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Biomedical subjects

G A Bachmann

Publications and source records attributed to G A Bachmann.

At least 37 records · Page 2Linked to original sources
PubMed1993

Sexual function in the perimenopause.

Proper medical supervision and care, especially the prescribing of appropriate pharmacologic therapy, combined with factual information, supportive guidance, and sympathetic counseling will ameliorate or enhance sexual function in most perimenopausal women. The preventive steps taken during the midlife years will help build a solid foundation to ensure continued sexual activity and enjoyment for couples that extends into the menopausal, postmenopausal, and geriatric years.

Female↗
PubMed1992

Hysterectomy: is there a need for a clinical trial?

Hysterectomy, the second most common operation today, with the majority of cases done in perimenopausal women usually performed for symptomatic relief. Consequently controversy exists on the appropriateness of indications. A clinical trial is proposed to study this question.

Clinical Trials as Topic↗
PubMed1991

Sexuality in sexagenarian women.

Sexual behavior was examined in 59 healthy, post-menopausal women between 60 and 70 years of age. Subjects were interviewed by a psychologist, completed medical and sexual questionnaires and had a gynecologic exam and blood drawn for determination of estradiol, luteinizing hormone and total and free testosterone. Partners filled out a mail-back sexual questionnaire. Thirty-nine (66%) of the group were coitally active and twenty (34%) were abstinent. The coitally active group reported higher levels of sexual desire (P less than 0.03), greater sexual satisfaction (P less than 0.007), more comfort in expressing sexual preferences (P less than 0.009) and greater pre-menopausal sexual satisfaction (P less than 0.01) and on pelvic examination were noted to have less genital atrophy (P less than 0.0005) than the abstinent group. For the entire sample sexual complaints such as decreased desire and vaginal lubrication in the female and erectile difficulties in the male were reported frequently. Of the hormones studied, higher serum levels of free testosterone were associated with reports of increased sexual desire.

Aged↗
PubMed1990

Sexual issues at menopause.

Although the desire for sexual encounters and the frequency of coitus decrease with menopause, sex in the elderly is no longer considered taboo and continues to be an important and acceptable activity for most older persons. Couples in their 50s or older expect continued sexual involvement, but most consider intercourse the only legitimate form of sexual exchange and reject other forms of sexual activity. Sexual dysfunctions which impair coital ability, especially ejaculatory difficulties in the male and genital atrophy and loss of vaginal lubrication in the female, are frequent. Menopausal couples are often not knowledgeable about physiologic aging changes that affect sexual performance and are reluctant to communicate sexual difficulties to their partner. Without professional counseling and/or pharmacologic intervention, these conditions may lead to sexual frustration and abstinence. The identification and treatment of problems, as well as patient education, are imperative in caring for the menopausal patient.

Aging↗
PubMed1990

Hysterectomy. A critical review.

Hysterectomy is of interest to the practicing obstetrician-gynecologist not only from the medical and surgical points of view but also because of the societal interest that the procedure attracts. The operation was first described in the third century A.D. writings of Soranus and before the turn of this century carried a very high surgical morbidity and mortality rate. With the technologic advances made during this century in both medical and surgical specialties, the operation has become quite safe, with a mortality rate of approximately 12/10,000 procedures. However, although it is possible to objectively measure the improved quality and increased quantity of life when hysterectomy is done for cancer treatment or other life-threatening conditions, it is difficult to so measure those parameters when hysterectomy is done solely to improve the quality of life. Today the physician's medical judgment and patient's understanding of the procedure are no longer the only criteria that have to be considered before surgery. Input by third-party payers, hospital administrators, quality assurance programs, second opinion programs and standards of practice in the geographic region also play a role. Also, alternatives to hysterectomy are being evaluated; in many circumstances they are being utilized today when hysterectomy would have been the treatment of choice before this decade.

Adult↗
PubMed1989

Brief sexual inquiry in gynecologic practice.

Eight hundred eight-seven consecutive gynecologic outpatients were screened for sexual concerns and dysfunctions by the inclusion in the medical history of two questions concerning sexual function. Only 29 women (3%) spontaneously offered sexual complaints without direct inquiry. An additional 142 women (16%) acknowledged sexual problems upon questioning. The most common sexual complaint was dyspareunia (48%), followed by decreased sexual desire (21%), partner problem(s) or dysfunction(s) (8%), vaginismus (6%), anorgasmia (4%), and other problems (13%), eg, arousal problems, decreased lubrication, sexual anxiety, etc. Sexual complaints were more prevalent in those 50 years of age or older. This brief sexual inquiry added little time to the office visit, and most of the sexual complaints could be resolved by the gynecologist.

Adult↗
PubMed1988

Sexual dysfunction in postmenopausal women: the role of medical management.

A general decline in postmenopausal sexual activity, compounded by various physiologic changes related to the menopause, can be the source of much anxiety for older women. Many may wish to remain sexually active, yet fail to see that their problem is, in part, a medical one which a concerned physician can treat. Strategies for physician intervention, clinical management, and general support are reviewed for one of older patients' more undertreated maladies.

Adult↗
PubMed1988

Childhood sexual abuse and the consequences in adult women.

This paper reviews the literature on childhood sexual abuse and its implications for women. It is estimated that at least 15-38% of adults have been sexually abused as children, with figures higher for women than for men. Failure to report abuse is common, and only 20-50% of incidents may come to the attention of authorities. Although childhood sexual abuse is present in all socioeconomic groups, more severe forms of abuse appear to be associated with lower socioeconomic status. After the age of ten, a sharp increase is observed in vaginal intercourse, sexual assaults accompanied by physical violence, and abuse committed by strangers. Although fathers are frequently cited as the primary perpetrators, not all studies support this finding. Other relatives have been reported to account for 20-70% of the sexual abuse occurring within the family. A history of childhood abuse may contribute to sexual problems or multiple chronic complaints in the adult woman. Moreover, some of these women may experience depression, anxiety, and low self-esteem. The gynecologist should use empathetic questioning with all patients regarding abuse, and integrate the patient's history of abuse with current health care. Physicians who are uncomfortable with this topic or who observe ongoing distress in their patients should refer these women to a mental health practitioner who is familiar with the issues common to women who have experienced childhood sexual abuse.

Adolescent↗
PubMed1987

Exercise in the postmenopausal woman.

Exercise merits special consideration in caring for postmenopausal women, who face both the normal physical decline accompanying aging and climacteric changes resulting from diminished ovarian function. Regular physical exercise may decrease a woman's risk of developing several medical illnesses, including osteoporosis, cardiovascular disease, obesity, and depression. Moreover, regular exercise has been shown to have a beneficial effect on flexibility, coordination, mood, and alertness. Physicians bear a special responsibility in encouraging and motivating their older patients. At this juncture in their lives, many postmenopausal women seek guidance and assistance from their doctors.

Aged↗
PubMed1985

Correlates of sexual desire in post-menopausal women.

Sexual desire was studied in 22 post-menopausal women (absence of menses for at least 12 mth) without complaints of sexual dysfunction, not receiving estrogen replacement therapy, and in good physical health. Psychosexual evaluation, medical history, physical and pelvic examinations, and blood samples for the determination of estradiol, androstenedione, FSH and LH were obtained. In addition, the effects of a formal exercise program on sexual desire was investigated. It was found that approximately 50% of the women in this study experienced no decline in sexual interests with menopause, and less than 20% reported a significant decrease. Results indicated a positive relationship between desire and a measure of marital adjustments which women with loss of sex desire had on the Locke-Wallace Marital Adjustment Test. There was no correlation between gonadotropins and loss of sexual desire.

Androstenedione↗
PubMed1984

Sexual expression and its determinants in the post-menopausal woman.

Anatomic, hormonal, psychosocial and psychosexual variables of sexual expression were evaluated in 69 non-patient post-menopausal women. Subjects received a 2-h individually administered interview, a gynecologic examination with subjective scoring of vaginal atrophy, and serum determinations of estrone, estradiol, and androstenedione, testosterone, FSH and LH. Sexual repertoire of the 34 coitally active (coitus greater than 3 X monthly) was compared to the 29 coitally inactive (coitus less than 10 X yearly) subjects. The majority of subjects engaged in traditional sexual activities, with emphasis on physical affection and coitus. The active and inactive women were similar on all demographic variables except family income and weight/height ratio. The inactive women were slightly more obese and had lower incomes. Post-menopausal patterns of sexual activity correlated with post-menopausal sexual expression as did partner availability and function. The active women had a significantly higher LH level. No correlation was found between current or ideal sexual frequency and androgen or estrogen levels.

Aged↗
PubMed1982

Prevalence of oligomenorrhea and amenorrhea in a college population.

Menstrual disorders in college students have been reported as higher than in the general population. Several reasons, among them calorie-restricted diets, strenuous exercise, and college-related stress, have been attributed to this increased prevalence. During the period November, 1979, to January, 1980, 991 of 1,420 college students completed questionnaires which inquired about their menstrual history. The prevalence of oligomenorrhea in this group was 11.3% and that of amenorrhea was 2.6%. Significant factors associated with oligomenorrhea or amenorrhea in this group were weight loss (greater than 20 pounds) and jogging. In most women with oligomenorrhea or amenorrhea, menstrual irregularity was present prior to college entry. With the use of self-administered questionnaires, we could not identify any specific college stress to account for the presence of menstrual abnormalities in a college population.

Adolescent↗