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Sexual dysfunction amongst czech women
Hollá, Kateřina ; Weiss, Petr (advisor) ; Zvěřina, Jaroslav (referee) ; Uzel, Radim (referee)
Theoretical part Currently accepted new conceptualization of women's sexual dysfunction is based on the model found in the American Psychiatric Association's Diagnostic and Statistical Manual (DSM-IV) and International Classification of Diseases (ICD). These classifications are extended and combined interpersonal, contextual, personalpsychological and biological factors. Recent DSM- IV definitions have focused on absence of sexual fantasies and sexual desireprior to sexual activity and arousal, even though the frequencyof this type of desire is known to vary greatly among women without sexual complaints. DSM-IV definitions also focus on genital swelling and lubrication, entities known to correlate poorly with subjective sexual arousal and pleasure. The structure of the new classification is based on the four categories of DSM-IV: disorders of desire, arousal, orgasm and pain. However these categories are newly assigned to the subjective dimension of satisfaction, stress and the presence of disorders during other sexual activities besides intercourse. The dimension lifetime vs. acquired, generalized vs. situational were added, as well as the etiology is taking into account. For clinical work it is important that these changes highlight the significance and importance of psychological, situational...
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Sexual dysfunction and pelvic floor dysfunction in patients with systemic rheumatic diseases
Heřmánková, Barbora ; Špiritović, Maja (advisor) ; Nováková, Tereza (referee)
Title: Sexual Dysfunction and Pelvic Floor Dysfunction in Patients with Systemic Rheumatic Diseases Objectives: To assess sexual functions, quality of life and pelvic floor function in female patients with Systemic Sclerosis (SSc) and Idiopathic Inflammatory Myopathies (IIM) compared to age-/sex-matched healthy controls (HC). Methods: In total, 41 women with SSc (mean age: 50.9, disease duration: 5.8 years), who fulfilled the ACR/EULAR 2013 classification criteria for SSc, 41 healthy controls (mean age: 50.9) without rheumatic diseases, 22 women with IIM [mean age: 55.1, disease duration: 7.9 years, dermatomyositis (DM, 8)/ polymyositis (PM, 10)/ necrotizing myopathy (IMNM, 3)/ inclusion body myositis (IBM, 1)], who fulfilled the Bohan/Peter 1975 diagnostic criteria for DM/PM, and 22 healthy controls (mean age: 55.1 years) filled in 12 well-established and validated questionnaires assessing sexual function/quality of life, pelvic floor function, fatigue, physical activity and depression. Results: Compared to HC, patients with SSc and IIM had significantly higher prevalence and greater severity of sexual dysfunction (FSFI, BISF-W: in all subscales as well as total scores), dysfunction of pelvic floor (PISQ-12), and worse sexual quality of life (SQoL-F). Worse scores in SSc patients were associated...
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Dyspareunia and the Treatment by Physiotherapy
Čechová, Zuzana ; Hurtíková, Ida (advisor) ; Šebek, Milan (referee)
Name, surname: Zuzana Čechová Supervisor: Bc. Ida Hurtíková Opponent: Title of bachelor thesis: Dyspareunia and the Treatment by Physiotherapy ABSTRACT: The aim of this bachelor thesis is to determine the effect of Physiotherapy through treatment of Dyspareunia in selected patients, and to provide a comprehensive overview of this diagnose. In the theoretical part described the Pelvic floor muscles from anatomical and functional view and their activity in Deep stabilizing muscles and during the coitus. Next an overview of Female sexual dysfunctions included Dyspareunia, her manifests, classification, etiology and possibilities in the treatment. The practical part contains two case reports of patients diagnosed with Dyspareunia. Both patients went through gynecological, sexuological, psychological and other checkups with negative results. Assumption in these patiens is dysfunctional Pelvic floor muscles in contraction. I aimed the therapy on notification, relaxation and correct activity of the Pelvic floor muscles, concatenations and results of the general comprehensive Physiotherapy examination. I attempted to touch the psychological aspect of the patients as well. Patients had eight intense therapies during more than two months and assigned to exercise at home. Both patients improved condition, mentally,...
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Sexual dysfunction amongst czech women
Hollá, Kateřina ; Weiss, Petr (advisor) ; Zvěřina, Jaroslav (referee) ; Uzel, Radim (referee)
Theoretical part Currently accepted new conceptualization of women's sexual dysfunction is based on the model found in the American Psychiatric Association's Diagnostic and Statistical Manual (DSM-IV) and International Classification of Diseases (ICD). These classifications are extended and combined interpersonal, contextual, personalpsychological and biological factors. Recent DSM- IV definitions have focused on absence of sexual fantasies and sexual desireprior to sexual activity and arousal, even though the frequencyof this type of desire is known to vary greatly among women without sexual complaints. DSM-IV definitions also focus on genital swelling and lubrication, entities known to correlate poorly with subjective sexual arousal and pleasure. The structure of the new classification is based on the four categories of DSM-IV: disorders of desire, arousal, orgasm and pain. However these categories are newly assigned to the subjective dimension of satisfaction, stress and the presence of disorders during other sexual activities besides intercourse. The dimension lifetime vs. acquired, generalized vs. situational were added, as well as the etiology is taking into account. For clinical work it is important that these changes highlight the significance and importance of psychological, situational...
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