The aim of this investigation is to determine the sexual history traits, sexual satisfaction level and frequency of sexual dysfunctions in men whose partners have vaginismus. The study included 32 male partners of vaginismic patients, who presented at a psychiatry department. Subjects were evaluated by a semi-structured questionnaire. The questionnaire was developed by researchers for assessing sexually dysfunctional patients and included detailed questions with regard to sociodemographic variables, general medical and sexual history. All participants also received the Golombok Rust Inventory of Sexual Satisfaction (GRISS). According to DSM-IV-TR criteria, 65.6% of the investigated males were diagnosed with one or more sexual dysfunctions. The most common problem was premature ejaculation (50%) and the second one was erectile dysfunction (28%). The transformed GRISS subscale scores provided similar data. It is concluded that the assessment of sexual functions of males who have vaginismic partners should be an integral part of the management procedure of vaginismus for optimal outcome.

This study identified a low level of awareness of later life sexuality among Turkish medical doctors. These findings identify a need to improve the education and training of doctors at both undergraduate and postgraduate levels to enable them to provide better sexual health care to older people.

Introduction Although vaginismus is a common sexual dysfunction in Turkey, there are only limited data about sexual behavior characteristics and comorbidity with other sexual dysfunctions in vaginismic patients. Aim To investigate the frequency of female sexual dysfunctions (FSDs) in a Turkish clinical sample and to determine the comorbidity of other FSDs in women diagnosed with lifelong vaginismus. Methods The study included 54 female patients who presented to a psychiatry department with sexual problems/complaints. Main Outcome Measures The subjects were evaluated using a semi-structured questionnaire. The questionnaire was developed by the researchers in order to assess sexually dysfunctional patients and included detailed questions about socio-demographic variables, and general medical and sexual history. All participants were also assessed using the Golombok Rust Inventory of Sexual Satisfaction. Results The most common primary FSD in our sample was vaginismus (75.9%), followed by hypoactive sexual desire (9.2%). Regarding comorbidity, in 36 female patients with lifelong vaginismus, we found dyspareunia in 17 women (47.2%), orgasmic disorder in eight women (22.2%), and sexual desire disorder in six women (16.6%) as a second sexual dysfunction, based on the Diagnostic and Statistical Manual of Mental Disorders-Fourth Edition, Text Revision criteria. Conclusions With respect to FSDs within the Turkish clinical population, vaginismic patients constitute the largest group and cultural factors may play a role in the occurrence of this condition. Additionally, our data indicated that there was a strong correlation between vaginismus and dyspareunia. There was also a high frequency of hypoactive desire and orgasm disorder in vaginismic patients. These results suggest that multidimensional assessment of sexual dysfunction in female patients is of great importance.

Results:According the results of the Bonferroni post hoc test, there were significant differences in values of mean sperm count, percent progressive sperm motility, and total motile sperm count between 30 minutes and 120 minutes (p=0.000, p=0.000, and p=0.000) and between 60 minutes and 120 minutes (p=0.000, p=0.000, and p=0.001), but there was no significant difference between 30 minutes and 60 minutes (p=1, p=0.173, and p=1). Conclusion:This study demonstrated that sperm parameters are negatively affected from prolonged incubation time. A maximum 60-minute limit of the interval between the onset of postwash sperm incubation and IUI time may increase pregnancy rates. (J Turk Ger Gynecol Assoc 2014; 15: 82-5) Key words: IUI time, sperm wash, semen parameters Received: 23 October, 2013 Accepted: 16 December, 2013 The effect of intrauterine insemination time on semen parameters

ÖZET:Cinsel işlev bozuklukları, depresyon ve antidepresanlar Normal cinsel işlev biyopsikososyal bir süreçtir: Cinsel sorunların hemen daima organik ve psikolojik bileşenleri vardır ve çok disiplinli değerlendirmeyi gerektirirler. İlişki çatışmaları, stresli yaşam olayları, yetersiz cinsel eğitim, yaşlanma, azalmış testosteron düzeyleri, tıbbi hastalıklar, bazı ilaçlar ve depresif bozukluklar gibi etmenler cinsel işlev bozukluğu oluşmasında rol alabilir. Depresyon eski Mısır çağlarından beri ayrı bir patoloji olarak tanımlanmış-tır ve en sık görülen tıbbi hastalıklardan biridir. Depresif mizaç, azalmış istek veya haz, anlamlı miktarda kilo kaybı veya kilo alma, uykusuzluk veya aşırı uyuma, psikomotor ajitasyon veya retardasyon, halsizlik veya enerji kaybı, değersizlik hissi, düşünme ve odaklanma yetisinde azalma, kararsızlık, yineleyici ölüm düşünceleri, intihar düşün-cesi, intihar girişimi veya özgül intihar planları gibi depresif belirtilerin karakteri büyük oranda hastalığın şiddetine bağlıdır. Cinsel işlev bozuklukları sıklıkla depresyonda bulunur ama günümüzdeki sınıflandırma sistemleri depresyon ve cinsel işlev bozuklukları arasındaki ilişkiyi yeterince ele almaz. Depresif bireylerde azalmış cinsel istek en çok bildirilen bozukluk olmasına karşın, kadında vajinal kuruluk ve erkekte sertleşme bozukluğu ile sonuçlanan uyarılma zorlukları ve orgazm yokluğu veya gecikmesi de yaygın rastlanan sorunlardır. Cinsel işlev bozuklukları aynı zamanda antidepresan ilaç tedavisinin sık görülen istenmeyen yan etkisidir ve ilaçların erken kesilmesinin ana nedenlerindendir. Seçici serotonin geri alım engelleyiciler en yaygın kullanılan ve norepinefrin, dopamin ve melatonin sistemlerini etkileyen antidepresanlarla kıyaslandığında uyarılma ve orgazm üzerine anlamlı etkileri olan antidepresan ilaçlardır. Bu yazının amacı depresif hastalarda cinsel işlev bozukluklarını gözden geçirmek ve bu hastalarda cinsel işlev bozukluklarının klinik olarak değerlendirilmesi ve tedavisine odaklanmaktır. Normal sexual function is a biopsychosocial process; sexual problems almost always has organic and psychological components and requires multidisciplinary evaluation and treatment. Factors such as relationship conflicts, stresfull events, poor sexual education, aging, declining testosterone levels, medical illness, certain medications, and depressive disorder can contribute to sexual dysfunctions. Depression is one of the most prevalent medical disorders and has been recognised as a distinct pathologic entity from early Egyptian times. The character of depressive symptoms such as depressed mood,diminished interest or pleasure, significant weight loss or gain, insomnia or hypersomnia, psychomotor agitation or retardation, fatigue or loss of energy, feelings of worthlessness, diminished ability to think or concentrate; indecisiveness, recurrent thoughts of death, suicidal ideation, suicide attempt, or specific plan for suicide depends to a large extent on the severity of the disorder. Sexual dysfunction is often implicated in depression, but c...