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At least 19 recordsLinked to original sources
PubMed2002

Coitus-dependent and coitus-independent contraceptive methods in women and men.

OBJECTIVE: To study the use of contraceptives in Sweden. METHODS: Analysis of the population-based survey 'Sex in Sweden. On the Swedish sexual life 1996'. The survey was analyzed in relation to socio-demographic, lifestyle, sexual and behavioral characteristics as well as attitudes to, and evaluation of, personal experiences. The data included 2810 men and women between 18 and 74 years of age. The results were compared with a similar survey carried out in 1967. RESULTS: During the 30-year period between the 1967 and 1996 surveys, condom use more than halved and use of oral contraceptives increased by 6 percentage points. The decline in the use of condoms did not occur among teenagers but among all other age groups in both men and women. In 1996 the majority (72%) used a reliable contraceptive method, but 29% did not. Coitus-dependent methods were more frequently used by men and women who were below the age of 21, smoked, used alcohol simultaneously with coitus, had casual partners, were more highly educated, were breastfeeding, had coitus less frequently and among those who were most satisfied with their sexual life and their partner relationship. CONCLUSION: In order to increase the use of more reliable contraceptive methods, three crucial factors should be focused on in counselling and media campaigns: gender, age and the use of coitus-dependent/coitus-independent methods.

Adult↗
PubMed2003

Do women gain anything from coitus apart from pregnancy? Changes in the human female genital tract activated by coitus.

This article reviews critically studies that describe changes occurring in the female genital tract and pelvic musculature from sexual reflexes activated by stimuli that mimic coitus or induced by sexual arousal. I conclude that apart from the normal erotic pleasure, women gain and maintain vaginal and pelvic functionality from these and, subsequently, from coitus.

Adult↗
PubMed1996

Sexual dimorphism in secretion of hypothalamic gonadotropin-releasing hormone and norepinephrine after coitus in rabbits.

Coital activation of the hypothalamo-hypophyseal ovarian axis (HOA) is well documented in rabbits, but coital excitation of the hypothalamo-hypophyseal testicular axis (HTA) is less well described. We and others have postulated that the response of the HOA to coitus, as characterized by a dramatic release of hypothalamic GnRH, may be mediated by an increase in norepinephrine (NE) neuronal activity. Herein, we studied selective HOA and HTA responses in New Zealand White rabbits before, during, and after coitus. Firstly, we determined the effects of microdialysis (mu D) and blood-sampling methods on plasma LH and testosterone (T) patterns in male rabbits during sexual performance. Subsequently, we compared the patterns of release in GnRH and norepinephrine (NE) from the arcuate nucleus-median eminence (AME) at 10-min intervals with changes in plasma LH levels in copulating male and female rabbits. Lastly, in 2.5-min AME mu D samples from females immediately after coitus, we measured NE and GnRH concentrations to determine whether NE release precedes that of GnRH. Tethered, freely moving rabbits were exposed to their partners for 10 min at the end of the third (10-min sampling for 5-7 h) or second (2.5-min sampling for 4 h) hour. Data from individuals that did not mate during the 10-min of pairing in the 3- to 7-h sampling trials were included as a control group (sham-mated). The results showed no changes (P > 0.05) in plasma LH and T in either mated (LH: pre, 0.13 +/- 0.08 ng/ml; post, 0.15 +/- 0.03 ng/ml; T: pre, 2.39 +/- 1.20 ng/ml; post, 0.85 +/- 0.26 ng/ml) or sham-mated males (LH: pre, 0.21 +/- 0.08; post, 0.25 +/- 0.10 ng/ml; T: pre, 1.46 +/- 0.51 ng/ml; post, 1.40 +/- 0.38 ng/ml). Likewise, coitus did not alter patterns of AME-NE (pre, 0.47 +/- 0.25; post, 0.56 +/- 0.25 ng/ml) and GnRH (pre, 0.61 +/- 0.45; post, 0.74 +/- 0.32 pg/ml) in mated or sham-mated males. The constant HTA activity during coitus in males appears to be independent of experimental manipulation per se because LH and T levels between mu D (0.18 +/- 0.05 and 1.72 +/- 0.85 ng/ml, respectively) and non-mu D (0.16 +/- 0.05 and 1.52 +/- 0.36 ng/ml, respectively) rabbits were not different (P > 0.05). In contrast to males, females displayed unambiguous and simultaneous increases in NE (P < 0.05) and GnRH (P < 0.01) release from the AME within 10-20 min after coitus; these elevated concentrations in mu D samples lasted for 3-4 h. Microdialysis NE levels averaged 0.02 +/- 0.01 ng/ml before mating, whereas postcoital values averaged 0.09 +/- 0.01 ng/ml. GnRH levels were 1.04 +/- 0.56 and 11.78 +/- 5.06 pg/ml before and after coitus, respectively. Concomitant increases in plasma LH levels were also observed after coitus in these female rabbits. Moreover, measurements of NE and GnRH in 2.5-min mu D samples revealed that the postcoital increase in NE preceded that in GnRH by 2.5-7.5 min (P < 0.05). The results suggest that neuroendocrine circuits in the two sexes of the New Zealand White rabbit respond differently to genital stimulation. In male rabbits, coitus does not alter patterns of AME NE or GnRH secretion, nor does it change the circulating levels of plasma LH or T. Conversely, in females, coitus induces the rapid release of hypothalamic NE, GnRH, and pituitary LH. The increase in coitally induced NE occurs before the rise in GnRH, which supports the hypothesis that NE is a critical neurochemical in coital activation of GnRH neurons.

Analysis of Variance↗
PubMed1997

Tyrosine hydroxylase and norepinephrine transporter mRNA levels increase in locus coeruleus after coitus in rabbits.

Hypothalamic norepinephrine (NE) plays an important role in the control of sexual behavior and in the secretion of gonadotropin. Our previous study showed that coitus induced simultaneous increases in hypothalamic NE and GnRH releases in female but not in male rabbits. To investigate the activities in noradrenergic neurons during the coitus-induced process of an LH surge, we measured tyrosine hydroxylase (TH, the rate-limiting enzyme in NE synthesis) and NE transporter (NET, a key protein for NE cellular reuptake) mRNA levels in locus coeruleus (LC) noradrenergic cells in female New Zealand White rabbits. Changes in LC-TH and LC-NET mRNA levels were also measured in males as controls. Female rabbits were killed before coitus and at 15, 30, 60, 120, and 240 min after coitus (n = 6-7/time point); males were killed before and at 30, 60, and 120 min after coitus (n = 3/time). Individual brainstems were sectioned, the LC neurons punched, and TH and NET mRNAs were quantified by ribonuclease protection assay (RPA). Rabbit-specific TH (330 bp) and NET (503 bp) cDNAs were used as probes in the RPA for gene-specific signals. A rabbit 'house-keeping' cDNA (cyclophilin, 158 bp) was also cloned and used as an internal marker for tissue RNA content. Trunk blood was collected to determine serum LH levels. In female rabbits, serum LH levels rose by 15 min after coitus, reached peak concentrations at 1-2 h, and declined thereafter. The time interval for changes in TH and NET mRNA levels in females was similar to that in serum LH levels. Both TH and NET mRNAs increased significantly by 15 min (73% and 85% respectively) and were elevated for 2 h (87% and 111% respectively). TH mRNA levels returned to basal levels by 4 h after coitus, whereas NET mRNA values were elevated throughout the 4 h of observation. In contrast, LH, TH and NET mRNA levels did not change after coitus in males. The enhanced gene expression of both TH and NET in the LC in females, in accord with our previous demonstration of increased hypothalamic NE release, suggests that regulation of NE synthesis and reuptake is an integral part of the coitus-induced NE/GnRH/LH surge process that includes the initiation, sustenance or recovery of the release and/or storage of these neurochemicals.

Animals↗
PubMed1984

Coitus during pregnancy: is it safe?

The relation between third-trimester coitus and adverse perinatal outcome was studied in 39 217 pregnancies from the Collaborative Perinatal Project. Coital frequencies reported at 28-29 weeks, 32-33 weeks, and 36-37 weeks were each positively related to subsequent length of gestation (p less than 0.001), both before and after adjusting for multiple covariates. Perinatal mortality was compared among women reporting different frequencies of coitus per month. The adjusted odds ratios (compared with women having no coitus) for women having coitus 0.1-2.0, 2.1-4.0, and greater than 4.0 times per month were 0.74, 0.89, and 0.87 for coitus at 28-29 weeks; 0.82, 0.82, and 0.99 for coitus at 32-33 weeks; and 1.15, 1.11, and 1.45 for coitus at 36-37 weeks. None of these odds ratios was statistically significant. Thus, in this data set there was no association between coitus in pregnancy and adverse outcome of pregnancy.

Actuarial Analysis↗
PubMed1979

Coitus and associated amniotic-fluid infections.

Data were analyzed from 26,886 pregnancies to determine whether coitus is involved in the genesis of amniotic-fluid infections. The frequency of infection was 156 per thousand births when mothers reported coitus once or more per week during the month before delivery, versus 117 per thousand when no coitus was reported (P less than 0.001). The percentage of infected infants who died was 11.0 when there was coitus versus 2.4 when there was no coitus (P less than 0.001). The frequencies of low Apgar scores, neonatal respiratory distress, and hyperbilirubinemia were about doubled when mothers reported coitus. The coitus-associated effects were greater in preterm than in fullterm infants. The pregnancies in the study took place between 1959 and 1966, when national perinatal mortality rates were higher than they are now. Deaths from coitus-associated infections may be less frequent today.

Black or African American↗
PubMed2001

Norepinephrine transporter mRNA expression after coitus in the rabbit brainstem.

In the female rabbit, coitus induces a massive release of hypothalamic gonadotropin-releasing hormone (GnRH) within 20 min. The GnRH surge is preceded by an increase in hypothalamic norepinephrine (NE) release. Presumably, coitus stimulates NE, hence GnRH, release by increasing the activity of tyrosine hydroxylase (TH, the rate-limiting enzyme for NE synthesis) and/or decreasing the activity of norepinephrine transporter (NET, the key protein for NE re-uptake). Since NE cell bodies are located primarily in the brainstem, we hypothesize that coital signals are relayed to hypothalamic GnRH-secreting neurons via brainstem NE-containing perikarya. In support of this hypothesis, we found that both c-fos and TH mRNA expressions in brainstem noradrenergic areas, particularly in the A1 and A2 cell groups, increased within 30 min and returned to precoital levels within 60 min after coitus. Here we analyzed coitally induced changes in NET mRNA expression at 0, 15, 30 and 60 min postcoitus in the brainstem by in situ hybridization, using 35S-labeled rabbit NET RNA probes. In comparison with nonmated females (i.e., at 0 min), the expression of NET mRNA significantly increased (P<0.05) within 15 min postcoitus in the A1, but not the A2 area. By 30 min postcoitus, NET gene expression increased in the caudal portion of the A1 and in the caudal and central portion of the A2. By 60 min postcoitus, NET mRNA expression in the caudal and rostral portion of the A1 and the caudal and central portion of the A2 was still higher than NET mRNA expression in nonmated rabbits (P<0.05). No change in NET mRNA expression was observed in the A6. The results suggest that coitus increases NET mRNA expression in A1 and A2 noradrenergic areas within 15-30 min, and this enhanced NET mRNA expression was maintained for at least 60 min, particularly in the A2. These findings, in combination with our previous observation on increased TH gene expression within 30 min, but not 60 min, after coitus, further suggest that the coitus-induced NET transcriptional events within brainstem NE neurons may play an important role in the maintenance, and particularly in the termination, of hypothalamic NE release, hence regulating the size and duration of the coitus-induced GnRH surge.

Animals↗
PubMed1989

Reexamining factors predicting Afro-American and white American women's age at first coitus.

Research identifying factors associated with ethnic differences in first coitus has been limited by methodologies and samples used. This study reexamines ethnic differences in Afro-American and white American women's age of first coitus. Demographic, socialization, and decision-making factors were examined in a series of multiple regression analyses, with the prevalence of women's child sexual abuse incidents, in order to identify variables that best predicted age of first coitus. The subjects were a multiethnic community sample of 248 women, 18 to 36 years of age, residing in Los Angeles County. Their demographic characteristics were comparable on education, marital status, the prevalence of children, and income. The results indicated that women's perceptions of their parents as more influential than peers during adolescence, and being in love and ready for sex were predictors of an older age at first intercourse. Ethnicity was not significantly associated with the strongest predictors or with first coitus. Factors that best predicted first coitus were also similar for both ethnic groups. The findings suggest that in order to examine the role of ethnicity in first coitus, differences in demographic characteristics found between black and white samples need to be controlled. Similarly, multiethnic research should include variables that are relevant to both ethnic groups, as well as abusive sexual experiences, in order to understand the multiplicity of factors predicting age at first intercourse.

Adolescent↗
PubMed2002

Urological complications of coitus.

OBJECTIVE: To ascertain the urological complications of coitus, as the proximity of the lower urinary tract to the organs of coitus exposes the tract to coital trauma. MATERIALS AND METHODS: Medline was searched from 1966 to 2000 to identify reports on coital injuries. Publications and relevant references were retrieved. Those reporting urological complications were selected for analysis. RESULTS: In all, 1454 cases of reported coital injuries were reviewed; 790 occurred in men while 664 occurred in women, mainly in the genital area. Physical urological complications were more common in men than in women. The injuries were often sustained during voluntary coitus, but one penile fracture was sustained during an attempted rape. The presentations included penile swellings and deviations, haemorrhage, erectile dysfunction and urinary incontinence. Complications included vesicovaginal fistulae, bladder and cavernosal ruptures, and urinary tract infections. Rare complications included isolated rupture of the penile vasculature. Major risk factors included penovaginal disproportion, excessive force at coitus, urethral coitus, fellatio and anal intercourse. Urethral injuries were the commonest complications; in men these were associated with 10-38% of penile fractures. The treatments included cold compress and anti-inflammatory agents in contusions, repairs of lacerations, closure of fistulae and urethral and vaginal reconstruction. The results of treatment were essentially good. Recurrent penile fractures were reported. CONCLUSION: Coitus, although pleasurable, may be risky. The complications have been termed 'faux pas' implying that they are preventable. While the ultimate prevention is abstinence, this is an unrealistic prescription. Therefore, efforts are necessary to identify risk factors to enable preventive strategies.

Coitus↗
PubMed2000

Coitus-induced activation of c-fos and gonadotropin-releasing hormone in hypothalamic neurons in female rabbits.

Copulation induces hypothalamic release of neuropeptides and catecholamines, especially gonadotropin-releasing hormone (GnRH) and norepinephrine, in female rabbits. The forebrain distribution of GnRH cells and the cellular events responsible for the coitally induced GnRH surge have not been identified. We characterized the expression of c-fos mRNA before (0 min) and up to 60 min after coitus in forebrain tissues of mated and nonmated females and compared these findings with those in which single- and double-labeled GnRH/Fos protein cells were identified by immunocytochemistry (ICC). Enhanced expression of fos-mRNA occurred 30 min after coitus, especially in the anteroventral periventricular nucleus (AVPV), the encapsulated portion of the bed nucleus of the stria terminalis (BNSTe) and the ventrolateral hypothalamus (VLH); this increased fos-mRNA activity remained elevated at 60 min in the AVPV and VLH, and was reflected by Fos protein expression 90 min postcoitus. Both ICC Fos-labeled and ICC GnRH-labeled cells were widely distributed throughout the forebrain with postcoital increased double-labeling in the preoptic-septal areas, the anterior-medial hypothalamus and the VLH. The increased number of dual-labeled and unchanged number of single-labeled GnRH cells after coitus suggest some GnRH neurons were non-detected before coitus. Many dual-labeled neurons were adjacent to Fos-labeled cells, suggesting enhanced interneuronal input to GnRH cells after coitus. Collectively, the results suggest that coitus activates hypothalamic GnRH neurons via several loci that include the AVPV, BNSTe and VLH. The distinct anatomical location of the AVPV, BNSTe and VLH further suggests that coital signals may reach the hypothalamus via separate neural pathways that are likely developed within the brainstem.

Animals↗
PubMed1989

Coitus, twin pregnancy, and preterm labor.

The effect of coitus on precipitation of preterm labor was studied prospectively in 126 women with twin pregnancies. All of the women attended a special antenatal clinic in a tertiary referral center and were questioned about the frequency of coitus. Of the participants, 40% reported coitus early in the third trimester; the rate decreased to 24% by 36 weeks' gestation. There were no significant differences in the frequency of positive responses between those who went into labor before term when contrasted with those who were delivered of infants at term. The data indicate that coitus is not an important precipitant of preterm labor in this high-risk group and that coitus need not be discouraged in women with twin pregnancies.

Adult↗
PubMed1981

Coitus and antepartum haemorrhage.

The relationship of coitus to antepartum haemorrhage was explored in a longitudinal study of 56 568 pregnancies. The frequency of the haemorrhages was 19/1000 births when women reported no recent coitus compared with 30/1000 when there had been recent coitus (p less than 0.001). The frequency of the bleeding increased with the frequency of coitus. The correlation between coitus and bleeding was independent of other factors known to increase the risk of antepartum bleeding including cigarette smoking, hypertension, advancing maternal age and placenta praevia.

Coitus↗
PubMed1982

Luteinizing hormone release in the cat in response to coitus on consecutive days of estrus.

Domestic cats are known to release an ovulatory LH surge in response to coitus. In this study, we determined the LH release following coitus on consecutive days of estrus. Variable responses to 2 matings were obtained as to the day of the ovulatory LH release: 6/14 on Day 1 (the first day of estrus), 3/14 on Day 2, 4/14 on Day 3 and 1/14 on Day 4 of estrus. The average amount of LH released during the ovulatory surge was 298 ng/ml X h (area units). The ovulatory surge was the greatest surge during estrus in 10/14 observations; 4/14 had a greater LH surge the following day. The average amount of LH released on the day of the greatest surge was approximately 338 ng/ml X h with significantly less (P less than 0.05) LH released on subsequent days: 33, 14, 19, 7 and 14 ng/ml X h. This dramatic decrease in LH release indicates an apparent refractoriness of the hypothalamus/pituitary to coital stimulation following a major release of LH. Estradiol-17 beta concentrations were always greater on the day of the coitus-induced ovulatory LH surge (mean = 51 +/- 5 pg/ml) as compared to the previous day (mean = 34 +/- 4 pg/ml) when coitus did not result in a significant LH release. These data suggest that the ability to release LH in response to coitus is in part a function of the duration of exposure to estrogen by the hypothalamus and/or anterior pituitary.

Animals↗
PubMed1994

Differences in seminal parameters in specimens collected via intercourse and incomplete intercourse (coitus interruptus)

Whatever the mechanism of such improvements may be, the results in this study point out that coitus interruptus in the human may not be the method of choice for collection of semen specimens, especially in patients with spermatogenic dysfunctions such as hypospermia, oligospermia, and asthenospermia. It should also be noted at this point that, for whatever purpose (semen analysis or artificial insemination by husband), the collected specimen should as closely as possible resemble the ejaculate delivered during intercourse. The complete coitus method, as applied in this study, showed that completion of the ejaculatory process during intercourse as compared with the coitus interruptus method, may assist in the improvement of the collected specimen and should closely resemble the ejaculate obtained during intercourse without the use of Silastic condoms. Furthermore, on the basis of the results generated in this study, the complete coitus method should always be the method of choice for male infertility patients with ejaculatory and spermatogenic dysfunctions as well as for scientists and clinicians who deal in the field of infertility diagnosis and treatment.

Coitus↗
PubMed1993

Determinants of coitus after childbirth.

Using a sample of 3080 women from Cebu, Philippines, interviewed immediately after childbirth and every 2 months thereafter for 2 years, the determinants of return to coitus are analysed. Eighty per cent of the women returned to coitus before the return of menses, and 90% did so before stopping breast-feeding. In hazards models, variables associated with traditional life styles retarded return to coitus. Situational variables (husband resident, crowding, children aged 6 and under), especially husband residence, and biological variables (mother's age, return to menses, and lactation) were significant predictors of return to coitus. The implications of the analysis for the construction of models of birth interval dynamics are discussed.

Adult↗
PubMed1982

Coitus and chorioamnionitis: a prospective study.

Amniotic fluid infections have been strongly associated with coitus during pregnancy. If the relationship is causal it may be possible to identify a time sequence between coitus, penetration of bacteria through the mucous plug in the cervix, the development of infection in the extraplacental membranes near the cervical os, spread of the infection to the amniotic fluid and complications of the infection. The present study looked for such a sequence in an analysis of 541 pregnancies. A peak frequency of chorioamnionitis limited to the extraplacental membranes was present when labor and delivery took place within two days of the last coitus. In the next two days the infection spread to the amniotic fluid as evidenced by a peak frequency of maternal neutrophils migrating through the placental plate toward the amniotic cavity. Premature delivery was 4 times more frequent when there had been recent coitus and an amniotic fluid infection was present than when either factor was absent (P less than 0.01). Spontaneous rupture of the fetal membranes before the onset of and the membranes were inflamed than when these factors were absent (P less than 0.01). This raises the possibility that orgasm further weakened or ruptured membranes that had already been weakened by infection.

Amnion↗
PubMed1986

Adolescent coitus and infant birthweight.

Seventy-nine percent of a group of adolescent mothers reported coitus during pregnancy. There was a significant difference between the mean birthweight and gestational age of infants born to mothers who reported coitus within 90 days of delivery compared to the mean birthweight and gestational age of infants of mothers who reported no gestational age of infants of mothers who reported no coitus within 90 days of delivery. Thirty-nine percent of the variance in birthweight was explained by maternal factors alone, but only 1.0% of the variance in birthweight was accounted for by the interval between last coitus and delivery. Prepregnancy weight (r = 0.380) and weight gain during pregnancy (r = 0.327) contributed 19.1% and 7.4% of the variance in birthweight, respectively.

Adolescent↗