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PubMed1982

Sexual life of women with the Küstner-Rokitansky syndrome.

The sexual development and sex life of 12 women with the Küstner-Rokitansky syndrome, in whom the developmental anomaly (vaginal agenesis) was corrected through surgery, were examined through structured interviews and by means of questionnaires. The comparison group was 22 women who had regular menses and a functional sex life. All differences between the groups were statistically nonsignificant. Only in one questionnaire was there a slight trend toward retarded heterosexual development in the patient sample.

Adult↗
PubMed2004

Typical adolescent sexual development.

This article addresses the typical components that contribute to the development of adolescent sexuality. It defines the important terms that are addressed in the article, explains the roots of human sexuality from birth and childhood, and details three components of adolescent sexuality: biologic, psychologic, and social cultural. The concluding sections on sexual education and sexual risk-taking further explain key factors in the development of adolescent sexuality.

Adolescent↗
PubMed2000

Female adolescent sexuality. Promoting healthy sexual development.

Health care providers must recognize the specific challenges and rewards of providing services for adolescents. Quality care begins with the establishment of trust, respect, and confidentiality between the health care provider and the adolescent. Data suggest that the normal age for beginning puberty is decreasing, which has important clinical, educational, and social implications. The health care provider should be aware of the broad range of potential sexual behaviors involving adolescents, as well as the teen's acceptance of such behaviors, often dictated by age, gender, culture, and education. When providing gynecologic care to adolescent girls, the physician should not only provide contraception and screen for sexually transmitted diseases but should contribute to the development of the patient's sexual health. Especially when providing care for the younger teen, the health care provider must focus on involving a member of the family or another significant adult to provide needed support and guidance. Anticipatory guidance for parents should focus on assessing their parenting styles and promoting supervision. Although parents should strive to maintain open communication with their adolescents, they may not accurately estimate the sexual activity of and the sexual risk for their teenage children. Parents need to be encouraged to consider the implications of their own sexual behaviors. The provider should attempt to foster a comfortable environment in which youth may seek help and support for appropriate medical care while reserving the right to disclose their sexual identity when ready. Health care professionals cannot exclude heterosexual behavior on the basis that a young woman self-identifies as homosexual. Her reported sexual behaviors may not indicate her sexual orientation. Self-definition of sexual orientation is a dynamic process including factors such as fantasies, desires, and behaviors. Self-definition of sexual identity is affected by individual variations in sex, gender, sexual roles, and sexual orientation. Most adolescents want to discuss sexual-related issues with their health care providers and will welcome direct questions about sexual behaviors and possible risks when posed in a confidential and nonmoralistic manner. Discussion of the physical, emotional, familial, and social changes related to adolescence will encourage healthy sexual development.

Adolescent↗
PubMed1991

Childhood cross-gender behavior of homosexual females in Brazil, Peru, the Philippines, and the United States.

Heterosexual and homosexual females were interviewed with regard to childhood cross-gender behavior in Brazil, Peru, the Philippines, and the United States. Nine items were used to examine childhood behavior differences between heterosexual and homosexual females. Six of these items (playing with boys' toys, playing with girls' toys, dressing up in men's clothes, dressing up in women's clothes, paying attention to women's fashions, and being considered a tomboy) revealed statistically significant differences between the heterosexual and homosexual females. These differences demonstrated significant cross-cultural consistency, despite cultural variations among the societies examined. Rejection of certain gender-typical activities and interests, as well as involvement in cross-gendered activities and interests, seem to be consistent precursors of adult sexual orientation regardless of the cultural context in which these behaviors emerge.

Brazil↗