Women's Experience of Their First Sexual Encounter After Pelvic Reconstructive Surgery

 


This qualitative study recruited women who planned to undergo POP or UI surgery and who identified themselves as sexually active. Routine consultations on restorative activities will be provided 4 to 6 weeks after the operation. Participants completed the interview 2 to 4 months after the operation. The interview is recorded, identified and transcribed.Two independent researchers coded transcripts for the main topics; differences were arbitrated by the investigation team. Use Dedoose software for analysis. Twenty patients with an average age of 52.4 years participated in the study. The majority claimed to be white (85%), a quarter had a history of hysterectomy, and 15% had undergone previous pelvic reconstruction surgery. Nineteen (95%) patients resumed sexual intercourse 2-4 months after surgery. Major themes such as external influences, conflicting emotions, uncertainty, sexual change and stability, normalization, and self-image have reached thematic saturation. The moment of first contact is strongly influenced by the desire and fear of the couple and the doctor's consultation. The fear of destructive repair affects the comfort of the patient's recovery activities. Although they are not sure how changes in anatomical structure or the presence of mesh will affect function, women want these changes to be positive regardless of preoperative sexual function. Some women find that their experience has not changed, while others report the need to change their sexual posture, use lubricants, and feel foreign bodies. Positive changes include increased desire, pleasure, and orgasm. Self-image generally improved after surgery, which increased women's sexual confidence. Resuming sexual activity after POP or UI surgery is a huge unknown for many women. Reports of first sexual activity after surgery are usually positive, and the time of first sexual contact after surgery is strongly influenced by clinicians. Frankly consulting patients and their partners about the effects of repair on sexual activity may improve the patient’s prognosis.

Comments

Post a Comment

Popular posts from this blog

Variant PNLDC1, Defective piRNA Processing, and Azoospermia

Image
  P-element– precipitated wimpy testis (PIWI)–interacting RNAs (piRNAs) are short (21to 35 nucleotides in length) and noncoding and are observed nearly solely in germ cells, in which they adjust aberrant expression of transposable factors and post meiotic gene expression. Critical to the processing of piRNAs is the protein poly(A)- precise RNase-like area containing 1 (PNLDC1), which trims their 3′ ends and, whilst disrupted in mice, reasons azoospermia and male infertility. We carried out exome sequencing on DNA samples from 924 guys who had obtained an analysis of nonobstructive azoospermia. Testicular-biopsysamples have been analyzed through histologic, immunohistochemical hybridization, reverse-transcriptase–quantitative-polymerase-chain- response assay, and small-RNA sequencing Four unrelated guys of Middle Eastern descent who had nonobstructive azoospermia have been discovered to hold mutations in PNLDC1: the primary affected person had a biallelic stop–ad...
Read more

Neutralizing antibodies and cytokines in breast milk after mRNA vaccination against 2019 coronavirus infection (COVID19).

Image
Evaluation of immune response to mRNA-based vaccine against coronavirus disease 2019 (COVID19) present in breast milk and transmission of immune response to breast-fed infants We enrolled 30 lactating women who received mRNAbased COVID19 vaccines from January through April 2021 in this cohort study. Women provided serial milk samples, including milk expressed before vaccination, across 2–3 weeks after the first dose, and across 3 weeks after the second dose. Women provided their blood, spotted on cards (dried blood spots), 19 days after the first dose and 21 days after the second dose. Stool samples from the breastfed infants were collected 21 days after mothers second vaccination. Prepandemic samples of milk, dried blood spots, and infant stool were used as controls. Milk, dry blood stains, and baby stools were tested for receptor-binding domain (RBD) -specific immunoglobulin (Ig) A and IgG using enzyme immunoassays. Milk samples were tested for the presence of neutralizing antibodies...
Read more

Management of Stillbirth

Image
Stillbirth is one of the maximum not unusualplace destructive being pregnant outcomes, happening in 1 in a hundred and sixty deliveries with inside the United States. In evolved countries, the maximum everyday threat elements related to stillbirth are non-Hispanic black race, nulliparity, superior maternal age, obesity, preexisting diabetes, persistent hypertension, smoking, alcohol use, having a being pregnant the usage of assisted reproductive technology, a couple of gestation, male fetal sex, single status, and beyond obstetric history. Although a number of those elements can be modifiable ( together with smoking), many are not. The have a look at of particular reasons of stillbirth has been hampered via way of means of the dearth of uniform protocols to assess and classify stillbirths and via way of means of reducing post-mortem rates. In any particular case, it is able to be hard to assign an exact motive to a stillbirth. A considerable sha...
Read more