Instituto de Sexualidad Humana

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https://repositoriovip.uasd.edu.do/handle/123456789/1009

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Now showing 1 - 4 of 4
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    Experiences of Dyspareunia in Dominican Women with a History of Sexual Abuse: A Phenomenological Study
    (2023-06-23) Emelinda Rosario Fadul Calderón; Rafael García Álvarez
    "Introduction Dyspareunia refers to painful sexual intercourse that negatively affects a person's psychological well-being and quality of life and can also have an impact on their partner, family, and social circle. The objective of this study was to understand the experiences of women with dyspareunia and a history of sexual abuse in the Dominican Republic. Methods This was a qualitative study based on Merleau-Ponty's hermeneutic phenomenology. Fifteen women with a diagnosis of dyspareunia and a history of sexual abuse participated. The study was carried out in Santo Domingo, Dominican Republic. Results In-depth interviews were conducted for data collection. Through inductive analysis using ATLAS.ti, 3 main themes were developed that represent women's experiences of dyspareunia and sexual abuse: (1) a history of sexual abuse as a background to dyspareunia, (2) living in fear in a society that revictimizes the survivor, and (3) the sexual consequences of dyspareunia. Discussion In some Dominican women, dyspareunia stems from their history of sexual abuse, which was unknown to their families and partners. The participants experienced dyspareunia in silence and found it difficult to seek help from health care professionals. In addition, their sexual health was marked by fear and physical pain. There are individual, cultural, and social factors that influence the occurrence of dyspareunia; a better understanding of these factors is vital for planning innovative preventive strategies that reduce the progression of sexual dysfunction and its impact on the quality of life of people with dyspareunia."
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    Experiences of patients with attention-deficit/hyperactivity disorder and premature ejaculation: a phenomenological study
    (2024-10-30) Emelinda Rosario Fadul Calderón; Rafael García Álvarez
    Premature ejaculation is listed in the Diagnostic and Statistical Manual of Mental Disorders and is one of the most common ejaculation disorders in the male population. This study aimed to describe the experiences of men with attention-deficit/hyperactivity disorder (ADHD) and premature ejaculation. This is a descriptive qualitative study based on Merleau-Ponty’s hermeneutic phenomenology. Twenty-three patients diagnosed with ADHD who experience premature ejaculation participated. Thematic analysis was used for data analysis with ATLAS.ti computer software. Two main themes were drawn from the data analysis: (1) “Virility in question: ejaculation time as the measure of masculinity” and (2) “Restoring sexual identity and function”. Premature ejaculators with ADHD experience heightened emotional challenges stemming from traditional masculine norms and the social pressure to conform, which has a negative impact on their sexual well-being. Furthermore, they encounter difficulties in their relationships, resulting in sexual dissatisfaction for both partners. In a quest to reclaim their sexual identity and function, the participants sought assistance from healthcare professionals and explored potential triggers for this sexual dysfunction, including the influence of ADHD.
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    Occupational exposure to pesticides as a Risk Factor for sleep Disorders,
    (2023-02-10) Emelinda Rosario Fadul Calderón; Rafael García Álvarez
    Inadequate sleep has been linked to a variety of impairments in bodily functions, including endocrine, metabolic, higher cortical function, and neurological disorders. For this reason, the aim of this study was to analyze the link between occupational pesticide exposure and sleep health among farmers in Almeria. A cross-sectional study was conducted among a population living on the coast of Almeria (southeastern Spain), where about 33,321 hectares of land are used for intensive agriculture in plastic greenhouses. A total of 380 individuals participated in the study: 189 greenhouse workers and 191 control subjects. The participants were contacted during their annual scheduled occupational health survey. Data on sleep disturbances were collected using the Spanish version of the Oviedo Sleep Questionnaire. Agricultural workers were found to be at a significantly higher risk of insomnia, especially among those who did not wear protective gloves (OR = 3.12; 95% C.I. = 1.93–3.85; p = 0.04) or masks (OR = 2.43; 95% C.I. = 1.19–4.96; p = 0.01). The highest risk of insomnia related to pesticide applicators was observed in those who did not wear a mask (OR = 4.19; 95% C.I. = 1.30–13.50; p = 0.01) or goggles (OR = 4.61; 95% C.I. = 1.38–10.40; p = 0.01). This study supports previous findings indicating an increased risk of sleep disorder in agricultural workers exposed to pesticides at work.
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    The relationship between female orgasmic disorder, attention –deficit/hyperactivity disorder, and depression in Dominican Women
    (2024-04-16) Emelinda Rosario Fadul Calderón; Rafael García Álvarez
    "Background Female orgasmic disorder is listed in the DSM-5 and is defined as the persistent or recurrent inability to have an orgasm. Many depressed women may experience sexual dysfunction, including female orgasmic disorder. Aim The study sought to analyze the relationship between depressive disorders and attention-deficit/hyperactivity disorder (ADHD) and their influence on the development of female orgasmic disorder. Methods A total of 221 Dominican women participated in this case-control study. The case group consisted of 107 women diagnosed with female orgasmic disorder, while the control group consisted of 114 women without any sexual dysfunction. Outcomes The diagnosis of ADHD was obtained from the participants’ medical records, previously conducted using the DSM-5-TR criteria. The Beck Depression Inventory II was used to assess the severity of depressive symptoms in both groups. Results There was a significant relationship between female orgasmic disorder and ADHD and depression. The results of multiple logistic regression indicated that the highest risk of female orgasmic disorder was observed in women with ADHD (odds ratio [OR], 4.91; 95% confidence interval [CI], 2.46-9.20; P < .001), women with severe depression (OR, 2.50; 95% CI, 1.08-6.96; P = .04), and women who had sexual intercourse that focused on penetration (OR, 2.02; 95% CI, 1.03-3.98; P = .04). Clinical Implications These findings may have important implications for the prevention and treatment of sexual disorders in women. Strengths and Limitations This design selected all diagnosed cases of female orgasmic disorder and did not select a specific subgroup. However, some limitations must be considered. This study was conducted in a single clinic, although it should be noted that it is the main clinic for the treatment of sexual dysfunction in the country. A further limitation could be that this type of study design does not allow for statements about causality to be made. Conclusion There is an increased risk of female orgasmic disorder in women with ADHD, with severe depression, and who engage in penetrative sex."