Pub Date : 1996-08-01DOI: 10.1080/02674659608404439
K E Rogstad
The possibility of long-term psychological sequelae of vasectomy is not included in preoperative male sterilization counseling. This article reviews the literature on the psychosexual and social response to vasectomy. The majority of studies have found no negative effects of vasectomy on sexual performance or frequency of sexual intercourse. In general, adverse psychological events are the least common in men who made the decision for vasectomy jointly with their wives. Possible predictors of psychosexual problems include pre-existing emotional instability, excessive concerns about masculinity, confusion of the procedure with castration, and post-surgical complaints. The major predictors of post-sterilization regret among both male and female sterilization acceptors are pre-operative motivation for further child bearing, poor couple communication, high levels of conflict during decision making, and dominance of decision making by one spouse.
{"title":"The psychological effects of vasectomy.","authors":"K E Rogstad","doi":"10.1080/02674659608404439","DOIUrl":"https://doi.org/10.1080/02674659608404439","url":null,"abstract":"The possibility of long-term psychological sequelae of vasectomy is not included in preoperative male sterilization counseling. This article reviews the literature on the psychosexual and social response to vasectomy. The majority of studies have found no negative effects of vasectomy on sexual performance or frequency of sexual intercourse. In general, adverse psychological events are the least common in men who made the decision for vasectomy jointly with their wives. Possible predictors of psychosexual problems include pre-existing emotional instability, excessive concerns about masculinity, confusion of the procedure with castration, and post-surgical complaints. The major predictors of post-sterilization regret among both male and female sterilization acceptors are pre-operative motivation for further child bearing, poor couple communication, high levels of conflict during decision making, and dominance of decision making by one spouse.","PeriodicalId":85515,"journal":{"name":"Sexual and marital therapy : journal of the Association of Sexual and Marital Therapists","volume":"11 3","pages":"265-72"},"PeriodicalIF":0.0,"publicationDate":"1996-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1080/02674659608404439","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"22019568","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 : 1996-01-01DOI: 10.1080/02674659608404426
V Sharma, A Sharma, S Dave, P Chauhan
A study examines the sexual behavior and level of knowledge about sexually transmitted diseases (STDs) of unmarried adolescent boys from 8 randomly selected villages of the Anand taluka in Gujarat, India. A house to house survey was conducted on all unmarried and sexually active males who were interviewed with the help of structured and pretested questionnaires. These questionnaires consisted of questions on their sexual practices; awareness of STDs and AIDS; and knowledge of proper condom use. Results revealed that from a total sample of 178 adolescent boys the mean age at first coitus was 18.01 years, and in over 87% of the cases a prostitute was the first sexual contact. About 82 of the sample population (46%) had not heard of AIDS and 34% had no knowledge of other sexually transmitted diseases. About 67 boys (37.6%) had never seen a condom and only 9 (5.05%) had ever used one. The mean knowledge score about correct condom use was only 1.44 on a 10-point scale and was found to be associated with the economic status of the subject population, the type of sexual partner, and the educational status of the parents.
{"title":"Sexual behaviour of adolescent boys -- a cause for concern.","authors":"V Sharma, A Sharma, S Dave, P Chauhan","doi":"10.1080/02674659608404426","DOIUrl":"https://doi.org/10.1080/02674659608404426","url":null,"abstract":"A study examines the sexual behavior and level of knowledge about sexually transmitted diseases (STDs) of unmarried adolescent boys from 8 randomly selected villages of the Anand taluka in Gujarat, India. A house to house survey was conducted on all unmarried and sexually active males who were interviewed with the help of structured and pretested questionnaires. These questionnaires consisted of questions on their sexual practices; awareness of STDs and AIDS; and knowledge of proper condom use. Results revealed that from a total sample of 178 adolescent boys the mean age at first coitus was 18.01 years, and in over 87% of the cases a prostitute was the first sexual contact. About 82 of the sample population (46%) had not heard of AIDS and 34% had no knowledge of other sexually transmitted diseases. About 67 boys (37.6%) had never seen a condom and only 9 (5.05%) had ever used one. The mean knowledge score about correct condom use was only 1.44 on a 10-point scale and was found to be associated with the economic status of the subject population, the type of sexual partner, and the educational status of the parents.","PeriodicalId":85515,"journal":{"name":"Sexual and marital therapy : journal of the Association of Sexual and Marital Therapists","volume":"11 2","pages":"147-51"},"PeriodicalIF":0.0,"publicationDate":"1996-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1080/02674659608404426","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"22021653","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 : 1995-08-01DOI: 10.1080/02674659508405546
M Potts, S W Masho
Research in contraceptive technology, investments in family planning programs, and the availability of safe abortion are essential not only to control population growth and improve the health of mothers and children, but also to improve the status of women. At present, however, it is estimated that 25% of married women in sub-Saharan Africa, 18% in Latin America and the Caribbean, and 13% in Asia, the Middle East, and North Africa have an unmet need for contraception. Without rapid advances in access to family planning, more women will die during this decade from pregnancy, childbirth, and abortion than in any other decade in history. Although the 1994 Cairo Conference achieved consensus on a range of reproductive health issues, strategies for implementing and funding these programs remain undefined.
{"title":"Sterilization, contraception and abortion: global issues for women.","authors":"M Potts, S W Masho","doi":"10.1080/02674659508405546","DOIUrl":"https://doi.org/10.1080/02674659508405546","url":null,"abstract":"Research in contraceptive technology, investments in family planning programs, and the availability of safe abortion are essential not only to control population growth and improve the health of mothers and children, but also to improve the status of women. At present, however, it is estimated that 25% of married women in sub-Saharan Africa, 18% in Latin America and the Caribbean, and 13% in Asia, the Middle East, and North Africa have an unmet need for contraception. Without rapid advances in access to family planning, more women will die during this decade from pregnancy, childbirth, and abortion than in any other decade in history. Although the 1994 Cairo Conference achieved consensus on a range of reproductive health issues, strategies for implementing and funding these programs remain undefined.","PeriodicalId":85515,"journal":{"name":"Sexual and marital therapy : journal of the Association of Sexual and Marital Therapists","volume":"10 2","pages":"135-47"},"PeriodicalIF":0.0,"publicationDate":"1995-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1080/02674659508405546","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"22017817","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 : 1995-04-01DOI: 10.1080/02674659508405549
M Mccaffrey
An estimated 80 million women worldwide have been subjected to female genital mutilation and 2 million new procedures are performed each year. The procedure, generally performed at home by medically untrained persons, has severe long-term physical and psychological consequences. At Northwick Park Hospital in the UK, genitally mutilated immigrants from countries such as Somalia and Sudan have presented health care personnel with immense challenges. Routine gynecologic and obstetric procedures cannot be performed when access to the vagina is inadequate, and there is often a need for psychosexual counseling. To address the unique needs of these women, the Hospital established an African Well Woman Clinic that was attended by 50 women (including 14 primigravidae and 23 multigravidae) in its first six months of operation. Women are offered de-infibulation, ideally before becoming pregnant, and infibulated women are not resutured after delivery. Tact and cultural sensitivity on the part of all medical personnel are essential to reduce feelings of shame. Although most attendees at the Northwick Park Hospital program state they do not intend to infibulate their female children, they are at risk of pressure from family when they visit their homeland. Ongoing counseling, education, and support are necessary to break the cycle of female genital mutilation.
{"title":"Female genital mutilation: consequences for reproductive and sexual health.","authors":"M Mccaffrey","doi":"10.1080/02674659508405549","DOIUrl":"https://doi.org/10.1080/02674659508405549","url":null,"abstract":"An estimated 80 million women worldwide have been subjected to female genital mutilation and 2 million new procedures are performed each year. The procedure, generally performed at home by medically untrained persons, has severe long-term physical and psychological consequences. At Northwick Park Hospital in the UK, genitally mutilated immigrants from countries such as Somalia and Sudan have presented health care personnel with immense challenges. Routine gynecologic and obstetric procedures cannot be performed when access to the vagina is inadequate, and there is often a need for psychosexual counseling. To address the unique needs of these women, the Hospital established an African Well Woman Clinic that was attended by 50 women (including 14 primigravidae and 23 multigravidae) in its first six months of operation. Women are offered de-infibulation, ideally before becoming pregnant, and infibulated women are not resutured after delivery. Tact and cultural sensitivity on the part of all medical personnel are essential to reduce feelings of shame. Although most attendees at the Northwick Park Hospital program state they do not intend to infibulate their female children, they are at risk of pressure from family when they visit their homeland. Ongoing counseling, education, and support are necessary to break the cycle of female genital mutilation.","PeriodicalId":85515,"journal":{"name":"Sexual and marital therapy : journal of the Association of Sexual and Marital Therapists","volume":"10 2","pages":"189-200"},"PeriodicalIF":0.0,"publicationDate":"1995-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1080/02674659508405549","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"22040089","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 : 1995-01-01DOI: 10.1080/02674659508405551
F R Lewington, D J Rogers
This paper presents a practical review of the premises, facilities, and supplies for victim examination suites for victims of sexual abuse and assault in the UK. Since the mid-1980s, a wide array of specialist suites and forensic services for the examination of adult victims of sexual abuse, such as interview and medical examination rooms, has been introduced in a variety of hospital and police premises. In London, specialist training courses involving doctors who will be conducting examinations, health service providers in accident and emergency departments and departments of genitourinary medicine, obstetrics and gynecology have also been developed. This paper also discusses the conduct of forensic medical examination and training provided for forensic medical examiners in London.
{"title":"Forensic services for victims of sexual abuse and assault.","authors":"F R Lewington, D J Rogers","doi":"10.1080/02674659508405551","DOIUrl":"https://doi.org/10.1080/02674659508405551","url":null,"abstract":"This paper presents a practical review of the premises, facilities, and supplies for victim examination suites for victims of sexual abuse and assault in the UK. Since the mid-1980s, a wide array of specialist suites and forensic services for the examination of adult victims of sexual abuse, such as interview and medical examination rooms, has been introduced in a variety of hospital and police premises. In London, specialist training courses involving doctors who will be conducting examinations, health service providers in accident and emergency departments and departments of genitourinary medicine, obstetrics and gynecology have also been developed. This paper also discusses the conduct of forensic medical examination and training provided for forensic medical examiners in London.","PeriodicalId":85515,"journal":{"name":"Sexual and marital therapy : journal of the Association of Sexual and Marital Therapists","volume":"10 2","pages":"215-27"},"PeriodicalIF":0.0,"publicationDate":"1995-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1080/02674659508405551","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"22041001","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}