)，其中3例有精索静脉曲张(9.4%)，9例无精索静脉曲张(28.1%)。卡方分析得到结果(p>0.05)，计算相对危险度得到结果(RR=0.600)。结论:本研究显示不育男性精索静脉曲张与人工授精成功率无显著相关性。RR计算显示精索静脉曲张不是IUI失败的危险因素。
{"title":"Relationship Between Varicocele in Infertile Male and Intrauterine Insemination Success at Rumah Sakit Ibu dan Anak Puri Bunda Denpasar","authors":"Andhika Bhayangkara Putra Anak Agung Gde, I Gusti Ngurah Pramesemara, Yukhi Kurniawan, I Gusti Ayu Widianti","doi":"10.20473/iabj.v3i2.35877","DOIUrl":"https://doi.org/10.20473/iabj.v3i2.35877","url":null,"abstract":"Background: Assisted Reproductive Technology (ART), such as intrauterine insemination (IUI), can be an option for infertile couples who are expecting a pregnancy. However, the success of IUI can be influenced by various factors, one of which is varicocele. \u0000Objective: This study aims to determine the association between varicocele and IUI success.\u0000Methods: This study is an analytical cross-sectional study using patient medical records. The sample of this study was male patients aged 25-45 years with infertility and undergoing IUI in the period April to June 2021 at Rumah Sakit Ibu dan Anak Puri Bunda Denpasar. The sampling technique used, purposive sampling, was selected based on inclusion and exclusion criteria. Based on the criteria, this study selected 32 samples.\u0000Result: From 32 participants, 5 had varicocele (15.6%), and 27 were without varicocele (84.4%). In this study, we found 12 success pregnancy after IUI (37.5%), with 3 participants having varicocele (9.4%) and 9 participants without varicocele (28.1%). The chi-square analysis carried out obtained the results (p>0.05), and the calculation of the relative risk got the result (RR=0.600).\u0000Conclusion: This study showed no significant association between varicocele in infertile men and the success of IUI. The RR calculation showed that varicocele was not a risk factor for IUI failure.","PeriodicalId":385352,"journal":{"name":"Indonesian Andrology and Biomedical Journal","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2022-12-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"120882508","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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