[Cyclophrenia and female sexuality].
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Biomedical subjects
Publications and source records attributed to J Raboch.
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The course of sexual socialization of 50 women suffering from the Stein-Leventhal Syndrome (SLS), on which the wedge resection of the ovaries was carried out, as examined using the HTDW (heterosexual development of women) questionnaire, did not differ from that of 50 normal women of the same age. Sexual life of SLS patients was examined using an interview and the SAW (sexual activity of women), SFW (sexual function of women), and SAI (sexual arousability inventory) questionnaires. Comparison with the findings in the control group showed that the average score in all the three questionnaires was within normal limits for both groups; the differences between the groups were not statistically significant. Among 45 SLS patients who had sexual experience before the surgery, 42 stated that no pronounced changes occurred in their sexual lives after resection of the ovaries. The average value of testosterone in the whole group (0.52 ng/ml plasma) was within normal limits. The level of the male sexual hormone tended to be higher in the subgroup of 19 patients with low orgastic capacity than in the subgroup of 31 orgastic SLS patients. The differences in the average scores of neurotic symptoms in the N5 questionnaire between the SLS patients and the control group were not significant. On the basis of the above findings, it is concluded that SLS patients, after wedge resection of the ovaries, are not more sexually arousable, more active, or more orgastic than medically healthy women.
The authors report on the results of an inquiry via questionnaires on the sexual activities of 164 hysterectomised women before and after surgery. 47.5 per cent of the women stated that their sexual activities had deteriorated after the operation, whereas 13% reported an improvement. There was a significant increase in the number of women with "deteriorated" sex life after simultaneous bilateral ovarectomy (p less than 0.01). The most frequent negative sequels were a decrease in sexual appetency (42.7%) and coital activity (30.5%). Sex life deterioration became evident in 43% of the women already during the first year following the operation, further deterioration being less marked (in one to three years in 52%, and after more than 3 years after the operation in 58% of the patients). The opinion has been voiced that the time a few months before and after hysterectomy is the most critical phase in respect of mental condition and sexual activities. This critical phase can be overcome only with the close co-operation between the doctor on the one hand and the married couple on the other; both partners to the marriage must be equally amenable to counselling and advice.
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The sexual development of 51 female schizophrenics, their attitudes toward sex, and their sexual activity and arousability were investigated. The control group consisted of 101 gynecological patients. The sexual development of the female schizophrenics was significantly retarded, and their sexual activity and arousability significantly lowered in adult life compared with the control group. The hypothesis is advanced that the retarded development may be caused by some biological factor, while sexuality in adult life is negatively affected primarily by social isolation.
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In a group of 2,159 gynecological patients, aged 21 to 40, the age at the first sexual intercourse was ascertained and correlated with orgastic capacity during coitus in marital life. All had been married for at least 1 year. Of the examined females, 1,093 who reached orgasm mostly or always during sexual intercourse had their first coitus earlier than 394 women with rare and 165 women with no coital orgasm. The difference between orgastic women and examinees with rare orgasm was significant at the 0.01 level. The difference between females with adequate sexual reactivity and females with no coital orgasm was significant at the 0.001 level.
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