Sexuality, partner relations and contraceptive practice after termination of pregnancy

The aim of this study was to determine the impact of termination of pregnancy (TOP) on women's sexual well-being, the couple and contraceptive practice. In a prospective qualitative and quantitative study, 103 women undergoing induced abortion by vacuum aspiration were interviewed before the abortion and 6 months later. The interview was performed by means of a questionnaire including open and closed questions, and two psychological tests (Locke-Wallace and Horowitz). After TOP, the majority of women did not report changes in their sexual behavior and satisfaction. Eighteen per cent of women reported a decrease in sexual desire and 17% reported orgasmic disorders. About one-third of women described psychosomatic symptoms, but a minority were traumatized by the event. Ninety-eight per cent of the women were informed about, and had practiced, contraception in the past; 69% had actually used some kind of contraception during the menstrual cycle that had resulted in pregnancy (31% had had unprotected intercourse). Six months later, 83% practiced contraception, and only 17% did not. Fourteen out of 84 couples separated after TOP (one in six). Six months after TOP, the large majority of women interviewed seemed able to cope with TOP. A minority presented some persisting sexual dysfunction and/or some psychosomatic symptoms. [Authors]]]> Abortion, Induced ; Contraception Behavior ; Sexual Dysfunction, Physiological ; Sexual Partners ; Sexuality ; Stress, Psychological oai:serval.unil.ch:BIB_37502 2022-05-07T01:15:20Z <oai_dc:dc xmlns:dc="http://purl.org/dc/elements/1.1/" xmlns:xs="http://www.w3.org/2001/XMLSchema" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance" xmlns:oai_dc="http://www.openarchives.org/OAI/2.0/oai_dc/" xsi:schemaLocation="http://www.openarchives.org/OAI/2.0/oai_dc/ http://www.openarchives.org/OAI/2.0/oai_dc.xsd"> https://serval.unil.ch/notice/serval:BIB_37502 Accès aux soins pour tous en Suisse: une réalité? Duc, J.-L. info:eu-repo/semantics/article article 2003 AJP/PJA, pp. 539-544 oai:serval.unil.ch:BIB_37503 2022-05-07T01:15:20Z <oai_dc:dc xmlns:dc="http://purl.org/dc/elements/1.1/" xmlns:xs="http://www.w3.org/2001/XMLSchema" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance" xmlns:oai_dc="http://www.openarchives.org/OAI/2.0/oai_dc/" xsi:schemaLocation="http://www.openarchives.org/OAI/2.0/oai_dc/ http://www.openarchives.org/OAI/2.0/oai_dc.xsd"> https://serval.unil.ch/notice/serval:BIB_37503 Après le rejet de la deuxième révision de la LAMal par le Conseil national et le changement intervenu à la tête du Département fédéral de l'intérieur. Duc, J.-L. info:eu-repo/semantics/article article 2003 AJP/PJA, pp. 631-640 oai:serval.unil.ch:BIB_37504 2022-05-07T01:15:20Z <oai_dc:dc xmlns:dc="http://purl.org/dc/elements/1.1/" xmlns:xs="http://www.w3.org/2001/XMLSchema" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance" xmlns:oai_dc="http://www.openarchives.org/OAI/2.0/oai_dc/" xsi:schemaLocation="http://www.openarchives.org/OAI/2.0/oai_dc/ http://www.openarchives.org/OAI/2.0/oai_dc.xsd"> https://serval.unil.ch/notice/serval:BIB_37504 Prévoyance professionnelle - Examen de deux situations particulières. Duc, J.-L. info:eu-repo/semantics/article article 2003 SZS, pp. 339 ss oai:serval.unil.ch:BIB_375046944AC9 2022-05-07T01:15:20Z openaire documents urnserval <oai_dc:dc xmlns:dc="http://purl.org/dc/elements/1.1/" xmlns:xs="http://www.w3.org/2001/XMLSchema" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance" xmlns:oai_dc="http://www.openarchives.org/OAI/2.0/oai_dc/" xsi:schemaLocation="http://www.openarchives.org/OAI/2.0/oai_dc/ http://www.openarchives.org/OAI/2.0/oai_dc.xsd"> https://serval.unil.ch/notice/serval:BIB_375046944AC9 Do sensation seeking and aggression traits moderate the association between peer influence and alcohol outcomes among young Swiss men? info:doi:10.1080/16066359.2017.1310847 info:eu-repo/semantics/altIdentifier/doi/10.1080/16066359.2017.1310847 Grazioli, Véronique S. Gmel, Gerhard Mohler-Kuo, Meichun Daeppen, Jean-Bernard Bertholet, Nicolas Studer, Joseph info:eu-repo/semantics/article article 2018-01-02 Addiction Research &amp; Theory, vol. 26, no. 1, pp. 52-62 info:eu-repo/semantics/altIdentifier/pissn/1606-6359 info:eu-repo/semantics/altIdentifier/pissn/1476-7392 <![CDATA[Peer influence is a strong predictor of drinking behaviors, yet not all young adults respond to its influence in the same way. This study aimed to identify young adults who are more vulnerable to peer influence by prospectively examining whether sensation seeking and aggression traits moderate the associations between peer influence and alcohol use and related consequences among young male drinkers. Participants (N=4,624 participants) were young Swiss men from the Cohort Study on Substance Use Risk Factors. Measures of peer influence (i.e. descriptive norms and peer pressure to engage in misconduct), sensation seeking, aggression and alcohol use and related consequences were used from the baseline and 15-month follow-up assessments. Findings indicated that neither sensation seeking nor aggression significantly moderated the associations between peer influence and alcohol-related consequences. However, they revealed that sensation seeking and aggression had a moderating effect on the association between peer influence and total drinks per year, such that this association was overall stronger among participants scoring lower on personality traits. These findings suggest that young male drinkers with low scores on sensation seeking and aggression may benefit from stand-alone selective interventions targeting peer influence, whereas those scoring higher on these personality traits may rather benefit from programs that include interventions targeting both peer influence and personality risk factors of drinking behaviors

Approche psycho-sexuelle de l'interruption de grossesse

L'interruption de grossesse se trouve à l'interface de différentes problématiques complexes telles que le fonctionnement psychique, la capacité reproductive, le comportement sexuel, la relation de couple, la contraception et son échec, la planification des naissances et la grossesse. Il s'agit de problématiques de très grande importance qui ont chacune une implication multidimensionnelle touchant toutes les sociétés, la politique, l'économie, l'ensemble de l'humanité. L'idée qui a motivé et animé le développement de cette ligne de recherche a été celle d'investiguer la relation entre sexualité, interruption de grossesse et contraception en tenant compte des dynamiques psychologiques et sexologiques (psycho-sexuelles) qui l'animent

Intention, false beliefs, and delusional jealousy: insights into the right hemisphere from neurological patients and neuroimaging studies

Jealousy sits high atop of a list comprised of the most human emotional experiences, although its nature, rationale, and origin are poorly understood. In the past decade, a series of neurological case reports and neuroimaging findings have been particularly helpful in piecing together jealousy's puzzle. In order to understand and quantify the neurological factors that might be important in jealousy, we reviewed the current literature in this specific field. We made an electronic search, and examined all literature with at least an English abstract, through Mars 2010. The search identified a total of 20 neurological patients, who experienced jealousy in relation with a neurological disorder; and 22 healthy individuals, who experienced jealousy under experimental neuroimaging settings. Most of the clinical cases of reported jealousy after a stroke had delusional-type jealousy. Right hemispheric stroke was the most frequently reported neurological disorder in these patients, although there was a wide range of more diffuse neurological disorders that may be reported to be associated with different other types of jealousy. This is in line with recent neuroimaging data on false beliefs, moral judgments, and intention [mis]understanding. Together the present findings provide physicians and psychologists with a potential for high impact in understanding the neural mechanisms and treatment of jealousy. By combining findings from case reports and neuroimaging data, the present article allows for a novel and unique perspective, and explores new directions into the neurological jealous mind

Eye tracking et désir : nouvelles perspectives scientifiques et cliniques en médecine sexuelle

There is a growing interest in the field of neurobiology of sexual function. With the advent of advanced technologies such as fMRI or EEG, it was possible to investigate the neuronal and psychobiological bases of the various phases of sexual response and sexual desire. Recently, a new technique debuted in sexual medicine, eye tracking. Thus through this article, we will leave the definition of sexual desire, through various neuropsychological studies in this field to finish on the unique and very recent eye tracking study that highlighted the visual patterns of desire sexual

The chronoarchitecture of human sexual desire: a high-density electrical mapping study

Recent neuroimaging research suggests that human sexual desire (SD) recruits both the limbic system and higher-order cognitive brain areas. Because of the temporal limitation of this technique, the chronoarchitecture of SD remains however unresolved. Here, we investigated the spatio-temporal dynamics of SD by combining a behavioral desire decision task with high-density visual event-related potential (VEP) recordings and brain source estimations. VEPs were recorded from thirteen healthy participants when presented with pictures from two different stimulus categories (i.e., high and low desirability). In agreement with the literature, behavioral results showed that participants were faster to rate non-desired stimuli than desired stimuli (p=0.028). Electrophysiological results extended these behavioral data. Group-averaged VEPs peaked at 90 to 140 ms (P100), at 142 to 220 ms (N200), and at 222 to 360 ms (P300). Desired stimuli (DS) were distinguished from non-desired stimuli (NDS) over the N200 period, notably from 142 to 187 ms. Over this time period, DS processing was characterized by a significant scalp potential field. Although both conditions (DS and NDS) showed the recruitment of the occipito-temporal region (including the extrastriate body area, EBA), LAURA source estimation of the DS scalp potential field revealed a more right-lateralized current source density maximum in the posterior superior temporal sulcus (STS) extending to the temporo-parietal junction (TPJ). The recruitment of STS and TPJ for desired stimuli indicates that these brain areas, known to be respectively involved in social cognition, attention, integration of body-related information and self-processing, play a crucial role for the coding of desirability of visual sexual human stimuli within the first 200 ms after stimulus onset. These findings support the hypothesis that complex cognitive processing for desire occurs much faster than previously thought and open new perspectives with respect to the role of both bottom-up and top-down mechanisms in visual processing of sexual stimuli

Mental representation of subjective pleasure of partnered experiences in women's brain conveyed through event-related fMRI

BACKGROUND: Functional neuroimaging demonstrates a combined role of central and peripheral mechanisms in human sexual response. Nevertheless, inter-individual subjective differences remain unresolved. Since Freud, controversy remains regarding the similarity of each type of partnered sexual pleasure experience. The authors hypothesized that the neural networks sustaining the memory of all types of subjective partnered sexual pleasure experiences might interact with the insula, a key brain area for integrating somatic experiences. MATERIAL/METHODS: Using a 3T Phillips MRI scanner, brain activity elicited when 29 healthy female volunteers were exposed to subliminal presentation of their sexual partner's names, an approach to investigating the brain network sustaining the mental representation of their partner, was assessed. This brain activity was compared with scores from the Female Sexual Functioning Index on satisfaction and the typologies of their partnered orgasmic experiences. No orgasmic responses were recorded during fMRI. This approach allowed the investigation of the memory of the different types of stored partnered orgasmic experiences. RESULTS: The memory of partnered pleasure obtained by clitoral stimulation correlated with brain responses in the left insula only, while that of partnered pleasure by sexual intercourse correlated with the left insula and also with the right superior temporal gyrus, thalamus, and right inferior prefrontal gyrus. CONCLUSIONS: The results suggest that the memory of sexual experiences is integrated a posteriori at different levels (i.e. by different neural networks) in a woman's brain. The authors believe these findings will open a new avenue towards understanding inter- and intra-individual differences in woman's sexual mind

Médecine sexuelle à Lausanne : passé, présent et futur

Sexuality is a natural function, part of global health and has to be evaluated in every patient. When difficulties or dyfunctions happen in this domain, a specific mangement should be proposed. Sexual medicine is a « young » transversal discipline developping these last years in the french-speaking area of Switzerland. We present in this article a short history of sexual medicine in Lausanne and the recent activity in the Sexual Medicine Consultation of the Maternity in the CHUV

[Sexual medicine in obstetrics and gynecology]

Obstetrics and gynecology specialists should be women's favoured interlocutors when talking about their sexuality. Indeed every day they assess their patient's intimacy, they manage pathologies that have a potential but well-known impact on sexuality, and they are very early aware of a more global approach like psycho-somatic. Furthermore, women are going to meet their obstetrician and gynecologist through all ages, from adolescence to post-menopause. At every step sexual problems can occur that can be searched, investigated and mostly managed by this specialist. The relationship between female sexual medicine and obstetrics and gynecology is undeniable and deserve to be favoured and consolidated