Contraception, fertilite, sexualite (1992)最新文献

The fine mechanisms involved in human follicular growth in the ovary are not completely elucidated yet. The morphometric parameters are, by far, better understood than the metabolic ones. However, new data on the steroidogenic follicular human activity and their ability to respond to endogenous and exogenous gonadotropins lead to a better understanding of the results of our different therapeutic schemes. On the other hand, the selection criteria of patients have been modified, dealing now with the ovarian age much more than the real age. A precise determination of the ovarian age allows us to better drive our stimulation protocols and helps us to switch to other alternatives rather than multiplying useless and ineffective stimulations. This is of major importance in term of psychological aspects as well as in term of public health costs for the society.

Nowadays there are more and more empirical studies of sexual fantasies. Fewer are researches on sexual dreams. Even less common are the data on the relation between sexual fantasies and sexual dreams. A lot of questions can be brought up. Is there a correlation between the frequency in fantasies and sexual dreams? Is there a concordancy or discrepancy between these two? What would be the differences between the persons whom sexual fantasies and dreams concord from those who don't concord? Finally is there an interaction between fantasies and sexual dreams? Based on our preliminary results, we present our mains hypothesis and few illustrations.

More than 30 years after the legalization of contraception in France (Neuwirth law) it was interesting to access the sexual behavior and the practice of contraception of French female teenagers. It is with this purpose that this survey has been done in the city of Nantes in Loire Atlantique. 467 female teenagers, 13 to 21 years old, were concerned. Results point out that more of 75% of young girls who replied to this survey used one contraceptive method during the first sexual intercourse and condom is predominantly used. A few ambivalences stake out this life period, so preventive strategies have to be very specific in order to fight sexual transmitted diseases (STD) and AIDS.

Objectives: Evaluation of amnioinfusion results during labour in case of thick meconial amniotic fluid or in case of oligo-hydramnios associated with variable deceleration of the fetal heart response.

Patients and methods: Prospective non randomized study. Amnioinfusion was applied to 47 cases of thick meconial amniotic fluid and to 18 cases of variable fetal heart decelerations associated with oligo-hydramnios. Obstetrical and neonatal data were compared with a similar group without amnioinfusion (n = 32).

Results: Comparing both groups shows that amnioinfusion offers a better fetal well-being during labour, according to Kreb's fetal heart evaluation during labour (8.53 +/- 1.06 vs 6.56 +/- 0.35--p < 0.01), lows the cesarean section rate (8.5% vs 31.2%--p < 0.01). Amnioinfusion is also associated with a higher Apgar's score at one minute after delivery (9.4 +/- 0.8 vs 8.7 +/- 1.7--p = 0.01) and a lower rate of thick meconium inhalation (13.7% vs 40.7%--p < 0.01). There was no difference for children's first days of life. We found no serious complication following amnioinfusion.

Conclusion: We confirm general agreement about amnioinfusion, according to international literature. Amnioinfusion needs an acute care to prevent classically described complications. In case of thick meconial amniotic fluid or variable decelerations associated with oligo-hydramnios, amnioinfusion during labour offers a better fetal well-being.

Defining elements leading to atypical hyperplasia's diagnosis, interpreting histological diagnosis of atypical hyperplasia and determining therapeutic strategy.