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JOURNAL ARTICLE
OBSERVATIONAL STUDY
The observational study of selected sexual behaviour issues in female organ transplant recipients.
Sexual & Reproductive Healthcare : Official Journal of the Swedish Association of Midwives 2017 June
OBJECTIVE: To investigate sexual behaviour in women following solid organ transplantation.
STUDY DESIGN: A cross-sectional single-centre survey study of 230 female organ transplant recipients, aged 18-45years.
MAIN OUTCOME MEASURES: Sexual behaviour, contraceptive awareness and methods of birth control.
RESULTS: 205 females declared to be post their sexual initiation. The mean age at sexual initiation in our study population was 20.3±3.3years (range: 14-32). Fifty-three percent (122/230) of the patients declared that they had only one sexual partner at enrolment. After transplantation female organ recipients became more sexually active (71% vs. 83%; p=0.018). The frequency of sexual intercourse decreased significantly in the post-transplant period (p=0.004). In the group of sexually active females before transplantation the frequency of sexual intercourses decreased significantly in the post-transplant period (mean Δ -0.16±0.79; p=0.004). An increase or lack of change in the frequency of sexual intercourse was noted amongst younger transplant-recipients (OR: 0.91; 95%CI 0.86-0.97) and women with effective birth control methods post-transplantation (OR: 3.68; 95%CI 1.60-8.49).
CONCLUSION: Sexual education of organ transplant recipients is necessary, mainly in younger patients, who present to be more sexually active, thus they need to be taught about effective family planning.
STUDY DESIGN: A cross-sectional single-centre survey study of 230 female organ transplant recipients, aged 18-45years.
MAIN OUTCOME MEASURES: Sexual behaviour, contraceptive awareness and methods of birth control.
RESULTS: 205 females declared to be post their sexual initiation. The mean age at sexual initiation in our study population was 20.3±3.3years (range: 14-32). Fifty-three percent (122/230) of the patients declared that they had only one sexual partner at enrolment. After transplantation female organ recipients became more sexually active (71% vs. 83%; p=0.018). The frequency of sexual intercourse decreased significantly in the post-transplant period (p=0.004). In the group of sexually active females before transplantation the frequency of sexual intercourses decreased significantly in the post-transplant period (mean Δ -0.16±0.79; p=0.004). An increase or lack of change in the frequency of sexual intercourse was noted amongst younger transplant-recipients (OR: 0.91; 95%CI 0.86-0.97) and women with effective birth control methods post-transplantation (OR: 3.68; 95%CI 1.60-8.49).
CONCLUSION: Sexual education of organ transplant recipients is necessary, mainly in younger patients, who present to be more sexually active, thus they need to be taught about effective family planning.
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