Urologic perspective of genitourinary syndrome of menopause González‐Arboleda, Andrés Augusto; Arias‐Castillo, Liliana; García‐Perdomo, Herney Andrés
International journal of urological nursing,
March 2024, 2024-03-00, 20240301, Letnik:
18, Številka:
1
Journal Article
Recenzirano
Background
Experts define the Genitourinary Syndrome of Menopause (GSM) as a collection of signs and symptoms associated with decreased oestrogen levels. Its prevalence ranges between 13% and 87% in ...postmenopausal women.
Objective
We aimed to describe the main pathophysiology mechanisms of GSM affecting the lower urinary tract and the manifestations and treatment options for lower urinary tract dysfunction in GSM.
Results
Several treatments and recommendations have been proposed to enhance patients' ability to manage their symptoms, such as regular sexual activity or masturbation, to increase this physiological response and reduce the severity of GSM.
Conclusion
GSM is a multifactorial and complex syndrome that affects postmenopausal women. Impairment of urogenital structures implies diverse manifestations of genital atrophy and lower urinary tract symptoms.
Sexuality in the era of transhumanism: A point of view Arias‐Castillo, Liliana; González‐Arboleda, Andrés Augusto; García‐Perdomo, Herney Andrés
Sexuality, gender & policy,
20/May , Letnik:
7, Številka:
2
Journal Article
Recenzirano
Several technological and scientific developments have arisen to enhance the human condition. Transhumanism is an intellectual movement that gathers different knowledge sectors to attain a physical ...and psychological fullness state, with capacities that surpass a human as is known today. These advances have led to a remarkable development in human–robot interaction, an interaction science that studies how technology could influence human behavior. Social robots are part of this science, looking to improve the interaction between robots and the general population in everyday contexts. Sex robots, being part of social robots, have gained a lot of importance in the industry. But, does any relationship exist between transhumanism and sexuality? Some authors have proposed beneficial sex robots in sexual dysfunctions and older adults. However, several contradictors state that sex robots will not be helpful, but they may aggravate these conditions. Further studies are needed to assess the real impact of these devices on sexual dysfunctions, as lack of evidence prevents firmly recommending them as part of treatment protocols.
摘要
用于改善人类状况的一些技术及科学发展已经出现。超人类主义是一项智力运动, 它聚集了不同的知识领域, 以达到身体和心理的充实状态, 其能力超越了当今已知的人类。这些进步导致了人机交互的显著发展, 这是一门研究技术如何影响人类行为的交互科学。社交机器人是这门科学的一部分, 旨在改善机器人与普通人群在日常环境中的互动。性爱机器人作为社交机器人的一部分, 在该行业中获得了很大的重要性。但是, 超人类主义和全性之间存在任何关系吗?一些作者提出了对性功能障碍和老年人有益的性机器人。然而, 一些反对者指出, 性机器人不会有帮助, 反而可能会加剧这些情况。我们在PubMed、Science Direct、牛津学术数据库和SciELO数据库以及有关超人类主义的特定网页上进行了一项叙事述评。由于大多数作者从事心理学或哲学学科, 因此出版物的语言和地理方面的差异性有限。需要进一步的研究来评估这些设备对性功能障碍的真正影响, 因为证据的缺乏阻碍了“强烈推荐它们作为治疗方案的一部分”。
RESUMEN
Varios desarrollos tecnológicos y científicos han surgido para mejorar la condición humana. El transhumanismo es un movimiento intelectual que reúne diferentes sectores del conocimiento para alcanzar un estado de plenitud física y psicológica, con capacidades que superan al ser humano tal como se lo conoce hoy. Estos avances han llevado a un desarrollo notable en la interacción humano‐robot, una ciencia de la interacción que estudia cómo la tecnología podría influir en el comportamiento humano. Los robots sociales son parte de esta ciencia, buscando mejorar la interacción entre los robots y la población en general en contextos cotidianos. Los robots sexuales, al formar parte de los robots sociales, han ganado mucha importancia en la industria. Pero, ¿existe alguna relación entre transhumanismo y sexualidad? Algunos autores han propuesto robots sexuales beneficiosos en disfunciones sexuales y adultos mayores. Sin embargo, varios contradictores afirman que los robots sexuales no serán útiles, sino que pueden agravar estas condiciones. Realizamos una revisión narrativa en las bases de datos PubMed, Science Direct, Oxford Academic Database y SciELO, así como en páginas web específicas sobre transhumanismo. Existe una variabilidad limitada de la evidencia en términos de idioma y geografía de las publicaciones, ya que la mayoría de las personas investigadoras trabajan en disciplinas de psicología o filosofía. Se necesitan más estudios para evaluar el impacto real de estos dispositivos en las disfunciones sexuales, ya que la falta de evidencia impide recomendarlos firmemente como parte de los protocolos de tratamiento.
Limited information is available regarding sexuality among Colombian adults aged 50 years and older.
To assess demographic or health characteristics associated with sexuality measures among middle‐ ...and older‐aged men and women.
Cross‐sectional face‐to‐face interviews were conducted with retired persons from a university ambulatory medical care setting. Data on sexuality were obtained along with data on their demographic, emotional intimacy, practice of religion, medical conditions, and functional health measures. There were 136 participants.
Appropriateness of sex, sexual desire, importance of sex, masturbation, and sexual intercourse.
Fifty‐seven percent of the participants were over 65 years of age, 52% were female, and 66% reported being married; 67% indicated sex is appropriate, 58% reported having sexual desire, 45% considered sex very important in their lives, 54% reported one or more instances of sexual intercourse, and 16% reported masturbating within the last year. In multivariate analyses, importance of sex and sexual intercourse decreased by age. Women had decreased odds ratios (0.20 to 0.33) for sexuality measures compared with men with the exception of appropriateness of sex. Married persons had increased odds ratios (3.06 to 9.45) for importance of sex, appropriateness of sex, and sexual intercourse compared with those of the same age who reported being unmarried. Other factors associated with some particular sexuality measures were emotional intimacy, religious practice, medical conditions, and functional health measures. There were significant mediation effects for appropriateness of sex on the relationship between sexual desire and sexual intercourse, and for importance of sex on the relationship between appropriateness of sex and sexual intercourse.
Men and married persons had higher rates of most sexuality measures compared with women or their unmarried counterparts. These differences were greater at older ages (≥65) for all sexuality measures except sexual intercourse. Arias‐Castillo L, Ceballos‐Osorio J, Ochoa JJ, and Reyes‐Ortiz CA. Correlates of sexuality in men and women aged 52–90 years attending a university medical health service in Colombia.
The complexity of female orgasm and ejaculation Arias-Castillo, Liliana; García, Lina; García-Perdomo, Herney Andrés
Archives of gynecology and obstetrics,
08/2023, Letnik:
308, Številka:
2
Journal Article
Recenzirano
The anatomy and physiology of the female orgasm are often neglected. The female orgasm is a normal psychophysiological function to all women, and some even can achieve ejaculation as part of the ...normal physiological response at the height of sexual arousal. The complexity of female sexuality requires a deep understanding of genital anatomy. The clitoris is the principal organ for female pleasure. The vaginal stimulation of the anterior vaginal wall led women to orgasm due to the stimulation of the clitourethrovaginal complex and not due to stimulation of a particular organ called the G spot in the anterior distal vaginal wall. Female ejaculation follows orgasm. It consists of the orgasmic expulsion of a smaller quantity of whitish fluid produced by the female prostate. Squirting can be differentiated from female ejaculation because it is the orgasmic transurethral expulsion of a substantial amount of diluted urine during sexual activity, and it is not considered pathological. The female orgasm is influenced by many aspects such as communication, emotional intimacy, long-standing relationship, adequate body image and self–esteem, proper touching and knowledge of the female body, regular masturbation, male sexual performance, male and female fertility, chronic pain, and capacity to engage in new sexual acts. Stronger orgasms could be achieved when clitoral stimulation, anterior vaginal wall stimulation, and oral sex is involved in the same sexual act.
7ª Cumbre Iberoamericana de Medicina Familiar Anderson, Maria Inez Padula; Ortega, Miguel Ángel Fernández; Martínez, Omaira Flores ...
Revista brasileira de medicina de família e comunidade,
09/2018, Letnik:
13, Številka:
1
Journal Article
Carta de Cali, Colombia 2018 Anderson, Maria Inez Padula; Fábrega, Ricardo; Castillo, Liliana Arias ...
Revista brasileira de medicina de família e comunidade,
09/2018, Letnik:
13, Številka:
1
Journal Article
Recenzirano
Odprti dostop
Durante los días 13 y 14 marzo de 2018 en Cal, Colombia se realizó la VII CUMBRE IBEROAMERICANA DE MEDICINA FAMILIAR con el tema: “CUARENTA AÑOS DE ALMA ATA: MEDICINA FAMILIAR Y SALUD DE LA FAMILIA, ...UN CAMINO PARA LA PAZ”.
Medicine cannot be outside of the historical changes occurring in our society. The identity and sexual diversity of an individual is a critical aspects of their health. Creating inclusive units that ...allow access to health care for a population with different needs is the hallmark of improving their care.
Objetivo: Identificar a percepção de médicos de família e comunidade, bem como outros profissionais, em 20 países que compõem a Confederação Ibero-americana de Medicina de Família (CIMF), sobre as ...formas mais prevalentes de violência em seu país e nas comunidades que atendem. Além disso, identificar a percepção sobre suas próprias motivação e capacitação, além daquelas dos médicos de família de seus países para abordar a violência e contribuir para a cultura da paz. Métodos: Estudo corte-transversal, exploratório, de abordagem descritiva e quantitativa, realizado nos 20 países membros da CIMF entre os meses de setembro 2017 a março de 2018. A pesquisa foi projetada com base em uma revisão da literatura sobre o fenômeno de estudo. Um questionário foi elaborado e validado com diferentes profissionais de medicina de família considerados especialistas no assunto e posteriormente disseminado com o apoio das diferentes sociedades científicas de Medicina de Família que compõem os 20 países do CIMF, alcançando 242 respostas. Resultados: Mais de 92% dos profissionais consideram que não possuem treinamento suficiente para lidar com a violência em seu cotidiano de trabalho e apenas 24% consideram que receberam treinamento suficiente na Cultura de Paz. Por outro lado, a percepção da prevalência, na região, dos diferentes tipos de violência, do ponto de vista pessoal, familiar e comunitário é alarmante. Conclusões: É necessário integrar na formação de médicos de família e os profissionais de cuidados primários, bem como nos currículos de graduação de Medicina, conteúdos relacionados com a abordagem à violência e a contribuição para a cultura da paz para a superação da mesma. A lacuna de conhecimento sobre essas questões é visível pelos médicos de família e outros profissionais que trabalham na Atenção Primára. Por outro lado, é notável, o benefício potencial de ter esses profissionais atuando nesse grave e prevalente problema de saúde, especialmente considerando seu contato frequente e longitudinal com pessoas, famílias e comunidades vítimas de violência.
Resumen
La enfermedad cardiovascular aterosclerótica es la primera causa de muerte en todo el mundo, y la principal causa de años de vida perdidos por discapacidad (AVADs) en los adultos. Sus ...factores de riesgo son muy prevalentes en la población, y su ocurrencia se ha asociado con disfunción sexual tanto en hombres como en mujeres, debido a que comparten un mecanismo fisiopatológico similar en el caso de la disfunción eréctil en los hombres y potencialmente en la disfunción sexual femenina. Además, los trastornos mentales asociados (principalmente ansiedad y depresión) y los efectos adversos de los medicamentos antihipertensivos y antidepresivos también contribuyen a las disfunciones sexuales. Por otro lado, los inhibidores de la fosfodiesterasa 5 (iFDE5s) han demostrado seguridad y beneficios cardiovasculares en los hombres, y en las mujeres hay evidencia creciente de su utilidad en las disfunciones sexuales. En esta revisión, se presentan las implicaciones de la enfermedad cardiovascular aterosclerótica y su tratamiento en la vida sexual de hombres y mujeres, los efectos cardiovasculares de los tratamientos de las disfunciones sexuales, y la consejería a los pacientes.
Dada la lucha de reivindicación de derechos de los pueblos indígenas y sus procesos legislativos, las autoridades sanitarias deben articular la política pública en salud, según necesidades del ...contexto cultural para garantizar derechos como nutrición, atención con calidad y educación en salud según necesidades. El objetivo de este artículo es aportar es lineamientos metodológicos que contribuyan a adecuar y armonizar un Plan Territorial de Salud Pública con el Sistema Indígena de Salud Propio e Intercultural. Investigación crítico-propositiva, surge de la experiencia del trabajo de campo y análisis documental. Se obtuvo una ruta metodológica con siete etapas, cuya aplicación permite a la autoridad sanitaria un abordaje y gestión de la interculturalidad para el mejoramiento de la política pública en salud y el buen vivir de las comunidades indígenas. La implementación de esta ruta permite asumir las políticas que en materia de inclusión y gestión de interculturalidad en salud se vienen concretando en Colombia en los últimos años.
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