P. J. Matt Tilley

Prevalence and Risk Factors of Sexual Dysfunction in Postpartum Australian Women

INTRODUCTION Female sexual dysfunction is highly prevalent and reportedly has adverse impacts on quality of life. Although it is prevalent after childbirth, women rarely seek advice or treatment from health care professionals. AIM The aim of this study was to assess the sexual functioning of Australian women during the first year after childbirth. METHODS Postpartum women who had given birth during the previous 12 months were invited to participate in this cross-sectional study. A multidimensional online questionnaire was designed for this study. This questionnaire included a background section, the Female Sexual Function Index, the Patient Health Questionnaire (PHQ-8), and the Relationship Assessment Scale. Responses from 325 women were analyzed. RESULTS Almost two-thirds of women (64.3%) reported that they had experienced sexual dysfunction during the first year after childbirth, and almost three-quarters reported they experienced sexual dissatisfaction (70.5 %). The most prevalent types of sexual dysfunction reported by the affected women were sexual desire disorder (81.2%), orgasmic problems (53.5%), and sexual arousal disorder (52.3%). The following were significant risk factors for sexual dysfunction: fortnightly or less frequent sexual activity, not being the initiator of sexual activity with a partner, late resumption of postnatal sexual activity (at 9 or more weeks), the first 5 months after childbirth, primiparity, depression, and relationship dissatisfaction. CONCLUSION Sexual satisfaction is important for maintaining quality of life for postpartum women. Health care providers and postpartum women need to be encouraged to include sexual problems in their discussions.

An update on sexual function and dysfunction in women

Sexual function of women can be affected by many factors resulting in female sexual dysfunction (FSD). Sexual dysfunction is a common problem among women of all ages and has negative effects not only on their quality of lives but also on the sexual function and quality of life of their partners. It can also affect mental health of the entire family and society. Regarding the multidimensional nature of female sexual dysfunction and considering its consequences, this condition needs to be recognised in its early stages in order to prevent future consequences and impacts. This article discusses biopsychosocial aspect of female sexual function, classifications and risk factors of female sexual dysfunction and investigates current approaches to identify and treat this problem.

A clinical case study of the use of ecological momentary assessment in obsessive compulsive disorder.

Accurate assessment of obsessions and compulsions is a crucial step in treatment planning for Obsessive-Compulsive Disorder (OCD). In this clinical case study, we sought to determine if the use of Ecological Momentary Assessment (EMA) could provide additional symptom information beyond that captured during standard assessment of OCD. We studied three adults diagnosed with OCD and compared the number and types of obsessions and compulsions captured using the Yale-Brown Obsessive-Compulsive Scale (Y-BOCS) compared to EMA. Following completion of the Y-BOCS interview, participants then recorded their OCD symptoms into a digital voice recorder across a 12-h period in reply to randomly sent mobile phone SMS prompts. The EMA approach yielded a lower number of symptoms of obsessions and compulsions than the Y-BOCS but produced additional types of obsessions and compulsions not previously identified by the Y-BOCS. We conclude that the EMA-OCD procedure may represent a worthy addition to the suite of assessment tools used when working with clients who have OCD. Further research with larger samples is required to strengthen this conclusion.

Speaking Safer Sex: Exploring How Young Australian Men Negotiate Condom Use

Background: Australian young adults aged 18-26 are most at risk of contracting an STI. Despite targeted health campaigns, condom use remains inconsistent. Safer sex communication such as discussing condom use, sexual history and STI testing is an important aspect of sexual relationships. The aim of this study was to investigate the relationship between safer sex communication and condom use amongst young men in Australia.

Using Interpretative Phenomenological Analysis (IPA) to provide insight into female sexual difficulties

ABSTRACT Sexual experiences and behaviour are particularly open to social and cultural influences; this is especially true within the area of female sexuality. While research into the social and cultural aspects of sexuality proliferated throughout the 1970s and 1980s, contemporary biomedical approaches to sexuality research have largely ignored the complex interplay of such dimensions. In this methodological paper, we reflect upon how Interpretative Phenomenological Analysis (IPA) can be used by sexuality researchers to explore womens sexual experiences and difficulties and to locate these experiences within cultural and social contexts. By drawing on the authors’ experiences of using IPA to explore how women cope with the sexual side effects of antidepressant medication, we provide an overview of IPA as a research approach, briefly summarise studies which have used IPA to explore womens sexual experiences and difficulties and outline a series of steps on how to conduct an IPA study. It is hoped that this paper will stimulate debate, and encourage sexuality researchers to explore and consider the use of IPA to contribute to a research agenda based on womens individual needs and desires.