Egyptian Society of AndrologyHuman Andrology2090-60489220190601Can a woman with sexual dysfunction take sildenafil citrate?25337093010.21608/ha.2019.15084.1047ENAbdullaEsawy28 mahmoud ashour st.AbdallaKandilDermatology and venereology, Faculty of Medicine, Zagazig University,EgyptJournal Article20190721Background: Sexual dysfunction refers to a problem that occurs during the sexual response cycle that prevents the individual from experiencing satisfaction from sexual activity. The assessment of sexual function in women is frequently confounded by many factors, including depressed mood and other comorbid medical and psychiatric disorders. Sildenafil is selective type 5 phosphodiesterase (PDE5) inhibitors, taken orally and effective for men with erectile dysfunction. Previous studies suggested that sildenafil, which acts by inhibiting cyclic GMP specific PDE5 may improve the sexual health of women affected by sexual difficulties such as arousal disorders and may indirectly improve other aspects of sexual life. Sildenafil was effective and well-tolerated in postmenopausal women with sexual arousal disorder without concomitant hypoactive sexual desire disorder or contributory emotional relationship or historical abuse issues.<br />Objective: This study aims to evaluate the effect of sildenafil citrate on female sexual dysfunction.<br />Patients and Methods: The study was conducted in Dermatology, Venereology, and Andrology Department, Faculty of Medicine, Zagazig University Hospitals during the period from April 2017 to August 2018. Fifty-two married female patients were included in this study. Patients were divided into two groups. Group 1 contains twenty-six patients took 50mg sildenafil on-demand and group 2 contains twenty-six patients took a placebo.<br />Results: There were no significant differences between the studied groups regarding the demographic data and FSFI. There were significant differences between pre and post-treatment of sexual dysfunction regarding group І. There were no significant differences in post-treatment results between the two studied groups as regard sexual dysfunction except in orgasm.<br />Conclusion: Sildenafil citrate may be effective in women who could not achieve orgasmhttps://ha.journals.ekb.eg/article_70930_e94677ccf09231f626391f05d17ed063.pdfEgyptian Society of AndrologyHuman Andrology2090-60489220190601Female sexual function and depressive symptoms among premenopausal females on hemodialysis34397093210.21608/ha.2019.15151.1049ENYasserNasrallah,Department of Andrology, Dermatology and Venereology, Suez Canal University, Ismailia EgyptRadwaMarieDepartment of Andrology, Dermatology and Venereology, Faculty of Medicine, Suez Canal University, Ismailia, EgyptMoustafa M. K.EyadaDepartment of Andrology, Dermatology and Venereology, Suez Canal University, Ismailia EgyptزJournal Article20190724Background Premenopausal female Patient treated with hemodialysis experience various physical and emotional symptoms that impair their quality of life. Studies demonstrating sexual dysfunction (SD) among those patients are limited and there is no consensus about the relation of SD with the prevalence of depressive symptoms among them.<br />Objective: The study aims to understand the association of hemodialysis with SD as well as depression and to examine whether SD is a risk factor of depression among those patients.<br />Patients and Methods: 82 premenopausal sexually active married females on hemodialysis were enrolled in the study. History taking, general and genital examination were performed. Sexual function was evaluated using the Female Sexual Function Index (FSFI) questionnaire. Depressive symptomswere assessed using the Center for Epidemiologic Studies-Depression (CESD) scale. SD was studied as an independent predictor of depression.<br />Results: OF all enrolled patients, 56 (68.3%) had SD while 25 (30.5%) had depression. Patients with SD had significant higher mean age, illiteracy rate, mean duration of marriage and mean duration of dialysis. Patients with SD had significant higher depressive symptoms in comparison to patients without SD.<br />Conclusion: SD is highly prevalent in premenopausal females undergoing hemodialysis. Age, Literacy, duration of marriage, and duration of dialysis might be risk factors of SD among them. SD might be a predictor of depression among those patients.https://ha.journals.ekb.eg/article_70932_636aaf8001b89e3cec222a26ba7c682a.pdfEgyptian Society of AndrologyHuman Andrology2090-60489220190601Impact of male infertility on men's self-esteem40477093610.21608/ha.2019.11789.1041ENEmad EldienKamalDepartments of Dermatology, Venereology and Andrology, Faculty of Medicine Assiut University, Assiut, EgyptNadiaAbd El-GhanyFaculty of Nusring, Assiut University, Assiut, EgyptSaleh OmarAbdullaFaculty of Nusring, Assiut University, Assiut, EgyptAYA YOUSEFBADRANDERMATOLOGY DEPARTEMENT ..ASSUIT UNIVERSITY0000-0001-5331-5792Journal Article20190411Background: : Self-esteem is based on an individual’s appraisal or estimation of his / her importance or value. Since infertility causes personal, familial, and social problems, it considered a devastating health problem. Infertile males experience considerable psychological stress, with low self esteem, isolation, loss of control, sexual inadequacy and depression.<br />Objective: To assess impact of male infertility on self-esteem and determine relationship between clinical, demographic characteristics and self-esteem of infertile males.<br />Patients and Methods: A non experimental (case-control) research design used to conduct this study. A purposive sample was used. The current study included 150 subjects, 100 was studied group & 50 was control group. Data collection tool consisted two parts:1-Demographic and clinical data sheet, 2- Modified form (Rosenberg Self-Esteem Scale (RSES).<br />Results: The most of fertile and infertile age groups was from 28 to Conclusion: From the present study, we can conclude that infertile males were having low self-esteem than fertile males making them more liable to having personal as well as social problems.https://ha.journals.ekb.eg/article_70936_f36afb04a98e80a3c85128aafd85da40.pdfEgyptian Society of AndrologyHuman Andrology2090-60489220190601Sexual consequences of female genital mutilation/cutting : A comparative study48547093810.21608/ha.2019.12639.1044ENSamyHanafyDepartments of Dermatology and Andrology Faculty of Medicine, Benha University, Benha, EgyptDoaa MohamedElhabakDermatology,Venerology and Andrology department Benha univerisity0000-0003-2744-8975MonaEl-AwadyCommunity Medicine, Faculty of Medicine, Benha University, Benha, EgyptMarwaAbdouDepartments of Dermatology and Andrology Faculty of Medicine, Benha University, Benha, EgyptJournal Article20190509Background: Female genital mutilation/cutting (FGM/C) is still a wide spread practice in Egypt in spite of its criminalization in 2008. Objective: This cross sectional study was carried out to assess female sexuality in a large cohort of Egyptian women exposed to FGM/C compared to those who were not exposed to it. Patients and Methods: A large sample of married Egyptian women participated in this study. They were divided into 2 equal groups (1000 women each). Group A contained women who were not exposed to FGM/C while group B contained women exposed to FGM/C. The tool used was a self-report questionnaire, designed by the authors, and anonymously filled by the participants. The questionnaire involved questions that mainly covered demographic data and sexual activity of the participating women. Results: By comparing all age groups, our results reflect a retreat in FGM/C practice. A significant difference was observed in all sexual domains in favor of women not exposed to FGM/C including spontaneous desire, lubrication, orgasm and overall satisfaction with sexual life. In addition, dyspareunia was more common in genitally cut women. Conclusion: Although FGM/C is on the retreat, still it has negative consequences on female sexuality. Results of this study may be of use during treating women with sexual dysfunctions.https://ha.journals.ekb.eg/article_70938_b23c11cb24a0a930f146b9e8604afb73.pdfEgyptian Society of AndrologyHuman Andrology2090-60489220190601Sweet blood with bitter consequences : Sexual dysfunction in diabetic women55637094110.21608/ha.2019.19127.1051ENIhabYounisDepartment of Dermatology and Andrology, Faculty of Medicine, Benha University, Benha, EgyptOsama HusseinAbdel Salamdermatology and andrology dept. Benha faculty of medicineorcid.org/0000-0002-9910-5990Rasha M.EmamDepartment of Dermatology and Andrology, Faculty of Medicine, Benha University, Benha, EgyptJournal Article20191105Background: Prevalence of diabetes mellitus (DM) is on the rise. Its effect on different body systems is well known. Sexual dysfunctions (SD) in men and women may be related to DM. However, SD is more difficult to diagnose and treat in women than in men because of the intricacy of the female sexual response. Also, the literature is limited addressing female sexual dysfunction in DM, and this aspect of female health, is often ignored in clinical practice in women with DM.<br />Objective: : To determine the frequency and types of SD and its causative factors among the diabetic women.<br />Patients and methods: This cross sectional study used a self-report questionnaire taken from the FSFI with addition of questions suiting the purpose of the study. Participants of this study were 407 married women with regular sexual activity who attended the outpatient clinics at the National Institute of Diabetes Mellitus in Cairo during the period from September to December 2018.<br />Results: The commonest age group of women was 40-49 years, most of them were obese and most of them can only read and write. Most participants (42%) suffered from diabetes for more than 10 years and 70.7% were of type II diabetes. Diabetic complications included peripheral neuropathy, hypertension and coronary artery disease. At least one SD was present in 66.3% of participants including dyspareunia followed by sexual dissatisfaction followed by low libido. Duration and control of diabetes, BMI, age and diabetic complications were determining factors for the occurrence of SD.<br />Conclusion: SD are common in diabetic women. The most commonly encountered SD are dyspareunia, sexual dissatisfaction and low libido.https://ha.journals.ekb.eg/article_70941_76db6ea93db29eb0f5817b7059ced54c.pdf