Congenital adrenal hyperplasia (CAH) describes a group of inherited autosomal recessive disorders characterized by enzyme defects in the steroidogenic pathways that lead to the biosynthesis of cortisol, aldosterone, and androgens. Chronic excessive adrenocorticotropic hormone (ACTH) stimulation may result in hyperplasia of ACTH-sensitive tissues in adrenal glands and other sites such as the testes, causing testicular masses known as testicular adrenal rest tumors (TARTs). Leydig cell tumors (LCTs) are make up a very small number of all testicular tumors and can be difficult to distinguish from TARTs. This distinction is interesting because LCTs and TARTs require different therapeutic approaches. Hereby, we present an unusual case of a 19-year-old patient with CAH due to 11β-hydroxylase deficiency, who presented with TARTs and an epididymal Leydig cell tumor.

The aim of the study was to evaluate the impact of polycystic ovary syndrome (PCOS) on marital sexual satisfaction among a sample of women. Methods: Thirty two women diagnosed PCOS, were included in the study. The questionnaire contains a general part concerning socio-demographic conditions, medical history, health problems, PCOS symptoms Sexual satisfaction was evaluated by "the Female Sexual Function Index" (FSFI). Results: The mean age of PCOS women was 28.9±5.6 years, Sixty per cent of PCOS women had miscarriages and half of of the sample was treated for infertility. Eighty five percent of patients with PCOS had a morbid obesity (BMI > 30 kg/m2). Ninety five per cent of PCOS women had an hirsutism Marital sexual dysfunctions were found in 50 % of the sample (global score of FSFI < 26). Marital sexual disorders were significantly increased with presence of hirsutism (p< 0.01). BMI had no impact on the sexual satisfaction. Both obese and non obese women with PCOS reported being significantly less satisfied with their sex life in the past month (p < 0.001), finding themselves significantly less sexually attractive (p=0.03), perceived their husbands as less satisfied with their sex life (p= 0.001), and reporting that excessive body hair affected their sexuality (p= 0.003). BMI also had no significant effect on the frequency of sexual intercourse or sexual thoughts and fantasies. Conclusion: This study shows many sexual problems affecting patients with PCOS. A medical treatment which aimed to improving PCOS-related symptoms can reduce psychological distress and improve sexual self-worth.

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IntroductionIntimate partner violence is an under recognized problem in our society that is misjudged and often overlooked.Violence in women has been linked to chronic health, emotional complications, one of which includes low self-esteemObjectivesTo study the prevalence and predictors of low self-esteem among women victims of domestic violence.MethodsOur study was descriptive and analytical cross-sectional, carried out with women examined in the context of medical expertise, from May until January 2022.An anonymous survey was asked to these ladies.The Rosenberg questionnaire was used to assess the self esteemResults122 responses was collected.The average age of the assaulted women in our study was 35.66 years(from18 to 64 years) 98.4%were victims of verbal violence, 95,1% of physical violence, 97,5% of psychological violence and 54.7 %of sexual violence.Self esteem was very low among 43,4% of women ,low among 18,9%,average among 15,6%,high among 15,6% and very high among 6,6%.Women with children had lower self-esteem (p=0.02).Low self-esteem were significantly correlated with: the husband cannabis consumption (p=0.01).The ladies victims of sexual violence such as an unusual type of relationship had lower self-esteem (p=0.01).Women who were threatened by their spouses had lower self-esteem (0,01).An history of aggression during pregnancy was a risk factor for low self-esteem (p=0, 01).ConclusionsResults suggest domestic violence has on women, not only physically effect but mentally and emotionally, this is why an urgent reaction must be taken by the state to reduce this scourge and hs repercussions on the mental health of the victims.Disclosure of InterestNone Declared

IntroductionThe violence against women massively committed by their spouses is a scourge that transcends countries, ethnicities, cultures, classes social and age groups.This violence is traumatic and represents a serious attack on the physical integrity and mental health of the women who are victimsObjectivesTo study the prevalence and predictors of peritraumatic distress among women victims of domestic violenceMethodsWe contacted 122 women who consulted at the psychiatric emergency of ‘Hedi Chaker hospital’,Sfax examined in the context of medical expertise on the period between May 2021 until January 2022A questionnaire regarding the violence was asked to responders .It included demographic and violence exposure questions and a scale applied during violence ‘Peritraumatic distress inventory’ResultsThe average age of women assaulted in our study was 35.6 ± 9.94 years (min=18,max=64).78.7% (n=96) of ladies were of urban origin.The majority of them(44,3%) had secondary level education.The half of the population (51.6%) had an average socio-economic level. (86.1%) had children.98.7%were victim of verbal violence,94.7% of physical violence, 97.3% of psychological violence and 54.7 %of sexual violence.72.1% of women (N=88) developed peritraumatic distress related to the assault with a risk of developing post-traumatic stress disorder.Women who were threatened by their spouses were more in distress than others (0,04).Physically abused women using a knife developed more peritraumatic distress (p=0,02).ConclusionsDomestic violence is a global public health problem, that calls for urgent actions.Peritraumatic distress linked to violence may lead to psychotraumatic disordersthat are the source for traumatized victims of great suffering mental health and a possible vital risk (suicide, risky behavior).Disclosure of InterestNone Declared