Sexual activity among Nigerian women following successful obstetric fistula repair
| Autor: | Steven N. Shephard, Samaila Mikah, Stephen A. Anzaku, Bassey E. Edem, Sunday J. Lengmang |
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| Rok vydání: | 2017 |
| Předmět: |
Adult
Male medicine.medical_specialty media_common.quotation_subject Population Nigeria Orgasm Vesicovaginal fistula Young Adult 03 medical and health sciences 0302 clinical medicine Surveys and Questionnaires medicine Humans Postoperative Period Sexual Dysfunctions Psychological 030212 general & internal medicine education media_common education.field_of_study 030219 obstetrics & reproductive medicine Vesicovaginal Fistula Obstetrics business.industry Coitus Rectovaginal Fistula Obstetrics and Gynecology General Medicine Delivery Obstetric medicine.disease Sexual Dysfunction Physiological Sexual desire Sexual intercourse Cross-Sectional Studies medicine.anatomical_structure Sexual dysfunction Rectovaginal fistula Quality of Life Vagina Female medicine.symptom business |
| Zdroj: | International Journal of Gynecology & Obstetrics. 137:67-71 |
| ISSN: | 0020-7292 |
| DOI: | 10.1002/ijgo.12083 |
| Popis: | OBJECTIVE: To evaluate post-operative sexual activity among women who have undergone obstetric fistula repair. METHODS: The present descriptive cross-sectional study recruited married women who had undergone successful obstetric fistula repair who were attending reunion activities at Bingham University Teaching Hospital Jos Nigeria between March 13 and March 15 2014. Participants were interviewed regarding penetrative vaginal intercourse after surgery and any changes in sexual desire arousal orgasm sexual satisfaction and the presence of coital pain compared with before they experienced obstetric fistula. RESULTS: There were 102 patients who participated in interviews; 23 (22.5%) reported not being able to engage in penetrative vaginal intercourse and 12 (52%) of these patients ascribed this to a "tight" or "narrow" vagina. Compared with the pre-fistula period 63 (61.7%) patients reported reduced sexual desire 57 (55.9%) reported lack of or inadequate lubrication during intercourse 12 (11.8%) reported anorgasmia and 60 (58.8%) reported reduced attainment of orgasm. Dyspareunia was reported by 48 (47.1%) patients; 43 (90%) experienced superficial or deep dyspareunia and 5 (10%) experienced both. A lack of and lower sexual satisfaction were reported by 20 (19.6%) and 40 (39.2%) patients respectively. CONCLUSION: Following obstetric fistula repair many women experienced difficulty engaging in penetrative vaginal intercourse and reported sexual dysfunction. Management of sexual dysfunction should be part of fistula rehabilitation programs. (c) 2016 International Federation of Gynecology and Obstetrics. |
| Databáze: | OpenAIRE |
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