Elham Khoori , Katayoun Jalaliaria ,
Volume 14, Issue 2 (9-2017)
Abstract
Background: Youths and adolescents are considered as valuable assets of any society. The preservation and promotion of health in this population is an issue of significant importance from the social and economic dimensions. Globalization has resulted in the emergence of several health risks for this age set. Sexual curiosity and sexual experiences are some of these dangers, which can cause irreparable damages if neglected. Regarding this, the present narrative review was conducted to identify the guidelines from different parts of the world for the preservation and promotion of sexual and fertility health among the Iranian adolescents and youths. The integration of these strategies can provide appropriate solutions conforming to the Iranian culture.
Methods: This narrative review was conducted on the articles and sources published within 1958-2015. The search was performed using the valid international databases, including Pubmed, Google Scholar, Google, WHO, ProQuest, and the Persian databases, such as Iranmedex and SID. In addition, we performed library research to obtain the papers investigating the issue of interest. The keywords used during the searching process entailed: “Reproduction Health”, “Youth”, “Adolescents”, and “Sexual Health”. In this review, out of 85 evaluated sources, 53 articles, books, thesis, and websites were selected.
Results: As the reviewed studies indicated, the lack of knowledge, an unclear horizon of the future, and inaccessibility to reproductive health services threaten the health of the youths and adolescents. Therefore, the provision of sex education by parents, schools, or peers can have a significant impact on the promotion of sexual health in this population. Moreover, screening and identifying the adolescents and youths at risk and educating the necessary skills to this age set can prevent the occurrence of high-risk sexual behaviors. Similar to other countries but with a lower prevalence rate, there are some problems in sexual and fertility health of the youths and adolescents in Iran. Therefore, it is recommended to teach the sexual health promotion techniques to this population according to their religion and culture.
Sedigheh Moghassemi,
Volume 17, Issue 0 (4-2020)
Abstract
Background: As a result of increase in life expectancy in the world, women spend at least one third of their age in the middle-age. Middle aged is associated with bio-psycho-social changes that effect on women’s health. The aim of this study is a review on different dimensions of middle-aged women’s sexual health in a holistic bio-psycho-social approach.
Methods: This is a narrative review in 2019. Published studies in English language Databases including Pubmed, Science direct, ProQuest and Cochrane library were searched using “sexual health”،”sexuality”، “midlife”، “Middle-aged” ، “Menopause” as keywords. The Persian language database was SID using the same words in Farsi. Google and Google scholar websites were searched to introduce new pharmaceutical drug products.
Results: Most middle-aged people have some diseases and use some drugs to control them. Diseases and or drugs Psychological side effects such as depression are also prevalent. These factors have a multifaceted effect on the sexual health of middle-aged women. Concerns about physical changes due to raise age are also common, sometimes leading to cosmetic surgeries in different parts of body including the genitalia. In many cultures, sexual issues are taboo, especially sexual behaviors, in the elderly results in the neglect of many issues related to sexual health at this age. Also beliefs about sexual activity in middle- aged are factors that influence the quality and quantity of women's access to sexual health services. Genitourinary tract atrophy is a common complication of menopause that requires medical intervention, including the use of water-soluble lubricants, topical or systemic estrogen products, or non-estrogenic oral products.
Conclusions: Interventions based on the needs of middle-aged women with the aim of maintaining and promoting their sexual health can include the management of symptoms and complications of diseases and or medications effect on sexual life, the correction of misconceptions, and life skills, including self-awareness and effective interpersonal communication. On the other hand, empowering health care providers to screen, manage and refer middle-aged clients with sexual concerns or problems is a key step in promoting the sexual health of middle-aged women.
Narjes Sadat Borghei, Fatemeh Seifi, Naser Behnampour, Fatemeh Raeesian,
Volume 19, Issue 2 (9-2022)
Abstract
Background: Sexual function is particularly important aspect of pregnant women’s lives that can affect mental health and family cohesion. The present study aimed to determine the effect of sex education on sexual function of primigravid pregnant women.
Methods: This randomized clinical trial study with four parallel groups (two intervention and two control groups) was conducted on 100 primigravid women in 2019. The Two intervention groups (n=50) received three sessions of sex education, once a week and two control groups (n=50) didn't received sex education. The Female Sexual Function Index was completed at the beginning of the study and after eight weeks. Data were analyzed with SPSS (version 18) and One-way analysis of variance (ANOVA), paired t-test, Fisher's exact test were used for analysis and significance was set at 0.05.
Results: The Given that the mean sexual function in the groups before the intervention was significantly different (P=0.0004), the Mean difference rate of change (Mean DRC) was used for inter-group comparisons. Mean DRC of sexual function in the first intervention group (sex education and prenatal education) was 0.173±0.563 (17% increase) and the second intervention group (only sex education), was 0.106±0.209 (10% increase). However, Mean DRC of sexual function decreased significantly in the two control groups (-0.0364±0.205) (-0.009±0.132) (P<0.05).
Conclusion: The results confirm the positive effects of sex education on sexual function during pregnancy. In addition, combination of sex education with conventional prenatal education can have a greater impact on the overall sexual function than each intervention separately.
