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  • 1
    Online Resource
    Online Resource
    Let’s Talk About Sex: Tyrolean Online Study on Reproductive Health Issues
    Georg Thieme Verlag KG ; 2023
    In:  Geburtshilfe und Frauenheilkunde
    Details
    In: Geburtshilfe und Frauenheilkunde, Georg Thieme Verlag KG
    Abstract: The way pupils and university students talk about sex does not reflect their real understanding of reproductive health issues. Therefore, we developed a survey for pupils and students in Tyrol, Austria, to evaluate the current state of knowledge. Two questionnaires with 39 items for pupils (n = 369) and 53 items for university students (n = 537) were developed, and an online survey was carried out in Tyrol, Austria, between April and July 2022. A sum score for each correct answer to ten identical items in both questionnaires was used to compare groups (range: 0–11 points), with analysis performed using independent sample t-test, analyses of variance (ANOVAs) and chi-square test. With regards to reproductive health issues and fertility awareness, female vs. male participants (p  〈  0.001), university students vs. pupils (p  〈  0.001) and medical students vs. other students (p  〈  0.001) had greater knowledge. Participants who had already had sexual intercourse showed a broader knowledge of contraception and fertility (p  〈  0.001). The age at which the decline of female fertility becomes relevant was misstated by the adolescents, who gave a mean age of 42.6 years compared to university students who asserted a mean age of 35.9 years (p  〈  0.001). Overall, the lowest rate of correct answers was found with respect to emergency contraception (30.7%), while knowledge of contraceptive methods was comparatively high (99.2%). Substantial lack of knowledge of reproductive health issues exists, with differences found between pupils and university students, between genders, and according to field of study. Future health and fertility awareness programs at school and university should focus on gender-specific aspects to prevent unplanned pregnancies, sexually transmitted diseases, and childlessness.
    Type of Medium: Online Resource
    ISSN: 0016-5751 , 1438-8804
    URL: Article
    DOI: 10.1055/a-2154-5134
    Language: English
    Publisher: Georg Thieme Verlag KG
    Publication Date: 2023
    detail.hit.zdb_id: 2026496-3
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  • 2
    Online Resource
    Online Resource
    Correction: Partners matter: The psychosocial well-being of couples when dealing with endometriosis
    Springer Science and Business Media LLC ; 2022
    In:  Health and Quality of Life Outcomes Vol. 20, No. 1 ( 2022-12)
    Details
    In: Health and Quality of Life Outcomes, Springer Science and Business Media LLC, Vol. 20, No. 1 ( 2022-12)
    Type of Medium: Online Resource
    ISSN: 1477-7525
    URL: Article
    DOI: 10.1186/s12955-022-02027-4
    Language: English
    Publisher: Springer Science and Business Media LLC
    Publication Date: 2022
    detail.hit.zdb_id: 2098765-1
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  • 3
    Online Resource
    Online Resource
    Female cancer survivors: sexual function, psychological distress, and remaining fertility
    Springer Science and Business Media LLC ; 2024
    In:  Journal of Assisted Reproduction and Genetics
    Details
    In: Journal of Assisted Reproduction and Genetics, Springer Science and Business Media LLC
    Abstract: Improved survivorship in cancer patients leads to new challenging issues including potential impairment of quality of life, sexual function, and fertility. The aim of this study was to assess sexual dysfunction (SD) and psychological distress in female cancer survivors who underwent fertility preservation in the past in comparison to reviewed healthy control data from other published studies. Additionally, our focus was on the difference in SD between women with current desire to get pregnant and already completed family planning. Methods In this prospective study, 53 female cancer survivors who underwent fertility preservation at time of cancer diagnosis between 2010 and 2020 were invited to a gynecological exam, laboratory assessment, and two questionnaires (Female Sexual Function Index (FSFI) and Hospital anxiety and depression scale (HADS)) in 2022. These scores were compared to results in the literature of healthy controls and depending on anti-Mullerian-hormone (AMH) levels, current desire to have a child, and age. Results After a mean follow-up time of 70 ± 50 months, SD was detected in 60.4% ( n = 32) of the 53 included patients. Normal results regarding HADS-D/anxiety and HADS-D/depression were found in 88.7% and 94.3% of patients, respectively. At time of follow-up, 69.9% ( n = 40) regained regular menstrual cycles, 52.6% ( n = 20) 〈 40 years showed a diminished ovarian reserve with AMH levels 〈 1.1 ng/ml and 28.3% ( n = 15) suffered from infertility. Conclusion Female cancer survivors may be at risk for SD. Cancer patients should be informed about possible sexual dysfunction already at the start of cancer treatment and during follow-up. In addition, contraception needs to be addressed if regular cycles occur as more than two-thirds of the women regained regular menstrual cycles.
    Type of Medium: Online Resource
    ISSN: 1058-0468 , 1573-7330
    URL: Article
    DOI: 10.1007/s10815-024-03051-7
    Language: English
    Publisher: Springer Science and Business Media LLC
    Publication Date: 2024
    detail.hit.zdb_id: 2016722-2
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  • 4
    Online Resource
    Online Resource
    Psychological Aspects of Infertility – Results from an Actor–Partner Interdependence Analysis
    Georg Thieme Verlag KG ; 2023
    In:  Geburtshilfe und Frauenheilkunde Vol. 83, No. 07 ( 2023-07), p. 843-849
    Details
    In: Geburtshilfe und Frauenheilkunde, Georg Thieme Verlag KG, Vol. 83, No. 07 ( 2023-07), p. 843-849
    Abstract: Einleitung Unerfüllter Kinderwunsch und die anschließende medizinische Therapie führt bei einem Teil der Patient*innen zu starken emotionalen Belastungen, die vom Paar gemeinsam bewältigt werden müssen: „Infertility is a shared stressor“. Aus der Forschungsliteratur ist bekannt, dass die subjektiv wahrgenommene Selbstwirksamkeit die adaptive Bewältigung einer Erkrankung unterstützt. Als Fragestellung in dieser Studie wurde angenommen, dass hohe Selbstwirksamkeitswerte mit niedrigen psychischen Risikoscores (wie Ängstlichkeit oder Depressivität) sowohl bei der eigenen Person als auch beim Partner bzw. der Partnerin einhergehen. Eine gezielte Förderung der hilfreichen Selbstwirksamkeitserwartung könnte somit auch bei unerfülltem Kinderwunsch eine neue Beratungsstrategie darstellen, durch die psychisch vulnerable Patient*innen Behandlungsablauf und Behandlungsmisserfolge medizinisch assistierter Reproduktion besser bewältigen können und damit weniger als Risikopatient*innen bezüglich psychosozialer Faktoren gelten müssen. Methoden 721 Frauen und Männer, die an 5 Kinderwunschzentren in Deutschland (Heidelberg, Berlin), Österreich (Innsbruck) und der Schweiz (St. Gallen, Basel) vorstellig wurden, haben den SCREENIVF-R-Fragebogen zur Identifizierung von psychischen Risikofaktoren für verstärkte emotionale Probleme und die SWUK-Skala zur Messung der Selbstwirksamkeit ausgefüllt. Mithilfe von gepaarten t-Tests und des Akteur-Partner-Interdependenz-Modells wurden die Daten von 320 Paaren paarbezogen ausgewertet. Ergebnisse Auf Paarebene wiesen Frauen im Vergleich zu Männern in 4 von 5 Risikofaktoren (Depressivität, Ängstlichkeit, Mangel an Akzeptanz, Hilflosigkeit) höhere Risikowerte auf. In allen Risikobereichen konnten protektive Effekte der Selbstwirksamkeit auf den jeweiligen eigenen Risikofaktor identifiziert werden (Akteureffekt). Die Selbstwirksamkeitswerte des Mannes zeigten einen negativen Zusammenhang mit den Depressivitäts- und Hilflosigkeitswerten der Frau (Partnereffekt Mann → Frau). Die Selbstwirksamkeitswerte der Frau korrelierten positiv mit der Akzeptanz und sozialen Unterstützung bei Männern (Partnereffekt Frau → Mann). Schlussfolgerung Da die Bewältigung des unerfüllten Kinderwunsches in der Regel durch das Paar geleistet wird, sollten in zukünftigen Studien nicht mehr nur Frauen und Männer getrennt in die Analysen einbezogen werden, sondern das Paar als Analyseeinheit im Fokus stehen. Zudem sollte in der psychosozialen Kinderwunschberatung das Paarsetting Goldstandard sein.
    Type of Medium: Online Resource
    ISSN: 0016-5751 , 1438-8804
    URL: Article
    DOI: 10.1055/a-2041-2831
    Language: English
    Publisher: Georg Thieme Verlag KG
    Publication Date: 2023
    detail.hit.zdb_id: 2026496-3
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  • 5
    Online Resource
    Online Resource
    Partners matter: The psychosocial well-being of couples when dealing with endometriosis
    Springer Science and Business Media LLC ; 2022
    In:  Health and Quality of Life Outcomes Vol. 20, No. 1 ( 2022-12)
    Details
    In: Health and Quality of Life Outcomes, Springer Science and Business Media LLC, Vol. 20, No. 1 ( 2022-12)
    Abstract: Endometriosis is often associated with severe dysmenorrhea, pelvic pain and dyspareunia and has a high impact on daily life as well as sexuality. Quality of partnership positively influences the course of various diseases and ability to cope with emotional and physical distress. However, studies focusing on the male partners of endometriosis patients are rare, and even less is known about the reciprocal relationship in these couples. Therefore, this study aims to explore the interrelations in couples with endometriosis in matters of psychological distress, sexual and partnership satisfaction and social support. Methods The cross-sectional study was conducted in two university-affiliated fertility centres in Germany and Austria with n = 104 female/male couples affected by endometriosis. Participants completed a questionnaire regarding endometriosis, partnership, sexuality, stress, anxiety, depression and social support. Both women and men were asked about the impact of women’s endometriosis-related pain (IEP) on their everyday life (e.g. leisure time). Data were analysed using the Actor-Partner-Interdependence Model. Results Significant partner effects were evident: High depression, anxiety and stress scores in women were associated with a higher IEP in men (all p  ≤ 0.01), reciprocally high stress and depression scores in men were correlated with a higher IEP in women (all p  ≤ 0.05). Less sexual satisfaction in women was associated with a higher IEP in men ( p  = 0.040). There was a significant reciprocal association between the perceived lack of understanding from the social environment and a higher IEP, for both women ( p  = 0.022) and men ( p  = 0.027). Conclusions The male partner should be taken into account when counselling or treating women with endometriosis. Our study shows a high interdependence and reciprocal influence from both partners—positively and negatively—concerning psychological distress and sexual satisfaction. Furthermore, there ought to be more awareness for the psychosocial impact of endometriosis, especially in regard to social support and understanding. Talking about and improving sexual satisfaction as well as enhancing stress reducing techniques may hold great benefits for dealing with endometriosis. Registration number The study is registered with the German Clinical Trials Register (DRKS), number DRKS00014362.
    Type of Medium: Online Resource
    ISSN: 1477-7525
    URL: Article
    DOI: 10.1186/s12955-022-01991-1
    Language: English
    Publisher: Springer Science and Business Media LLC
    Publication Date: 2022
    detail.hit.zdb_id: 2098765-1
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  • 6
    Online Resource
    Online Resource
    Fertility, contraception, and fertility preservation in trans individuals
    Deutscher Arzte-Verlag GmbH ; 2023
    In:  Deutsches Ärzteblatt international ( 2023-04-07)
    Details
    In: Deutsches Ärzteblatt international, Deutscher Arzte-Verlag GmbH, ( 2023-04-07)
    Type of Medium: Online Resource
    ISSN: 1866-0452
    URL: Article
    DOI: 10.3238/arztebl.m2023.0026
    Language: German
    Publisher: Deutscher Arzte-Verlag GmbH
    Publication Date: 2023
    detail.hit.zdb_id: 2406159-1
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  • 7
    Online Resource
    Online Resource
    Ovarian transposition
    Springer Science and Business Media LLC ; 2020
    In:  memo - Magazine of European Medical Oncology Vol. 13, No. 4 ( 2020-12), p. 413-415
    Details
    In: memo - Magazine of European Medical Oncology, Springer Science and Business Media LLC, Vol. 13, No. 4 ( 2020-12), p. 413-415
    Abstract: Cytotoxic chemotherapy regimens and radiotherapy can lead to acute ovarian failure, premature ovarian insufficiency and menopause. Fertility preservation options before radiotherapy include ovarian transposition, where one or both ovaries are placed outside the radiation field. However, the efficacy of ovarian transposition is questioned, as the conservation of ovarian function varies between 17 and 95% in the literature.
    Type of Medium: Online Resource
    ISSN: 1865-5041 , 1865-5076
    URL: Article
    DOI: 10.1007/s12254-020-00646-5
    Language: English
    Publisher: Springer Science and Business Media LLC
    Publication Date: 2020
    detail.hit.zdb_id: 2428960-7
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  • 8
    Online Resource
    Online Resource
    What is new in 2017? Update on fertility preservation in cancer patients
    Edizioni Minerva Medica ; 2017
    In:  Minerva Endocrinology Vol. 42, No. 4 ( 2017-09)
    Details
    In: Minerva Endocrinology, Edizioni Minerva Medica, Vol. 42, No. 4 ( 2017-09)
    Type of Medium: Online Resource
    ISSN: 2724-6507 , 2724-6116
    URL: Article
    DOI: 10.23736/S0391-1977.17.02633-5
    Language: English
    Publisher: Edizioni Minerva Medica
    Publication Date: 2017
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  • 9
    Online Resource
    Online Resource
    A retrospective investigation of women’s experience with breast reconstruction after mastectomy
    Springer Science and Business Media LLC ; 2013
    In:  Archives of Gynecology and Obstetrics Vol. 287, No. 3 ( 2013-3), p. 555-561
    Details
    In: Archives of Gynecology and Obstetrics, Springer Science and Business Media LLC, Vol. 287, No. 3 ( 2013-3), p. 555-561
    Type of Medium: Online Resource
    ISSN: 0932-0067 , 1432-0711
    URL: Article
    DOI: 10.1007/s00404-012-2590-1
    Language: English
    Publisher: Springer Science and Business Media LLC
    Publication Date: 2013
    detail.hit.zdb_id: 1458450-5
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  • 10
    Online Resource
    Online Resource
    Higher Prevalence of Adverse Childhood Experiences in Transgender Than in Cisgender Individuals: Results from a Single-Center Observational Study
    MDPI AG ; 2023
    In:  Journal of Clinical Medicine Vol. 12, No. 13 ( 2023-07-05), p. 4501-
    Details
    In: Journal of Clinical Medicine, MDPI AG, Vol. 12, No. 13 ( 2023-07-05), p. 4501-
    Abstract: Adverse childhood experiences (ACE) have been shown to have a tremendous negative impact on health outcomes later in life. This study presents data on the prevalence of ACEs, psychological distress, and trauma-related symptoms in transgender and gender-diverse (TGD) people compared to cisgender people. TGD adults (n = 35) and a matched sample of nonpsychiatric hospital patients (n = 35) were surveyed between September 2018 and March 2019. Participants completed the Maltreatment and Abuse Chronology of Exposure Scale to assess ACEs, as well as the Brief Symptom Inventory and the Essener Trauma Inventory to assess psychological distress and trauma-related symptoms. TGD patients reported a higher number of ACEs than cisgender patients (0.7 vs. 2.4; p 〈 0.001; d = 0.94). A total of 28.6% of TGD vs. 5.7% cisgender patients reported four or more ACEs (p 〈 0.001). The most common forms of ACEs were parental abuse (54.3%) and peer abuse (54.3%). No significantly increased prevalence of sexual abuse was found (p 〉 0.05). TGD patients also reported a higher prevalence of depression (48.4% vs. 5.7%, p 〈 0.001), posttraumatic stress disorder symptoms (59.4% vs. 13.8%, p 〈 0.001), and anxiety (58.1% vs. 28.6%, p = 0.016). Health care providers should be aware of and assess ACEs, especially in vulnerable groups such as TGD people, and create a safe place through open-minded, affirming care.
    Type of Medium: Online Resource
    ISSN: 2077-0383
    URL: Article
    DOI: 10.3390/jcm12134501
    Language: English
    Publisher: MDPI AG
    Publication Date: 2023
    detail.hit.zdb_id: 2662592-1
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