Search or add a thesis

Advanced Search (Beta)
Home > Prevalence and Factors Associated With Female Sexual Dysfunction Amongst Women Using Hormonal and Non-Hormonal Contraception at the Aga Khan University Hospital Nairobi Clinics

Prevalence and Factors Associated With Female Sexual Dysfunction Amongst Women Using Hormonal and Non-Hormonal Contraception at the Aga Khan University Hospital Nairobi Clinics

Thesis Info

Author

Butt, Momin

Department

Family Medicine (East Africa)

Program

MMed

Institute

Aga Khan University

Institute Type

Private

City

Karachi

Province

Sindh

Country

Pakistan

Thesis Completing Year

2018

Thesis Completion Status

Completed

Subject

Medicine

Language

English

Added

2021-02-17 19:49:13

Modified

2024-03-24 20:25:49

ARI ID

1676728059791

Asian Research Index Whatsapp Chanel
Asian Research Index Whatsapp Chanel

Join our Whatsapp Channel to get regular updates.

Similar


Background: Female sexual function is a complex phenomenon. It integrates all the body systems and is influenced by a variety of factors. Contraceptives have been shown to have variable effects on female sexual function, but there have not been adequately powered studies on this in our setting. Justification: The prevalence of female sexual dysfunction (FSD) has been shown to vary among different population subsets globally. The associations of different factors with FSD have also shown variable conclusions that are not generalizable to our setting. In Kenya there is a high discontinuation rate of contraception and this is mainly attributed to its related side effects. This has created a need to study the prevalence of, and the significant factors affecting FSD among those using contraception in our setting. Objectives and methods: The aim of the study was to determine the prevalence of FSD among women using hormonal and those using non-hormonal contraception and to examine the factors associated with it. A cross-sectional study was conducted at clinics within AKUHN. Consecutive sampling of women of reproductive age using either hormonal or non-hormonal contraception was done. Two questionnaires, one on demographic profiles and the other on the female sexual function index (FSFI) were completed. Independent associations of the factors with the outcome variables were assessed using Chi square test of association and variables with a P< 0.25 used in the multivariate analysis. Factors associated with FSD were determined using binary logistic regression. Results: A total of 566 participants were included. The prevalence of FSD among those using hormonal and those using non-hormonal contraception was 51.5% and 29.6% respectively (P<0.0001). Using logistic regression we found that the factors that were associated with FSD were presence of chronic illness and use of chronic medication, self-employment and unemployment statuses, alcohol intake and history of miscarriage(s). Conclusions and recommendations: There was a high prevalence of FSD in our setting. There was a strong association between hormonal contraception and FSD amongst those using it. More studies on this topic in different settings are recommended to investigate effect of each type of hormonal method on FSD.
Loading...
Loading...

Similar Books

Loading...

Similar Chapters

Loading...

Similar News

Loading...

Similar Articles

Loading...

Similar Article Headings

Loading...

شاعر دا مہاندرا

ارشاد ڈیروی سرائیکی دا مہاندرا شاعر تے نثر نگار اے ، اوندی شاعری دا کِھلار بٖہوں وسیع اے ، زودنویس شاعر ہن ، کوئی موضوع اینجھا کانئی جیندے اَتے انہاں قلم نہ چاتا ہووے ،فقیر منش انسان اے ، انسان دوست اے ، عجز و انکساری دا کامل نمونہ اے، او شاعری تے شخصیت بارے  ڈاکٹر محمد ایوب دی لکھت ، ارشاد ڈیروی فن تے شخصیت ، بٖہوں پرتاں کھولیندی اے۔

اِیں کتاب دا پہلا مضمون ’’ارشاد تے عصری شعور ‘‘ اے ایندے وچ ڈاکٹر ایوب نے اِنہاں دی شاعری وچ عصری شعور لبھنْ دی شاندار کوشش کیتی اے ، ارشاد ڈیروی دی شاعری وچ عصری شعور دے بہترین نمونے ڈٖے کے ڈاکٹر صاحب نے اپنْی گٖالھ کوں قاری دے سامنْے کھول ڈٖتے، انہاں دا آکھن اے۔

ارشاد ڈیروی دا عصری شعور بٖہوں ڈٖونگھا ہے، اوسماج وچ رونما ہوونْ والے واقعات نوں ڈٖونگھی نگاہ نال ویکھدا پرکھدا اے تے شعراں راہیں بیان کردا اے‘‘

ڈٖوجھا مضمون ، ’’ارشاد ڈیروی دی شاعری وچ سراپانگاری ‘‘ اے ایندے وچ ڈاکٹر صاحب محبوب دے سراپے وچ ورتیجنْ والے یکیاں اعضاواں بارے شعر انج کوتے انہاں دی ارشاد ڈیروی دی سراپانگاری تے بھرواں مضمون لکھیے ، اگلا مضمون ، ارشاد ڈیروی تے اسناف سخن‘‘ دے ناں نال اے ، ایندے وچ ارشاد ڈیروی جتناں اصناف سخن کوں اپنْی شاعری وچ ورتیے انھاں دا جائزہ گھدا گٖئے ، انہاں اصناف وچ لغت ، میلاد ، منقبت ، مدح، قطعہ، ڈٖوہڑے تے گیت شامل ہن ڈاکٹر صاحب نے پہلے ہر صنف سخن دا تعارف تے معنی ڈٖیسے ول اوندے وچ ارشاد ڈیروی دی شاعری دا مختصر جائزہ گھدے بیا مضمون ارشاد ڈیروی دی شاعری دے سرنانویں ، اے ایندے وچ ارشاد ڈیروی دی شاعری دا موــضوع اتے قلم چاتے ڈاکٹر محمد ایوب انہاں دی...

معاشرتی فساد و انتشار کے تدارک کا نبوی منہج

Islam provides a complete code of life and no doubt it is the religion of love and peace. The aim 0f its teaching is to unite the Muslim world specially and the whole human community in general. “Prophetic Methodology for the Elimination of Social Disturbance and Anarchy” is the topic to provide the practical guideline to built a peaceful and human caring society. First of all the word disturbance and anarchy has been described, secondly the kinds of disturbance and anarchy as internal and external has been discussed. Different aspects, reasons and the solutions of all external and internal disturbance and anarchy has been discussed in detail. Moreover their targets and objectives have also been expressed. The main focus of the research is to provide the practical solution of all types of social disturbance and anarchy in light of Prophetic teachings.

Pigeonpea Green Manuring and Nitrogen Effect on Wheat

Production of quality cereal food grains in adequate quantity to cope with the demand of growing population (> 3% especially in Asia) and maintaining the soil fertility, productivity and quality have been the query of objective for these studies. It is one of the challenges in the currently ongoing agriculture scenario that sole and excessive use of chemical fertilizers for rapid and massive crop production is reducing soil fertility, productivity and quality. Fertilizers application is causing health and environmental hazards and climate change due to global warming also increased threats to agriculture production. Researchers are trying to find alternate, indigenous, organic and comparable economic sources of nitrogen rather than synthetic chemical sources. A field experiment to evaluate the effect of pigeonpea green manuring on performance and the subsequent nitrogen fertilizer requirement of wheat crop, was conducted at the Agronomy Research Farm, The University of Agriculture Peshawar during 2013-14 and 2014-15. The experiment was a randomized complete block design with split plot arrangements having four replications. Wheat variety Atta Habib at 120 kg ha-1 was sown in the experimental plots and advance lines of pigeonpea were sown for green manure. Five pigeonpea green manuring levels at 0, 30, 60, 90 and 120 days post emergence were planted to main plots, whereas 5 nitrogen levels 0, 30, 60, 90 and 120 kg N ha-1 were assigned to sub plots. All the data collected for various parameters were analyzed to explain the variations among the applied treatments. The integration of pigeonpea as green manure increased wheat yield and its related components. Green manuring at 90 and 120 days post emergence showed increase in emergence m-2, number of leaves tiller-1, leaf area tiller-1, leaf area index, productive tillers m-2, days to anthesis, days to maturity, plant height, number of grains spike-1, thousand grains weight, biological yield, grain yield, soil organic matter, concentration of soil nitrogen, potassium and phosphorus. On the other side non-productive tillers m-2, soil pH and soil bulk density showed decreasing trend with green manuring. Less days to tillering (55.1 and 55.5), non-productive tillers (15.8 and .15.7), soil .pH (7.62), soil bulk density (1.42 gcm-3) as compare to no green manuring. Harvest index and soil electrical conductivity were not affected by green manuring. Nitrogen application at 90 and 120 kg.ha.-1 increased number of leaves tiller-1 (5.9 and 6.0), leaf area tiller-1 (123.8 and 128.2 cm2), leaf area index (3.2 and 3.3), days to anthesis (119), days to maturity (159 and 160), productive tillers m-2 (233.1 and 236.3), plant height (102.3 and 102.5 cm), number of grains spike-1 (53.8 and 54.8), thousand grains weight (41.8 and 43.8 g), biological yield (10248 and 10674 kgha-1), grain yield (3601 and 3766 kgha-1) and concentration of total soil nitrogen in soil (0.084 and 0.086 %) compared to lower rates. While decrease in days to tillering (57) and number of unproductive tillers m-2 (16.7 and 15.2) were measured with application of nitrogen at high rates, increase in days to tillering and number of unproductive tillers m-2 were found with less or no application of nitrogen fertilizer. Emergence m.-2, harvest index, soil electrical conductivity, soil .pH, soil organic .matter, soil phosphorus, soil potassium and soil bulk density showed no significant effect with nitrogen fertilizer application. Year as source of variation showed considerable increase for leaf area tiller-1 (121.7 cm2), leaf area index (3.2), productive tillers m-2 (225.0), thousand grains weight (38.8 .g), plant height (99.9 cm), biological yield (9135 kg.ha.-1), organic matter (0.95 %), phosphorus (3.41 mg kg-1) and potassium (121.20mg kg-1) and unproductive tillers (17.6), soil .pH (7.72) and soil bulk density (1.45 gcm-3) during the second year. In case of interactive effect of green manuring and nitrogen fertilizer application, with 90 days post emergence pigeonpea green manuring along with 90 kg nitrogen ha-1 improved wheat vegetative growth and economic yield, soil quality and maximum economic benefit. Conclusively, the incorporation of green manures 90 days post emergence integrated with 90 kgNha-1 produced net income of Rs.1,88729/-ha.-1 as the best combination for grain yield of wheat. It is concluded from the current observations that 90 days post emerged green manures combined with 90 kg N ha-1 are the best for sustainable wheat production and which could be an environment friendly approach as well as economical for the farmers.