房间里的大象:关于在辅助生殖技术访问期间关于性行为的对话的研究
Michele Montecalvo1, Elena Vegni1,2, Raffaella Balestrieri1
1Clinical Psychology, Department of Health Science, University of Milan, Milan, Italy.
Journal of psychosomatic obstetrics and gynaecology
|July 5, 2024
概括
在生育治疗 (辅助生殖技术 - ART) 期间,性问题很少被讨论. 医生发起了大多数性谈话,男性比女性更有可能谈论夫妇之间的性行为. 解决这个差距可以改善患者的福祉.
科学领域:
- 生殖医学 生殖医学
- 医学社会学 医学社会学
- 医疗保健通讯 医疗保健通讯
背景情况:
- 不孕症治疗,包括辅助生殖技术 (ART),显著影响患者的生活.
- 性在不孕症过程中的关键作用在临床环境中经常被忽视.
- 关于性健康的有效沟通对于ART期间的患者福祉至关重要.
研究的目的:
- 在ART咨询期间调查性对话的频率和性质.
- 识别谁开始讨论性和这些互动的内容.
- 分析医疗保健提供者和接受ART的患者之间关于性别的沟通模式.
主要方法:
- 一项分析视频录制的ART访问的定性定量研究.
- 量化所有发言,特别关注与性相关的发言 (占总数的1.3%).
- 对性传播进行定性分析,将其分为明确的,几乎明确的和隐含的等级.
主要成果:
- 在ART访问期间,性行为发言只占所有分析的通信的1.3%.
- 医生发起了72%的性讨论;在夫妇中,男性发起了64%的性谈话.
- 女性患者主要响应了医生发起的明确/几乎明确的沟通.
结论:
- 在ART期间,关于性行为的谈话特别罕见,尽管它具有临床重要性.
- 鼓励关于性健康的公开对话可以为ART患者提供支持的环境.
- 改善关于性行为的沟通可能会提高患者的福祉和ART护理的质量.
相关概念视频
In Vitro Fertilization
239
In vitro fertilization (IVF) is a form of assisted reproductive technology where an egg is fertilized with sperm in a controlled laboratory environment before transferring the resulting embryo into the uterus. This process is designed to help individuals and couples experiencing difficulties conceiving.
The IVF process begins with ovarian stimulation, during which reproductive endocrinologists prescribe hormonal medications to stimulate the ovaries to produce multiple eggs instead of the single...
The IVF process begins with ovarian stimulation, during which reproductive endocrinologists prescribe hormonal medications to stimulate the ovaries to produce multiple eggs instead of the single...
239
Sex-linked Disorders
101.9K
Like autosomes, sex chromosomes contain a variety of genes necessary for normal body function. When a mutation in one of these genes results in biological deficits, the disorder is considered sex-linked.
101.9K
Reproductive Cloning
30.3K
Reproductive cloning is the process of producing a genetically identical copy—a clone—of an entire organism. While clones can be produced by splitting an early embryo—similar to what happens naturally with identical twins—cloning of adult animals is usually done by a process called somatic cell nuclear transfer (SCNT).
Somatic Cell Nuclear Transfer
In SCNT, an egg cell is taken from an animal and its nucleus is removed, creating an enucleated egg. Then a somatic...
Somatic Cell Nuclear Transfer
In SCNT, an egg cell is taken from an animal and its nucleus is removed, creating an enucleated egg. Then a somatic...
30.3K
Spermatogenesis
102.3K
Spermatogenesis is the process by which haploid sperm cells are produced in the male testes. It starts with stem cells located close to the outer rim of seminiferous tubules. These spermatogonial stem cells divide asymmetrically to give rise to additional stem cells (meaning that these structures “self-renew”), as well as sperm progenitors, called spermatocytes. Importantly, this method of asymmetric mitotic division maintains a population of spermatogonial stem cells in the male...
102.3K
Infertility in Males
258
Male infertility affects millions of couples worldwide, arising from various factors that impact different stages of the reproductive process. An endocrine imbalance resulting from conditions like hypogonadism, Klinefelter syndrome, or pituitary disorders can disrupt hormone levels and reduce sperm production. Testicular defects, such as tumors, cryptorchidism, atrophic testes, abnormal sperm morphology, and low sperm count or motility, may arise due to genetic factors, structural...
258
Fertilization
70.9K
During fertilization, an egg and sperm cell fuse to create a new diploid structure. In humans, the process occurs once the egg has been released from the ovary, and travels into the fallopian tubes. The process requires several key steps: 1) sperm present in the genital tract must locate the egg; 2) once there, sperm need to release enzymes to help them burrow through the protective zona pellucida of the egg; and 3) the membranes of a single sperm cell and egg must fuse, with the sperm...
70.9K


