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Author: Samuel Joubert
Publisher:
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Category :
Languages : fr
Pages :
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Book Description
Objectif. Évaluer les motivations, l'utilisation et l'acceptabilité d'une contraception masculine thermique (CMT) dans une cohorte historique d'hommes utilisant la CMT comme unique contraceptif de couple. Matériel et méthodes. Nous avons sollicité 72 hommes ayant commencé à utiliser la CMT entre 2011 et 2019, pour une enquête anonyme en ligne (93 questions) explorant les caractéristiques de la population, les antécédents contraceptifs, les motivations à choisir la CMT, l'expérience des patients aux différentes phases de la méthode, les relations avec partenaire et l'environnement, et la satisfaction de cette méthode. Résultats. Soixante-sept hommes ont répondu (taux de réponse de 93%), 63 ont été inclus et ont rempli le sondage (taux de participation de 94%). Les principales motivations du choix de la CMT étaient « l'absence d'hormones » (n=59/63, 94%) et l'utilisation d'une méthode considérée comme « naturelle » (n=49/63, 78%). La plupart des hommes (68%) se sont approprié la méthode en moins de 2 semaines. Au cours de la phase contraceptive (n=59 hommes), ils ont décrit une satisfaction sexuelle statistiquement améliorée par rapport à l'utilisation des méthodes contraceptives précédentes (3.50 ± 0.64 versus 3.23 ± 0.76, respectivement, p
Author: Joan Dupont
Publisher:
ISBN:
Category :
Languages : fr
Pages : 75
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Book Description
La demande croissante de partager la charge contraceptive dans les couples et l'absence de contraception masculine efficace disponible sur le marché nous ont amené à rechercher les données de la science sur les méthodes de contraception masculine thermique (CMT). Nous avons réalisé une revue systématique de la littérature, qui a permis d'identifier 14 articles d'études interventionnelles publiées entre 1965 et 2019. Leur objectif était d' étudier l'inhibition de la spermatogenèse chez des hommes euspermiques par élévation de la température testiculaire (ETT) de faible intensité. Certaines études ont aussi étudié sa réversibilité, son efficacité contraceptive et son son innocuité. La méthode d'ETT majoritairement étudiée était l'utilisation d'un dispositif surélevant les testicules en position suprascrotale pendant 15 ou 24 heures par jour. Une inhibition de la spermatogenèse partielle à totale, avec altération de la quantité et de la qualité des spermatozoïdes, a été observée par toutes les études sauf une. La réversibilité de l'inhibition a été satisfaisante à l'arrêt de l'exposition. L'efficacité contraceptive était étudiée par 3 études, sur une durée cumulée de 512 mois, avec l'absence de grossesse pour tous les couples ayant utilisé la méthode de CMT sans interruption. La durée maximale d'utilisation contraceptive a été de 47 mois. Aucun effet secondaire grave n'a été rapporté pour les hommes exposés. Des anomalies du noyau des spermatozoïdes observées pendant l'exposition ont été réversibles à l'arrêt. Les données publiées confirment l'efficacité contraceptive de la CMT par l'utilisation d'un dispositif de surélévation testiculaire en position suprascrotale. Des études de plus grande ampleur sont nécessaires pour conforter ces résultats en population générale. Une commercialisation comme dispositif médical et une communication plus large sur cette méthode sont nécessaires à une plus grande accessibilité d'utilisation. La formation des professionnels de santé de soins primaires (médecins généralistes, sages-femmes) ainsi que leur implication dans des études à plus grande échelle participeraient grandement à la diffusion de la CMT.
Author: Tristan Béraud
Publisher:
ISBN:
Category :
Languages : fr
Pages : 0
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Book Description
Introduction : La contraception est à ce jour essentiellement un sujet féminin. Face à une demande importante, des associations françaises d'usagers développent des méthodes contraceptives masculines. Deux méthodes inhibant la spermatogenèse, développées dans les années 1980, font actuellement leur retour dans l'arsenal contraceptif : la contraception masculine hormonale et la contraception masculine thermique (CMT). L'objectif principal est de décrire la population nantaise utilisant la CMT, de connaître ses pratiques et ses connaissances des recommandations de L'AFU. L'objectif secondaire est d'évaluer l'efficacité d'inhibition de la spermatogenèse par la CMT chez nos patients. Matériel et Méthodes : Une étude descriptive rétrospective a été menée du 01/01/2018 au 25/06/2022 au CHU de Nantes, 59 patients utilisant la CMT ont répondu au questionnaire en ligne. Il a également été évalué par une étude rétrospective l'efficacité contraceptive de la CMT au CHU de Nantes, 32 patients avec au moins un spermogramme avant mise en place de la CMT et un spermogramme de contrôle d'efficacité ont été inclus. Résultats : Le questionnaire décrit la population comme jeune (25-30 ans), en couple non marié et sans enfant. La méthode contraceptive principalement utilisée est l'anneau Andro-switch à 90 % et le début de la CMT est très récent (2021 ou 2022). Les recommandations sont globalement respectées, exceptées sur la fréquence des spermogrammes de suivi une fois le seuil atteint. L'avis global est très positif aussi bien pour l'utilisateur que pour l'entourage. Après analyse des spermogrammes, l'utilisation de l'anneau type Andro-switch montre une altération importante des paramètres spermatiques concernant la numération (p
Author: Adrian W. Zorgniotti
Publisher: Springer Science & Business Media
ISBN: 1468459139
Category : Medical
Languages : en
Pages : 321
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Book Description
It must be considered that there is nothing more difficult to carry out, nor more doubtful of success, nor more dangerous to handle, than to initiate a new order of things. Machiavelli: The Prince (1513) These are the Proceedings of a Conference on Temperature and Environmental Factors and the Testis which took place at New York University School of Medicine, December 8th and 9th, 1989. There is good reason to believe that this was the first of its kind to address, exclusively, the implications of temperature for this highly thermosensitive organ and its precious genetic cargo. The organizers of the Conference hoped to stimulate interest in this area which, paradoxically, has a considerable literature but which has received scant attention and sometimes outright opposition from clinicians expert in male infertility. There have been studies of the relationship of temperature to reproduction starting in the mid-18th Century with observations of the relationship of water temperature to spawning of fish. There is also a vast literature on the deleterious effects of externally applied heat upon spermatogenesis but little study of the possibility that intrinsic heat may be an important etiologic factor in subfertile semen. Today, fertility research has largely ignored this in favor of research in areas which have not produced successes, in terms of live births, comparable to what can be obtained by varicocelectomy (when appropriate) or scrotal hypothermia: viz. 1. Concentration upon the endocrine aspects of testicular function and its relation to spermatogenesis.
Author: Wolf-Bernhard Schill
Publisher: Springer Science & Business Media
ISBN: 354033713X
Category : Medical
Languages : en
Pages : 664
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Book Description
Andrology for the Clinician consists of two parts: In Part One, the busy clinician can easily find the problem-orientated information he or she needs on such issues as male factor fertility problems, male contraception, and male genital tract infection and tumours. Part Two contains in-depth subject-orientated information and adds important scientific background information to the recommendations received in Part One. Several leading experts have contributed to this work, which has been extensively subedited by world-renowned editors to ensure a well-structured didactic design and homogeneous content. This outstanding book is of great value for all Urologists, Andrologists, Dermatologists, Endocrinologists, Gynaecologists, Reproductive Biologists, GPs, Gerontologists, Psychologists, Psychiatrists, Paediatricians and anyone else interested in the problems of male sex and constitution.
Author: Vern L. Bullough
Publisher:
ISBN:
Category : Health & Fitness
Languages : en
Pages : 392
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Book Description
A comprehensive history of more than a century of sex research by a scholar who has been deeply involved in the field and who has known personally most of the players since Kinsey.
Author: G.R. Cunningham
Publisher: Springer Science & Business Media
ISBN: 9400988753
Category : Medical
Languages : en
Pages : 229
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Book Description
Many of the studies discussed in this book were addition to discussions of a variety of hormonal, presented at the First Pan American Congress of biochemical, immunological, physical, and me Andrology, which was held in Caracas, Venezuela, chanical approaches. It is our hope that the efforts in March 1979. An international group of in of the contributors will help to intensify research vestigators have contributed reviews designed to and development of improved methods for safely be informative to medical, graduate, and post regulating male fertility. graduate students, as well as clinicians and in vestigators working in the area of male reproduc G. R. CUNNINGHAM tion. Current physiological concepts that may W. B. SCHILL provide insight for new initiatives are examined in E. S. E. HAFEZ TABLE OF CONTENTS Preface v Contributors IX Foreword by C. SCHIRREN XI 1. PHYSIOLOGY OF MALE REPRODUCTION 1. Hormonal regulation of testicular function 5 P. FRANCHIMONT 2. Inhibin: new gonadal hormone 15 P. FRANCHIMONT, A. DEMOULIN, J. VERSTRAELEN-PROYARD, M. T. HAZEE-HAGELSTEIN, and J. P. BOURGUIGNON 3. Morphological features of the epididymis: possible significance in male contraception 25 T. D. GLOVER 4. Regulatory physiology of male accessory organs 35 E. S. E. HAFEZ and G. R. CUNNINGHAM 5. Methods for evaluating contraceptive techniques 41 T. Z. HOMONNAI and F. G. PAZ II. HORMONAL CONTRACEPTION 6. Inhibition of male reproductive processes with an LH-RH agonist 55 A. CORBIN and F. J. BEX 7.
Author:
Publisher:
ISBN:
Category : Public health
Languages : en
Pages : 626
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Author: Takehide Asano
Publisher: Springer Science & Business Media
ISBN: 4431544844
Category : Medical
Languages : en
Pages : 270
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Book Description
In response to persistent donor organ shortages, organs from marginal donors, such as expanded criteria donors (ECD) and donation after cardiac death (DCD) donors, are now accepted and have been successfully transplanted, reducing the waiting times for transplantation. Especially in Japan, transplantation of DCD kidneys has a relatively long history because of the difficulty or lack of national consensus in accepting brain death, which has made it possible to accumulate considerable clinical experience. Thus, the current organ shortage has stimulated interest in the use of marginal donors for transplantation. On the other hand, however, it is known that these organs have a high rate of delayed graft function and a more complicated postoperative course. These drawbacks have created the greatest clinical challenge in transplantation to date because of the current shortage and limitations of donors using ECD and DCD. This book, prepared by distinguished authorities in their fields, is intended for clinicians and researchers. It highlights the use of marginal donors as a comparatively novel source of transplantation organs and provides a thorough overview of marginal donors from their historical origins to recent clinical applications, including the state-of-the-art science of organ/donor management, procurement, and preservation. Also provided is valuable information on ABO-incompatible donors which extend the availability of donor sources. Each chapter offers an individual analysis of the optimal requirements for the safe management and preservation of organs, including the heart, lung, liver, kidney, pancreas, and pancreatic islets.
Author: World Health Organization
Publisher: World Health Organization
ISBN: 9241547006
Category : Health & Fitness
Languages : en
Pages : 284
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Book Description
Most women who die from cervical cancer, particularly in developing countries, are in the prime of their life. They may be raising children, caring for their family, and contributing to the social and economic life of their town or village. Their death is both a personal tragedy, and a sad and unnecessary loss to their family and their community. Unnecessary, because there is compelling evidence, as this Guide makes clear, that cervical cancer is one of the most preventable and treatable forms of cancer, as long as it is detected early and managed effectively. Unfortunately, the majority of women in developing countries still do not have access to cervical cancer prevention programmes. The consequence is that, often, cervical cancer is not detected until it is too late to be cured. An urgent effort is required if this situation is to be corrected. This Guide is intended to help those responsible for providing services aimed at reducing the burden posed by cervical cancer for women, communities and health systems. It focuses on the knowledge and skills needed by health care providers, at different levels of care.
Author: Tine Van Osselaer
Publisher: Leuven University Press
ISBN: 9462700184
Category : Religion
Languages : en
Pages : 229
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Book Description
Christian ideas on family, religion, and the home in the nineteenth and twentieth centuries The cult of domesticity has often been linked to the privatization of religion and the idealisation of the motherly ideal of the ‘angel in the house’. This book revisits the Christian home of the nineteenth and twentieth centuries and sheds new light on the stereotypical distinction between the private and public spheres and their inhabitants. Emphasizing the importance of patriarchal domesticity during the period and the frequent blurring of boundaries between the Christian home and modern society, the case studies included in this volume call for a more nuanced understanding of nineteenth- and twentieth-century Christian ideas on family, religion, and the home.
