Sexual function after hysterectomy according to surgical indication: a prospective cohort study
Sara R. Till, Andrew Schrepf, Jennifer Pierce, Stephanie Moser, Ellen Kolarik, Chad Brummett, Sawsan As-Sanie Many patients considering hysterectomy ask about how their sexual function may change, which is difficult to predict based on current data. Given that patients undergo hysterectomy with the goal of improving different symptoms or concerns, we examined whether surgical indication was associated with change in sexual function. Most patients had a modest improvement in sexual function after hysterectomy, but factors such as age, sexual function before surgery, and duration of pelvic pain were more strongly associated ...
Source: Sexual Health - March 1, 2022 Category: Sexual Medicine Authors: Sara R. Till Andrew Schrepf Jennifer Pierce Stephanie Moser Ellen Kolarik Chad Brummett Sawsan As-Sanie Source Type: research
Prevalence of bacterial vaginosis in postmenopausal women: a systematic review and meta-analysis
Linde L. Stewart, Lenka A. Vodstrcil, Jacqueline Coombe, Catriona S. Bradshaw, Jane S. Hocking There has been considerable research investigating bacterial vaginosis in women of reproductive age, but much less is known about its burden in postmenopausal women. This systematic review identified that the little research available suggests that a considerable proportion of postmenopausal women may have bacterial vaginosis at any point in time, but there is a real need for quality research to investigate the impact of bacterial vaginosis on this population group. (Source: Sexual Health)
Source: Sexual Health - February 23, 2022 Category: Sexual Medicine Authors: Linde L. Stewart Lenka A. Vodstrcil Jacqueline Coombe Catriona S. Bradshaw Jane S. Hocking Source Type: research
Chemsex questions: what are we actually asking?
Brendan Crozier, Nathan Sayer, Rick Varma Sexualised drug use (SDU) is a risk factor for STIs. In this retrospective review, we consider the way in which a question about SDU is answered. Careful attention should be paid to the phrasing of SDU questions, as they can be interpreted in a variety of unexpected ways. (Source: Sexual Health)
Source: Sexual Health - February 18, 2022 Category: Sexual Medicine Authors: Brendan Crozier Nathan Sayer Rick Varma Source Type: research
A systematic review of international students & #x2019; sexual health knowledge, behaviours, and attitudes
Madeleine S. Y. Lim, Jane S. Hocking, Lena Sanci, Meredith Temple-Smith Studying abroad provides an opportunity for young adults to explore their sexuality and test risk-taking behaviours&#x003B; however, little is known about international students’ sexual health knowledge and practices. This systematic review identified international students’ sexual health knowledge, behaviours, and attitudes, and highlighted the importance of culturally considerate sex education for Asian international students. This will help ensure a healthier and safer studying abroad experience. (Source: Sexual Health)
Source: Sexual Health - February 18, 2022 Category: Sexual Medicine Authors: Madeleine S. Y. Lim Jane S. Hocking Lena Sanci Meredith Temple-Smith Source Type: research
Trichomoniasis among men presenting to a sexual health clinic in Melbourne, Australia
Esha Abraham, Christopher K. Fairley, Ei T. Aung, Catriona S. Bradshaw, Marcus Y. Chen, Tiffany R. Phillips, Eric P. F. Chow We conducted a retrospective study among 893 men tested for Trichomonas vaginalis in 2018–2021 at the Melbourne Sexual Health Centre. The overall test positivity was low (1%). However, the test positivity among T. vaginalis contacts (18.6%) was significantly higher than non-contacts (0.5%). This highlights the importance of partner notification, testing and management. (Source: Sexual Health)
Source: Sexual Health - February 14, 2022 Category: Sexual Medicine Authors: Esha Abraham Christopher K. Fairley Ei T. Aung Catriona S. Bradshaw Marcus Y. Chen Tiffany R. Phillips Eric P. F. Chow Source Type: research
How long should clinicians spend sampling the pharynx for gonorrhoea culture specimens?
Sarah Stuart, Daniel Richardson, Collins Iwuji, Suneeta Soni Sampling for gonorrhoea from the pharynx is important to maintain antimicrobial resistance surveillance&#x003B; however, the sensitivity of pharyngeal culture is poor. We gained consensus from our local sexual health network of clinicians on the time spent taking pharyngeal gonorrhoea culture. From an anonymous survey of 98 clinicians, the estimated mean time was 4.63 s (s.d. ± 2.04) and there were no differences in clinician years of experience. We are now using these findings to design an educational tool wit...
Source: Sexual Health - December 31, 2021 Category: Sexual Medicine Authors: Sarah Stuart Daniel Richardson Collins Iwuji Suneeta Soni Source Type: research
Women & #x2019;s knowledge and hypothetical acceptance of expedited partner therapy for chlamydia
Ashley Oglesby, Isabel Ricke, Alyssa Swenson, Grace R. Lyden, Stacey Moe, Victoria Doll, Ruby H. N. Nguyen We provide evidence that reproductive-aged women are in support of testing, partner notification and treatment for chlamydia, but knowledge about expedited partner therapy (EPT) is low, with the exception of those working in the healthcare field. (Source: Sexual Health)
Source: Sexual Health - December 20, 2021 Category: Sexual Medicine Authors: Ashley Oglesby Isabel Ricke Alyssa Swenson Grace R. Lyden Stacey Moe Victoria Doll Ruby H. N. Nguyen Source Type: research
Modelling the potential role of saliva use during masturbation in the transmission of Neisseria gonorrhoeae at multiple anatomical sites
Xianglong Xu, Eric P. F. Chow, Jason J. Ong, Mingwang Shen, Chongjian Wang, Jane S. Hocking, Christopher K. Fairley, Lei Zhang Our models raise the possibility that saliva use during masturbation may play a role in transmitting gonorrhoea. About one in four cases of urethral gonorrhoea might arise from saliva use during solo masturbation and mutual masturbation. The potential role of saliva use during masturbation is an important area to explore because it contributes to the knowledge base about transmission and may lead to further interventions to control gonorrhoea. (Source: Sexual Health)
Source: Sexual Health - December 17, 2021 Category: Sexual Medicine Authors: Xianglong Xu Eric P. F. Chow Jason J. Ong Mingwang Shen Chongjian Wang Jane S. Hocking Christopher K. Fairley Lei Zhang Source Type: research
Domestic mobility and experiences of disconnection from sexual health care among gay and bisexual men in Australia: insights from a qualitative study
Dean Murphy, Steven Philpot, Graham Brown, Garrett Prestage The extent to which domestic mobility has an effect on continuity of sexual health care is not well known. Based on in-depth interviews with HIV-positive gay and bisexual men about their experiences prior to diagnosis, we draw attention to how some participants became disconnected from sexual health services – and HIV pre-exposure prophylaxis (PrEP) – as a result of moving between different Australian cities and states. Our findings suggest the need for more research on factors related to retention in sexual health care. (Source: Sexual Health)
Source: Sexual Health - December 17, 2021 Category: Sexual Medicine Authors: Dean Murphy Steven Philpot Graham Brown Garrett Prestage Source Type: research
Diagnostic concordance between Amsel & #x2019;s criteria and the Nugent scoring method in the assessment of bacterial vaginosis
Apoorva Challa, Seema Sood, Garima Kachhawa, Ashish Datt Upadhyay, Sada Nand Dwivedi, Somesh Gupta Bacterial vaginosis is a common vaginal complaint among women of child-bearing age, with adverse effects on sexual and reproductive health. The existing diagnostic modalities are cumbersome and require skilled expertise. The aim of the study was to compare the gold-standard Nugent scoring method with Amsel’s clinical criteria and simplified, physician-friendly clinical criteria for diagnosis of BV. (Source: Sexual Health)
Source: Sexual Health - December 17, 2021 Category: Sexual Medicine Authors: Apoorva Challa Seema Sood Garima Kachhawa Ashish Datt Upadhyay Sada Nand Dwivedi Somesh Gupta Source Type: research
Overcoming barriers to HIV pre-exposure prophylaxis (PrEP) coverage in Australia among Medicare-ineligible people at risk of HIV: results from the MI-EPIC clinical trial
Curtis Chan, Doug Fraser, Stefanie Vaccher, Barbara Yeung, Fengyi Jin, Janaki Amin, Nila J. Dharan, Andrew Carr, Catriona Ooi, Matthew Vaughan, Jo Holden, Cherie Power, Andrew E. Grulich, Benjamin R. Bavinton, for the MI-EPIC Research Group There are growing disparities in HIV diagnoses between Australian-born and overseas-born gay, bisexual, and other men who have sex with men (GBM), reinforced by barriers faced in accessing pre-exposure prophylaxis (PrEP) for GBM without Medicare. The Medicare-Ineligible Expanded Implementation in Communities (MI-EPIC) implementation trialled giving Medicare-ineligible adults access to P...
Source: Sexual Health - December 13, 2021 Category: Sexual Medicine Authors: Curtis Chan Doug Fraser Stefanie Vaccher Barbara Yeung Fengyi Jin Janaki Amin Nila J. Dharan Andrew Carr Catriona Ooi Matthew Vaughan Jo Holden Cherie Power Andrew E. Grulich Benjamin R. Bavinton for the MI-EPIC Research Group Source Type: research
Medical detransition following transgender identity reaffirmation: two case reports
This report describes two individuals who decided to medically detransition following the reaffirmation of their transgender identity. The cases contribute to our still limited understanding of this phenomenon and encourage reflection on the best clinical practices for individuals with gender-related distress. (Source: Sexual Health)
Source: Sexual Health - December 10, 2021 Category: Sexual Medicine Authors: Pablo Exp & #xf3;sito-Campos Marcelino G & #xf3;mez-Balaguer Felipe Hurtado-Murillo Rosa M. Garc & #xed;a-Moreno Carlos Morillas-Ari & #xf1;o Source Type: research
Identifying gaps in dual protection from sexually transmissible infections and unintended pregnancies among Australian women: an observational study
Lucy Watchirs Smith, Bette Liu, Louisa Degenhardt, Juliet Richters, Deborah Bateson, Anna Yeung, Rebecca Guy Ideal contraception and sexually transmissible infection (STI) prevention strategies sometimes fail to align. We measured contraception and STI prevention behaviours among sexually active Australian women to determine the gaps in dual protection from unintended pregnancies and STIs, and found that although almost all women used contraception, only half had protection from STI transmission. Our findings suggest that health service providers should stress the importance of condoms for women at risk of STIs and ideally...
Source: Sexual Health - December 6, 2021 Category: Sexual Medicine Authors: Lucy Watchirs Smith Bette Liu Louisa Degenhardt Juliet Richters Deborah Bateson Anna Yeung Rebecca Guy Source Type: research
Factors associated with transactional sex among a cohort of gay, bisexual, and other men who have sex with men in Vancouver, Canada
Heather L. Armstrong, Jordan M. Sang, Ales Skala, Lu Wang, Julia Zhu, Nathan J. Lachowsky, Kiffer G. Card, Cecilia Benoit, Gbolahan Olarewaju, Robert S. Hogg, David M. Moore, Eric A. Roth More than one-fifth of gay and bisexual men in this community-based sample in Vancouver, Canada, reported engaging in transactional sex (sex in exchange for drugs, money, or goods) over the study period (2012–19). A variety of factors, including sexual behaviour, mental health, and substance use, were associated with transactional sex and, when considered together, likely contribute to increased HIV and STI risk. More holis...
Source: Sexual Health - November 30, 2021 Category: Sexual Medicine Authors: Heather L. Armstrong Jordan M. Sang Ales Skala Lu Wang Julia Zhu Nathan J. Lachowsky Kiffer G. Card Cecilia Benoit Gbolahan Olarewaju Robert S. Hogg David M. Moore Eric A. Roth Source Type: research
Alcohol availability and prevalent Chlamydia trachomatis in young Australians: a multi-level analysis
Amie L. Bingham, Anurika P. De Silva, Alaina M. Vaisey, Meredith J. Temple-Smith, Simone Y. Spark, Jane S. Hocking Characteristics of places have been found to affect sexually transmissible infections (STIs) rates, with some evidence indicating that availability of alcohol within local areas may be associated with STI prevalence. We investigated potential associations between prevalent cases of chlamydia in young people in Australia and the availability of alcohol within their local area (residential postcode). We found little evidence of associations between alcohol availability and chlamydia, but observed significant ass...
Source: Sexual Health - November 30, 2021 Category: Sexual Medicine Authors: Amie L. Bingham Anurika P. De Silva Alaina M. Vaisey Meredith J. Temple-Smith Simone Y. Spark Jane S. Hocking Source Type: research
