Promoting safer sexual practices among expectant fathers in the Lao People's Democratic Republic

Men's decisions and behaviours influence the sexual, reproductive and maternal health of women and the health of their families, but men are rarely included in reproductive and maternal health care services. Men's attendance at antenatal care has the potential to prevent women from becoming infected with HIV during pregnancy and post-partum, when they are more vulnerable to infection and have a high risk of transmission to the infant. Greater involvement of men requires an understanding of social, cultural and organisational barriers in different contexts. In 2006, the Burnet Institute undertook fieldwork to inform a pilot project to encourage expectant fathers to attend antenatal care. A local Lao team conducted focus group discussions and interviews in Vientiane with expectant fathers, pregnant women, older women and health care providers. It was found that myths about the dangers of sex during pregnancy and women's decreased desire resulted in periods of sexual abstinence. Participants reported that unprotected extramarital sex was common but difficult for couples to discuss. Men lacked knowledge about sexually transmitted infections, including HIV. Men wanted information so they could better protect the health of their partners and babies during and after pregnancy, and reported being willing to attend antenatal care when invited. Our findings have useful implications for policy and implementation.     

Heterosexual and homosexual coercion,sexual orientation and sexual roles in medical students

Rape has been conceptualized on a dimension of normal male behavior. The Koss and Oros (1982) study used a questionnaire that allowed men to respond only as sexual aggressors of women, and women only as victims of men. Medical students' responses to a modified questionnaire, in which both sexes reported being aggressors and/or victims, revealed that relatively comparable proportions of men and women were victims of coercive experiences: 35% of women and 30% of men experiencing constant physical attempts to have sexual activity. Forms of coercion not involving threat or use of force were more common, more exclusively heterosexual, and carried out by more equivalent percentages of men and women. 15% of women and 12% of men felt initially coerced into sexual activity but then enjoyed it. Threat or use of force to attempt to or to obtain intercourse were employed by 4% of men and 2% of women and experienced by 5% of both sexes. Half the male victims and female aggressors and a quarter of the male aggressors and female victims who reported such coercion stated it was homosexual. The ratio of homosexual/heterosexual feelings reported by male, but not female, students correlated with the degree of the homosexual coercion they both carried out and experienced. The degree of sexual coercion carried out by men and women correlated with their masculine sex role scores, suggesting, if the dimensional concept of rape is valid, that rape is on a continuum with masculine rather than male behaviors.     

Personality correlates of sexual behavior in black women

Black women (N =35)were asked via questionnaires to provide information about various aspects of their sexual behavior (e.g., orgasm consistency, clitoral-vaginal preferences, intercourse frequency, and masturbation). They also responded to the Edwards Personal Preference Schedule, to a measure of attitudes toward their parents, and to a measure of their preferences for external and internal sources of stimulation. The sexual behavior of the blacks was generally more similar to than different from that of female white controls. Furthermore, a number of correlations between sexual response patterns and personality and attitudinal measures that were previously found in white women were duplicated in the black women. However, there were also previous correlations that were not duplicated. Overall, the results for the black women paralleled those for white women.     

Referral of impotent patients to a sexual dysfunction clinic

The referral pattern of impotent men from a urology clinic to a sexual dysfunction clinic was investigated. Only 62% of referred patients made such recommended appointments. Of the patients for whom sex therapy was recommended, only 32% accepted this recommendation. Of those accepting a recommendation for treatment, 57% prematurely terminated treatment against medical advice. The implications of this for referring physicians and alternative treatment approaches are discussed.Psychology Intern     

Unconventional sexual relationships: Data about German women ages 50 to 91 years

For older women there is a shortage of single male partners in the same age group. This study investigates the extent of relevant alternative sexual options. 91 German women aged 50 to 91 years (birth cohorts: 1895–1936) were interviewed about their attitudes to and experiences with unconventional sexual relationships (cumulative incidence figures are given in parentheses): At the time of interview 4% (18%) of the interviewees had a relationship with a man younger than themselves, and 1% (4%) had a lesbian relationship. Of those living as singles, 8% were having an affair with a married man (21% had one while living as a single). Although relationships with married men occurred most often, attitudes towards relationships with married men were mostly negative. Feelings about relationships with younger men and other women were ambivalent.     

Effects of antiandrogen-estrogen treatment on sexual and endocrine parameters in hirsute women

Sexual activity was evaluated in 51 women with hirsutism associated with increased levels of circulating androgens before and while on combined treatment with the antiandrogen cyproterone acetate (CA) and ethinyl estradiol (EE₂) and compared to a reference group of 52 subjects. The percentage of unbound testosterone (T) was higher (p < 0.001), the coital frequency lower (p < 0.05), and the masturbation frequency higher (p< 0.04) in hirsute women. Mean frequency of total activity (coitus plus masturbation) was similar in the two groups. Treatment with combination of CA and EE₂ resulted in a decline of unbound T (p< 0.001). There was no change of total sexual activity, but coital frequency increased (p < 0.05) and masturbation frequency declined (p < 0.04). It is concluded that raised levels of circulating androgens, as judged by free T concentration, are not of crucial importance in the expression of sexual behavior in hirsute women.     

Development of family planning in the German Democratic Republic

In the German Democratic Republic family planning is termed "marriage and sexual guidance," and has been offered at Leipzig University Gynecological Clinic since 1949, and in over 130 state run "family advisory centers" since the 1966 law authorized them. Services include contraception, abortion for women under 16, over 40 or with specific medical indications, marriage counseling, infertility diagnosis, psychiatric and legal aid. These services are free to all citizens. Conventional contraception, IUDs (Lippes loops and Dana devices), and 2 doses of combined pills are offered (lower dose contains 2 mg chlormadinone acetate and .08 mg mestranol). Training is available for doctors, women welfare workers and interested laymen at the 2 main centers at Leipzig and Rostock.