Journal of Sexual Medicine & Research is an open access peer-reviewed journal from the publishers of Scientific Research and Community (SRC) which publishes articles in the form of written, video and power-point presentations from the arena of Journal of Sexual Medicine & Research. The journal focuses to build up accessing the complete content of articles freely from online for reader’s perusal. Article acceptance will be in the form of Research, Review, Case Reports, Analysis, Magazines, Editorials, Opinion, Communications, Mini-Review, Short Communications, Picturized, Book Review, Video Type and Power Point Presentations (PPTs). Submit your article through attachment online: https://srcpublishers.com/sexual-medicine-research/user/register (or) can send through an e-mail with attachment for: sexualmedicine@onlinescientificresearch.info 0.35 Impact Factor 84.5% Citations 90% Acceptance
Erotic Felt Sense as a Clinical Innovation: Erotic Embodiment, Creative Expression and Storytelling for Holistic Sexual Health
Background Patients in sexual medicine often describe erotic distress through bodily language such as numbness, shutdown, tension, charge, or inability to stay present. Present models of desire, arousal, orgasm, pain, and trauma do not always provide a practical way to work with this pre-verbal embodied layer. This Innovation manuscript introduces erotic felt sense as a proposed clinical term for the bodily awareness of erotic aliveness, including self-expression, pleasure, agency, boundary, and relational readiness. The concept is translated as measurable domains rather than metaphysical claims: interoceptive awareness, autonomic regulation, muscular guarding, dissociation, and affect tolerance. Objective To describe a clinically usable framework that integrates erotic embodiment, creative expression, and storytelling in holistic sexual-health care as an adjunct to standard medical and psychosexual treatment. To identify a next-step research pathway for a holistic mobile community qualitative project using storytelling as well as optional creative media. Methods Narrative Innovation article drawing on peer-reviewed literature within embodied sexuality, interoception, trauma-related mind-body interventions, and storytelling in public health. Proposed three-part practice sequence: attunement to bodily signal, creative externalization, and narrative integration, making meaning. Results The manuscript offers a new clinical language for a diverse range of patients who experience sexuality as difficult to name but strongly felt in the body. It reframes patient descriptions of “stored pain,” “release,” or “blocked energy” as clinically interpretable processes, including breath restriction, muscular holding, autonomic activation, sensory narrowing, and dissociative distance. It proposes that creative expression can help externalise difficult-to-verbalise sensations, and that storytelling can connect these sensations to safety, consent, shame, identity, and possibility. Clinical Impact May improve sexual health history-taking in complex presentations. May help clinicians distinguish protective shutdown from low desire and support more embodied forms of consent, pacing, and referral. Creates a bridge between individual care and person-centred, community-based sexual-health research and knowledge translation. Notable Comments This article does not present trial data. The next phase is a mobile, community-based qualitative project in Collingwood through Bridget’s Bus, using safe storytelling spaces and optional digital/ documentary methods to study sexuality, expression, and embodied meaning-making. Conclusions: Erotic felt sense is proposed as a first description of a clinically relevant construct that may help sexual medicine address the holistic embodied and narrative dimensions of sexual wellbeing more precisely. The framework is feasible for a qualitative study and suitable for future mixed-methods evaluation.
Copyright (c) 2026 Journal of Sexual Medicine & Research
Artificial Intelligence and the Future of Dental Life: From Diagnosis to Intelligent Care
Artificial Intelligence (AI) is creating one of the most profound transformations in the history of modern medicine. Dentistry, as one of the leading fields in adopting innovative technologies, stands on the brink of a new era where surgical robots, deep-learning diagnostic algorithms, and intelligent 3D printers will replace traditional methods. This article provides a comprehensive review of AI applications across various dental disciplines, including caries and periodontal disease detection, digital prosthetics, robotic surgery, clinic management, and treatment outcome prediction. Furthermore, it explores the ethical, legal, and economic challenges accompanying this technological revolution and offers a vision for the future of dental practice where human expertise and artificial intelligence work in synergy to enhance patient care.
Fragility fractures are preventable. an individual’s risk of fragility fracture can be predicted, and these fractures are preventable using effective interventions. Our aim was to assess if we taking the opportunity to assess risks of fractures in susceptible women, if appropriate life style advising and recommendations are offered to support and promote bone health and to identifying missed opportunities and proposing measures to overcome. 25 women between the ages of 50 to 65 were included in the assessment. Risk factors were assessed based on a few specific questions. Results showed lack of awareness and missed opportunities in assessing risk factors.
Copyright (c) 2025 Journal of Sexual Medicine & Research
Beyond Survival: The Silent Struggle of Living After CancerImplications for Sexual Health, Identity, and Quality of Life inSurvivorship
Advances in oncology have significantly improved cancer survival rates; however, survivorship is frequently accompanied by persistent physical, psychological, relational, and sexual health challenges that remain underrecognized and undertreated. This paper examines cancer survivorship through a narrative-informed and trauma-aware lens, emphasizing the long-term impact of cancer treatment on sexual health, identity, communication, and quality of life. Drawing on lived experience and supported by contemporary survivorship and sexual medicine research, the paper highlights gaps in post-treatment care, particularly regarding intimacy, embodiment, and psychosocial well-being. The findings underscore the need for integrated, trauma-informed survivorship models within sexual medicine that prioritize dignity, relational connection, and long-term quality of life rather than survival alone.
T he Prevalence of Psychological Stress, Anxiety, and Depression among Medical Students During Their Study Period in Palestine
Objectives: Medical students have significant rates of psychological morbidity such as depression and anxiety, and their psychological stress levels are consistently higher than those of the general population and age-matched coworkers. This study aimed to assess the prevalence of stress, anxiety, and depression among Palestinian medical students and to assess the differences between socio-demographic characteristics in terms of stress, anxiety, and depression scores. Methods: A cross-sectional study was conducted among medical students at Palestine Polytechnic University in Oct 2022 using a self-administered questionnaire distributed among medical students by simple random sampling method. The assessment of psychological mood disorders among 200 medical students was done by using Depression, Anxiety, and Stress Scale-21. Descriptive and inferential statistics were used. Results: Among 200 students, half of the medical students have suffered from psychological mood disorders at moderate, severe, and extremely severe levels. Furthermore, 2nd-year medical students have higher stress and depression scores than 3rd and 4th-year students (p=0.017) and (p=0.020) respectively. Female medical students have significantly higher anxiety scores than male students (p=0.043). Conclusions: It is noted that stress, anxiety, and depression are common among medical students, and there is an urgent need for attention, support, and personalized counseling.
T he Role of Cannabis in Enhancing Female Sexual Desire: An Updated Integrative Review
The intersection of cannabis use and women’s sexual health has emerged as a compelling area of study in light of expanding legalization and shifting cultural perceptions. While female sexual desire is shaped by a complex web of hormonal, psychological, social, and relational influences, early evidence suggests that cannabis may play a role in enhancing aspects of sexual experience. This integrative review updates and reframes current findings, focusing on low- to moderate-dose consumption, possible neurobiological mechanisms, and patient-reported outcomes. Emphasis is placed on interpreting these findings in light of gaps in evidence and priorities for future research, with the goal of informing clinicians and researchers in sexual medicine.
Rehabilitating Pleasure and Libido after Medical Castration: A Neurological Therapeutic Approach
Introduction: Medical castration via endocrine treatments for hormone-sensitive cancers is life-saving but often life-altering [1-5]. Sexual side effects such as reduced libido and genital changes are common yet under-treated. A deep understanding of the neurological aspects of desire and the distinctions between arousal, and libido is crucial for effective interventions. Drawing on professional experience in neurorehabilitation, somatic sexology, polyvagal theory and lived experience as a hormone-positive cancer patient, this article introduces a novel, integrated program for pleasure and libido rehabilitation, tailored to adults who have undergone medical castration. Method: Participants were recruited via global, online cancer support communities and invited to join a program, solo or partnered, following endocrine cancer treatments. Open to all genders and genital configurations, the initiative delivered three online Masterclasses: one on libido recovery for couples, and two on genital rehabilitation (vulvovaginal and penis-focused).These programs were designed for in-home use to ensure privacy and accessibility [6]. Participants completed a mixed-methods survey upon program completion, including multiple-choice and qualitative response items. Outcomes assessed included libido restoration, increased intimacy, improved communication with partners and healthcare teams, enhanced genital sensation, erectile function, and reduced symptoms of vulvovaginal atrophy Project/population and Settings: A series of online masterclasses were developed to target the neurological, sensory, and psychosocial dimensions of libido and genital pleasure recovery [1-9].The programs incorporated neuroplasticity-informed exercises, somatic bodywork techniques, polyvagal applications, and communication training, tailored to recovery of libido and two different genital configurations [1-10]. They were designed for solo or partnered use, accessible from home, and focused on restoring sensation, function, pleasure, sexual confidence, relational intimacy, blood circulation promoting genital arousal processes and atrophied tissue healing. Results: Upon completion, participants report improved genital sensation, increased libido, greater emotional connection, improved function and restored sexual self-esteem. Feedback indicates significant benefits for individual’s post-prostatectomy and menopausal individuals experiencing vulvovaginal atrophy. Notably, 81% of participants reported positive outcomes, attributing success to repetition and collaborative practice. Conclusion: This project offers a comprehensive, accessible model for sexual rehabilitation in cancer care. It highlights the importance of integrating neurological, sensory, and interpersonal elements into post-treatment care and advocates for broader clinical integration and research [1-10].
Post-Legalization Challenges: Navigating Difficulties in Accessing Same-Sex Marriage for Couples in the Wake of Inevitable Legalization
Following the Supreme Court’s decision, which declared the right to marry not a fundamental right, the potential legalization of same-sex marriage faces various complexities. Parliament plays a pivotal role in legal reforms, requiring consideration of diverse legal frameworks. An analysis of the global same-sex marriage situation comparing countries where same-sex religious marriage is lawful but nevertheless difficult to access as is the situation in the UK and various other challenges faced by same-sex couples in the US in terms of healthcare, criminal justice, immigration even after the legalization of same-sex marriage. This ongoing journey toward inclusivity, urging legislators to actively address legalization challenges with thoughtful consideration has a long way to go.
Intimacy and Cancer: Voices from a Global Gender-Inclusive Oncosexual Community
Living with cancer often leads to profound feelings of isolation, particularly concerning sexuality and intimacy—topics frequently neglected in clinical conversations Biskupiak, DiGiandomenico, Pratt- Chapman, Rice, Rutherford, Sagun, & Vanchiere, [1,2]. Research indicates that many cancer patients report their healthcare professionals do not address sexuality, while patients themselves often feel reluctant to initiate these discussions [2,3]. The ‘Intimacy and Cancer’ (IAC) initiative addresses this gap through a global, gender-inclusive online support space for people with cancer (PWC). Based on lived experience and peer-led design, IAC fosters education, connection, and resilience. Survey data from 191 community members across 50 countries indicate that the platform significantly reduces isolation, improves confidence in healthcare communication, and enhances intimacy and quality of life. This paper explores the clinical implications and advocates for integrating such inclusive platforms into routine cancer care.
Sexuality and Social Perception: Between Freedom of Expression and Shame
Sexuality is a Fundamental Aspect Of Human Existence, shaping individual identity, interpersonal relationships, and psychological well-being. Across cultures and historical periods, the expression of sexuality has been regulated, idealized, or even suppressed, depending on religious beliefs, social norms, and political ideologies.
Polyamory and Identity in the Psychotherapeutic Relationship: An Integrative Therapy Perspective
The increasing visibility of polyamorous relationships necessitates a deeper understanding within psychotherapeutic practice. This qualitative study, grounded in the principles of Integrative Therapy, investigates the interplay between the identity formation of individuals in polyamorous relationships and the psychotherapeutic relationship. Through narrative interviews and qualitative content analysis, the research explores the experiences of polyamorous individuals in therapy, highlighting the crucial role of the therapist’s attitude towards non-monogamous lifestyles in the therapeutic process. The findings emphasize the significance of empathy, openness, and a non-judgmental stance from therapists in fostering positive identity development and a successful therapeutic alliance with polyamorous clients.
Covid-19 and Long Covid Syndrome : Possibly Effective Natural Remedies
Wordwide millions of people suffer from virus infections, the consequences of vaccinations and and/or long covid syndrome. So far, there is no truly and regularly effective cures for those problems. However, in nature there are existing several possiblilities. Examples are: Dandelion against the binding of spike proteins at ACE-2 receptors. The water-based dandelion extract, which was obtained from the dried leaves of the plant, was effective against the spike protein D614 and a variety of mutant strains, including D614G, N501Y, K417N and E484K [1]. Pine needle against viruses [2]. Frankincense against autoaggressions, Ginkgo biloba for blood thinning [3,4]. We have produced concoctions from several of these. According to our experiences, the effects proved to be excellent and without side effects. Further investigations seem to be necessary.
Impact of Oncological Treatments on Reproductive Capacity: Alternatives to Minimize Risks and the Role of DEX Immunotherapy
Fertility preservation in cancer patients is an increasingly relevant challenge due to the gonadotoxic effects of conventional treatments, such as chemotherapy and radiotherapy. This article reviews current options for fertility preservation and explores the potential of DEX immunotherapy as a less invasive alternative. Initially, an overview of cancer incidence in fertile age and the importance of addressing reproductive concerns in this population group is presented. Subsequently, the negative impacts of conventional treatments on reproductive capacity are analyzed and strategies to minimize these risks, such as reducing treatment intensity and using cryopreservation techniques, are discussed DEX immunotherapy stands out as a promising option, with a lower risk of gonadotoxicity compared to traditional treatments. This immunological approach allows to specifically target cancer cells, reducing damage to reproductive cells and offering better fertility preservation in young patients. Finally, the article addresses future research needs and practical guidelines for clinicians, highlighting the importance of a multidisciplinary approach that integrates fertility preservation options in cancer treatment. It is concluded that, although DEX immunotherapy is a viable alternative, it is essential to promote further research and develop specific clinical protocols to maximize its effectiveness and safety in terms of long-term reproductive health.
Copyright (c) 2024 Journal of Sexual Medicine & Research
Virtual Social Sexual Networks and Their Impact on Family Upbringing in Palestinian Society
This study aimed to measure the extent of Palestinian youth’s use of social networks for sexual purposes, analyze the nature of sexual content exchanged on these networks, explore the motivations driving youth to use social networks for sexual purposes, assess the impact of using social networks for sexual purposes on family interaction and relationships, and examine the effect of family guidance and supervision on the use of social networks for sexual purposes. The descriptive-analytical method was used, targeting all Palestinian youth in the West Bank governorates aged between 18-29 years, totaling (915,191) according to the Palestinian Central Bureau of Statistics. The minimum sample size was (384), and data were collected through an electronic questionnaire distributed on Palestinian social media, resulting in a final sample size of (619) individuals. The results showed that social sexual networks have a significant negative impact on family upbringing in the Palestinian community. The extent of use, the nature of the exchanged content, and the motivations behind using social networks for sexual purposes all have negative effects on family upbringing. The findings also indicated that respondents’ responses do not differ significantly based on gender or educational level, but they do differ between singles and married individuals, with a greater impact of social sexual networks on married individuals and a greater impact on family upbringing among singles. Based on these results, the study recommends enhancing family awareness and digital guidance, supporting mental health, developing educational content, strengthening regulations and legislation, cooperating with educational institutions, creating safe platforms for youth, and providing alternative programs for entertainment and social interaction.
T he Transition of the Desire for Children: Exploring the Origins and Factors
The aim of this study is to understand how and when the desire to have children is developed. Previous research on pregnancy and childbirth has predominantly focused on individuals who have already given birth or become parents, with an emphasis on the act of giving birth. Recently, there has been a gradual increase in research in Japan examining infertility treatment patients and individuals who have chosen not to have children, as infertility treatment has gained more visibility. However, the factors influencing the decision to have or not have children, as well as the subsequent changes in attitudes, have not been adequately explored. In the medical field, there is a concept called preconception care, where women and couples consider future pregnancies while addressing their lifestyle and health. However, this concept often prioritizes natural scientific factors like alcohol consumption and smoking experiences, overlooking the broader social science aspects. Decisions and considerations related to pregnancy and childbirth involve complex social factors such as economic reasons and partner perspectives. In this study, we aim to examine reproduction from a more sociocultural perspective, and to achieve this, we will conduct interviews. The interviewees will include professionals such as teachers and obstetricians who are involved with parents and children in their professional capacity, considering ethical considerations. This approach allows us to gather responses from a third-party perspective. For the analysis, we will employ the KJ method, which is well-known as a qualitative research analysis technique. By examining these elements, we aim to shed light on the formation of thoughts and considerations concerning pregnancy and childbirth.
Application of Intelligent Management System in Hospital Medical Waste Management
Since COVID-19 pandemic, the ongoing pressure on medical waste management (MWM) in medical facilities has been pressing. A medical institution uses advanced information technologies such as the Internet of things, artificial intelligence, 5g and cloud computing to optimize the medical waste management mode in combination with the medical waste disposal process. By building a big data management platform and synchronously upgrading intelligent terminals, it achieved Informatization and intellectualization in medical waste manage process. It standardize and transparent the MWM system throughout the process by recording and uploading the data in real time. The comprehensive safety management and control of medical waste is realized, which improves the effectiveness and standardization of medical waste supervision in the hospital, and also lays a foundation for intelligent scheduling of future logistics management system.
Each person typically inherits 23 pairs of chromosomes, totaling 46, obtained from both the father and the mother. However, in the case of individuals with Down syndrome or intellectual disability, there is an additional copy of chromosome.
Etiological Factors Affecting Female Sexuality: A Systematic Review
Introduction: Evidence suggests that masturbation, genital stimulation, body awareness and movement, pelvic floor exercises, depression, anxiety, positive and negative feelings, personality type, emotional and overall well-being and emotional intelligence have been studied in association with female orgasm through the years. Additionally, healthcare providers of sexual health and most women lack information regarding sexual satisfaction and reaching orgasm. Few studies have addressed this issue. Aim: To systematically study the effect of social, behavioral, and psychological factors on female orgasm. Methods: An extensive search was conducted in PubMed, CINAHL, Google Scholar and Scopus, according to the Preferred Reporting Items for Systematic Review and Meta-Analysis Statement (PRISMA) guidelines, for relevant articles published between June 2002 and June 2022. Studies in languages other than English were excluded. The following Medical Subject Headings (MeSH) terms were used: female, orgasm, psychological, behavioral, social, sexual. Inclusion criteria concerned studies that sampled adult healthy women, used quantitative methodology and explored factors influencing sexual satisfaction. Results: Out of 531 studies, forty-five were further screened. A total of twenty-one studies were reviewed, most of which were conducted in the USA, Portugal and the United Kingdom. They were followed by Switzerland, Iran, Brazil, Sweden, Canada, Hungary and the Netherlands. Four major themes influencing female sexual satisfaction emerged from the synthesis: psychological disorders, psychological background, genital stimulation, body awareness and movement. Conclusions: The female orgasm was influenced by a number of factors, some of which adversely affected it.
Navigating the Nexus: Childhood Trauma, Sexually Coercive Behaviour, Dark Tetrad Personality Traits, and Sexual Fantasy
This critical review examines research on childhood trauma, personality traits, sexual fantasy, and sexually coercive behaviour. While each of these areas has been extensively studied in isolation, there is a notable lack of comprehensive research that investigates these variables collectively. This review aims to bridge this gap by synthesizing existing knowledge and emphasizing the need for a more integrated approach. Studies have uncovered intriguing links between childhood trauma, the influence of personality traits on sexual fantasies, and the potential connection between sexual fantasies and sexually coercive behaviour. However, the intricate interplay among these variables remains largely investigated in empirical research. By consolidating the research on these various relationships, this review underscores the importance of gaining a more holistic and nuanced understanding of existing complex dynamics. This work serves as a foundational step towards encouraging future research exploring these variables, assisting in elucidating their collective influence on human behaviour.
Dark Tetrad Personality Traits Sexual Fantasy and Sexually Coercive Behaviour
Copyright (c) 2023 Journal of Sexual Medicine & Research
Klinefelter syndrome (KS) was described by Klinefelter, Reifenstein, and Albright in 1942, who described 9 adult males with gynecomastia, small and firm testes, azoospermia, and increased serum FSH with functional Leydig cells. In 1959, using cytogenetics, Jacobs and Strong described the existence of an extra X chromosome in a male with Klinefelter syndrome The International Consensus Conference organized by the Lawson Wilkins Pediatric Endocrine Society and the European Society for Pediatric Endocrinology in 2006 included KS in disorders of sexual development. Klinefelter syndrome is also characterized by a genetic dysfunction of the entire gonad that affects germ cells from early fetal life and Sertoli and Leydig cells from mid-puberty. Today we know much more. In this article, we have delved into the social, relational, and sexual quality of life of patients with KS, going beyond fertility studies.
Experiences of Gynecological Violence among Binary and NonBinary Chilean Women
In this research, we explore how the experience of gynecological-obstetric violence manifests in the lives of Chilean women. Additionally, we identify the emotional strategies emerging from these experiences. In this qualitative study from a gender perspective, we conduct 21 in-depth interviews with Binary and No Binary (NB) people in the communes of Antofagasta and Calama who have been treated at public or private health facilities. Among the most relevant findings are emotional experiences involving guilt, fear, and shame. We conclude that one of the relevant damages concerns the body and sexuality that are harmed due to the dehumanizing nature of the experiences during obstetric or gynecological care. Thus, an aggravating factor is the hetero cis norm that is imposed on diverse corporality’s. Three models of experience analysis useful for interdisciplinary teams are presented as references for the impact of health services on users.
Effects of Court-Issued Restricted Contact Orders on Perceived Social Support of Individuals Involved in Sexually Violent Offenses
Due to their nature, court-issued restricted contact orders (consisting of orders that prohibit or limit contact between two or more persons) cause individuals named in such orders to experience disruption in their established social networks. The empirical literature highlights the disruptive element in social support networks as well as the harmful psychological outcomes for individuals who have been threatened or violated in intimate partner violence (IPV), domestic violence (DV), or sexual violence (SV) [1-3]. Another disruptive outcome of IPV, DV, and SV includes restricted court orders (RCOs). These orders that limit contact and communication between those who have offended and those who have been offended are thus, disruptive to social support networks especially when the parties involved are family members or otherwise intimately connected others. This disruption in social support may prevent needed resources for healing for those who have been offended by violence and those who have committed violent offenses. No literature exists that examines the potentially disruptive effects RCOs may have on the necessary social support systems (and changes in levels of perceived social support) of individuals who have violently offended or have been violently offended. This paper aims to add to the literature on the question of social support disruption in such cases, and to provide recommendations to mitigate support system interference for named parties in RCOs.
Multidimensional Scale Of Perceived Social Support
Treatment Protocols For Isolated Asthenospermia Among A Group of Patients Scheduled for an Intrauterine Insemination (IUI) Procedure: Results of a Prospective Study
Intrauterine Insemination (IUI) is a largely used, also debated, technique. We tried to standardize a treatment protocol before IUI, to obtain an increase in motile sperm, expressed as Total Motile Sperm Cell (TMSC) with the aim of avoiding overtreatment in “large amount of spermatozoa” patients. A group of 97 patients was enrolled for a prospective study and underwent the assumption of the dietary supplement based on 100 mg ORISOD, 11 mg Extremely (SOD=154 IU), 50 mg lipoic acid, 30 mg glutathione, 1.5 mg zinc, 36 mg niacin, 25 mg riboflavin, 9.5 mg vitamin B6, 400 mcg folic acid, 33 mcg vitamin B12 for 90 day, with encouraging results. An increase in TMSC was detected in 77 patients with a.statistical significance (TMSC average increase from 10.7 to 15.2). Even considering this study a preliminary one, our results give a relevant contribution in a field that lack strong evidences and requires more randomized controlled trails (RCT).
That sounds ominous for sure, but does it have to be a negative? Can we perhaps find a different way of perceiving vulnerability and its usefulness? When it comes to lasting, meaningful relationships, great sex, and the ultimate goal of meaningful intimacy, I will promote that vulnerability is a wonderful precursor of such, and dare I say true necessity.
Observations of Inequality between Female and Male Sexual Pleasure: ‘Good Enough’ Vs ‘Ideal’ Expectations
I pose a question for the readers. If I have a vulva, am I ‘hard work’, and is my orgasm ‘less important’ than that of a penis owner? I hope that for most, the answer is no, of course not. If you are a vulva owner who can confidently pronounce this, well done you. However, in my practice I commonly observe cognitive dissonance.
Management of Vulvar Cancer Our Clinical Experiences
Background/Aim: Vulvar cancer is a rare malignancy. It frequently affects postmenopausal women. There is no specific screening for vulvar cancer. Treatment is often surgical. The risk of recurrence is high. Lymph node involvement is an important prognostic factor in vulvar cancer. The primary purpose of this study is to share our institutional experience in managing vulvar cancer patients. Materials and Methods: This study is a retrospective study. The study was ultimately conducted with 39 participants. Descriptive analyzes are frequency, percentage, minimum/maximum values, mean, standard deviation, and median. Risk factors for relapse were evaluated by binary logistic regression analysis. Cox regression analyses analyzed analyzes of factors related to survival. Survival analyzes were calculated using the Kaplan-Meier method, and significant differences were determined by the Log Rank (Mantel-Cox) test. P<0.05 was considered statistically significant in the analyses. Results: Half of the patients (n=19; 50.0%) had vulvar mass complaints. While lesions related to vulvar cancer were observed in 13 participants before cancer diagnosis, no lesions were observed in 25 participants (65.8%). Squamous cell carcinoma was detected in 31 (81.6%) participants. Eleven (28.2%) participants had a recurrence. According to the logistic regression analysis, it was determined that the risk factors included in the model did not have statistically significant effects. Cox regression analysis was performed to determine the effects of factors on overall survival. It was determined that the factors included in the models did not have a statistically significant effect. Conclusion: Vulvar cancer is a type of cancer with limited prospective data. Therefore, it poses severe difficulties in treatment. Limited data on vulvar cancer necessitates the development of treatment paradigms. This means that we need to continue to study the disease.
New Diagnostic and Therapeutic Approach to Erectile Dysfunction and Peyronie’s Disease
Color Ecodoppler (EC) and fundamentally Two-Dimensional Shear Wave Elastography (2D-Shear Wave Elastography or simply 2D-SWE), currently provide us with diagnostic tools with the ability to objectively demonstrate the condition of blood vessels and tissues level of the penile Corpora Cavernosa (CC) and the Tunica Albuginea (TA), in order to distinguish qualitatively and quantitatively and in a Non-Operator Dependent way the different vascular and tissue mechanisms that cause Erectile Dysfunction (ED) and the Disease of Peyronie (EP), as well as assessing the response to treatment with Low Intensity Focused Shock Waves (LI-ESWT-Low Intensity Extracorporeal Shock Wave Therapy), whose mechanisms of action have been widely demonstrated with innumerable and reliable scientific papers in which last years.
Impact of Antipsychotics on the Sexuality of Patients Diagnosed with Schizophrenia
Background: Sexuality is a natural component of human behaviour. The general population has been extensively studied since the first half of the 20th century. On the other hand, regarding patients treated for Schizophrenia (SCZ), discussing sexual disorders was initially considered inappropriate because it was thought they should not be sexually active. Given these findings, this work proposes to study the sexuality of patients with SCZ. Aim: Our objectives were to assess the sexuality of patients with schizophrenia, to identify factors associated with sexual dysfunction among these patients, and to determine practitioners’ attitudes toward the sexuality of our study population. Methods: This is a cross-sectional study carried out in the psychiatry department of Kairouan (outpatient department), including 46 patients diagnosed with schizophrenia. A pre-established information sheet was completed for each patient recruited, including socio-demographic and clinical data; on the other hand, three scales ensured a sexual psychometric evaluation: Psychotropic-Related Sexual Dysfunction Questionnaire PRSexDQ - SALSEX ), Arizona Sexual Experiences Scale (ASEX) and Changes in Sexual Functioning Questionnaire - Male Clinical Version ( CSFQ -M -C ). Results: Concerning the evaluation of sexuality according to the scales used, SD according to the PRSexDQ-SALSEX scores was observed in 31 patients (67.4%). According to the ASEX scores, 24 patients (52%) had a SD, and for the total score of the CSFQ-M-C, 27 patients (58.7%) had a SD. We cannot confirm the existence of a relationship between the dose of the current treatment (in chlorpromazine equivalent) used and the results of the test assessing sexuality. In addition to these results, we can deduce the existence of a statistically significant association between the antipsychotic used and the results of the PRSexDO-SALSEX only. Conclusions: We recommend that screening for SD in patients followed for SCZ should be systematic, regardless of the AP molecule type and dosage. In this regard, we recommend the establishment of a better therapeutic relationship between caregivers and patients followed for SCZ, based on empathy and trust, so that the latter feel comfortable enough to address the sexual dimension in general and SD in particular.
Completing the Sexual Response Cycle Three Times a Week Can Improve Whole Body Health
Completing the sexual response cycle can improve individual whole-body wellness. While humans are born with the innate essential of completing the sexual response cycle (orgasm), a lack of education and generational bias has kept orgasm in a fog of shame and guilt. After twelve years of personal research and study on the process and pleasure of the human orgasm, it has led me to support the existing studies of human orgasm that report the bodies’ whole-body benefits of the phases of the orgasm. How the human is stimulated to orgasm is less important than the existence of arousal and the intensity of the climax. There are four primary phases of the sexual response cycle developed by William Masters and Virginia Johnson and published in their 1966 book: Human Sexual Response. Through research, they created a four-step cycle that begins with excitement/attraction, and continues through a plateau, the orgasm and resolution process. There is much research conducted that supports their findings.
Women with hypertrophic or prominent labia minora may have hygiene problems, irritation, infection, discomfort when performing some sports activities and dyspareunia. In the case of alterations of the labia majora, they may present hypertrophy, atrophy, or aging. All this causing functional and psychosocial disorders, lack of self-esteem, loss of libido and depression.