Reduced sexual activity in pregnancy among Nigerian women: Assessing the associated factors

Ugboaja, JO; Ubajaka, Chika Florence; Oranu, Emmanuel Okwudili; Oguejiofor, Charlotte Blanche; Anyaoku, Chinekwu Sochukwu; Enenchukwu, Chukwunonso Isaiah; Igwegbe, AO

doi:10.4103/njgp.njgp_11_18

Cited by 4 publications

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“…In the present study, TVS found an abnormal cavity in 37.5% of women, while HSG showed an abnormal uterine cavity in 51.1%, and 76.1% of the women had abnormal uterine cavity findings on HSC. The high rate of abnormalities confirmed on HSC is similar to 61.1% by Ajayi et al 17 in the south-west; 70.4% by Blinded for Anonymity et al 18 in the south-east; and Okohue et al, 19 who reported 77.0% among infertile women in south-south Nigeria.…”

Section: Discussionsupporting

confidence: 77%

“…Considering the categories of abnormalities detected, intrauterine adhesions were the most common findings confirmed on HSC, and this is similar to previous works in Nigeria. 17,18,20 These adhesions could be caused by infectious or iatrogenic trauma to the basal layer of the endometrium, causing scarring of the endometrium as well as obliteration of the cavity. The common precipitating events include dilatation and curettage for pregnancy-related events, uterine surgeries such as myomectomy, and caesarean sections.…”

Section: Discussionmentioning

confidence: 99%

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Diagnostic accuracy of transvaginal ultrasonography and hysterosalpingography in the detection of uterine cavity pathologies among infertile women

Okonkwo,

Eleje,

Obiechina

et al. 2024

Acta Radiologica Open

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Background Uterine cavity pathology may affect the endometrium or myometrium, resulting in distortion of the uterine cavity, and is responsible for 2%–5% of infertility. The methods for its assessment usually involve imaging modalities like pelvic ultrasonography, often transvaginal-(TVS), and hysterosalpingography-(HSG), with hysteroscopy-(HSC) as the gold standard. However, HSC is not readily available in resource-poor-settings. Purpose To determine and compare the diagnostic accuracy of TVS and HSG in detecting uterine cavity pathology using HSC as a gold standard. Materials and Methods A cross-sectional analytical study of consenting infertile women for evaluation of the uterine cavity using transvaginal-ultrasonography, hysterosalpingogram, and hysteroscopy. The primary-outcome-measures were the sensitivity, specificity, and accuracy of TVS and HSG in detecting uterine cavity abnormalities using HSG as the gold standard. Results Eighty-eight participants were analysed for this study. The lesions confirmed on HSC were intrauterine-adhesions (43.1%), endometrial polyps (14.8%), submucous fibroids (18.2%), intrauterine-septum (13.6%), and cavity distortion (14.8%). The overall sensitivity with TVS was 57.7%, with a specificity of 97.6%, a positive-predictive-value (PPV) of 88.2%, and a negative-predictive-value (NPV) of 88.2%, giving a percentage-accuracy of 88.2%. In comparison, HSG had a sensitivity of 72.1%, a specificity of 99.4%, a PPV of 97.4%, and an NPV of 92.0%, giving an overall accuracy of 92.9%. The detection rates of TVS and HSG in this category were: fibroids (97.7% vs 89.8%; p = .0004) and adhesions (73.9% vs 87.5%; p = .0002), respectively. Conclusion HSG appears to be the superior modality for detection of obliterative uterine cavity pathologies, while TVS is better suited for myometrium and endometrial lesions.

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Section: Discussionsupporting

confidence: 77%

Section: Discussionmentioning

confidence: 99%

Diagnostic accuracy of transvaginal ultrasonography and hysterosalpingography in the detection of uterine cavity pathologies among infertile women

Okonkwo,

Eleje,

Obiechina

et al. 2024

Acta Radiologica Open

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“…Gynaecological laparoscopy is a trans-peritoneal endoscopic technique that excellently shows the pelvic structures and is often used to detect gynaecologic disorders and perform pelvic surgery without a laparotomy procedure 4 . It is among the most popular surgical intervention carried out by gynaecologists, and also one of the most crucial investigative device for detecting tubal disease in developed nations [4][5][6][7][8][9] . About 80% of gynaecological surgical procedures can be done laparoscopically 4 .…”

Section: Introductionmentioning

confidence: 99%

Facing the challenges of gynaecological endoscopic surgical practice in Nigeria: A review

John Celestine Osita,

Nyengidiki K Tamunomie

2024

Int. J. Sci. Res. Arch.

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Background: The scope of gynaecological endoscopy in Nigeria is expanding as more experience is gained with training and collaborations. However, this advancement is limited by multi-faceted challenges, especially in our sub region. Objectives: To evaluate the experiences and challenges of gynaecologic endoscopic surgical practice in Nigeria. Materials and Methods: An electronic literature search of all articles published on gynaecologic endoscopic surgery in Nigeria between 1984 and 2023 was conducted using High wire, Google, Google scholar, PubMed, Hinari, Web of Science and Springer Link. All relevant peer-reviewed articles and publications were identified, retrieved, and reviewed. Telephone and face-to-face interviews with Endoscopic surgeons from public and private institutions across the country were conducted as it related to challenges and experiences of practice. Data was collated in a pre-structured spreadsheet and analyzed with the Statistical Package for Social Science version 25. Results are presented as frequency tables and percentages. Results: The study identified lack of public awareness, socio-cultural, economic, low budgetary allocation to healthcare, decline in national infrastructure, conflict, and insecurity as non-institutional challenges. The institutional challenges reported were limited number of public institutions offering gynaecological endoscopic services, with practice more in private hospitals. Conclusion: Gynaecological endoscopic practice is largely suboptimal due to limited facilities and personnel, as well as a lack of political will. Efforts should be made to address these challenges and to proffer potential solutions that will improve healthcare delivery to women.

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“…Hormonal regulation, psycho-emotional state, perception of one's physicality are changing. In addition, during pregnancy there is a decrease in libido associated with fatigue and a negative body image, as well as anorgasmia resulting from a lack of sufficient desire [5][6][7][8].…”

Section: Introductionmentioning

confidence: 99%

Sexual intercourse during pregnancy as a source of anxiety in pregnant women

wróbel¹,

talkowski

zmarzły

et al. 2019

Preprint

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Background: Pregnant women feel and accept the need for sexual activity and in most cases engage in intercourse during pregnancy. The aim of the study was to assessment of the occurrence of anxiety associated with the possibility that the fetus is at risk, which results from having sexual contacts by healthy women during pregnancy. Methods: 373 women were surveyed using a self-constructed questionnaire containing questions about sexual life during pregnancy. The examination took place between the first and the fifth day after delivery, when patients stayed in the Obstetric Ward. All women delivered healthy children on time. The obtained results were subjected to statistical analysis. Results: Among 373 examined women, 319 (85,5%) had intercourses during pregnancy, while 54 (14,5%) were not sexually active. In a group of sexually active women, 196 (52,2%) felt anxiety that pregnancy may be at risk due to this activity. Conclusions: It is advisable for the doctor and midwife to talk with a pregnant woman about differences in intercourse and quality of sex life during pregnancy, minimizing the occurrence of fear about fetus well-being.

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Reduced sexual activity in pregnancy among Nigerian women: Assessing the associated factors

Cited by 4 publications

References 0 publications

Diagnostic accuracy of transvaginal ultrasonography and hysterosalpingography in the detection of uterine cavity pathologies among infertile women

Diagnostic accuracy of transvaginal ultrasonography and hysterosalpingography in the detection of uterine cavity pathologies among infertile women

Facing the challenges of gynaecological endoscopic surgical practice in Nigeria: A review

Sexual intercourse during pregnancy as a source of anxiety in pregnant women

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