Childbirth is a stressful event for a majority of women and can have many consequences one of which is female sexual dysfunction. The main aim of pre- and postnatal health services is to fulfl physical and emo-tional ...Childbirth is a stressful event for a majority of women and can have many consequences one of which is female sexual dysfunction. The main aim of pre- and postnatal health services is to fulfl physical and emo-tional needs of mothers and babies but not sexual function of women. Also, the fact that sexual satisfaction is part of general well being and mental health is generally neglected. Sexual function of women not only is affected by childbirth, but also is infuenced by many other factors. One of these factors is culture and religion. Women’s sexual life after childbirth has different meaning in different cultures. In many conservative so-cieties with certain cultural and religious beliefs women are prohibited from having sex after childbirth. In these societies, women hear conflicting stories about risks and benefts of having sexual intercourse during post-partum period the majority of which may not be true. It has been reported that some women may be at greater risk of postpartum sexual dysfunction as neurobiologi-cal factors and genetics have been recently suggested to impact female sexual functioning. Considering the multidimensional nature of female sexual dysfunction, this problem cannot be resolved by a simple solution and not all postpartum women can be treated by the same protocol. Various treatment options, such as the use of medications, behavioural interventions and psy-chotherapy have been investigated in research studies and there is still controversy over the issue. Regarding the fact that sexually satisfed women are more men-tally healthy, routine screening during prenatal, ante-natal and postnatal visits are suggested to uncover hid-den diffculties with sexual functioning of women and improve their quality of life.展开更多
Restoration of the quality of life(QoL)of trauma injury survivors is the aim of trauma rehabilitation.It is generally acknowledged that sexuality is an important component of QoL;however,rehabilitation services freque...Restoration of the quality of life(QoL)of trauma injury survivors is the aim of trauma rehabilitation.It is generally acknowledged that sexuality is an important component of QoL;however,rehabilitation services frequently fall short of including sexuality as a matter of routine.The literature was reviewed to examine the experiences of trauma survivors from three groups:spinal cord injury(SCI),traumatic brain injury(TBI)and burns.The focus was on the impact of trauma on the QoL to identify future research directions and to advocate for the inclusion of sexuality as an integral part of rehabilitation.Databases searched were Proquest,Ovid,Cinahl,Medline,PsycInfo and Cochrane Central Register of controlled trials.A total of 36 eligible studies were included:SCI(n=25),TBI(n=6),burns(n=5).Four themes were identified across the three trauma groups that were labeled as physiological impact of trauma on sexuality,cognitive-genital dissociation(CGD),sexual disenfranchisement(SD)and sexual rediscovery(SR).Trauma injury has a significant impact on sexuality,which is not routinely addressed within rehabilitation services.Further sexuality research is required among all trauma groups to improve rehabilitation services and in turn QoL outcomes for all trauma survivors.展开更多
Dear Editor, Gender dysphoria （GD） is defined as a marked incongruence between one＇s experienced and one＇s assigned gender. It is characterized by a strong desire to get rid of one＇s primary and/or secondary sex ...Dear Editor, Gender dysphoria （GD） is defined as a marked incongruence between one＇s experienced and one＇s assigned gender. It is characterized by a strong desire to get rid of one＇s primary and/or secondary sex characteristics and to have the primary and/or secondary sex characteristics of the other gender. Here, we present a case of a mother and daughter who were both diagnosed with GD.展开更多
文摘Childbirth is a stressful event for a majority of women and can have many consequences one of which is female sexual dysfunction. The main aim of pre- and postnatal health services is to fulfl physical and emo-tional needs of mothers and babies but not sexual function of women. Also, the fact that sexual satisfaction is part of general well being and mental health is generally neglected. Sexual function of women not only is affected by childbirth, but also is infuenced by many other factors. One of these factors is culture and religion. Women’s sexual life after childbirth has different meaning in different cultures. In many conservative so-cieties with certain cultural and religious beliefs women are prohibited from having sex after childbirth. In these societies, women hear conflicting stories about risks and benefts of having sexual intercourse during post-partum period the majority of which may not be true. It has been reported that some women may be at greater risk of postpartum sexual dysfunction as neurobiologi-cal factors and genetics have been recently suggested to impact female sexual functioning. Considering the multidimensional nature of female sexual dysfunction, this problem cannot be resolved by a simple solution and not all postpartum women can be treated by the same protocol. Various treatment options, such as the use of medications, behavioural interventions and psy-chotherapy have been investigated in research studies and there is still controversy over the issue. Regarding the fact that sexually satisfed women are more men-tally healthy, routine screening during prenatal, ante-natal and postnatal visits are suggested to uncover hid-den diffculties with sexual functioning of women and improve their quality of life.
基金Kylie Connell has received the following scholarships:Australian Postgraduate Award(APA)Scholarship,Curtin University,Curtin Research Scholarship,Curtin University.
文摘Restoration of the quality of life(QoL)of trauma injury survivors is the aim of trauma rehabilitation.It is generally acknowledged that sexuality is an important component of QoL;however,rehabilitation services frequently fall short of including sexuality as a matter of routine.The literature was reviewed to examine the experiences of trauma survivors from three groups:spinal cord injury(SCI),traumatic brain injury(TBI)and burns.The focus was on the impact of trauma on the QoL to identify future research directions and to advocate for the inclusion of sexuality as an integral part of rehabilitation.Databases searched were Proquest,Ovid,Cinahl,Medline,PsycInfo and Cochrane Central Register of controlled trials.A total of 36 eligible studies were included:SCI(n=25),TBI(n=6),burns(n=5).Four themes were identified across the three trauma groups that were labeled as physiological impact of trauma on sexuality,cognitive-genital dissociation(CGD),sexual disenfranchisement(SD)and sexual rediscovery(SR).Trauma injury has a significant impact on sexuality,which is not routinely addressed within rehabilitation services.Further sexuality research is required among all trauma groups to improve rehabilitation services and in turn QoL outcomes for all trauma survivors.
文摘Dear Editor, Gender dysphoria （GD） is defined as a marked incongruence between one＇s experienced and one＇s assigned gender. It is characterized by a strong desire to get rid of one＇s primary and/or secondary sex characteristics and to have the primary and/or secondary sex characteristics of the other gender. Here, we present a case of a mother and daughter who were both diagnosed with GD.
