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Related Concept Videos

Assessment of the Rectum and Anus01:25

Assessment of the Rectum and Anus

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Evaluating the rectum and anus plays a crucial role in conducting a thorough physical examination of the gastrointestinal system. Although it may be uncomfortable and often embarrassing for the patient, it holds immense diagnostic value, particularly in detecting gastrointestinal diseases and abnormalities. This guide will explain how to perform this assessment using inspection and palpation methods.
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The female reproductive system can be affected by several disorders, including Premenstrual Syndrome (PMS), Premenstrual Dysphoric Disorder (PMDD), endometriosis, and various forms of cancer. PMS and PMDD are cyclical conditions that cause physical and emotional distress, with symptoms that include edema, mood swings, and food cravings. PMDD is a more severe form of PMS characterized by increased symptom severity that peaks during the luteal phase and tends to improve or resolve shortly after...
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Obstetric Anal Sphincter Injury and Female Sexual Dysfunction: A Systematic Review.

Dora Jericevic Schwartz1, Isabella Cervantes2, A U Amanda Nwaba

  • 1From the NYU Langone Health, New York, NY.

Urogynecology (Philadelphia, Pa.)
|October 29, 2024
PubMed
Summary
This summary is machine-generated.

Obstetric anal sphincter injury (OASI) significantly impacts female sexual function, with many women experiencing pain and dysfunction postpartum. Early intervention may be crucial for improving sexual health outcomes after OASI.

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Area of Science:

  • Reproductive Medicine
  • Women's Health
  • Gastrointestinal Surgery Outcomes

Background:

  • Obstetric anal sphincter injury (OASI) is a severe complication of childbirth.
  • Female sexual dysfunction (FSD) is a common but understudied outcome following OASI.
  • This systematic review is the first to focus on FSD in OASI patients.

Purpose of the Study:

  • To systematically review and characterize the prevalence and nature of female sexual dysfunction (FSD) after obstetric anal sphincter injury (OASI).
  • To analyze reported rates of dyspareunia and overall sexual function using validated questionnaires.

Main Methods:

  • A comprehensive literature search was conducted between January and April 2024.
  • Included studies reported on FSD outcomes in OASI patients, including dyspareunia rates or sexual function questionnaire data.
  • Fourteen studies involving 1,907 OASI patients met the inclusion criteria.

Main Results:

  • Dyspareunia affected 27%-35% of women in the first year postpartum.
  • Only 40%-57% resumed sexual activity by 3 months postpartum.
  • Female Sexual Function Index (FSFI) indicated FSD in 47%-81% of OASI patients, with desire and arousal domains showing slow improvement.

Conclusions:

  • A significant proportion of women experience dyspareunia and do not resume intercourse within 3 months postpartum following OASI.
  • FSD, particularly concerning desire and arousal, persists in a majority of OASI patients.
  • Current evidence suggests physical therapy may not significantly improve FSD in this population.